Prediabetes and Diabetes: Part of the Wisconsin Chronic Disease Prevention Program

Prediabetes in Wisconsin

About one third of adults have prediabetes, yet nearly 90% do not know it.1 Without lifestyle change, prediabetes can lead to type 2 diabetes within five years.2 Type 2 diabetes can lead to serious health issues such as heart attack, stroke, blindness, kidney failure, and loss of toes, feet, or legs. Fortunately, research shows that prediabetes can often be reversed through modest lifestyle changes such as healthy eating, increased activity, and weight loss.3  To learn more about prediabetes and what you can do to prevent it, visit the new Prediabetes Page.

Diabetes in Wisconsin

Diabetes is a costly, complex, and devastating chronic illness. Approximately 356,000 adults and 6,500 children and adolescents in Wisconsin have been diagnosed with diabetes.4,5,6  Two out of five adults are expected to develop type 2 diabetes in their lifetime.7 It is estimated that an additional 138,000 have diabetes but are undiagnosed.8 Diabetes is the seventh leading cause of death in Wisconsin, incurring an estimated $5.5 billion annually in health care and lost productivity costs.9,10 Each year, more than 1,300 Wisconsin residents die from diabetes and many more suffer disabling complications such as heart disease, kidney disease, blindness, and amputations.9 This burden is higher among minority populations. Much of the health and economic burden can be averted through known prevention measures.


Prevention efforts

The Wisconsin Chronic Disease Prevention Program (CDPP) works with health systems, health care providers, insurers, and professional organizations across the state to support a healthier Wisconsin by improving the prevention and management of diabetes. With funding from the Centers for Disease Control and Prevention (CDC), the CDPP manages several projects to enhance coordinated systems of care, promote clinical best practices, and support patient self-care and health literacy.

Current diabetes projects include:

  • Increasing use of diabetes self-management programs and chronic disease self-management programs in community settings.
  • Increasing use of lifestyle intervention programs in community settings for the primary prevention of type 2 diabetes.
  • Increasing use of health-care extenders such as community health workers and pharmacists to support self-management of high blood pressure and diabetes.
  • Implementing policies, processes, and protocols in schools to meet the management and care needs of students with chronic conditions.

Statewide Engagement Events 


The October 2017 Diabetes Prevention State Engagement Meeting convened Wisconsin partners to increase access to National Diabetes Prevention Programs (DPP) in high-burden areas. The meeting resulted in an action plan to:
  • increase awareness, screening, and testing for prediabetes.
  • increase bi-directional referrals into the National DPP.
  • increase public and private coverage for the National DPP.
  • increase National DPP class availability.

A year after the Diabetes Prevention State Engagement Meeting, attendees were invited to the September 2018 Diabetes Prevention Outcomes Summit to review progress on the action plan, and also share:
  • success stories.
  • best practices.
  • lessons learned about awareness, availability, coverage, and referrals for the National DPP. 
 



Resources by setting

Learn about the impact health plans, community programs, and worksite wellness programs can make on managing or preventing diabetes.

Doctor consulting with male patient in her office
Health plans

Discover how health plans in Wisconsin are working together to improve care for and prevention of prevalent chronic diseases and their common risk factors.

People sitting on physio balls in fitness class
Community-Based programs

Evidence-based programs in your community can teach you how to prevent or manage diabetes.

Image of people in a library setting looking at a computer screen
Worksite wellness

There are many diabetes-related resources available to enrich an employee's physical, mental, emotional, and occupational well-being.


Additional Resources

 


1 2011-2014 National Health and Nutrition Examination Survey and 2015 U.S. Census Bureau Data.
2 Narayan KM, et al. 2003. Lifetime risk for diabetes mellitus in the United States. JAMA, 290 (14): 1884-90.
3 DPP Research Group. 2002. Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. New Eng J Med, 346 (6): 393-403.
4 Behavioral Risk Factor Surveillance System (BRFSS), 2014.
5 National Survey of Children’s Health, 2011-2012 Survey.
6 Wisconsin Interactive Statistics on Health, 2014 Population Module
7 The Lancet Diabetes and Endocrinology, 2014.
8 Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: U.S. Department of Health and Human Services; 2014.
9 Wisconsin Interactive Statistics on Health, Mortality Module (Cause of Death: Diabetes Mellitus).
10 American Diabetes Association. "The Burden of Diabetes in Wisconsin." Accessed August 17, 2018. Online: main.diabetes.org/dorg/assets/pdfs/advocacy/state-fact-sheets/Wisconsin2018.pdf.

 

Last Revised: October 12, 2018