West Virginia Bureau for Public Health
350 Capitol Street • Room 206 • Charleston, WV 25301-3715
phone: (304) 558-0644 • fax: (304) 558-1553
3 generations

The National Diabetes Prevention Program

Almost 500,000 people in West Virginia are estimated to have prediabetes. Are you at risk?

Assess your risk

Download a paper copy of the Prediabetes Risk Test

Interested in making a change to prevent diabetes?  West Virginia's National Diabetes Prevention Program can help!

The program teaches strategies for eating healthy and making physical activity a part of daily life. Coaches work with participants to identify emotions and situations that can sabotage their success, and the group process encourages participants to share strategies for dealing with challenging situations.

Find a program near you.

What is pre-diabetes?

Before people develop type 2 diabetes they usually have what is called pre-diabetes. You may have heard this referred to as “borderline” diabetes. Pre-diabetes is a condition in which individuals have blood glucose (blood sugar) levels higher than normal but not high enough to be classified as diabetes.

Pre-diabetes usually has no symptoms. The vast majority of people living with pre-diabetes do not know they have it. Some long-term damage to the body, especially the heart and circulatory system, may already be occurring. A person who has pre-diabetes is 5 to 15 times more likely to develop type 2 diabetes than someone with normal blood glucose.

Who is at risk for pre-diabetes?

Many factors increase your risk for pre-diabetes and type 2 diabetes. To find out more about your risk, see which characteristics in this list apply to you:

  • I am 45 years of age or older
  • I am obese or overweight
  • I have a parent, sister, or brother with diabetes
  • My family background is African-American, Hispanic/Latino, American Indian, Asian American, or Pacific Islander
  • I had diabetes while I was pregnant or I gave birth to a baby weighing 9 lbs. or more
  • I am physically active less than 3 times a week

How is pre-diabetes diagnosed?

  • Fasting blood test shows glucose level of 100-125 mg/dl
  • A1C value of 5.7%-6.4% (blood test that measures average blood glucose control for the past 2-3 months)
  • Two-hour oral glucose tolerance test reveals blood glucose level of 140-199 mg/dl (blood sugar is tested fasting and 2 hours after drinking a sweet liquid)

If the screening test shows you could have pre-diabetes, talk to a health care provider about having your blood glucose level checked as soon as possible. If the glucose level indicates you have pre-diabetes you should consider enrolling in an evidence-based lifestyle change program, such as the National Diabetes Prevention Program, to lower your chances of getting type 2 diabetes. You should also have your blood glucose level checked again in 6 months to 1 year.

If you have prediabetes or are at risk for diabetes click below for information regarding the National Diabetes Prevention Program:


The National Diabetes Prevention Program (DPP) is based on a research study led by the National Institutes of Health and supported by CDC. The participants in the study, who were all at high risk for developing type 2 diabetes, reduced their risk by 58% -71% by losing a modest amount of weight (5%- 7%) and increasing their physical activity to 150 minutes a week.


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