National Diabetes Prevention  Program

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Type 2 diabetes is a serious and potentially life-threatening medical condition. It can be managed and even prevented by lifestyle changes prior to and after diagnosis.

As we work toward our goal to build healthy and strong communities, Fulcrum Performance has been working with our members to expand prevention efforts for Type 2 diabetes through the Prevent T2 diabetes prevention program.

You Can Prevent Type 2 Diabetes

“A Change for Life”

In this video, experts and people with prediabetes talk about how Type-2 diabetes can be prevented or delayed by making lifestyle changes that include weight loss and increased physical activity. People with prediabetes discuss how group lifestyle change classes helped them learn and keep healthy habits.

*PreventT2 is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC).]

What Is Type 2 Diabetes?

Type 2 diabetes is the most common form of diabetes. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have type 2 diabetes, your body can’t use its own insulin as well as it should. This causes sugar to build up in your blood. Type 2 diabetes is a serious condition. It can lead to health issues such as heart attack; stroke; blindness; kidney failure; or loss of toes, feet, or legs.

What Is Prediabetes?

Prediabetes is a blood glucose (sugar) level that is higher than normal but not high enough to be diagnosed as diabetes. One in three American adults has prediabetes, and most do not even know they have it. If you have prediabetes and do not lose weight or do moderate physical activity, you can develop type 2 diabetes within 5 years.

What is the PreventT2 Lifestyle Change Program?

PreventT2 is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC). It is proven to help people with prediabetes prevent or delay development of type 2 diabetes.

What Is the Benefit of Being Part of a PreventT2 Program?

As part of a PreventT2 group, you will work with other participants and a trained lifestyle coach to learn the skills you need to make lasting changes. These changes include losing a modest amount of weight, being more physically active, and managing stress. Being part of a group provides support from other people who are facing similar challenges and trying to make the same changes you are. Together you can celebrate successes and find ways to overcome obstacles.

Am I at Risk for Prediabetes and Type 2 Diabetes?

You are at increased risk for developing prediabetes and type 2 diabetes if you:

• Are 45 years of age or older;

• Are overweight;

• Have a family history of type 2 diabetes;

• Are physically active fewer than three times per week; or

• Ever had diabetes while pregnant (gestational diabetes) or gave birth to a baby that weighed more than 9 pounds. If you think you may be at risk, a health care provider can do a blood test to see if you have diabetes or prediabetes.

What Is the Format of the PreventT2 Program?

PreventT2 groups meet online for a year — weekly for the first 6 months, then once or twice a month for the second 6 months to maintain healthy lifestyle changes. During each session, your lifestyle coach will teach a lesson and lead a group discussion. For example, you will learn to:

• Eat healthy

• Add physical activity to your life

• Manage stress

• Stay on track when eating out

• Understand and respond to your food cues

• Stay motivated

• Solve problems that can get in the way of healthy changes


This program is intended for adults at high risk for type 2 diabetes. It is not intended for those individuals diagnosed with diabetes. If you have been diagnosed with diabetes, or have had blood glucose screenings greater than 126, or A1C 6.5 or higher.

All Prevent T2 program participants MUST meet ALL of the following:

  1. Be 18 years of age or older

  2. Not pregnant at the time of enrollment

  3. Not diagnosed with type 1 or type 2 diabetes; if you are seeking resources for diabetics, please click here (brochure available here)

  4. Have a body mass index (BMI) of ≥25 (or ≥23, if Asian American); You can calculate your BMI here.

AND must meet ONE of the following:

  1. A recent (within the past year) blood test meeting ONE of the following specifications:

    1. Fasting glucose of 100 to 123 mg/dl

    2. Plasma glucose measured 2 hours after a 75 gm glucose load of 140 to 199 mg/dl

    3. A1c of 5.7 to 6.4

  2. Clinically diagnosed gestational diabetes mellitus (GDM) during a previous pregnancy

  3. A positive screening for prediabetes based on the CDC Prediabetes Screening Test, which can be found here