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Table 1 Very low-carbohydrate-national diabetes prevention program topics and summary of changes made to the Center for Disease Control and Prevention’s National Diabetes Prevention Program

From: Testing a very low-carbohydrate adaption of the Diabetes Prevention Program among adults with prediabetes: study protocol for the Lifestyle Education about prediabetes (LEAP) trial

General topics and timing

Changes from standard NDPP

Session titles

Introduction (month 1)

Adds low-carbohydrate meal plan goals

• Welcome to the DPP

Nutrition (months 1–12)

Completely altered; now teaches how to follow a very low-carbohydrate meal plan

• Be a Carbohydrate Detective

• What to Eat

• Cooking and Shopping

• Four Keys to Eating Out

• Welcome to the Post-Core Phase

• Fat: Saturated, Unsaturated, and Trans Fats

• Handling Holidays, Vacations, and Special Events

• Grocery Store Information

• Revisiting Recipes and Cooking

Physical activity (months 1–12)

Adds strategies for being physically active when following a very low-carbohydrate meal plan

• Move Those Muscles

• Being Active: A Way of Life

• Jump Start Your Activity Plan

• Staying on Top of Physical • Activity

• Being Physically Active Together

Behavior change strategies (months 1–12)

Slightly adapted to include very low-carbohydrate food recommendations

• Challenges and Support

• Take Charge of What’s Around You

• Problem Solving

• Talk Back to Negative Thoughts

• The Slippery Slope of Lifestyle Change

• Make Social Cues Work for You

• You Can Manage Stress

• Ways to Stay Motivated

• Stress and Time Management

• Long-Term Maintenance and Looking Forward