Name of the Procedure:

Two Medicare Diabetes Prevention Program (MDPP) Core Maintenance Sessions

• Common Names: Diabetes Prevention Sessions, Diabetes Maintenance Sessions
• Technical Term: HCPCS Code G9878

Summary

The Medicare Diabetes Prevention Program (MDPP) Core Maintenance Sessions help individuals with prediabetes manage their condition and reduce the risk of developing type 2 diabetes. These sessions are typically attended by beneficiaries who have completed the initial core sessions and are now in the maintenance phase of the program.

Purpose

The MDPP Core Maintenance Sessions aim to:

• Prevent the onset of type 2 diabetes in individuals with prediabetes.
• Encourage long-term healthy lifestyle changes and weight loss.
• Provide ongoing support and education to help maintain the progress achieved in earlier phases of the MDPP.

Indications

• Symptoms/Conditions: Elevated blood sugar levels indicating prediabetes, usually diagnosed by an HbA1c test ranging 5.7% to 6.4%.
• Patient Criteria: Beneficiaries who have completed the initial six months of the MDPP and have shown progress in weight loss and activity levels.

Preparation

• Pre-procedure Instructions: No specific preparation such as fasting or medication adjustments is required.
• Assessments: The patient may undergo routine blood sugar and weight checks to monitor progress.

Procedure Description

1. Introduction: Each session begins with an introduction and review of progress since the last meeting.
2. Educational Component: Information on nutrition, physical activity, and behavioral changes is provided.
3. Group Discussions: Participants engage in group discussions to share experiences and tips.
4. Set Goals: New goals for weight loss or physical activity are set for the upcoming period.
   • Technology: Sessions may utilize educational materials, activity trackers, and meal planning tools.
   • Anesthesia/Sedation: Not applicable.

Duration

Each session typically lasts around 60 minutes.

Setting

The sessions are usually held in outpatient clinics, community centers, or virtually via telehealth platforms.

Personnel

• Healthcare Professionals: MDPP-trained lifestyle coaches and educators conduct the sessions.
• Support Staff: Administrative staff may assist with scheduling and patient follow-ups.

Risks and Complications

• Common Risks: There are minimal risks associated with attending educational sessions.
• Rare Risks: Possible emotional distress if progress is slow, which can be managed with additional support and resources.

Benefits

• Expected Benefits: Improved blood sugar control, weight loss, and reduced risk of developing type 2 diabetes.
• Timeline: Benefits may be seen within a few months as lifestyle changes become consistent.

Recovery

• Post-Procedure Care: Continuous engagement in the lifestyle changes discussed during sessions.
• Recovery Time: Not applicable; the concept of recovery is more about ongoing management.
• Follow-Up: Regular monthly sessions and periodic weight and blood sugar checks.

Alternatives

• Other Options: Individualized counseling with a dietitian, increased physical activity independently, joining other weight loss programs.
• Pros and Cons: Alternatives like individualized counseling may provide more personalized support but can be more expensive or less accessible compared to group sessions.

Patient Experience

• During the Procedure: Patients might feel motivated and supported through group activities and discussions.
• After the Procedure: They may experience a sense of accomplishment and continuous improvement in health parameters.
• Pain Management: Not applicable; focus is on emotional and motivational support to maintain lifestyle changes.