Medical Care Expenditures for Individuals with Prediabetes: The Potential Cost Savings in Reducing the Risk of Developing Diabetes
Overview
Public Health
Affiliations
The United States has 86 million adults with prediabetes. Individuals with prediabetes can prevent or delay the development of type 2 diabetes through lifestyle modifications such as participation in the National Diabetes Prevention Program (DPP), thereby mitigating the medical and economic burdens associated with diabetes. A cohort analysis of a commercially insured population was conducted using individual-level claims data from Truven Health MarketScan Lab Database to identify adults with prediabetes, track whether they develop diabetes, and compare medical expenditures for those who are newly diagnosed with diabetes to those who are not. This study then illustrates how reducing the risk of developing diabetes by participation in an evidence-based lifestyle change program could yield both positive net savings on medical care expenditures and return on investment (ROI). Annual expenditures are found to be nearly one third higher for those who develop diabetes in subsequent years relative to those who do not transition from prediabetes to diabetes, with an average difference of $2671 per year. At that cost differential, the 3-year ROI for a National DPP is estimated to be as high as 42%. The results show the importance and economic benefits of participation in lifestyle intervention programs to prevent or delay the onset of type 2 diabetes.
From diabetes care to prevention: review of prediabetes apps in the DACH region.
Lim D, Meier L, Cadwell K, Jacob C Mhealth. 2025; 11:8.
PMID: 39944857 PMC: 11811653. DOI: 10.21037/mhealth-24-57.
Stephenson-Hunter C, Gonzalez C, Franco S, Hashmi M, Tisor O, Gonzalez C BMJ Nutr Prev Health. 2025; 7(2):e000932.
PMID: 39882293 PMC: 11773654. DOI: 10.1136/bmjnph-2024-000932.
Prevalence of Testing for Diabetes Among US Adults With Overweight or Obesity, 2016-2019.
Chen Y, Lundeen E, Koyama A, Kompaniyets L, Andes L, Benoit S Prev Chronic Dis. 2023; 20:E116.
PMID: 38154119 PMC: 10756652. DOI: 10.5888/pcd20.230173.
Gamble A, Khan T, Hughes A, Guo Y, Vasaitis S, Bidwell J JMIR Res Protoc. 2023; 12:e50183.
PMID: 37955955 PMC: 10682930. DOI: 10.2196/50183.
Pagan L, Yang W, Shao H, Wang Y, Zhang P BMJ Open Diabetes Res Care. 2023; 11(6).
PMID: 37914345 PMC: 10626875. DOI: 10.1136/bmjdrc-2023-003397.