Conclusion Based on available literature , evidence suggests that community-based interventions may reduce the incidence rate of T2DM and may positively affect anthropometric indices and HbA1C .
Due to the heterogeneity observed between trials we recommend more well- design ed RCTs with longer follow-up duration s be executed , to confirm whether community-based interventions lead to reduced T2DM events in the at-risk population of LMIC setting
Background The increasing prevalence of type 2 diabetes mellitus ( T2DM ) can have a substantial impact in low- and middle-income countries ( LMICs ) .
Community-based programs addressing diet , physical activity , and health behaviors have shown significant benefits on the prevention and management of T2DM , mainly in high-income countries .
However , their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated .
Development of a community participation program for diabetes mellitus prevention in a primary care unit, Thailand.
The purpose of this study was to create and test a prevention model for diabetes mellitus in a primary care unit in Thail and . This study used a three-stage approach : a situational analysis was conducted by a focus group discussion , a model was developed in a brainstorming session with stakeholders , and the model was tested by community participation . Qualitative and quantitative methods were used to collect and analyze the data . The focus group discussion found that co-operation between health volunteers and primary care unit personnel in relation to diabetes screening , as well as defining the role of nurse practitioners who provide diabetic treatment , was important . The proactive model that was used for preventing diabetes mellitus was a health promotion program . It was trialed with 160 persons with prediabetes for 3 months . After the intervention , the mean score for exercise activity  among the persons with prediabetes was significantly higher , while the mean score of the Body Mass Index , waist circumference , and systolic blood pressure were significantly lower than before the intervention . This meant that community participation provided proactive services to Thai persons with prediabetes
Conclusion Based on available literature , evidence suggests that community-based interventions may reduce the incidence rate of T2DM and may positively affect anthropometric indices and HbA1C .
Due to the heterogeneity observed between trials we recommend more well- design ed RCTs with longer follow-up duration s be executed , to confirm whether community-based interventions lead to reduced T2DM events in the at-risk population of LMIC setting
Background The increasing prevalence of type 2 diabetes mellitus ( T2DM ) can have a substantial impact in low- and middle-income countries ( LMICs ) .
Community-based programs addressing diet , physical activity , and health behaviors have shown significant benefits on the prevention and management of T2DM , mainly in high-income countries .
However , their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated .