i can prevent diabetes! individuals and communities acting now to prevent diabetes
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I CAN Prevent Diabetes!Individuals and Communities Acting Now to Prevent Diabetes
Recruitment Discussion
2012
Partners
CommunityPartners
Healthcare Community Clinic
Host Agency YMCA/ YWCA Parks & Recreation Faith Communities
Local Public Health
State Partners
MDH I CAN Prevent Diabetes! Minnesota Diabetes
Program
The Diabetes Epidemic: US Minority Populations
American Indians are almost 2 times more likely to develop diabetes compared to their non-Hispanic white counterparts.
Asian Americans, Hispanics, and non-Hispanic blacks are are also at increased risk
CDC, National Diabetes Fact Sheet: US, 2011
The Diabetes Epidemic: US
In the US, diabetes occurs in
16 % of American Indians 12 % of non-Hispanic Blacks 11 % of Hispanics 8 % of Asian Americans 7 % of non-Hispanic Whites
CDC, National Diabetes Fact Sheet: US, 2011
The Diabetes Epidemic: MN
In Minnesota 1 and 3 Adults have diabetes or
prediabetes 375,000 have diabetes
147,000 of those do not know it
Greater than 1 million have prediabetes Only 197,000 know they have prediabetes
MDH, Minnesota Diabetes Fact Sheet: 2010
What is Prediabetes?
Blood glucose levels that are higher than normal, but not high enough to be called diabetes
Often precedes the development of type 2 diabetes – Can begin long-term damage to
Heart and circulatory system Eyes and kidneys
Prediabetes Risk Factors
Age Overweight or obese High blood pressure Abnormal lipid levels Family history of type 2 diabetes Ethnicity History of gestational diabetes or 9+ lb
baby Inactivity
American Diabetes Association
Clinical Criteria for Prediabetes
Condition Test ResultsImpaired Glucose Tolerance (IGT)
2-Hour Oral Glucose Tolerance Test
140–199 mg/dL
Impaired Fasting Glucose (IFG)
Fasting Plasma Glucose
100–125mg/dLAfter 8-hour fast
Hemoglobin A1c
Plasma Glucose 5.7-6.4%
American Diabetes Association
Diabetes Can be PREVENTED!
Progression to diabetes is not inevitable!
Weight loss & increased physical activity can Prevent or delay diabetes May even return blood glucose levels to
normal
I CAN Prevent Diabetes!
I CAN Prevent Diabetes is a collaborative, community-based, lifestyle change program designed for people with prediabetes. The Minnesota Individuals and Communities Acting Now (I CAN) Prevent Diabetes offers diabetes prevention education and support for people with prediabetes.
This program provides the tools to prevent or
delay adult type 2 diabetes where you live.
I Can Prevent Diabetes!
Will provide the following tools to help prevent/delay type 2 diabetes:Resources on diabetes nutrition and preventative prediabetes physical activityTraining opportunities for I CAN PD program coachesInstruction and coaching for diabetes prevention focused on nutrition and physical ActivityA 1 year program including an evidence-based 16 Week Class curriculum and 8 month post core activitiesStrategies for involving people in community, work or clinic settingsTips for partnering with other organizations in your community to defeat diabetesResources for promoting your program and tracking your progressA diabetes prevention model that builds partnerships between Minnesota community health care providers, local fitness centers and public health officials
The Diabetes Prevention Program (DPP)
Diabetes Primary Prevention (DPP) National, randomized, multisite study (published
in 2002) Participants = 3,234 overweight persons with
prediabetes
Examined the effects of lifestyle change & pharmaceutical treatment on pre-diabetes Lifestyle changes = diet & physical activity Pharmaceutical = metformin*
*Prescription medication that lowers blood glucose
Results from the DPP
DPP results showed* Lifestyle intervention resulted in a 58%
reduction in progression to diabetes compared to a placebo group
Seniors (60+ years) had a 71% reduction in the progression to diabetes compared to the placebo group
Medication intervention resulted in a 31% reduction
Findings were consistent across all ethnic groups, ages, and BMI subgroups
* Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002;346:393-403.
I CAN Prevent Diabetes: Program Details
Participant objectives Attend all 16 weekly classes in designated community
setting Change unhealthy lifestyle behaviors
Increase activity 150minutes/week
Improve food choices keep diary & follow fat gram goal
Lose weight, if overweight 5-7% of body weight
Attend post cores sessions offered monthly for 6-8 months
I CAN Prevent Diabetes:Getting Started
Determine:Where I Can Prevent Diabetes will be implemented
Community Setting (YMCA, Faith Community, or Community Organizations)
Clinic Setting
I CAN Prevent Diabetes:Getting Started
Determine:Who will be the Champion(s)
Who will attend Lifestyle Coach training Who will be the Lifestyle Coach Who will be part of the support team How will team communicate with and support the
Lifestyle Coach
I CAN Prevent Diabetes:Getting Started
Determine:How participants will be recruited
Establish recruitment plan Establish relationships between clinic and
community organizations Recruit community partners Referrals Labs
I CAN Prevent Diabetes:Getting Started
DetermineWhat data will be collected
Patients with pre-diabetes should be monitored for progression to diabetes every 6 months
Work with MDH to determine what data should be collected and submitted to MDH
I CAN Prevent Diabetes: Implementation Steps
1. Complete all getting started activities.
2. Send identified Lifestyle Coach(s) to an I CAN Prevent Diabetes for Sustaining Organizations – Lifestyle Coach Training offered by MDH.
3. Once Lifestyle Coach is trained, register program with I CAN Prevent Diabetes.
4. Once registered, implement I CAN Prevent Diabetes at your organization!
Importance of Prevention
National estimates 79 million people have pre-diabetes Total cost of diabetes in US = $174 billion/ year
Minnesota estimates Total cost of diabetes in MN = $2.6 billion/year Diabetes prevalence has doubled in past 12 years Diabetes is the 6th leading cause of death in
Minnesota
CDC, National Diabetes Fact Sheet: US, 2011MDH, Minnesota Diabetes Fact Sheet: 2010
CDC Diabetes Prevention Recognition Program
CDC welcomes organizations that offer a lifestyle change program to prevent type 2 diabetes to apply for recognition by the Diabetes Prevention Recognition Program(DPRP)
The purpose of the DPRP is to recognize programs that have shown that they can effectively deliver a lifestyle change program to prevent type 2 diabetes.
CDC Diabetes Prevention Recognition Program
The DPRP has three key objectives: To assure the quality, consistency, and broad dissemination of the lifestyle intervention. To develop and maintain a registry of organizations that are recognized for their ability to deliver an effective lifestyle program to people at high risk for type 2 diabetes.To provide technical assistance to organizations that have applied for recognition to help them deliver an effective lifestyle program and achieve and maintain recognition status.
CDC Diabetes Prevention Recognition Program
For more information about becoming a recognized diabetes prevention program, visit:
http://www.cdc.gov/diabetes/prevention/recognition/index.htm
Resources
Centers for Disease Control & Preventionhttp://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
Diabetes Prevention Programhttp://www.bsc.gwu.edu/dpp/lifestyle/dpp_part.html
Minnesota Department of Healthhttp://www.health.state.mn.us/diabetes/diabetesinminnesota/
factsheet.html
American Diabetes Associationhttp://www.diabetes.org/diabetes-basics/prevention/pre-
diabetes/pre-diabetes-faqs.html
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