The Diabetes Type 2 Patient Journey: Modelling the diabetes type 2 patient journey and the extent to what LaM can reduce the total societal costs associated with diabetes type 2 in The Netherlands

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Diabetes mellitus (DM) is a complex, metabolic disorder and the number of individuals suffering from DM is dramatically increasing worldwide, resulting in an increasing burden on society and rising health care costs. DM is preceded by prediabetes. DM increases the risks of cardiovascular diseases, eye disorders, and kidney disorders. Furthermore, the relevant literature suggests that 9 out of 10 of the total DM population suffer from T2DM and that T2DM patients can be reversed. Therefore, there is an urgent need to understand how to reduce this increasing burden on society. In response, Dutch research organization TNO developed personal care program Lifestyle as a Medicine (LaM). The present study aims to gain a clear understanding of the T2DM patient journey and the development of the total societal costs associated with T2DM. Additionally, the present study would like to contribute to the T2DM policy-making process. A system dynamics model is developed to gain insights in the development of the normoglycemic population, the undiagnosed prediabetes population, the diagnosed prediabetes population (IFG), the diagnosed prediabetes population (IGT), and the T2DM population. The results support the present study’s suggestion of shifting from intervention programs to prevention programs.
Faculteit der Managementwetenschappen