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A digital Diabetes Prevention Program (dDPP) was effective in reducing the risk of diabetes in a workforce population. All modifiable components of a validated diabetes risk score (diastolic BP, systolic BP, BMI, fasting glucose, HDL-cholesterol, triglycerides) improved after the first year of the dDPP compared to the year prior. Objective: We asked whether the estimated 8-year risk of diabetes could be reduced within the first 2 years of a digital Diabetes Prevention Program (dDPP) in a workforce population. Methods: Employees and spouses were eligible if they had prediabetes-range fasting glucose or hemoglobin A1c and body mass index ≥25 kg/m2. Diabetes risk was assessed using the Framingham diabetes risk score in the year before and the 2 years after dDPP initiation. Results: Among participants completing at least nine dDPP lessons (n = 286), diabetes risk decreased 5.3% the year after dDPP initiation, after a 5.4% increase the year before initiation (difference in differences, −10.6%; 95% confidence interval, −13.4% to −7.9%; P < 0.001), with risk maintained at reduced levels after the second year of the program. Conclusion: This dDPP reduced the estimated 8-year risk of diabetes over the first 2 years of the program. [ABSTRACT FROM AUTHOR]

Objective: Evaluate the effect of a digital Diabetes Prevention Program (dDPP) on chronic disease risk factors in a workplace population. Methods: dDPP participants were employees and spouses with BMI ≥ 24kg/m² and prediabetes or diabetes (n = 84). Annual change in risk factors before and after dDPP were assessed in the dDPP group and in a retrospectively identified matched control group drawn from those who participated in a dDPP after the conclusion of this study (n = 252). Results: In the dDPP group, body weight, BMI, fasting glucose, triglycerides, total cholesterol and LDL-cholesterol decreased in the post-dDPP period compared with the pre-dDPP period (P<0.05). In the control group, no difference between the annual change before and after dDPP was observed (P > 0.37). Conclusion: The dDPP was effective in reducing risk factors for chronic disease in a workplace setting. [ABSTRACT FROM AUTHOR]