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Awareness of a diagnosis of prediabetes offers an extraordinary opportunity to prevent or delay progression to type 2 diabetes. Health care teams should offer clear communication that prediabetes places an individual at high risk for development of the disease, but that known, effective treatments are available to prevent or delay progression to type 2 diabetes. Unfortunately, limited resources, competing priorities, or time demands may be a barrier to a thorough discussion of type 2 diabetes prevention. It is important to consider that preventing type 2 diabetes will reduce burden on the patient. Patients who make the necessary lifestyle changes for type 2 diabetes prevention can also have improvements in well-being as well as the management of a broad spectrum of health conditions (cardiovascular disease, metabolic syndrome, hypertension, lipids, depression, physical function, etc.).1
The teach back method is often advocated as a way to confirm that a patient understands medical instructions and it may also improve retention of information. This video gives two examples of the teach back with a patient.
A digital freebie for Shared Decision Making Month 2014 showing what shared decision making looks like in a video compilation.
In this video clip, the Physician works together with the patient to develop a specific focus. The provider does this by asking open-ended questions, providing affirmation, using reflective listening and summarizing for the patients (OARS).
1. Orchard TJ, Temprosa M, Goldberg R, Haffner S, Ratner R, Marcovina S, et al. The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: the Diabetes Prevention Program randomized trial. Ann Intern Med. 2005;142(8):611-9.
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