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Think Locally, Act Locally, Extend Globally: Diabetes Prevention Through Partnerships with Local Communities

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Prevention of Type 2 Diabetes

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Abstract

Preventing diabetes requires lifestyle modifications to change the most basic habits—how we eat and how active we are in our free time. However the lifestyle changes proven to prevent diabetes go beyond motivating and educating people to change their behavior; they also require a recognition of the environments in which people live, that make these changes so difficult to initiate and maintain. In fact, among the root causes of prediabetes are “obesogenic” factors beyond an individual's control, such as public policies and marketing strategies encouraging unhealthy eating and sedentary behavior, food pricing favoring calorie dense, nutrient poor foods, limited access to healthy lifestyle education and counseling, schools with no physical education, and unsafe neighborhoods thwarting inexpensive forms of exercise [1, 2]. The poorest and most marginalized communities bear the greatest burden of diabetes and yet have the fewest resources for diabetes prevention, with the lowest access to healthy foods, physical activity opportunities and health care services. One promising approach may be to work with and in these communities, to uncover new, practical ideas that resonate with and impact those living in diabetes epicenters and the clinicians who work with them. With community expertise as a guide, partnerships with local communities can yield the most relevant and effective diabetes prevention programs and initiatives. By channeling the expertise of front-line clinicians, partnered approaches can also redesign clinical care, enabling clinicians to acknowledge and incorporate the root causes of high rates of pre diabetes when working with patients to prevent diabetes.

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Authors and Affiliations

  1. Departments of Health Evidence and Policy and Medicine, Mount Sinai School of Medicine, 1479 Madison Avenue, 1087, New York, NY, 10029, USA

    Carol R. Horowitz MD, MPH

  2. Division of Endocrinology, Diabetes, and Bone Diseases, Department of Medicine, Mount Sinai School of Medicine, One Gustave L. Levy Place, 1055, New York, NY, 10029, USA

    Brett Ives MSN, NP, CDE

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  1. Carol R. Horowitz MD, MPH
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Correspondence to Carol R. Horowitz MD, MPH .

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  1. , Department of Medicine, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, New York, 10029, USA

    Derek LeRoith

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Horowitz, C.R., Ives, B. (2012). Think Locally, Act Locally, Extend Globally: Diabetes Prevention Through Partnerships with Local Communities. In: LeRoith, D. (eds) Prevention of Type 2 Diabetes. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3314-9_13

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