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Cross-cutting Topics



NACCHO aims to maximize local health department (LHD) capacity to prevent and control type 2 diabetes and other chronic diseases among priority populations who experience racial/ethnic or socioeconomic disparities.In line with this aim, NACCHO provides technical assistance and support to LHDs to implement the following activities:

  • Expand implementation of evidence-based policies and programs that prevent or delay the onset of type 2 diabetes, promote early diagnosis, and improve treatment outcomes for priority and special populations diagnosed with or at risk for diabetes.
  • Facilitate activities to integrate chronic disease prevention activities in local health departments
  • Carry out decision-making and planning efforts focused on the integration of technology into data collection activities for identifying and referring priority populations affected by diabetes and other chronic diseases to appropriate evidence-based supports, programs, and services
  • Increase LHD capacity to bill public and private third-party insurers for provision of diabetes screenings and delivery of diabetes self-management programs
In the Spotlight

The Task Force released the following findings on: Diabetes Prevention and Control: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes among People at Increased Risk:

The Community Preventive Services Task Force recommends combined diet and physical activity promotion programs for people at increased risk of type 2 diabetes based on strong evidence of effectiveness in reducing new-onset diabetes. Combined diet and physical activity promotion programs also increase the likelihood of reverting to normoglycemia (normal blood sugar) and improve diabetes and cardiovascular disease risk factors, including overweight, high blood glucose, high blood pressure, and abnormal lipid profile.

Based on the evidence, combined diet and physical activity promotion programs are effective across a range of counseling intensities, settings, and implementers. Programs commonly include a weight loss goal, individual or group sessions (or both) about diet and exercise, meetings with a trained diet or exercise counselor (or both), and individually tailored diet or exercise plans (or both). Higher intensity programs lead to greater weight loss and reduction in new-onset diabetes.

Click here to learn more.

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Preventing Prediabetes through the National Diabetes Prevention Program: Lessons Learned from Local Health Departments

NACCHO hosted a webinar that highlighted the experiences and lessons learned of two local health departments that have been successful in establishing and running a CDC-recognized lifestyle change program under the National Diabetes Prevention Program (DPP). Speakers from local health departments  shared stories about their commitment to prevent diabetes by improving state-local level partnerships to ensure increased awareness of the National DPP, deliver the program, market the program to people at risk, recruit eligible participants, and work with health care providers to increase referrals.

Click here to access the recording, slides and questions summary.

Scaling and Sustaining the National DPP under 1422: Understanding the "Basics" 

This CDC archived webinar provides guidance on state grantees' work to scale and sustain the National Diabetes Prevention Program under CDC funding opportunity 1422. Click here to link to the archived webinar.

Resources and News

New NACCHO Fact Sheet Highlights Efforts to Support LHDs in Delivering the National Diabetes Prevention Program

With funding through the Prevention and Public Health Funds (DP14-1422), the Centers for Disease Control and Prevention (CDC) launched the State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke Program in 2014. The program funded 17 states to support local partners, including local health departments (LHDs), in implementing the National Diabetes Prevention Program (National DPP) in high-risk communities. 

Local Health Departments' Capacity to Prevent and Control Diabetes in Priority Populations

NACCHO fielded a survey in July 2014 to examine LHD evidence-based diabetes prevention/control translation and dissemination activities. Survey results revealed the need to strengthen LHD referral and billing systems in order to improve community-clinical linkages for the National Diabetes Prevention Program and other evidence-based diabetes-management programs.  

New Resource: Pre-Diabetes Toolkit

The American Medical Association and the Center for Disease Control and Prevention have published a Pre-diabetes Toolkit as guidance for providers and health systems. The objective is to promulgate screening and referral systems for patients with pre-diabetes. Click here to access the toolkit and to view an overview of the toolkit.

Share Successful Tools

NACCHO is looking for diabetes control and prevention tools for our Toolbox, a free, online collection of local public health resources produced by members of the public health community. Examples of tools include presentations, fact sheets, drills, evaluations, protocols, templates, reports, case examples, or training materials. To submit a tool, please contact the Chronic Disease team.

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Submit manuscripts to the Local Acts column in Public Health Reports!