美国面临其第一个非传染性但可预防的大流行2糖尿病(T2DM)[1]。大约有14%的成年人被诊断出患有该疾病,另外33%被诊断为糖尿病前期,多个利益相关者已致力于开发多级方法,以减缓糖尿病前期到T2DM的过渡率[2]。糖尿病预防计划(DPP)是一种基于证据的方法,在许多医疗保健和健康科学期刊中都被引用。虽然医生被视为护理人员,护士和高级实践注册护士(APRN)在整个护理连续性中都采用,以影响预防糖尿病和糖尿病前期糖尿病的发生率和结果。护士在医疗保健的主要提供者中,可以促进从临床实践到基于社区的环境的DPP等循证干预措施(EBI)的实施。但是,DPP在医疗保健中基本上仍然是未经充实的方法。似乎存在有关DPP及其在不同患者人群中其可扩展性的知识差异。The purpose of this educational manuscript is three-fold: (1) to provide background on the Diabetes Prevention Program, its use and scalability to real- world settings, (2) to address some of the challenges of DPP across cultures, and (3) to increase awareness of how policy supports and improves populations' access to the DPP and its translational delivery models – reducing the prevalence of prediabetes, and hence diabetes, in this 国家。