Carolinas HealthCare System
Pre-D Challenge

Programs & Expertise


Enroll in a DPP class

From weight management to partnering with the YMCA, Carolinas HealthCare System offers an array of programs designed to help you manage diabetes. And we are continually adding new programs.

  • Free information sessions on diabetes – Attend to learn more about prediabetes risk from a trained lifestyle coach and qualify for a free diabetes test to determine if you are at risk for diabetes or prediabetes. You'll also receive personalized counseling based on your blood test results.
  • Diabetes Prevention Program – In a classroom setting, a trained lifestyle coach facilitates a small group of participants in learning about healthy eating, physical activity and other healthy behaviors over the course of 16 sessions. After the initial 16 core sessions, participants meet monthly for added support to help them maintain their progress. View a video to learn more about Diabetes Prevention Program. View a video to learn more about Diabetes Prevention Program.
  • Lifestyle Management & Medical Referral Program – The Lifestyle Management & Medical Referral Program includes
    weight management, fitness programming and medical guidelines to give you a comprehensive approach to building a
    healthier lifestyle.
  • Weight management – Nutrition, fitness, non-surgical and surgical options are offered to help you lose weight.


Learn more about diabetes
You may not even know you have diabetes. Symptoms can take years to appear. Learn more about it.

Primary care doctors, endocrinologists, nurses and nutritionists: When you have diabetes, a multi-faceted team of medical professionals makes all the difference.

  • NCQA providers – More than 261 Carolinas HealthCare System doctors are honored by NCQA for providing quality diabetes care.
  • Electronic medical records – Nurses, doctors and dieticians can access your medical record to help manage the complexity of the disease.
  • Certified diabetes educators – Specially trained providers help you understand diabetes and teach ways to relieve the burden of the disease.
  • Shared medical appointments – Get more time with a diabetes doctor and support from your peers.

About the Challenge

Why is Carolinas HealthCare System initiating this diabetes challenge?

Type 2 diabetes is a national public health epidemic, affecting 29 million Americans and about 1 million people across the Carolinas. Nearly 1 in 4 people with diabetes doesn't know they have it, and 9 out of 10 people with prediabetes are completely unaware of their condition.

Type 2 diabetes can lead to serious and costly health problems if not treated. However, the risk can be reversed if identified and tackled early.

What is the goal of the challenge?

Through an effort dubbed "Pre-D Challenge: Reverse the Risk," Carolinas HealthCare System is partnering with YMCA of Greater Charlotte to reduce the rate of prediabetes in the community.

The challenge is to engage 50,000 people to complete a risk assessment this year with a goal of identifying 10,000 individuals who are at risk for developing prediabetes or diabetes.

When did the challenge launch?

In celebration of National Diabetes Month, Carolinas HealthCare System and the YMCA launched the challenge on November 1, 2013 and will complete it on November 1, 2014.

How does the challenge work?

Participants follow a three-step process:

  1. Take a short online risk assessment to find out if they're at risk for developing diabetes. The risk assessment can also be taken by calling 704-512-3971.
  2. If the assessment score indicates they are at risk, the next step is for participants to attend an informational session at a YMCA or designated community location. By attending an information and screening session, participants will:
    • Learn more about prediabetes risk from a trained lifestyle coach
    • Qualify for a free diabetes test to confirm if they are at risk for diabetes or prediabetes
    • Receive personalized counseling based on their diabetes test results
  3. If their test confirms that they have prediabetes, we'll help to enroll participants in a diabetes prevention program, which has been shown to help people with prediabetes lower their risk of developing diabetes. In a classroom setting, a trained lifestyle coach facilitates a small group of participants in learning about healthy eating, physical activity and other healthy behaviors over the course of 16 one-hour weekly sessions. After the initial core sessions, participants meet monthly for added support to help them maintain progress. The program will be facilitated by a YMCA or Carolinas HealthCare System teammate trained to deliver DPP in locations throughout the community. Learn more about the diabetes prevention program taught by Carolinas HealthCare System teammates.

How much will this cost and how will this be funded?

Costs for the risk assessments, information sessions and screenings will be covered jointly by Carolinas HealthCare System and YMCA of Greater Charlotte. There are many diabetes prevention programs offered in the community, many of which are offered for free or for a small fee.

Diabetes 101

Whether you are at risk or not, learning more about diabetes is important. That's because Type 2 diabetes is one of the most important health challenges we face in the United States. You probably know someone - a family member, neighbor, coworker - who struggles with the disease. Understanding how diabetes affects individuals and the population as a whole is the first step in reversing the risk. Consider:

  • Diabetes is a leading cause of heart disease, blindness, kidney disease and stroke.
  • Eight percent of all Americans have diabetes; 1 in 4 people who has diabetes doesn't know it.
  • 86 million Americans have prediabetes. Diabetes is preventable through simple lifestyle changes, such as nutrition and exercise.

Prediabetes: The diabetes wake-up call

If you have prediabetes, then your blood glucose levels are higher than normal, but not high enough to be classified as having diabetes. People with prediabetes usually don't see many signs or symptoms. Knowing your risk allows you to make the necessary lifestyle changes to reverse the risk of diabetes. The likelihood of developing full-blown diabetes, in the next 10 years, increases by 50 percent, if you have prediabetes. Some people with prediabetes will progress to diabetes even sooner.

Type 1 and Type 2 diabetes are very different

While there are definite similarities between Type 1 and Type 2 diabetes - namely, they both involve elevated levels of blood glucose - they are very different in terms of scope. Type 1 is usually diagnosed in children and young adults. It accounts for less than 10 percent of all diabetes cases in the United States. Type 2 diabetes, on the other hand, occurs in children and adults and is usually the result of obesity and inactivity. Carolinas HealthCare System's "Reverse the Risk" Pre-D Challenge is focused primarily on Type 2 diabetes.

Who gets Type 2 diabetes?

Launch the Emmi interactive application

A diabetes diagnosis is determined by measuring your blood glucose level. Usually, people who are 45 and older, inactive, obese, or have a family history have the highest rates of diabetes.

However, in recent years, more children and young adults have tested positive for Type 2 diabetes.

Learn more about Type 2 diabetes in this interactive application. Learn about the basics, medications, food and exercise.

How is diabetes tested?

One of the best ways to test for high blood sugar rates is the A1C test. A blood sugar level of 6.5 percent or more means you have diabetes. There are other tests, including the fasting plasma glucose (FPG) test which tests your blood sugar level after abstaining from food or water for eight hours.

Register to attend one of our FREE diabetes information sessions.

Managing diabetes

Managing Type 2 diabetes depends on lifestyle changes more than anything else. A balanced diet and regular exercise are the best ways to control diabetes. Medications can also help manage diabetes. The bottom line: The more weight a diabetic loses, the lower the blood sugar and therefore the less risk of complications from diabetes. Talk to your doctor before beginning a weight-loss program.

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