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Health Provider Resources

Below find health provider resources for diabetes, prediabetes and chronic kidney disease. 
  • Self-Management Programs

    To refer to DSMES, a health care provider must refer a patient to the program.  To refer a patient, complete these three easy steps:

    1. Download and complete the referral form
    2. Locate a DSMES program near you
    3. Send the completed referral form to the preferred DSMES service location

    Clinical Tools

    Medication Resources

    Comorbidities

    Additional Resources

  • Approximately 1 in 3 adults in the United States has prediabetes and 90 percent are unaware they have it. Health care professionals play a critical role in screening, testing, and referring patients with a high risk of developing type 2 diabetes to resources to support them in reducing their risk. Early identification and management of patients with prediabetes is critical to help prevent or delay progression to type 2 diabetes.

    Benefits to Your Practice

    • Referring patients to a CDC-recognized lifestyle change program helps reinforce the important advice that you give them during their visits. Because CDC-recognized lifestyle change programs use a research-based curriculum and trained coaches, you can trust that your patients are receiving evidence-based information about weight loss, diet, exercise, and other important lifestyle changes. Once they’ve enrolled in the program, you may even find that their increased knowledge saves you time during office visits.
    • Many prediabetes tools that are provided are linked with Performance Improvement Continuing Medical Education (PI CME). Read more about the Prediabetes PI CME from the American Medical Association (AMA).
    • Following a M.A.P. to Diabetes Prevention for Your Practice can help your practice achieve Patient Centered Medical Home (PCMH) recognition, as well as meaningful use of your electronic medical record. It supports PCMH recognition via Standard 4: Self-Care Support, B. Provide Referrals to Community Resources.

    DPP Eligibility

    To participate in a CDC-recognized lifestyle change program, patients need to meet ALL 4 of these requirements:

    1. Be 18 years or older.
    2. Have a body mass index (BMI) of 25 or higher (23 or higher if you are Asian American).
    3. Not be previously diagnosed with type 1 or type 2 diabetes.
    4. Not be pregnant.

    Patients also need to meet ONE of these requirements (unless you are enrolling in the Medicare Diabetes Prevention Program, which has different criteria):

    1. Had a blood test result in the prediabetes range within the past year (includes any of these tests and results):
    • Hemoglobin A1C: 5.7–6.4%.
    • Fasting plasma glucose: 110–125 mg/dL.
    • 2-hour plasma glucose (after a 75 g glucose load): 140–199 mg/dL.
    1. Be previously diagnosed with gestational diabetes (diabetes during pregnancy).
    2. Received a high-risk result (score of 5 or higher) on the Prediabetes Risk Test.

    Details about the Diabetes Prevention Program

    • CDC-recognized lifestyle change programs run for 1 year. In the first 6 months, your patients will meet weekly for 1 hour to learn to:
      • Eat healthy without giving up all the foods they love
      • Add physical activity into their busy schedules
      • Deal with stress
      • Cope with challenges that can derail their hard work—like how to choose healthy food when eating out
      • Get back on track if they stray from their plan—because everyone slips now and then
    • In the second 6 months, they will meet monthly for 1 hour to build on the skills they’ve learned and maintain their positive changes. They will review key concepts such as setting goals, tracking food and physical activity, staying motivated, and overcoming barriers. The second 6 months is essential to help your patients stick with new habits.
    • Over the course of 1 year, CDC-recognized lifestyle change programs offer about 24 hours of instruction to lower your patients’ risk of type 2 diabetes by more than half. There are also online programs available for patients who have difficult schedules or mobility and transportation issues.
    • The lifestyle change program has key features to guarantee its quality and outcomes:
      • CDC-approved curriculum with lessons, handouts, and other resources to help participants make healthy changes.
      • A lifestyle coach, specially trained to lead the program, help teach new skills, encourage participants to set and meet goals, and keep them motivated. The coach also facilitates discussions and helps make the program fun and engaging.
      • A support group of people with similar goals and challenges. Together, the group will share ideas, celebrate successes, and work to overcome obstacles. In some programs, participants stay in touch with each other during the week, and sometimes well after the program ends. It may be easier to make changes working as a group than doing it alone.

    Evidence Behind the DPP

    • A randomized, controlled clinical trial showed that completing this lifestyle change program reduced program participants’ chances of developing type 2 diabetes by 58% compared to placebo (71% for individuals aged 60 and older), nearly twice as much as the reduction among the group taking metformin (31%).
    • The program focuses on life-long changes to certain habits and behaviors, which helps participants maintain healthy improvements over time. A 10-year follow-up study showed that participants were still one-third less likely to develop type 2 diabetes a decade later than individuals who took a placebo. Those who did develop type 2 diabetes delayed the onset of the disease by about 4 years.

    Resources for Your Practice

    • CDC developed these resources to encourage health care professionals to refer at-risk patients to a lifestyle change program. These materials help educate health care professionals about the program and offer them tools for easy referrals.
    • Health care teams can use materials developed by the American Medical Association (AMA), to help prevent type 2 diabetes by referring patients to an in-person or online CDC-recognized lifestyle change program. The AMA Diabetes Prevention Toolkit provides tools and resources for the health care team, such as billing codes, information on how to optimize your electronic health record for diabetes prevention, and fact sheets about prediabetes and the National DPP.
  • This section provides helpful resources for providers caring for people at risk for or diagnosed with chronic kidney disease (CKD), especially those with diabetes.   MDHHS, diabetes and kidney unit, is dedicated to bringing awareness to CKD, providing up to date resources for providers and increasing screening rates for Michiganders at risk for developing CKD.

    glomerular filtration rates (gfr) for normal function, kidney disease and kidney failure

    CKD Screening

    Patient Services and Professional Resources

    Stats About CKD