Prediabetes: Know Your Risk, Manage Your Health.

November, 2013: Carolinas HealthCare System Issued a Challenge

What Was the Goal of the Challenge?

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

The challenge was to engage 50,000 people to complete a risk assessment within one year, with a goal of identifying 10,000 individuals at risk for developing prediabetes or diabetes.

Results through November, 2014:

  • More than 53,000 took the risk assessment
  • More than 27,000 were identified as being at risk
  • Heightened awareness in Charlotte, NC and the surrounding region about prediabetes and ways to prevent Type 2 diabetes

2015 and beyond:

Carolinas HealthCare System is more committed than ever to helping those at risk prevent or delay the onset of Type 2 diabetes. Early detection, screenings, education and resources will help reduce the rate of prediabetes and Type 2 diabetes occurring in Charlotte, NC and the surrounding region. Carolinas HealthCare System also has a multi-faceted team of medical professionals committed to treating diabetes.

Programs & Expertise


Enroll in a DPP class
Carolinas HealthCare System offers an array of programs designed to help you live your healthiest life.
  • National Diabetes Prevention Program
    • Led by a trained lifestyle coach
    • Reduces your chance of developing Type 2 diabetes and improves your health and well-being
    • Most people who complete an NDPP* course lose 5 to 7 percent bodyweight
    • Increase physical activity to 150 minutes per week
    • View a video to learn more about Diabetes Prevention Program
  • Lifestyle Management Program
    • Led by a registered nurse or a registered dietitian
    • Promotes health and well-being through education, engagement, fitness and accountability
    • For adults who would like to develop a healthier lifestyle
  • Health Coaching
    • Interactive health coaching with a registered nurse or a registered dietitian
    • Engages you on your journey to better health and well-being
    • One-on-one coaching to fit your busy schedule – in-person or via virtual technology
  • Diabetes Intervention Program
    • Led by a registered nurse or a registered dietitian
    • Provides tools and accountability to help you embrace a healthier lifestyle
    • Helps those with diabetes gain a better understanding of the disease and assists in managing the disease


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

Carolinas HealthCare System offers primary care doctors, endocrinologists, nurses and nutritionists who will help you treat and manage your diabetes.

  • Qualified providers – More than 261 Carolinas HealthCare System doctors are honored by the National Committee for Quality Assurance for providing quality diabetes care.
  • Electronic medical records – Nurses, doctors and dietitians can access your medical records 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.

Type 2 diabetes is a 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.

How can I find out if I’m at risk?

  1. Take a short online risk assessment to find out if you are at risk for developing diabetes. The risk assessment can also be taken by calling 704-512-3971.
  2. If the assessment score indicates you are at risk, the next step is to make an appointment with your primary care doctor to learn more about your current risk for developing Type 2 diabetes. Carolinas HealthCare System also offers several convenient lifestyle management programs to help you reduce your risk for developing prediabetes.

Diabetes 101

Type 2 diabetes is one of the most important health challenges we face in the United States. 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
  • 8 percent of all Americans have diabetes; 1 in 4 people who have diabetes don’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, 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 that risk. 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 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?

A diabetes diagnosis is determined by measuring your blood glucose level. Usually, people who are 45 and older, inactive, obese, or who have a family history have the highest rates of diabetes. In recent years, however, more children and young adults have tested positive for Type 2 diabetes.

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 test, which tests your blood sugar level after abstaining from food or water for eight hours.

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, while medications can also help. The bottom line? The more weight a person with diabetes loses, the lower the blood sugar and the less risk of complications from diabetes. Talk to your doctor before beginning a weight-loss program.

© 2015 Carolinas HealthCare System