Abstract

In recent years, there has been rapid growth in non-communicable disease in developing and developed countries. Diabetes has been identified as a healthcare priority by the Japanese government and WHO. The growth in type 2 diabetes (diabetes) is due to increases in the number of people with diabetes associated with increased longevity and lifestyle changes. Approximately 13.5% of the Japanese population now has either diabetes or impaired glucose tolerance. This high prevalence of diabetes is associated with a significant economic burden, with diabetes accounting for up to 6% of the total healthcare budget. Living a healthy lifestyle and weight control will go a long way in preventing the risk of diabetes and other related complications. The Shimane Study, which was undertaken in collaboration with rural communities, revealed prevalence of diabetes increased with urbanisation. Residents in the rural communities had few intakes of lipid and protein, and higher exercise by farming, compared to those in local city. We recruited 188 volunteers with prediabetes for the multi-component 3-month health promotion program, covering nutrition, physical activity and supportive group therapy health promotion program from participates of cohort study. All the participants completed the program from December 2009 by supported the Ministry of Economy, Trade and Industry. Improvement of glucose tolerance was remarkable to change their lifestyle in the higher group with HbA1c. We are developing a new community- and ICT-based program from 2010 by supported the Ministry of Internal Affairs and Communications.