Reach and Use of Diabetes Prevention Services in the United States, 2016-2017

Key Points Question What number and proportion of US adults are referred to and use diabetes preventive services? Findings In this nationally representative cross-sectional analysis of 50 912 survey respondents, 73.5% of those with diagnosed prediabetes and 50.6% of those with risk factors reported receiving any advice or referrals to reduce risk; of those advised, 35.0% to 75.8% of those with diagnosed prediabetes and 33.5% to 75.2% with risk factors reported engaging in various risk-reducing activities or programs in the past year. Those with a formal prediabetes diagnosis were more likely to receive advice or referrals by health care professionals, and those advised were more likely to engage in risk-reducing activities and/or programs. Meaning To improve reach and use of diabetes preventive services, expansion of some combination of programs (supply), awareness (demand), and access and referrals by health care professionals (linkage) appears to be needed.