The marked increase in newly diagnosed cases of type 2 diabetes is a major public health concern within the European Union. However, it has been shown that prevention programmes can significantly reduce the risk of developing diabetes. The challenge is to implement proven intervention methods effectively into clinical reality. To achieve this, action is needed in the field of policy development. Targeted intervention programmes, especially to address the needs of people at increased diabetes risk are required for clinical and community-based healthcare professionals and for the general population. Herein we try to address some of the questions arising during the implementation of a prevention management concept into clinical practice.Br J Diabetes Vasc Dis 2008; 8: 295—298
Schwarz PE, Muylle F., Valensi P., Hall M.The European perspective of diabetes prevention. Horm Metab Res2008;40:511-14.
2.
Tselmin S., Korenblum W., Reimann M. et al. The Health status of Russian-speaking immigrants in Germany . Horm Metab Res2007;39:858-61.
3.
Nestle M.Preventing childhood diabetes: the need for public health intervention . Am J Public Health2005;95:1497-9.
4.
Zimmet P.The burden of type 2 diabetes: are we doing enough?Diabetes Metab2003;29(4 Pt 2):6S9-18.
5.
DECODE Study Group.Age- and sex-specific prevalences of diabetes and impaired glucose regulation in 13 European cohorts. Diabetes Care2003 ;26(1):61-9.
6.
Kengne AP, Patel A.How important is diabetes as a risk factor for cardiovascular and other diseases in older adults?PLoS Med2006 ; 3(10): e424.
7.
Alberti KG, Zimmet P., Shaw J.International Diabetes Federation: a consensus on type 2 diabetes prevention . Diabet Med2007;24: 451-63.
8.
Thamer C., Haap M., Heller E. et al. Beta cell function, insulin resistance and plasma adiponectin concentrations are predictors for the change of postprandial glucose in non-diabetic subjects at risk for type 2 diabetes. Horm Metab Res2006;38:178-82.
9.
Hiltunen LADoes glucose tolerance affect elderly persons' balance, gait or muscle strength?Cent Eur J Public Health2001;9:22-5.
10.
Knowler WC, Barrett-Connor E., Fowler SE et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med2002 ;346:393-403.
11.
Tuomilehto J. , Lindstrom J., Eriksson JG et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med2001;344:1343-50.
12.
Chiasson JL, Josse RG, Gomis R. et al. Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM randomised trial. Lancet2002;359:2072-7.
13.
Pan XR, Li GW, Hu YH et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care1997;20:537-44.
14.
Rothe U., Muller G., Schwarz PE et al. Evaluation of a diabetes management system based on practice guidelines, integrated care and continuous quality management in a federal state of Germany: a population-based approach to health care research. Diabetes Care2008; 31:863-8.
15.
Schwarz PE, Schwarz J., Schuppenies A. et al. Development of a diabetes prevention management program for clinical practice. Public Health Rep2007;122:258-63.
16.
Schwarz PE, Peltonen M.Prevention of type 2 diabetes: lessons we have learnt for implementation . Horm Metab Res2007; 39:636-41.
17.
Saaristo T. , Peltonen M., Keinanen-Kiukaanniemi S. et al. National type 2 diabetes prevention programme in Finland: FIN-D2D. Int J Circumpolar Health2007;66:101-12.
18.
Ackermann RT , Marrero DGAdapting the Diabetes Prevention Program lifestyle intervention for delivery in the community: the YMCA model . Diabetes Educ2007;33:69, 74-5, 77-8.
19.
Sartorelli DS, Sciarra EC, Franco LJ, Cardoso MAPrimary prevention of type 2 diabetes through nutritional counseling. Diabetes Care2004 ;27:3019.
20.
Schwarz PE, Lindstrom J., Kissimova-Scarbeck K. et al. The European perspective of type 2 diabetes prevention: diabetes in Europe-prevention using lifestyle, physical activity and nutritional intervention (DE-PLAN) project. Exp Clin Endocrinol Diabetes2008;116:167-72.
21.
Schwarz PE, Gruhl U., Bornstein SR et al. The European Perspective on Diabetes Prevention: development and Implementation of A European Guideline and training standards for diabetes prevention (IMAGE). Diab Vasc Dis Res2007 ;4:353-7.
