Prediabetes Resources for Health Professionals
Preventing type 2 diabetes
Prediabetes is on the rise. However,most Minnesotans don't even know they have prediabetes. Clinical providers and health professionals play a key role in identifying patients at risk and counseling and referring them to prove lifestyle change prevention programs.
Find local diabetes prevention programs.
Resources and tools
- Prevent Diabetes STAT - This online toolkit guides clinical teams to incorporate work flows to screen, counsel and refer patients to the diabetes prevention program.
- M.A.P. to Diabetes Prevention (PDF) - M.A.P stands for three-step Measure, Act, Partner. This three-step guide focuses on ways to improve screening, counseling and referral.
- Game Plan for Preventing Type 2 Diabetes – The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) walks through methods, tools and tips for prediabetes screening and referral to lifestyle change programs.
- The Primary Care Team Guide – Tools to create high-functioning teams
- MacColl Center for Health Care Innovation – Tools for practice improvement
- Comprehensive Type 2 Diabetes Management Algorithm (PDF) – From the American Association of Clinical Endocrinologists and American College of Endocrinology
- Prevention or Delay of Type 2 Diabetes 2022 – American Diabetes Association (ADA) standards of care
Resources and guidance on reimbursement
Medicare and Medicaid provide reimbursement for some prediabetes and diabetes services, like weight loss counseling and the National DPP.
Medicare recommends and provides coverage for diabetes screening tests through Part B Preventive Services for beneficiaries at risk for diabetes or those diagnosed with prediabetes. Find more information at: NIDDK Reimbursement and Coding for Prediabetes Screening.
See Medicare’s guide for Intensive Behavioral Therapy (IBT) for Obesity.
The Minnesota Department of Human Services (DHS) provides coverage for Medicaid beneficiaries to attend a CDC-recognized Diabetes Prevention Program.. Learn more about eligible providers and recipients on the Physician and Professional Services page.
Medicare Diabetes Prevention Program (MDPP)The U.S. Centers for Medicare and Medicaid (CMS) provides reimbursement for individuals covered by Medicare Part B. Payments for individuals will vary with a maximum payment of $670 per beneficiary over 2 years, depending on beneficiaries’ attendance and weight loss. See the Medicare Diabetes Prevention Program (MDPP) Expanded Model Fact Sheet (PDF) to learn which beneficiaries are eligible for the DPP.
Becoming a Medicare Diabetes Prevention Program (MDPP) SupplierDPP providers seeking Medicare reimbursement can refer to CMS's Medicare Diabetes Prevention Program Enrollment Fact Sheet (PDF).
For an orientation to the enrollment steps, review and follow the MDPP Supplier Road Map (PDF).
For additional information regarding the Medicare enrollment process, including Internet-based PECOS, go to Medicare Provider Supplier Enrollment.
Engaging patients in lifestyle change
The health care team can engage newly diagnosed patients in a discussion about prediabetes.
Make a personalized plan for change
Patients’ goals for lifestyle change will vary. Health care teams and patients need to co-create an evidence-based plan for change. Find tips and tools to work with your patients to develop a personal plan on The National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center’s Develop a Personal Plan Based on Evidence page.
Recommend the National DPP
Many health care, community and worksite settings in Minnesota offer the DPP. Find a Diabetes Program to recommend to your patients who have prediabetes or are at high risk for type 2 diabetes.
Recommend resources to increase readiness for the National DPP
Not every person with a new prediabetes diagnosis will be ready to commit to participating in the National DPP. The CDC and NIDDK have helpful information to support patient lifestyle change:
Health coaching for lifestyle change
Health coaching helps patients build the knowledge, skills and confidence to manage their condition and improve their health. Any member of the health care team can learn coaching skills and use them to engage patients.
The Center for Excellence in Primary Care at the University of California San Francisco provides helpful information on Health Coaching, including a training curriculum, videos and more.