Fig. 1

Participant Flowchart in a Multistate Referral Registry to Community Lifestyle Change Programs to Prevent Diabetes (2015–2018). ^aAnalysis includes 26,743 unique participants. One thousand three hundred twenty-eight surplus registrations records were removed (e.g. participant had ≥1 registration record). One hundred sixty-five individuals participated in multiple programs (157 participants in two programs, 8 participants in three programs) during the study period and were included in the analysis; among these individuals, 82 participated in both an in-person and online program and were included in both arms of the analysis. ^bFasting glucose of 100 to 125 mg/dl, plasma glucose of 140 to 199 mg/dl measured 2 h after a 75 g glucose load, A1c of 5.7 to 6.4, history of gestational diabetes and/or a high-risk on a self-administered CDC prediabetes risk assessment. ^cIndividuals that self-identified as multiracial or did not report race or ethnicity were defined as ‘other’