Approximately 130,000 Nebraskans have diabetes, and more than 81,000 have prediabetes. But, the total population of Nebraskans with prediabetes, undiagnosed and diagnosed, may be as high as 470,000! Diabetes increases your risk of developing serious health complications such as heart attack, stroke, blindness, kidney failure, and loss of toes, feet, or legs. And, people with diabetes have about twice the medical costs than those without diabetes, spending on average $13,700 per year! But, type 2 diabetes may be preventable! You can prevent diabetes by eating healthier, becoming more physically active, and reducing your weight. These can all be achieved by attending the National Diabetes Prevention Program!

Additional Information & Resources

If you have these risk factors, you may be at a higher risk than others for prediabetes and type 2 diabetes:

– You are overweight or obese.
– You are 45 years of age or older.
– Your parent or sibling has type 2 diabetes.
– You are physically inactive.
– You ever gave birth to a baby that weighed more than 9 pounds.
– You were previously diagnosed with gestational diabetes while pregnant.

Race and ethnicity can also affect your risk. African Americans, Hispanic/Latino Americans, American Indians, and some Asian Americans are at a particularly high risk for type 2 diabetes.

(Risk factor list adapted from the Centers for Disease Control and Prevention)

Clinical Diagnosis of Prediabetes 

To be diagnosed with prediabetes, please consult with your physician. The following blood test results are indicative of prediabetes:

  • An A1C of 5.7% – 6.4%
  • A Fasting Blood Glucose Between 100 – 125 mg/dL
  • An Oral Glucose Tolerance Test of 140 mg/dL – 199 mg/dL.

The Diabetes Prevention Program is intended for those who have prediabetes, or those at risk for type 2 diabetes, but who do not already have diabetes. The Diabetes Prevention Program is a year-long lifestyle change program led by trained lifestyle coaches to help participants improve their overall health through developing health eating habits, increasing physical activity levels, and reducing stress. Participants meet with a lifestyle coach in a small group setting in order to achieve two main goals of the program: (1) lose 5 to 7% of their body weight and (2) increase physical activity levels to 150 minutes per week. For reference, for a person who weighs 200 pounds, losing 5% to 7% of their body weight means losing just 10 to 14 pounds. These goals are designed to be gradual, healthy, safe, and reasonable throughout the duration of a year, and the small group setting provides a support group of people with similar goals and challenges. The Diabetes Prevention Program is not a fad diet or an exercise class; it is a year-long program focused on making long-term, healthy changes with lasting results! There are two phases of the class. Phase 1 takes place over 6 months and consists of a minimum of 16 one-hour weekly sessions. Phase 2 takes place over the next 6 months and consists of a minimum of 6 one-hour sessions.

Find out more about the program and its classes here. 

To be eligible for referral to a CDC-recognized lifestyle change program, patients must meet the following criteria:

1. Patients must be 18 years of age of older and

2. Be overweight (have a body mass index greater or equal to 24) and

3. Have no previous diagnosis of type 1 or type 2 diabetes and

4. Have a blood test result in the prediabetes range within the past year:

– Hemoglobin A1c: 5.7% – 6.4% or

– Fasting plasma glucose: 100 – 125 mg/dL or

– Two-hour plasma glucose (after 75 gm glucose load): 140 – 199 mg/dL OR

– Be previously diagnosed with gestational diabetes

Patients may also self-refer to the Diabetes Prevention Program without a blood test or history of gestational diabetes if they screen positive for prediabetes based on CDC’s or the American Diabetes Association Prediabetes Screening Test. The Prediabetes Screening Test is available at here.

Prediabetes, Diabetes, and Your Health

The CDC in partnership with Joan Lunden, developed video mini-series to provide viewers with invaluable information about prediabetes and diabetes. Joan Lunden and CDC’s Dr. Ann Albright share insights on the current state of prediabetes and diabetes in America, as well as proven strategies for preventing or delaying type 2 diabetes. For more information and to view the videos from the mini-series, please visit here.

The National Institute of Diabetes and Digestive and Kidney Diseases developed the following resources and guides to aid you in preventing type 2 diabetes. Click here to be taken to the “Game Plan to Prevent Type 2 Diabetes” homepage.