National Diabetes Prevention Program (NDPP) @ Dow US Implementation Overview 9-2016 Sczepanski

Objectives Review National Diabetes Prevention Program (NDPP) Share Dow’s commitment and experience with implementing NDPP DOW RESTRICTED

Diabetes: A Major Health Challenge 7th leading cause of death in U.S. 25.8 million people affected (1 in 9) 7 million undiagnosed . DOW RESTRICTED

1 in 5 will have diabetes in 2025 1 in 3 will have diabetes in 2050

Myths about Diabetes Diabetes is NOT that serious of a disease I don’t eat a lot of sweets, so I’m not at risk People with diabetes have to eat special food People with diabetes can’t eat sweets I’m not obese, so I can’t get diabetes Diabetes is for senior citizens I’m JUST pre-diabetic, not diabetic. That’s OK DOW RESTRICTED

Prediabetes (At Risk) to Diabetes 10 Years time most people with prediabetes will become diabetic 1 in 3 adults or 86 million have prediabetes DOW RESTRICTED

Fork in the Road…Which Path to Take? DIABETES PREVENTION ? (At Risk) Pre-Diabetes DOW RESTRICTED

50% 58% risk reduction Achieved weight loss goal of 5-7% 1. Diabetes Prevention Program Research Group: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346:393-403, 2002 DOW RESTRICTED

The National Diabetes Prevention Program (NDPP) Must qualify to participate 2 primary goals for participants Achieve 5 – 10% weight loss Average 150 minutes of physical activity Interactive sessions facilitated by a Certified Lifestyle Coach Weekly weigh-ins Weekly topics – healthy eating, physical activity and stress Food/exercise tracking Packaged and available for implementation: in-person virtually DOW RESTRICTED

Foundation of Health @ Dow Dow Health Strategy has been in place since 2004 2015 – Dow introduced new 10-year goals, including: Total Worker Health Healthy People Healthy Culture DOW RESTRICTED

Dow’s US NDPP Implementation Strategy Virtual Community Partners Onsite US Partner: Omada Health CDC-recognized providers reimbursed Select US Sites DOW RESTRICTED

Experience Delivering Onsite Programs Collaborative Effort 3 trained Lifestyle Coaches Participant materials 6 onsite classes in Midland 1 internal Master Trainer for onsite program sustainability DOW RESTRICTED

Implementation Learning’s Solid company commitment to health Steering Team – oversight & coordination HR/HS Leadership HS Business Office Communications/Public Affairs Systems integration EMR, existing processes Trainings – Internal Staff and Stakeholders Integrated, Ongoing Communication Plan Executive Leadership, HR/PA/HS staff, Employees, Dependents, Retirees DOW RESTRICTED

Thank you! Questions: Peggy Sczepanski asczepanski@dow.com (989) 636-5878 DOW RESTRICTED