Health Care Costs Are 2.3x Greater for People with Diabetes


Click on the above image to see the full prediabetes infographic

Each year about 1.5 million Americans are diagnosed with type 2 diabetes, adding to the 30 million Americans who are living with diabetes every day. And one in three American adults have prediabetes, although 90 percent of them don’t know it.

While type 2 diabetes is linked to age, race and family history, research also shows that the risk of developing prediabetes increases when an individual is overweight or physically inactive.

Although we can’t change our age, race or genes, we can change our lifestyle habits. And that’s good news for employers, who pay about $7,900 annually to cover an employee with diabetes: lifestyle change programs can reduce the risk of developing diabetes by 50 percent.

Johns Hopkins has developed two lifestyle-change programs: one helps individuals prevent type 2 diabetes and the other trains them to self-manage their diabetes.

Diabetes Prevention: act2

 act2 is an interactive, year-long support and engagement program that empowers those at high risk of developing diabetes. The program enables participants to take charge of their own health and well-being, with the support of trained coaches.

  • A comprehensive, evidence-based lifestyle change program
  • Facilitated by trained coaches
  • In-person and online formats
  • Johns Hopkins-enhanced CDC-approved curriculum based on the National Diabetes Prevention Program (NDPP)

National Diabetes Prevention Program Outcomes*:

  • Participants cut risk of developing type 2 diabetes by 58 percent
  • Participants were able to lose 5 percent to 7 percent of their body weight through healthier eating and maintaining at least 150 minutes of physical activity weekly
  • Long-term benefits—those in a diabetes prevention lifestyle change program were one third less likely to develop type 2 diabetes after 10 years
  • Long-term potential cost savings in avoiding or delaying type 2 diabetes


Diabetes Self-Management: DECIDE

The goal of DECIDE (Decision-making Education for Choices In Diabetes Everyday) is to help individuals—ranging in age from 18 to 90 years old—learn how to change their behavior so they can better manage their diabetes. Incorporating the seven core diabetes-self-management behaviors, the DECIDE program facilitates adherence and maintenance by teaching patients problem solving as a key skill for behavior change and for incorporating self-management activities into their everyday lives.

  • A structured curriculum engages patients in a step-by-step process of self-management planning and activation
  • Problem-based training helps patients apply diabetes self-management in the context of their everyday lives
  • Tools and resources support behavioral change
  • Training of health care providers to coach and support their patients

Using a cloud-based platform, DECIDE delivers this clinically-validated online program to patients anywhere, on any device, at any time.

Benefits for providers:

  • Enroll patients and manage their progress through interactive dashboard
  • Improve patient engagement and satisfaction with text and two-way video communication
  • Manage larger patient load
  • Measure and report on quality outcomes data
  • Scales to an unlimited number of patients
  • Integrates with all major EHRs for a seamless workflow

Ideal for patients who:

  • Need flexibility to log-in and learn from any location, at any time
  • Seek interactive and engaging digital content
  • Move through self-directed program to progress at their own pace
  • Want to revisit modules multiple times

DECIDE’s Evidence-Based Outcomes:

  • Lower A1C levels
  • Lower blood pressure
  • Lower LDL cholesterol
  • Increased self-management knowledge
  • Increased problem-solving skills for managing barriers that impact health
  • Increased frequency of self-management behaviors

DECIDE was developed from years of research and clinical application by Felicia Hill-Briggs, Ph.D., A.B.P.P., a clinical psychologist, behavioral scientist, and professor of medicine at the Johns Hopkins University School of Medicine. She is a nationally recognized expert in diabetes self-management and diabetes population health improvement. Her research has earned scientific awards as well as honors for improving community health and wellness.

Learn more about the benefits of the Johns Hopkins act2 and DECIDE programs.

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