Diabetes Prevention

In 2016, AC-SE MI received a grant from Blue Cross/Blue Shield of Michigan Foundation for the “diabetes prevention program”. In July of 2016, the program started for the proposed workshops among 4 Asian ethnic groups,

The Diabetes Prevention Program offers workshops using the curriculum of “Diabetes Prevention Program” (DPP), developed by CDC (Center for Disease Control and Prevention). The CDC DPP is a one-year program and is targeted to pre-diabetic participants. The first 16 weeks, participants will meet weekly for an hour, and then monthly thereafter. The 16 week curricula mainly include healthy eating and weekly exercise with the simple program goals: 1) reduce weight by 7%; and 2) exercise moderately at least 150 minutes weekly; then the rest of the year is to monitor their progress and meet once a month.

Under a grant received from Blue Shield of Michigan Foundation in 2016, the CDC DPP had to be modified so that it was more applicable to many Asian Americans. Since obesity does not seem to be the main reason that Asian Americans have a higher prevalence of diabetes. The 7% weight loss may put some participants in jeopardy for malnutrition. We could only teach them “healthy eating” to stay healthy, not for weight reduction. That also made one of the biomarkers used in the DPP, the waist circumference, not applicable to certain Asian Americans. It may apply to Filipinos and South Asians (including Asian Indians), but not for Southeast Asians (Chinese, and Korean). Instead of measuring their waist circumference, we used their A1C measurement as the relevant biomarker.


Asian Americans have higher diabetes prevalence than non-Hispanic whites. Yet many Asian Americans do not know this fact. Asian Center – SE MI launched a diabetes awareness program a few years ago, intended to educate Asian Americans. And now AC-SE MI will further offer the diabetes prevention program to prevent pre-diabetic patients from getting the disease or at least delay the onset of the disease. AC-SE MI obtained support from Blue Cross/Blue Shield to conduct DPP among Asian Americans.

DPP Curriculum

The DPP curriculum that AC-SE MI will adopt is from CDC website. It consists of 16 counseling sessions held weekly or bi-weekly for the 1st half year. The 16 structured sessions covered topics:

Sessions 1-8 focus on the fundamental skills required of participants to achieve their goals. Topics covered include self-monitoring food intake, physical activity, and body weight; lowering fat and calories; eating healthfully; developing a physically active lifestyle; and learning behavioral self-management strategies.

Sessions 9-16 focus on the psychological, social, and motivational elements of lifestyle change with emphasis on recognizing and overcoming factors that interfere with attaining program goals.

After the 16-session core curriculum, subjects enter a post-core phase during which they attend sessions at least once every 2 months and receive phone calls at least once between sessions. This phase of the program is less structured, and the health care professionals leading it are encouraged to focus on topics of interest to subjects rather than follow a set curriculum.

Recruiting criteria

  • Asian Americans
  • 18 years or older
  • Pre-diabetic
  • Qualified by the pre-assessment questionnaire

Workplan for the next 2 years:

AC-SE MI would like to offer the Diabetes Prevention Programs to Chinese, Asian Indians, Filipinos and Korean in their respective native language in the next 2 years. Please call us at 248-227-4374 to find out timing.