Program Goal
The diabetes prevention and control program has several objectives:
1. To reduce the burden of diabetes mellitus and related health complications in each patient
2. Assessment of known risk factors for Diabetes

Program Objectives
The Diabetes prevention and control program involves lifestyle interventions similar to the Diabetes Prevention Program (DPP) located at the University of Pittsburgh Medical Center:

1. Four visits to the Centre for Preventive medicine each month. Prior to the first visit each patient will receive a packet that must be completed and brought with them to their preliminary visit. This packet includes medical history and health and psychological questionnaires and diet diary.

2. The first visit will include a fitness assessment to assess body composition, lung function, aerobic health, strength, and flexibility and metabolism assessment using indirect calorimetry.

3. Using the fitness assessment, each subsequent visit will include exercise and nutrition prescription designed specifically for diabetes prevention. Each exercise session will last 1 hour.

4. Nutrition intervention will be included in the 1 hour using medical software for dietary analysis.

Program Details and Interventions

Nutrition
· Diabetes smart templates and online food and nutrient tracking based on RMR

Exercise
· Prescribed aerobic and resistance training program
· once per week (minimum) monitored resistance and aerobic
· Prescribed home exercising
· Blood glucose monitoring during activity

Medical
· Resting metabolic rate
· All necessary blood requisitions (reexamined every 12 weeks)
· Physical exam prior to introduction of program

Diabetes education package

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Target Population
Every population can benefit from this program; however the primary target population is men and women who have type II diabetes or at risk of developing type II diabetes as directed by respective blood tests and medical history. Additionally, the program strives to educate people who are at risk of developing type II diabetes about primary prevention- the onset of the disease can be prevented or delayed with healthful nutrition and increased physical activity.

Approximately 5,699 Canadians die of complications associated with diabetes mellitus each year. Life expectancy for people with diabetes mellitus is 13 years less than those without diabetes mellitus.
This program uses primary prevention interventions to reduce the diseases associated with diabetes and uses secondary interventions (such as proper diet and exercise) to alleviate and/or reduce the risk of developing the disease.