Name of the Procedure:

First Medicare Diabetes Prevention Program (MDPP) Core Session. Technical Term: G9873 - First MDPP core session attended by an MDPP beneficiary under the MDPP Expanded Model (EM).

Summary

This is an educational and coaching session aimed at preventing the onset of type 2 diabetes in individuals at high risk. It is part of the larger MDPP Expanded Model, and focuses on lifestyle changes to reduce the risk of diabetes.

Purpose

Medical Conditions or Problems It Addresses

• Pre-diabetes
• High risk for developing type 2 diabetes

Goals or Expected Outcomes

• To reduce weight
• To increase physical activity
• To improve overall health and well-being
• To lower the risk of developing type 2 diabetes

Indications

Specific Symptoms or Conditions

• Elevated blood sugar levels that indicate pre-diabetes
• High body mass index (BMI)
• Family history of diabetes

Patient Criteria

• Individuals diagnosed with pre-diabetes
• Beneficiaries aged 18 or older
• BMI of ≥25 for general population or ≥23 for Asian Americans

Preparation

Pre-Procedure Instructions

• No special preparation is typically required.
• Participants may need to complete initial screenings or assessments to confirm eligibility.

Diagnostic Tests

• HbA1c test
• Fasting blood glucose test
• Oral glucose tolerance test

Procedure Description

1. Session Overview: Introduction to the program, its goals, and expectations.
2. Educational Content: Information about healthy eating, physical activity, and behavioral strategies to achieve and maintain weight loss.
3. Support and Coaching: Group discussions led by trained lifestyle coaches who offer guidance and support.
4. Activity Tracking: Participants may be asked to monitor their food intake and physical activity.

Tools and Technology

• Printed materials or digital resources
• Activity trackers or journals

Duration

Each core session typically lasts about 60 to 90 minutes.

Setting

The core session is usually conducted in:

• Community centers
• Outpatient clinics
• Virtual/Online platforms

Personnel

Involved Healthcare Professionals

• Certified lifestyle coaches
• Program coordinators

Risks and Complications

Common Risks

• Minor discomfort related to lifestyle changes ##### Rare Risks
• Psychological stress due to behavior modification

Benefits

Expected Benefits

• Weight loss and improved fitness
• Better blood sugar control
• Reduced risk of progressing to type 2 diabetes ##### Timeline for Benefits
• Benefits can start being realized within the first few weeks to months of active participation.

Recovery

Post-Procedure Care

• Ongoing participation in subsequent sessions
• Regular monitoring of blood sugar levels ##### Expected Recovery Time
• Continuous lifestyle changes with benefits accruing over time ##### Restrictions and Follow-Up
• Regular follow-up sessions as per the program schedule

Alternatives

Other Treatment Options

• Dietary and lifestyle changes without formal programming
• Medications like Metformin
• Other community health programs

Pros and Cons of Alternatives

• Self-directed changes may lack structured support
• Medications may have side effects
• Other programs may not be covered by Medicare

Patient Experience

During the Procedure

• Participants may feel a sense of community and support from peers.
• Sessions are interactive and engaging, focusing on practical strategies.

After the Procedure

• Some participants may feel motivated and empowered while others may feel challenged by the need to change long-standing habits.
• Pain management is generally not an issue, but emotional support may be beneficial.