Name of the Procedure:

Medicare Diabetes Prevention Program (MDPP) Core Maintenance Session (G9877)

Summary

The MDPP Core Maintenance Session is a structured educational and coaching session designed to help individuals with prediabetes delay or prevent the onset of type 2 diabetes through lifestyle changes.

Purpose

Medical Conditions:

• Prediabetes

Goals:

• To educate and support lifestyle changes that can reduce the risk of developing type 2 diabetes.
• Help participants achieve weight loss and increase physical activity.

Indications

Symptoms/Conditions:

• Elevated blood sugar levels falling in the prediabetes range.
• Individuals at high risk of developing type 2 diabetes.

Patient Criteria:

• A diagnosis of prediabetes based on blood test results.
• Ability and willingness to participate in lifestyle change programs.

Preparation

Pre-Session Instructions:

• No specific preparation needed.
• Wear comfortable clothing for physical activity.
• Bring any required documentation or previous assessments.

Diagnostic Tests:

• Blood tests to confirm prediabetes status.
• Initial health assessment to tailor the program to individual needs.

Procedure Description

Steps:

1. Introduction and Orientation: Discuss the goals of the session.
2. Instructional Segment: Educate participants on nutrition, physical activity, and behavior changes.
3. Interactive Activities: Engage in discussions or exercises to reinforce learning.
4. Personal Goal Setting: Assist in setting realistic and achievable lifestyle goals.
5. Progress Tracking: Review participants’ progress and provide feedback.

Tools/Equipment:

• Educational materials (booklets, handouts, digital resources).
• Physical activity equipment if necessary.

Anesthesia/Sedation:

• Not applicable.

Duration

• Each session typically lasts 1-2 hours.

Setting

• Outpatient settings such as community centers, healthcare clinics, or other designated health facilities.

Personnel

• Lifestyle coaches or diabetes educators.
• Occasionally, nutritionists or physical trainers.

Risks and Complications

Common Risks:

• Minimal to none.

Rare Risks:

• Potential minor injury during physical activity, managed through proper instruction and monitoring.

Benefits

Expected Benefits:

• Weight loss, improved blood sugar control, and enhanced physical activity.
• Reduction in the risk of developing type 2 diabetes.

Timeline for Benefits:

• Benefits can start appearing within weeks but are more significant with long-term commitment.

Recovery

Post-Session Care:

• Participants may be advised to continue self-monitoring and follow the lifestyle plan.
• Regular follow-up sessions and support groups may be recommended.

Recovery Time:

• Not applicable as it is a non-invasive educational session.

Alternatives

Other Treatment Options:

• Medical management with medications.
• Bariatric surgery for those who meet criteria.
• Other lifestyle modification programs.

Pros and Cons:

• Medical management: Effective but may involve side effects from medications.
• Bariatric surgery: Can provide significant benefits but involves surgical risks.
• Other programs: Similar in approach but may vary in content and structure.

Patient Experience

During the Procedure:

• Participants may experience an interactive, educational, and supportive environment.
• Various activities to make learning engaging and practical.

After the Procedure:

• Improved understanding of diabetes prevention strategies.
• Motivation and support to implement lifestyle changes.

Pain Management:

• Not applicable as the session is non-invasive and educational.