A Moonshot For Diabetes Prevention, Segment Three: The Pressing Perform – Forbes

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A Moonshot For Diabetes Prevention, Segment Three: The Pressing Perform – Forbes


President John F. Kennedy,NASA

This nation should commit itself to achieve the goal, before this decade is out, of landing a man on the moon and returning him safely to Earth.  — John F. Kennedy

What might a moonshot for diabetes prevention, on par with President Kennedy’s literal moonshot, look like?

The key, as Kennedy noted, is to “specify a long-range goal on an urgent time schedule.”  “That goal,” Kennedy declared, “will serve to organize and measure the best of our energies and skills. That challenge is one that we are unwilling to postpone.”

As laid out in partsoneandtwoof this series, type 2 diabetes already afflicts 30 million adults in the US and another 84 million are at high risk for developing it. What’s more, the risk factors for diabetes also contribute to heart disease and stroke, two other leading causes of cost, suffering and death.

Here is a moonshot for diabetes prevention worthy of Kennedy’s example, structured in two stages:

By 2030, before the next decade is out, at least half of adults with prediabetes will actively control their risk of developing type 2 diabetes. The vast majority of treatment should be through evidence-based lifestyle change, because research shows that this approach more effectively controls risk than medication and helps to lessen other chronic diseases.

By 2050, there should be no new cases of preventable type 2 diabetes.

Kennedy proposed his moonshot at a time when Americans had only spent a combined total of 15 minutes in space. Compared that to baseline, imagining that we could land a crew on the moon and return it safely to Earth was truly audacious. Yet, Kennedy correctly gauged that the US had the resources, skills and stamina to succeed.

Imagining half of adults with prediabetes will actively control their slide into diabetes is perhaps even more audacious. As I discussed in part one, the CDC estimates that 84 million adults have prediabetes  today, and less than 10% are even aware of their condition. Of those, only about 300,000—less than 0.4%—have taken advantage of proven lifestyle-focused diabetes prevention programs (DPPs). An estimated 3-4% are prescribed a medication, metformin, which research shows to be also effective at reducing risk for developing diabetes (though not as effective as weight loss and lifestyle change). Compared that to baseline, imagining that we could achieve a 10x improvement in a decade is also truly audacious.

But it is possible. Consider the nation’s success with high blood pressure, also known as hypertension. Like prediabetes, hypertension affects almost one-third of US adults. Hypertension is a key risk factor for heart disease and stroke, which are the first and fifth leading causes of death in the United States. Like prediabetes, hypertension is also highly treatable.

Unlike prediabetes, we are relatively successful in treating hypertension. According to the CDC, about 80% of those with hypertension know it and (as shown in the chart below) roughly half have their condition under control.

Age-adjusted trends in hypertension and controlled hypertension among adults aged 18 and over: United States, 1999–2016.NCHS, National Health and Nutrition Examination Survey

Heart disease remains a deadly killer and much more progress is required in controlling hypertension; but, our effectiveness to date shows what might be possible for diabetes prevention.

To borrow a phrase from President Kennedy, “It is a challenge that we should be unwilling to postpone.”

Read the series:We Need a Moonshot For Diabetes Prevention

  1. The Case For Action
  2. Three Misconceptions
  3. The Urgent Goal
  4. A Ten Point Plan
  5. A Future History Of Success In 2025

 

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President John F. Kennedy,NASA

This nation can contain to commit itself to carry out the purpose, sooner than this decade is out, of landing a particular person on the moon and returning him safely to Earth.  — John F. Kennedy

What might per chance well well a moonshot for diabetes prevention, on par with President Kennedy’s literal moonshot, ogle esteem?

The principle, as Kennedy well-known, is to “specify a long-vary purpose on an urgent time time table.”  “That purpose,” Kennedy declared, “will wait on to put together and measure the very best of our energies and talents. That topic is particular person who we are unwilling to lengthen.”

As specified by partsoneandtwoof this series, form 2 diabetes already afflicts 30 million adults in the US and one other 84 million are at high threat for creating it. What’s extra, the threat components for diabetes additionally contribute to heart illness and stroke, two different leading causes of price, suffering and loss of life.

Here is a moonshot for diabetes prevention great of Kennedy’s instance, structured in two levels:

By 2030, sooner than the subsequent decade is out, as a minimum half of adults with prediabetes will actively attend a watch on their threat of making form 2 diabetes. The excellent majority of therapy desires to be by proof-essentially based daily life commerce, attributable to study reveals that this model extra successfully controls threat than remedy and helps to nick abet different chronic diseases.

By 2050, there desires to be no unusual cases of preventable form 2 diabetes.

Kennedy proposed his moonshot at a time when Individuals had perfect spent a blended total of 15 minutes in house. Compared that to baseline, imagining that we might per chance well well also land a crew on the moon and return it safely to Earth used to be genuinely courageous. Yet, Kennedy wisely gauged that the US had the resources, talents and stamina to be triumphant.

Imagining half of adults with prediabetes will actively attend a watch on their lag into diabetes is maybe even extra courageous. As I talked about in piece one, the CDC estimates that 84 million adults contain prediabetes  this day, and lower than 10% are even conscious of their condition. Of these, perfect about 300,000—lower than 0.4%—contain taken wait on of proven daily life-focused diabetes prevention programs (DPPs). An estimated 3-4% are prescribed a remedy, metformin, which study reveals to be additionally effective at lowering threat for creating diabetes (despite the indisputable truth that no longer as effective as weight loss and daily life commerce). Compared that to baseline, imagining that we might per chance well well also accomplish a 10x development in a decade is additionally genuinely courageous.

Nonetheless it undoubtedly is attainable. Absorb in tips the nation’s success with hypertension, additionally identified as hypertension. Fancy prediabetes, hypertension affects almost one-third of US adults. Hypertension is a key threat boom for heart illness and stroke, which are the significant and fifth leading causes of loss of life in the United States. Fancy prediabetes, hypertension is additionally highly treatable.

No longer like prediabetes, we are relatively successful in treating hypertension. In accordance with the CDC, about 80% of these with hypertension are conscious of it and (as proven in the chart under) roughly half contain their condition under attend a watch on.

Age-adjusted trends in hypertension and controlled hypertension amongst adults feeble 18 and over: United States, 1999–2016.NCHS, National Successfully being and Nutrition Examination Look for

Coronary heart illness remains a lethal killer and some distance extra development is required in controlling hypertension; but, our effectiveness up to now reveals what might per chance well well also presumably be that it’s most likely you’ll per chance well well presumably also imagine for diabetes prevention.

To borrow a phrase from President Kennedy, “It is miles a topic that we desires to be unwilling to lengthen.”

Read the series:We Desire a Moonshot For Diabetes Prevention

  1. The Case For Movement
  2. Three Misconceptions
  3. The Pressing Perform
  4. A Ten Point Arrangement
  5. A Future History Of Success In 2025

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