Ely et al. (1) from the Centers for Disease Control and Prevention (CDC) provide a first report of National Diabetes Prevention Program (National DPP) effectiveness since its 2012 launch. It is impressive that 4.2% mean weight loss was achieved in a large-scale translation of the original DPP (1), which obtained 4.9% weight loss with the rigor of a randomized controlled trial (2). However, only approximately 0.04% of the 86 million adults in the U.S. with prediabetes were reached in 4 years of implementation (1). Moreover, the authors did not address two critical implications of the findings: 1 ) future reach of the National DPP is projected to decrease, and 2 ) the program may contribute to, rather than ameliorate, health disparities as currently implemented. First, the authors briefly noted recognition is …

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评论Ely等。国家预防2型糖尿病的努力：CDC国家糖尿病预防计划的参与者水平评估。2017年糖尿病护理； 40：1331–1341

Ely等。（1）来自疾病预防控制中心（CDC），提供了自2012年启动以来国家糖尿病预防计划（National DPP）有效性的第一份报告。令人印象深刻的是，在原始DPP的大规模翻译中，平均体重减轻了4.2％（1），而在随机对照试验的严格条件下，它的重量减轻了4.9％（2）。但是，在实施的4年中，美国8600万患有糖尿病的成年人中，只有约0.04％达到了这一水平（1）。此外，作者们并未论及调查结果的两个关键含义：1）预计国家民进党未来的覆盖范围将减少，以及2）该计划可能会导致而不是缓解当前实施的健康差距。首先，作者简要指出，认可是……