Evidence-Based Programs

National Diabetes Prevention Program

The National Diabetes Prevention Program (NDPP) was created in 2010 to address the increasing problem of prediabetes and type 2 diabetes in the United States. This CDC evidence-based, lifestyle change program focuses on healthy eating and physical activity. People with prediabetes who take part in this lifestyle change program can cut their risk of developing type 2 diabetes by 58% (71% for people over 60 years old.)

Risk factors for prediabetes include:

  • Being overweight
  • Being 45 years or older
  • Having a parent, brother or sister with type 2 diabetes
  • Being physically active less than 3 times per week
  • Ever having diabetes while pregnant (gestational diabetes) or giving birth to a baby that weighed more than 9 pounds
  • Having polycystic ovary syndrome

The following requirements are needed to participate in the NDPP:

  • Be 18 years or older
  • Have a body mass index (BMI) of 25 or higher (23 or higher if you self-identify as Asian)
  • Not be previously diagnosed with type 1 or type 2 diabetes
  • Not be pregnant

Participants will also need to meet 1 of these requirements:

  • Had a blood test result in the prediabetes range within the past year (includes any of these tests and results):
    • Fasting plasma glucose test result of 110-125 mg/dL
    • Oral glucose tolerance test result of 140-199 mg/dL
    • Hemoglobin A1C test result of 5.7 – 6.4%
  • Be previously diagnosed with gestational diabetes
  • Received a high-risk result (score of 5 or higher on the Prediabetes Risk Test https://www.cdc.gov/prediabetes/risktest/index.html

Some employers and insurance carriers cover the cost of this program.

If someone is 65 years of age or older, they can join the Medicare Diabetes Prevention Program (MDPP) which is part of the CDC’s National Diabetes Prevention Program. Losing weight can also help manage other conditions with fewer medications, such as high blood pressure and high cholesterol. If a participant has Medicare Part B, it’s free.

The following requirements are needed to participate in the MDPP.

  • Medicare Part B enrollment through original Medicare (fee-for-service) or a Medicare Advantage (MA) plan
  • Body mass index (BMI) of 25 or higher (23 or higher if you self-identify as Asian)
  • Results from any of the three blood tests within a year of starting the program:
    • Fasting plasma glucose test result of 110-125 mg/dL
    • Oral glucose tolerance test result of 140-199 mg/dL
    • Hemoglobin A1C test result of 5.7% – 6.4%
  • No history of type 1 or type 2 diabetes (gestational diabetes is acceptable)
  • No current end-stage kidney disease

Both programs:

  • Utilize the expertise of a trained lifestyle coach who will help people learn new skills, show how to manage stress, encourage participants to set and meet goals, stay motivated and solve problems that get in the way of what they are trying to achieve
  • Use the CDC-approved curriculum with lessons, handouts and other resources to help make healthy changes
  • Offer a support group to belong to with people having similar challenges and goals
  • Consists of 16 core sessions over the first 6 months followed by at least 6 monthly follow-up sessions for the second 6 months
  • Have flexibility with scheduling with both online and in-person programs

We have lifestyle coaches who can bring these programs to your organization. Contact info@transformcoach.org for more information.

To learn more about the National Diabetes Prevention Program, see the CDC website at http://www.cdc.gov/diabetes/prevention.

To view videos and testimonials about the program: https://www.cdc.gov/diabetes/prevention/videos.html

A Matter of Balance

A Matter of Balance is an evidence-based program designed to help older adults reduce their fear of falling and increase their physical activity levels. Two trained facilitators lead the small group classes of 8-12 participants. The classes are interactive and meet both in-person or virtual. The in-person A Matter of Balance includes 8 two-hours sessions. The virtual A Matter of Balance includes 9 two-hour sessions.


The program is designed to benefit older adults who:

  • Are concerned about falls
  • Have had falls in the past
  • Restrict their activities due to falling concerns
  • Are interested in improving their strength, balance and flexibility
  • Are 60 years and older and able to problem solve

Participants gain confidence by learning to:

  • View falls as controllable
  • Set goals to increase activity
  • Make changes at home to reduce fall risk
  • Exercise to increase balance and strength

Please check the National Kidney Foundation of Michigan for upcoming workshops both virtual and in-person. https://nkfm.org/program-article/a-matter-of-balance/

PTI has Leaders and Master Trainers for this program. Contact info@transformcoach.org if you’re interested in a program.

To find a workshop in your state, please check the Evidence Based Leadership Council’s national database at www.eblcprograms.org.