At Heritage Care, a nonprofit dedicated to education and healthcare in Maryland, the Diabetes Prevention Program (DPP) is transforming lives through actionable steps and long-term support. We spoke with Juan Caicedo, CEO, and Aaron Sydor, COO, to learn more about the program’s approach to diabetes prevention and its impact on the community.
(Interviews modified for clarity and length).
Question: For someone recently diagnosed with prediabetes or at risk for type 2 diabetes, what proactive steps would you recommend?
There are two main pillars:
- Increase physical activity – Start small, and make steady progress.
- Improve diet – Focus on reducing carbohydrate intake.
We emphasize that this is a journey, not a race. Small, consistent changes can help prevent type 2 diabetes and improve overall health.
Question: What advice would you give to someone starting from zero with physical activity?
Gradually increase your activity level. Find something you enjoy and incorporate movement into it. For example:
- Do band exercises while watching your favorite TV show.
- Use a stationary bike or treadmill during work or leisure time.
Start slow, ensure you’re health-cleared by your doctor, and wear proper equipment to avoid injuries.
Even a 10-minute brisk walk can make a difference if it gets your heart rate up. Consistency and pace matter more than duration when starting out.
Question: Let’s talk about diet. What small changes can people make to feel healthier?
We suggest starting with portion control. You don’t have to eliminate the foods you love right away. Instead:
- Be mindful of what supports or hinders your health goals.
- Gradually reduce portions of less healthy foods.
- Keep a list of healthier alternatives to replace current options.
In our program, participants track their activity and maintain a list of healthy foods to incorporate into their diet.
Question: What is the structure of your Diabetes Prevention Program?
It’s a year-long program divided into phases:
- First 4 months – Weekly 1-hour sessions
- Next 2 months – Bi-weekly sessions
- Final 6 months – Monthly sessions focused on maintenance
This gradual approach helps participants develop and sustain healthy habits.
Question: How does Heritage Care support economically challenged and bilingual communities?
Our program is CDC-approved and bilingual, serving both English and Spanish-speaking participants. We work closely with under-resourced communities to provide:
- Education on making healthier choices
- Culturally tailored resources and support
Question: How do you address common misconceptions about diabetes?
Some believe:
- Diabetes is not a chronic disease or doesn’t impact cholesterol and blood pressure.
- Only overweight individuals are at risk.
We educate participants that even with normal weight, high glucose levels can still pose risks.
Question: With so many quick-fix weight loss options, how do you promote the benefits of a year-long program?
We focus on making lifestyle changes, not quick fixes. Our goal is modest, sustainable weight loss (5–7% of total body weight). The first six months focus on weight loss, and the last six months on maintenance. Gradual improvements yield long-term results.
This is not a diet plan; it’s a life-changing program. Participants often return with friends because they see the value and results.
Question: Does Heritage Care offer support after the program ends?
Absolutely. We stay open to helping participants even after the program concludes. For example, we organize group activities like walks and cooking sessions to keep the community engaged and motivated.
Heritage Care is redefining diabetes prevention with education, personalized support, and community outreach. To learn more about their Diabetes Prevention Program, visit their website or contact them today at 301-237-6677.
