{"id":67069,"date":"2020-12-08T15:58:59","date_gmt":"2020-12-08T15:58:59","guid":{"rendered":"https:\/\/lmcca.wpengine.com\/?page_id=67069"},"modified":"2021-03-01T19:01:53","modified_gmt":"2021-03-01T19:01:53","slug":"cdpp-evidence","status":"publish","type":"page","link":"https:\/\/www.lmc.ca\/zh_hk\/diabetes-prevention\/cdpp-evidence\/","title":{"rendered":"CDPP \u80cc\u5f8c\u7684\u8b49\u64da"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; module_id=&#8221;ddp-menu&#8221; _builder_version=&#8221;3.22&#8243; custom_css_main_element=&#8221;z-index: 10;&#8221; collapsed=&#8221;on&#8221; global_module=&#8221;68347&#8243;][et_pb_fullwidth_menu menu_id=&#8221;276&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; active_link_color=&#8221;#97a822&#8243; dropdown_menu_text_color=&#8221;#000000&#8243; mobile_menu_text_color=&#8221;#000000&#8243; logo=&#8221;https:\/\/lmc.ca\/wp-content\/uploads\/2021\/03\/img-logo-cdpp.png&#8221; logo_url=&#8221;\/diabetes-prevention\/&#8221; logo_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.9.0&#8243; menu_text_color=&#8221;#000000&#8243; text_orientation=&#8221;center&#8221; custom_padding=&#8221;12px||12px|&#8221; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;500&#8243; custom_css_menu_link=&#8221;text-transform: uppercase;&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;5px&#8221; box_shadow_blur=&#8221;20px&#8221; box_shadow_spread=&#8221;0px&#8221; box_shadow_color=&#8221;rgba(212,212,212,0.5)&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_fullwidth_menu][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; custom_padding=&#8221;83px||100px|||&#8221; collapsed=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; custom_margin=&#8221;3px|auto||auto||&#8221; custom_padding=&#8221;||0px|&#8221; collapsed=&#8221;on&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Why should I recommend the program to my patients with prediabetes?&#8221; _builder_version=&#8221;4.7.0&#8243; header_text_color=&#8221;#95a93b&#8221;]<\/p>\n<h1><span style=\"color: #1f3569;\"><strong><span style=\"color: #000000;\">What is the evidence behind the program?<\/span> <\/strong><\/span><\/h1>\n<h3>CDPP was developed and based on scientific evidence, to ensure we created a program we know will work for Canadians. The CDPP is modelled after a tested approach, the <strong>American-led National Diabetes Prevention Program (DPP) supported by the CDC<sup>4<\/sup>.<\/strong><\/h3>\n<h3>The National Diabetes Prevention Program\u2014or National DPP\u2014was created in 2010 to address the increasing burden of prediabetes and type 2 diabetes in the United States. Since the launch of the program, there have been many publications on the effectiveness and long-term benefit of the National DPP on reducing type 2 diabetes (see list of references below). The DPP has been established as a proven methodology to prevent type 2 diabetes.<\/h3>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Who to refer?&#8221; _builder_version=&#8221;4.7.0&#8243; header_text_color=&#8221;#95a93b&#8221;]<\/p>\n<h1><span style=\"color: #1f3569;\"><strong><span style=\"color: #000000;\">How Do We Know It Works?<\/span> <\/strong><\/span><\/h1>\n<h3>A <strong>major multi-center clinical study of the DPP <\/strong>demonstrated the <strong>effectiveness of the DPP methodology <\/strong>on achieving positive health outcomes among its participants with an impactful reduction in developing type 2 diabetes in one year. The DPP is based on the underlying theory of a <strong>weight loss and physical activity focus<\/strong> within a defined population &#8211; due to their <strong>relationship with insulin resistance <\/strong>&#8211; in order to reduce the progression of prediabetes to type 2 diabetes.<\/h3>\n<h3>What have been the impact of DPP on participants? (see references in the <em>Further reading <\/em>section below)<\/h3>\n<p>&nbsp;<\/p>\n<ul>\n<li>\n<h3><strong>58% reduction<\/strong> in developing type 2 diabetes following the one year of intervention<\/h3>\n<\/li>\n<li>\n<h3><span>3.96 year delay of type 2 diabetes onset, compared to control<\/span><\/h3>\n<\/li>\n<li>\n<h3>Increase of 4.82 years in median survival and a mean increase of 1.44 years in life expectancy:<\/h3>\n<ul>\n<li>\n<h3>fewer cardiovascular disease events,<\/h3>\n<\/li>\n<li>\n<h3>a lower incidence of microvascular complications,<\/h3>\n<\/li>\n<li>\n<h3>fewer cardiovascular disease deaths and fewer all-cause deaths<\/h3>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Where is it available?&#8221; _builder_version=&#8221;4.7.0&#8243; header_text_color=&#8221;#95a93b&#8221;]<\/p>\n<h1><span style=\"color: #000000;\"><strong>Further reading<\/strong><\/span><\/h1>\n<h4>1. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: a 20-year follow-up study.\u201d Lancet. (2008) Volume 371, Issue 9626, 24\u201330, Pages 1783-1789<\/h4>\n<h4>2. Diabetes Prevention Program Research Group. \u201cLong-term effects of Lifestyle Intervention or metformin on diabetes development and microvascular complications over 15-year follow up.\u201d Lancet. (2015): 3(11): 866-875.<\/h4>\n<h4>3. Diabetes 360\u00ba: A Framework for a Diabetes Strategy for Canada Recommendations for Governments, July 2018 <a href=\"https:\/\/www.diabetes.ca\/DiabetesCanadaWebsite\/media\/Advocacy-and-Policy\/Diabetes-360-Recommendations.pdf\" style=\"font-size: 16px;\">https:\/\/www.diabetes.ca\/DiabetesCanadaWebsite\/media\/Advocacy-and-Policy\/Diabetes-360-Recommendations.pdf<\/a><\/h4>\n<h4>4. American Diabetes Association. Press release: New Data from Diabetes Prevention Program Outcomes Study Shows Persistent Reduction of Type 2 Diabetes Development Over 22-Year Average Follow-Up <a href=\"https:\/\/www.diabetes.org\/newsroom\/press-releases\/2020\/new-data-from-diabetes-prevention-program-outcomes-study-shows-persistent-reduction-of-t2d-development-over-22-year-average-follow-up\" style=\"font-size: 16px;\">https:\/\/www.diabetes.org\/newsroom\/press-releases\/2020\/new-data-from-diabetes-prevention-program-outcomes-study-shows-persistent-reduction-of-t2d-development-over-22-year-average-follow-up<\/a><\/h4>\n<h4><u>5. CDC. National Diabetes Prevention Program <\/u><a href=\"https:\/\/www.cdc.gov\/diabetes\/prevention\/pdf\/NDPP_Infographic.pdf\">https:\/\/www.cdc.gov\/diabetes\/prevention\/pdf\/NDPP_Infographic.pdf<\/a><\/h4>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; module_id=&#8221;ddp-menu-fixed&#8221; _builder_version=&#8221;3.22&#8243; custom_css_main_element=&#8221;z-index: 10;&#8221; collapsed=&#8221;on&#8221;][et_pb_fullwidth_image src=&#8221;https:\/\/staging.lmc.ca\/wp-content\/uploads\/2019\/06\/CDPP-iconlogo-LOGO2.png&#8221; url=&#8221;\/diabetes-prevention&#8221; _builder_version=&#8221;3.19.13&#8243;][\/et_pb_fullwidth_image][et_pb_fullwidth_menu menu_id=&#8221;276&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; active_link_color=&#8221;#24ade3&#8243; dropdown_menu_text_color=&#8221;#000000&#8243; mobile_menu_text_color=&#8221;#000000&#8243; admin_label=&#8221;Fixed DPP Menu&#8221; module_id=&#8221;dpp-fixed-menu&#8221; _builder_version=&#8221;3.29.3&#8243; menu_text_color=&#8221;#000000&#8243; text_orientation=&#8221;center&#8221; custom_padding=&#8221;12px||12px|&#8221; z_index_tablet=&#8221;500&#8243; custom_css_menu_link=&#8221;text-transform: uppercase;&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;5px&#8221; box_shadow_blur=&#8221;20px&#8221; box_shadow_spread=&#8221;0px&#8221; box_shadow_color=&#8221;rgba(212,212,212,0.5)&#8221;][\/et_pb_fullwidth_menu][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>What is the evidence behind the program? CDPP was developed and based on scientific evidence, to ensure we created a program we know will work for Canadians. The CDPP is modelled after a tested approach, the American-led National Diabetes Prevention Program (DPP) supported by the CDC4. The National Diabetes Prevention Program\u2014or National DPP\u2014was created in [&hellip;]<\/p>","protected":false},"author":25,"featured_media":0,"parent":60767,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-dpp-site.php","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","two_page_speed":[],"footnotes":""},"class_list":["post-67069","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/pages\/67069","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/comments?post=67069"}],"version-history":[{"count":0,"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/pages\/67069\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/pages\/60767"}],"wp:attachment":[{"href":"https:\/\/www.lmc.ca\/zh_hk\/wp-json\/wp\/v2\/media?parent=67069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}