Demographics |
Adults 60 years of age or older |
Patient status |
Followed in Primary Care, Women’s Health, or Geriatric Clinics at Durham VAMC or Raleigh
Outpatient Clinic (CBOC) with an assigned PCP, and have had at least one visit to the
hospital or outpatient clinic in the previous 12 months |
Fasting blood glucose |
100 mg/dL ≤ FBG ≤ 125 mg/dL, following an overnight fast |
Glycated hemoglobin |
HbA1c < 7% |
BMI |
25 kg/m2 ≤ BMI ≤ 45 kg/m2
|
Mobility |
Able to walk 30 ft without human assistance (assistive devices were acceptable) |
Exclusion criteria |
Diabetes |
Clinical history of diabetes or newly diagnosed diabetes at screening |
Recent history of CVD |
Clinical history of cardiovascular disease (CVD) occurring within the past 6 months, including unstable angina, ventricular tachycardia, COPD with two or more hospitalizations within the past year and/or on oxygen, and stroke with moderate to severe aphasia |
Hypertension |
Uncontrolled hypertension (diastolic BP > 110 mmHg or systolic BP >200 mmHg) |
Physical activity |
Patients who had been regularly and vigorously physically active for 6 months or longer, or patients for whom physical activity would be unsafe or contraindicated |
Medications |
Patients taking insulin or other medication used to control sugar levels (i.e. Metformin). |
Impairments |
Hearing loss severe enough to interfere with the ability to receive telephone counseling, and visual impairment severe enough to interfere with the ability to review written materials |
Other |
Diagnosis of unstable mental or behavioral disorder, diagnosis of severe dementia, patients whose physician declined approval for another reason |
Other chronic conditions |
Diagnosis of chronic pain (interferes with patient’s ability to exercise) or a terminal diagnosis |