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Diabetes Prevention
and the International Union Against Cancer to tackle the growing non-
communicable disease (NCD) epidemic that is responsible for 60% of David Whiting, PhD, is an epidemiologist and public health
the global health burden.
specialist at the International Diabetes Federation (IDF). He is
responsible for guiding and co-ordinating the collection,
analysis, interpretation, and presentation of diabetes-related
IDF is acutely aware that change cannot be achieved in one disease data and evidence in three important areas: the burden of
area or by one group; only collectively can we work to improve global
diabetes globally; the current public health response to it;
and effective and feasible interventions in countries at
health, not only for people with diabetes and other NCDs but for
different levels of economic development. He is helping to
everyone. This will require co-operation between the public, meet the data and information requirements for the work
scientists, healthcare professionals, governments, and non-
arising from the UN Resolution on Diabetes.
governmental organizations (NGOs). We are all in this together. n
1. International Diabetes Federation, IDF Diabetes Atlas, Brussels, 6. Ramachandran A, Snehalatha C, Mary S, et al., The Indian GOAL Implementation Trial, Diabetes Care, 2007;30(10):
Belguim: International Diabetes Federation, 2009. Diabetes Prevention Programme shows that lifestyle 2465–70.
2. Whiting DR, Hayes L, Unwin NC, Challenges to health care modification and metformin prevent type 2 diabetes in 10. Ackermann RT, Finch EA, Brizendine E, Zhou H and Marrero
for diabetes in Africa, J Cardiovasc Risk, 2003;10(2):103–10. Asian Indian subjects with impaired glucose tolerance DG, Translating the Diabetes Prevention Program into the
3. Pan XR, Li GW, Hu YH, et al., Effects of diet and exercise in (IDPP-1), Diabetologia, 2006;49(2):289–97. community. The DEPLOY Pilot Study, Am J Prev Med,
preventing NIDDM in people with impaired glucose 7. Lindström J, Ilanne-Parikka P, Peltonen M, et al., Sustained 2008;35(4):357–63.
tolerance. The Da Qing IGT and Diabetes Study, Diabetes reduction in the incidence of type 2 diabetes by lifestyle 11. Narayan V, Zhang P, Kanaya A, et al., Disease control
Care,1997;20(4):537–44. intervention: follow-up of the Finnish Diabetes Prevention priorities in developing countries, CDC, Diabetes: The Pandemic
4. Tuomilehto J, Lindstrom J, Eriksson JG, et al., Prevention of Study, Lancet, 2006;368(9548):1673–9. and Potential Solutions, 2006.
type 2 diabetes mellitus by changes in lifestyle among 8 Li G, Zhang P, Wang J, et al., The long-term effect of lifestyle 12. Epping-Jordan JE, Pruitt SD, Bengoa R, Wagner EH, Improving
subjects with impaired glucose tolerance, N Engl J Med, interventions to prevent diabetes in the China Da Qing the quality of health care for chronic conditions, Quality Safety
2001;344(18):1343–50. Diabetes Prevention Study: a 20-year follow-up study, Lancet, Health Care, 2004;13(4):299–305.
5. Knowler WC, Connor EB, Fowler SE, et al., Reduction in the 2008;371(9626):1783–9. 13. Wagner EH, Austin BT, Davis C, et al., Improving chronic
incidence of type 2 diabetes with lifestyle intervention or 9. Absetz P, Valve R, Oldenburg B, et al., Type 2 diabetes illness care: translating evidence into action, Health Aff,
metformin, N Engl J Med, 2002;346(6);393–403. prevention in the “real world”: one-year results of the 2001;20(6);64–78.
28 US ENDOCRINOLOGY
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