Discussion
diabetes, Diabetes
DIABETES, TYPE 2 DIABETES, DIABETES
This paper describes the protocol for the nine-year follow-up of a cluster randomized controlled trial of a peer-led lifestyle intervention program – the Kerala Diabetes Prevention Program—to reduce the incidence of type 2 diabetes among individuals at high risk of developing type 2 diabetes at baseline. The study will generate evidence that could establish the long-term effectiveness, cost-effectiveness, and sustainability of lifestyle intervention programs to prevent diabetes in India and other resource-constrained settings. Moreover, evidence on the progressive development of various multimorbidities over time among people with or at high risk of diabetes would inform policies and practice in the prevention and management of diabetes in India and other low-resource settings.