The European Perspective of Diabetes Prevention

Abstract

The dramatic increase in newly diagnosed cases of type 2 diabetes is a major public health concern within the European Union. However, it has been demonstrated that prevention programmes can significantly reduce the risk of developing diabetes. There is a clear consensus amongst healthcare professionals that action is urgently needed at both EU and community levels. The challenge is to implement proven intervention methods effectively into clinical reality. To achieve this, action is needed not only in the field of policy development but also in the development of targeted intervention programmes, which address the needs of people with an increased diabetes risk, clinical- and community-based healthcare professionals, and the general population. The Diabetes Prevention Forum (DPF), founded by the European region of the International Diabetes Federation, consists of European diabetes experts from a range of backgrounds. The DPF is taking immediate action to co-ordinate and improve the information flow between all relevant stakeholders to enable more effective communication, so helping to improve the ability to prevent type 2 diabetes in Europe.

Key words

Diabetes Prevention Forum - type 2 diabetes - prevention - European Union - clinical practice - International Diabetes Federation

References

• 1 Valensi P. et al . Pre-diabetes essential action: a European perspective.  Diabetes Metab. 2005;  31 606-620
• 2 Tselmin S. et al . The Health Status of Russian-speaking Immigrants in Germany.  Horm Metab Res. 2007;  39 858-861
• 3 Nestle M. Preventing childhood diabetes: the need for public health intervention.  Am J Public Health. 2005;  95 1497-1499
• 4 Schwarz PE, Bornstein SR, Hanefeld M. Elevated fasting glucose levels predicts IGT and diabetes also in middle-age subjects.  Diabetes Res Clin Pract. 2007;  77 148-150
• 5 Zimmet P. The burden of type 2 diabetes: are we doing enough?.  Diabetes Metab. 2003;  29 ((4 Pt 2)) 6S9-6S18
• 6 Schwarz PE. Congress report from the American Diabetes Association 66th Annual Scientific Sessions in Washington, USA.  Exp Clin Endocrinol Diabetes. 2006;  114 605-610
• 7 The DECODE Study Group (Tuomilehto J) . Age- and sex-specific prevalences of diabetes and impaired glucose regulation in 13 European cohorts.  Diabetes Care. 2003;  26 61-69
• 8 Kengne AP, Patel A. How important is diabetes as a risk factor for cardiovascular and other diseases in older adults?.  PLoS Med. 2006;  3 e424
• 9 Alberti KG, Zimmet P, Shaw J. International Diabetes Federation: a consensus on Type 2 diabetes prevention.  Diabet Med. 2007;  24 451-463
• 10 Schwarz PE. et al . Development of a diabetes prevention management program for clinical practice.  Public Health Rep. 2007;  122 258-263
• 11 Schwarz PE. et al . Hypoadiponectinemia is associated with progression toward type 2 diabetes and genetic variation in the ADIPOQ gene promoter.  Diabetes Care. 2006;  29 1645-1650
• 12 Zeggini E. et al . Meta-analysis of genome-wide association data and large-scale replication identifies additional susceptibility loci for type 2 diabetes.  Nat Genet. 2008;  40 638-645
• 13 Schwarz PE. et al . The metabolic syndrome – a global challenge for prevention.  Horm Metab Res. 2007;  39 777-780
• 14 Schwarz PE. et al . Diabetes prevention – from physiology to implementation.  Horm Metab Res. 2006;  38 460-464
• 15 Lamounier-Zepter V, Ehrhart-Bornstein M, Bornstein SR. Metabolic syndrome and the endocrine stress system.  Horm Metab Res. 2006;  38 437-441
• 16 Thamer C. et al . Beta cell function, insulin resistance and plasma adiponectin concentrations are predictors for the change of postprandial glucose in non-diabetic subjects at risk for type 2 diabetes.  Horm Metab Res. 2006;  38 178-182
• 17 Schutte AE, O’Dea K, Schwarz PE. Could statistical adjustments for age mask the insulin-blood pressure relationship?.  Diabetes Res Clin Pract. 2006;  72 104-107
• 18 International Diabetes Federation. Diabetes Atlas. 3rd ed. Brussels: I. D. Federation 2006
• 19 Schwarz PE, Peltonen M. Prevention of type 2 diabetes – lessons we have learnt for implementation.  Horm Metab Res. 2007;  39 636-641
• 20 Li G. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: a 20-year follow-up study.  Lancet. 2008;  371 1783-1789
• 21 Lindstrom J. et al . Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study.  Lancet. 2006;  368 1673-1679
• 22 Rothe U. et al . Evaluation of a Diabetes Management System based on Practice Guidelines, Integrated Care and Continuous Quality Management in a Federal State of Germany: a Population-based Approach to Health Care Research.  Diabetes Care. 2008;  31 863-868
• 23 Saaristo T. et al . National type 2 diabetes prevention programme in Finland: FIN-D2D.  Int J Circumpolar Health. 2007;  66 101-112
• 24 Tuomilehto J. et al . Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.  N Engl J Med. 2001;  344 1343-1350
• 25 Ackermann RT, Marrero DG. Adapting the Diabetes Prevention Program lifestyle intervention for delivery in the community: the YMCA model.  Diabetes Educ. 2007;  33 69 , , 74–75, 77–78
• 26 Felton A-M. Hall M. et al . Diabetes – The Policy Puzzle: Is Europe Making Progress? International Diabetes Federation European Region and Federation of European Nurses in Diabetes. 2008;  103
• 27 European_Council . , Council Conclusions on promotion of healthy lifestyles and prevention of type 2 diabetes in Council meeting, Luxembourg, 1–2 June 2006
• 28 European_Parliament. Written declaration on diabetes, 0001/2006. European Commission 2006: 2
• 29 BMGF .EU Conference on Prevention of Type 2 Diabetes – Conference Report. in EU Conference on Prevention of Type 2 Diabetes. Vienna: Federal Mínistry of Health and Woman 2006
• 30 United_Nations . , United Nations resolution on diabetes! – Unite for Diabetes, in http://www.unitefordiabetes.org , United Nations General Assembly Editor 2006;  2
• 31 European Commission .White Paper on a Strategy for Europe on Nutrition, Overweight and Obesity related health issues COM(2007) 279 final ed. European Commission. Vol. COM(2007) 279 final. Brussels: European Commission 2007
• 32 European Commission .Green Paper on promoting healthy diets and physical activity. COM(2005) 637 final ed, ed. European. Commission. Vol. COM(2005) 637 final. Brussels: European Commission 2005
• 33 Schwarz PE. et al . The European Perspective of Type 2 Diabetes Prevention: Diabetes in Europe - Prevention Using Lifestyle, Physical Activity and Nutritional Intervention (DE-PLAN) Project.  Exp Clin Endocrinol Diabetes. 2008;  116 167-172
• 34 Schwarz PE. et al . The European Perspective on Diabetes Prevention: development and Implementation of A European Guideline and training standards for diabetes prevention (IMAGE).  Diab Vasc Dis Res. 2007;  4 353-357

1 The Diabetes Prevention Forum members include:

• Michael Hall, UK, IDF Europe (Chair)

• Lex Herrebrugh, Belgium, Regional Manager, IDF Europe

• Mary Banotti, Ireland, former MEP, EU Diabetes Working Group

• Frédérique Duval, France, Association Française des Diabétiques

• Anne-Marie Felton, UK, Federation of European Nurses in Diabetes; Vice-President IDF

• Liisa Hiltunen, Finland, Finnish Diabetes Association

• Aldo Maldonato, Italy, Committee for Therapeutic Education (ComET)

• Frederik Muylle, Belgium, Flemish Diabetes Association

• João Nabais, Portugal, IDF Europe

• Peter Schwarz, Germany, Carl Gustav Carus Medical Faculty, Dresden

• Paul Valensi, France, Hôpital Jean Verdier

1 Further information about the DPF is available at www.diabetespreventionforum.org

Correspondence