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Diabetes Prevention Program Toolkit


The National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) Diabetes Prevention Program (DPP) research study showed that a small amount of weight loss, achieved through lifestyle changes, could prevent the onset of type 2 diabetes in diverse populations – including American Indian people. Even more striking, a lifestyle intervention was more effective than medication in preventing or delaying the onset of type 2 diabetes.

The DPP program has already been successfully applied in American Indian/Alaska Native (AI/AN) communities through the Special Diabetes Program for Indian (SDPI) Diabetes Prevention (DP) grant program. As in the NIDDK DPP, many SDPI participants lost weight and reduced their diabetes risk by increasing their level of physical activity and eating healthier foods.

It is the hope that other AI/AN communities will implement their own innovative diabetes prevention strategies based on the NIDDK DPP to reduce diabetes risk and create healthier futures for people in their community. The modules in this toolkit will provide keys to success and lessons learned from 38 SDPI DP grant programs as they used the NIDDK DPP to meet the needs of their communities while incorporating their traditions and cultures.

Getting Started

It takes time to build a program that engages the community and establishes community ownership. Input from stakeholders, such as Tribal and community leaders, local clinic staff, and participants can help to improve the success of your program. When you're ready, develop a plan.

  • Determine the mission of your DPP program and use it to help guide decisions about priorities, actions, and responsibilities.
  • Learn about the culture of the Tribe(s) you serve and find ways to incorporate cultural elements and values into your program.
  • Assess the effectiveness of your DPP program often.
  • Use this toolkit and other related DPP resources, particularly the Centers for Disease Control and Prevention's (CDC) National Diabetes Prevention Program, to help you identify strategies to overcome barriers.

Keys to Success


Lessons Learned