DPP in Hispanic and Non-Hispanic Women with a History of GDM

Objectives: The University of Kentucky, College of Nursing (UK CON) in collaboration with University of Kentucky Barnstable Brown Diabetes Center (UK BBDC) will implement and evaluate a Diabetes Prevention Program (DPP) in English-speaking and Spanish-speaking women with a history of Gestational Diabetes Mellitus (GDM). Intervention: Implementation of the DPP based on standards and procedures and guidelines for the CDC DPRP during the postpartum* period in women with a history of GDM. Participants: Thirty eligible participants (nƒ­15 English/primary language; nƒ­15 Spanish/primary language) receive six months Core DPP training and at least three sessions of post-core DPP training by trained lifestyle coaches. Outcomes Measures: CDC-required data elements (CDC, 2015, pp. 15-16) with no information in identifiable form (directly or indirectly identifiable).1 Discussion: Data from the Diabetes Prevention Program (DPP) study show that lifestyle intervention or treatment with metformin can be cost-effective in preventing or delaying type 2 diabetes in women with a history of GDM (Herman, et al., 2005).2,3 Furthermore after three years, the DPP also showed that treatment with pharmacological agents for hypertension and hyperlipidemia were reduced by 27¡V28% and 25%, respectively in the intervention group when compared with the control group (Ratner, et al., 2005).4 Conclusion: The UK CON in collaboration with the UK BBOC has the resources and required DSME recognized program to develop, implement, and evaluate the grant-funded, CDC-led DPP. Keywords: diabetes prevention, DPP, prediabetes, gestational diabetes, GDM, education, training References 1. Centers for Disease Control (2015). Centers for Disease Control and Prevention Diabetes Prevention Recognition Program Standards and Operating Procedures. Retrieved from www.cdc.gov/diabetes/prevention/recognition 2. Herman, W. H., Hoerger, T. J., Brandle, M., Hicks, K., Sorensen S., Zhang, P.,¡K Ratner, R. E. (2005). The cost effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance. Annals of Internal Medicine, 142, 323ƒ{332. Retrieved from http://annals.org/article.aspx?articleid=718240 3. Coustan, D. R. (Ed.) Medical management of pregnancy complicated by diabetes. 5th ed. Alexandria, VA: American Diabetes Association; 2013. 4. Ratner, R., Goldberg, R., Haffner, S., Marcovina, S., Orchard, T., Fowler, S., & Temprosa, M. (2005). Impact of intensive lifestyle on cardiovascular disease risk factors in the Diabetes Prevention Program. Diabetes Care, 28, 888ƒ{894. Retrieved from http://care.diabetesjournals.org/content/28/4/888.abstract?ijkey=5c0c3edf8d06b88e52951c5e8c2d 6ab3cb0bd279&keytype2=tf_ipsecsha