TITLE
title
INTER LOCAL AGREEMENT WITH HEALTH AND HUMAN SERVICES - DEPARTMENT OF PUBLIC HEALTH AND ALAMANCE COUNTY - DIABETES PREVENTION PROGRAM ($10,643)
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SPONSOR
sponsor
Courtney McFadden, Public Health Director
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BACKGROUND
background
Guilford County participates in the regional Diabetes Prevention Program (DPP), which helps residents at risk of developing type 2 diabetes make lasting changes to their eating and physical activity habits. The Alamance County Health Department sponsors and coordinates the initiative across nine counties: Alamance, Caswell, Chatham, Durham, Guilford, Orange, Person, Randolph, and Rockingham. Alamance County included funding for the initiative in its adopted FY2026-27 budget.
In Guilford County, the program provides a 12-month series of lifestyle-change classes based on the Centers for Disease Control and Prevention’s diabetes prevention framework. Classes help participants with prediabetes improve nutrition, increase physical activity, and work toward losing approximately 5% to 7% of their body weight to reduce their risk of developing type 2 diabetes.
The program also offers community wellness presentations and A1c screenings, which measure average blood sugar levels and help identify residents who may benefit from prevention services or further medical evaluation. Community organizations may request presentations tailored to their audiences. Program staff adapt wellness strategies to reflect participants’ access to healthy food, places to exercise, and other neighborhood resources.
To encourage participation and help residents apply what they learn, the program provides practical tools and incentives, such as fitness trackers, exercise bands, cookbooks, portion-control containers, and kitchen equipment that supports healthy meal preparation.
During FY2026, Guilford County’s program:
• Delivered six wellness presentations, with attendance ranging from 6 to 30 people per presentation.
• Completed 53 A1c screenings. Of those screened, 26 (49%) had results in the prediabetes range, 17 (32%) had results in the diabetes range, and 10 (19%) had results in the normal range.
These services connect community outreach and screening with opportunities for education and ongoing support. The next series of DPP classes is scheduled to begin in early December 2026 at the Kellin Foundation.
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BUDGET IMPACT
budget impact
NO ADDITIONAL COUNTY FUNDS
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REQUESTED ACTION
requested action
Approve, in substantial form, an inter local agreement in the amount of $10,643 between HHS-Department of Public Health and Alamance County to be effective June 1, 2026 for a term of one (1) year, for the purposes of diabetes prevention programs.
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