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CDC’s Funded State & Local Programs to Address Diabetes

CDC’s Division of Diabetes Translation (DDT) funds state and local health departments to support programs and activities to prevent or delay the onset of type 2 diabetes and to improve health outcomes for people diagnosed with diabetes. CDC’s funding and activities are part of two multi-program cooperative agreements.

USA map with number 1305 on itState Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors, and Promote School Health Cooperative Agreement (1305)

This cooperative agreement funds all 50 states and the District of Columbia to carry out work on diabetes; heart disease and stroke; nutrition, physical activity, and obesity; and school health. States use 1305 funding to implement activities in four focus areas, called domains. Learn more about the Four Domains of Chronic Disease Prevention [PDF - 988 KB] and State Public Health Actions - 1305 .

Four Domains of Chronic Disease Prevention Cooperative Agreement (1305)
Domain Purpose
1. Epidemiology and Surveillance Monitor trends and track progress.
2. Environmental Approaches Change policies and physical surroundings to reinforce healthful behaviors and expand access to healthy choices.
3. Health Care System Interventions Improve the effective delivery and use of clinical and other high-value preventive services.
4. Community Programs Linked to Clinical Services Help patients prevent and manage chronic diseases, with guidance from their health care providers.
Diabetes Prevention and Control Activities Under State Public Health Actions - 1305

Under State Public Health Actions - 1305, CDC addresses diabetes prevention and control activities with an emphasis on two of the domains - supporting health care system interventions (Domain 3) and community programs linked to clinical services (Domain 4).

  • Increase use of diabetes and other chronic disease self-management programs in community settings.
  • Increase participation in CDC-recognized programs under the National Diabetes Prevention Program (National DPP) to prevent or delay the onset of type 2 diabetes in those with prediabetes.
  • Increase use of health-care extenders (such as community health workers or pharmacists) in the community in support of self-management of high blood pressure and diabetes.
Diabetes Activities Under State Public Health Actions - (1305)
Domain Strategies
Health Care System Interventions
  • Increase implementation of quality improvement processes in health systems.
  • Increase use of team-based care in health systems.
Community Programs Linked to Clinical Services
  • Increase use of diabetes and other chronic disease self-management programs in community settings.
  • Increase participation in CDC-recognized programs under the National Diabetes Prevention Program (National DPP) to prevent or delay the onset of type 2 diabetes in those with prediabetes.
  • Increase use of health-care extenders (such as community health workers or pharmacists) in the community in support of self-management of high blood pressure and diabetes.
USA map with number 1422 on itState and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke (1422)

This cooperative agreement builds on and complements activities initiated under 1305 and intensifies work in state and large city health departments to prevent obesity, type 2 diabetes, heart disease, and stroke, and reduce health disparities. Each state sub-awards half of the funds they receive to support prevention activities in four to eight communities to reach high-burden priority populations with the largest disparities in high blood pressure and prediabetes. Under 1422, the state and city health departments conduct activities to address environmental, health care system, and community-clinical linkage strategies to prevent obesity, type 2 diabetes, heart disease, and stroke. Learn more about State and Local Public Health Actions - 1422 .

Three Focus Areas of State and Local Public Health Actions Cooperative Agreement (1422)
Domain Strategies
1. Environmental Promote health and support and reinforce healthful behaviors.
2. Health Care System Interventions Improve the quality of health care delivery to populations with the largest disparities in high blood pressure and diabetes.
3. Community Programs Linked to Clinical Services Support heart disease, stroke, and diabetes prevention efforts.
Type 2 Diabetes Prevention Activities under State and Local Public Health Actions - 1422

CDC funds 17 states and 4 large cities to plan, implement, and evaluate type 2 diabetes prevention interventions addressing environmental, health care system, and community-clinical linkage strategies. The specific strategies can be seen below.

Diabetes Activities Under State and Local Public Health Actions—(1422)
Domain Strategies
Environmental
  • Implement nutrition and beverage standards including sodium standards (i.e., food service guidelines for cafeterias and vending) in public institutions, worksites, and other key locations such as hospitals.
  • Strengthen healthier food access and sales in retail venues (e.g., grocery stores, supermarkets, chain restaurants, markets) and community venues (e.g., food banks) through increased availability (e.g., fruit and vegetables, more low/no sodium options), improved pricing, placement, and promotion.
  • Strengthen community promotion of physical activity through signage, worksite policies, social support, and joint- use agreements in communities and jurisdictions.
  • Develop or implement transportation and community plans that promote walking.
Health Care System Interventions
  • Implement systems to facilitate identification of patients with undiagnosed high blood pressure and people with prediabetes.
Community Programs Linked to Clinical Services
  • Plan and execute strategic data-driven actions through a network of partners and local organizations to build support for lifestyle change under the National DPP.
  • Implement evidence-based engagement strategies to build support for lifestyle change under the National DPP.
  • Increase coverage for evidence-based supports for lifestyle change under the National DPP by working with network partners.
  • Increase engagement of community health workers to promote linkages between health systems and community resources for adults with high blood pressure and adults with prediabetes or at high risk for type 2 diabetes.
  • Implement systems to facilitate bi-directional referral between community resources and health systems, including CDC-recognized lifestyle change programs under the National DPP.

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  • Page last reviewed: June 2, 2016
  • Page last updated: June 2, 2016
  • Content source:
  • Maintained By:
    • National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation
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