Levels of Prevention Chart

Situation:
Goal: Using levels of prevention, negative health conditions are avoided, or promptly diagnosed and treated, and the fullest potential is
restored.
*You must list at least 3 complete interventions/ ideas for each level of prevention
Primary Prevention
Before something occurs

Secondary Prevention
Screening, early identification

Tertiary Prevention
Return to highest level of functioning
after something has occurred

Avoidance of environmental risk factors.

Positive family history plus islet autoantibody testing with

measurement of 1st phase insulin secretion and glucose
tolerance in those who have antibodies.

The functional beta cell mass may be sufficient to

allow a patient to enter the honeymoon period
following diagnosis or even to stop insulin
altogether for weeks or months.

Unequivocal identification of a viral cause for Type 1

diabetes might lead to a vaccination against the virus.
Potential risk factors could be removed from
environment such as avoidance of cows milk in
infancy.

Metabolic testing identifies those at imminent risk of

progression and helps to stage the disease process.
The diabetes prevention trial (DPT1)
The European Nicotinamide Diabetes Intervention Trial

Participation in trial TRIGR to reduce IDDM in the

genetically at risk.

Good glucose control from diagnosis has been

shown to prolong beta cell survival.
Trials with cyclosporine A demonstrate the beta
cell survival can be improved with
immunotherapy.
The induction of tolerance approach, which is
based on the inbuilt capacity of the immune
system to switch off responses to antigens
selectively.

Source:
Gale, E.A.M.. Prevention of type 1 diabetes [internet]. 2014 Aug
13; Diapedia 2104110123 rev. no. 28. Available
from: http://dx.doi.org/10.14496/dia.2104110123.28