Diabetes and Prediabetes

With more than 1.1 million adults living with prediabetes in Oregon, and nearly 90 percent of them unaware of it, the Oregon Medical Association has launched a campaign to help stem the tide of type 2 diabetes and, with it, other serious lifestyle-related chronic conditions like heart disease and stroke.

Steering Toward Health is a multi-year initiative that focuses on the prevention of chronic diseases, starting with type 2 diabetes. Its aim is to save physicians and their care teams valuable clinic time, while connecting their at-risk patients to evidence-based, behavioral-change programs.

Below, you’ll find a toolkit with resources that help to identify and refer patients with prediabetes to National Diabetes Prevention Programs (National DPPs), recognized by the Centers for Disease Control and Prevention (CDC). Now covered by the Oregon Health Plan (OHP), Medicare, and some private insurance plans, National DPPs have been shown to reduce participants’ risk of diabetes and other lifestyle-related diseases by promoting modest weight loss, regular exercise, and self-management of health habits over the long term.

The Steering Toward Health Diabetes Prevention Toolkit

For Healthcare Teams

Prediabetes: A Hidden Risk for Your Patients

Offers screening and diagnostic criteria for prediabetes, and gives tips on how to incorporate prediabetes screening into existing patient visits.

Coding for Prediabetes Screening

Consolidates and clarifies the diagnostic, procedural, and reimbursement codes for Medicare and the Oregon Health Plan. It also includes eligibility requirements for the National DPP.

DPP Success Story

This success story illustrates how OMA physicians and their practices have benefitted from screening at-risk patients for prediabetes and referring them to National DPPs. 

Oregon Fast Facts

A compilation of current statistics on the burden of type 2 diabetes and prediabetes in Oregon

National Fast Facts

A compilation of current statistics on the burden of type 2 diabetes and prediabetes across the U.S.

Medicaid Benefits in Oregon for National DPP

A Guide for Coordinated Care Organizations and Oregon Health System partners serving Oregon Health Plan members.

The AMA's Diabetes Prevention Toolkit

Visit the AMA's site to access a variety of tools, fact sheets, and handouts that provide guidance on engaging healthcare teams on diabetes prevention topics—from testing and screening to National DPP lifestyle change programs, including referrals and implementation. The OMA recommends starting here, and supplementing with Oregon-specific materials listed below, all of which can be downloaded and printed.

For Your Patients

Take Action to Reverse Prediabetes

This is a one-page handout for patients who have just been diagnosed with prediabetes. It explains what prediabetes is, why it’s critical to reverse it through lifestyle changes, and how to enroll in a National DPP. We suggest pairing the handout with a printed list of programs in your area.

Poster: Together, We Reversed Diabetes

Printable poster for use in clinics.

I Reversed My Diabetes

Printable poster for use in clinics.

Prediabetes Risk Assessment

A one-page, seven question risk test that patients can quickly complete.

Even Puppy Lovers Have Prediabetes

Printable poster for use in clinics.

Dr. Kevin Ewanchyna, OMA "Physician Champion"

The OMA "Physician Champion" in the area of the prevention of prediabetes and diabetes is Kevin Ewanchyna, MD. Dr. Ewanchyna is a Corvallis family physician who serves as the chief medical officer for both Samaritan Health Plan Operations and the InterCommunity Health Network CCO. He is the 2019-20 OMA President, and has previously served as OMA Secretary-Treasurer and on the OMA Board of Trustees. Dr. Ewanchyna is Co-chair of the Evidence Based Best Practices Committee of the Oregon Health Leadership Council. He was born in Saskatchewan, Canada, and is board certified in family medicine in both Canada and the United States. Dr. Ewanchyna completed his undergraduate degree, medical degree, and residency at the University of Saskatchewan, and has been in practice for more than 20 years.