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About 1 million Michigan adults have diabetes, and another 2.6 million have prediabetes. People with prediabetes are at high risk for developing type 2 diabetes, but that can be delayed or prevented with behavioral changes. Following national guidelines can help clinicians improve diabetes-related outcomes for patients, while local evidence-based programs assist patients in achieving diabetes prevention and self-management goals.

Refer Patients to Evidence-based Programs for Prediabetes and Diabetes

Screen each adult patient for prediabetes, using a prediabetes risk assessment.

In the confirmed absence of diabetes, if a patient’s BMI is ≥ 24 and risk assessment reveals they are at high risk for prediabetes, refer them to a CDC recognized Diabetes Prevention Program (DPP). Find classes throughout Michigan. 

Refer patients with diabetes to Diabetes Self-Management Education or Diabetes PATH:

  • Diabetes Self-Management Education (DSME) to help them identify their diabetes needs, goals, behavioral interventions, and plans for support. According to the American Diabetes Association, there are four critical times to refer: 1) At the time of diagnosis; 2) Annually, to review education; 3) When new factors influence self-management (e.g. diagnosis of a co-morbid condition, emotional factors); and, 4) When transitions in care happen (i.e., a change in care team or location).

    Find a MDHHS certified DSME program in your area.

  • The Diabetes version of Personal Action Toward Health (PATH) program is designed to build self-management skills and confidence. Find a local Diabetes PATH workshop in your area. The American Diabetes Association (ADA) Clinical Practice Guidelines include annually updated recommendations and standards for prevention, diagnosis and management of type 1, type 2, and gestational diabetes.

    Find basic information and links to Michigan-specific diabetes programs and data on the Michigan Department of Health and Human Services Diabetes Prevention and Control Program webpage.

For more information, visit or call the MDHHS Diabetes Prevention and Control Program, at 517-335-8853.