Prediabetes
The Impact of Diabetes in Ohio
Approximately 1,085,000 Ohio adults (13.2%) have been diagnosed with prediabetes (Source: 2022 Ohio Behavioral Risk Factor Surveillance System (BRFSS)), increasing their risk of progressing to type 2 diabetes up to 50% within five to 10 years. The financial burden of diabetes in Ohio is costly. According to the American Diabetes Association (ADA), people with diabetes have medical expenses approximately 2.3 times higher than those who do not have diabetes. ADA estimates that diabetes costs $12.3 billion in Ohio each year, and these costs are projected to increase. Diabetes also has a significant financial impact on the Ohio Medicaid program. Around $3.6 billion was spent on diabetes-related hospital admissions and emergency department visits for Medicaid beneficiaries in 2022.
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PROBLEM: An estimated 2.4 million Ohio adults have undiagnosed prediabetes.
SOLUTION: Screening early for prediabetes can reduce Ohioans' risk of developing type 2 diabetes.
CDC, National Diabetes Statistics Report
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PROBLEM: People with diabetes have medical costs that are about 2.3 times higher than people who do not have diabetes.
SOLUTION: Preventing prediabetes from progressing to type 2 diabetes can save up to $2,671 in medical expenditures per person every year.
Khan T et al. Popul Health Manag. 2017 Oct.
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PROBLEM: Managing diabetes symptoms and complications are often time-consuming for doctors and healthcare professionals.
SOLUTION: Participants in the National DPP lifestyle change program reduced their risk of developing type 2 diabetes by 58% compared to a placebo. Over time, that means fewer patients with diabetes for you and your practice to manage, letting you and your team focus on other aspects of patient care.
Knowler et al. N Engl J Med. 2002 Feb.
Early Identification is Crucial
Early identification and management of patients with prediabetes is crucial. The sooner prediabetes is identified, the sooner you can help your patient take steps to prevent or delay progression to type 2 diabetes.
Diabetes increases the risk of:
- Heart disease.
- Stroke.
- Retinopathy.
- Chronic Kidney Disease.
- Peripheral neuropathy.

Why You Should Refer to a CDC-Recognized Lifestyle Change Program
Lifestyle change programs approved by the CDC have been proven to work. A randomized, controlled clinical trial showed that the National DPP lifestyle change program reduced program participants’ risk of developing type 2 diabetes. Over time, this means a smaller number of patients diagnosed with diabetes for you or your practice to manage, and more time for you and your team to focus on other aspects of patient care.
A Lifestyle Change Program Prevents the Onset of Type 2 Diabetes
58%
The program reduced trial participants’ incidence of type 2 diabetes by 58% compared to the placebo group during the intervention.
71%
For people over 60, the program reduced trial participants’ incidence of type 2 diabetes by 71% compared to the placebo group during the intervention.
39%
The lifestyle intervention program showed a 39% greater reduction in incidence of type 2 diabetes compared to the metformin group during the intervention.
Knowler et al. N Engl J Med. 2002 Feb.
Additional Resources
Measure, Act, Partner (M.A.P.) Worksheet
This one-page worksheet can help physicians and care teams determine roles for identifying adult patients with prediabetes and referring them to community-based diabetes prevention programs.
American Medical Association Prediabetes Clinical Quality Measures
In 2018, the American Medical Association released a set of prediabetes quality measures to support the prevention of type 2 diabetes.
Ohio Department of Health Diabetes Overview
View more information on programs and services the Ohio Department of Health offers for diabetes.