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Horm Metab Res 2007; 39(9): 636-641
DOI: 10.1055/s-2007-985175
Review

© Georg Thieme Verlag KG Stuttgart · New York

Prevention of Type 2 Diabetes - Lessons we have Learnt for Implementation

P. E. H. Schwarz 1 , M. Peltonen 2
  • 1III° Medical Clinic, Carl Gustav Carus Medical School, Dresden University of Technology, Dresden, Germany
  • 2National Public Health Institute, Department of Health Promotion and Chronic Disease Prevention, Diabetes Unit, Helsinki, Finland
Further Information

Publication History

received 29.03.2007

accepted 09.05.2007

Publication Date:
10 September 2007 (online)

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Abstract

The challenge today is to implement successful diabetes prevention programs in general health care. Even if not all questions for the prevention of diabetes are answered, we have today overwhelming evidence that diabetes can be prevented or delayed in high risk population through lifestyle modification or pharmacological interventions. This information has to be translated now into well-defined strategies for screening and treating high risk population in daily practice. It is necessary then to develop and implement prevention programs into clinical practice considering scientific aspects and practical requirements during implementation. While translating the scientific evidence into population based intervention strategies more and more questions arise, mostly related to economic and structural requirements during implementation. At the end, giving the right answers to these questions will decide about the success of implemented prevention strategies. Here, we will try to answer some of the questions which arose during the implementation of a prevention management concept into clinical practice. We focus on the development of a structured prevention management program which will enable implementation of diabetes prevention into clinical practice.

Key words

Prevention of type 2 diabetes - quality management - intervention concept - implementation - public health - FINDRSIC

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Correspondence

Dr. med. P. E.H. Schwarz

III° Medical Clinic

Carl Gustav Carus Medical School

Dresden University of Technology

Fetscherstrasse 74

01307 Dresden

Germany

Phone: +49/351/458 27 15

Fax: +49/351/458 73 19

Email: peter.schwarz@uniklinikum-dresden.de