Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Dehko 2D Project (D2D)...

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

Dehko 2D Project (D2D)

Implementation Project ofthe Programme for the Prevention ofType 2 Diabetes 2003-2007

• Liisa Hiltunen

MD, vice presidentMarjatta Stenius-Kaukonenvice presidentFinnish Diabetes Association

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

The five geographical areas of FIN-D2D

North Ostrobothnia-population 374 000

South Ostrobothnia-population 195 000

Central Finland-population 265 000

Pirkanmaa-population 455 000

North Savonia-population 250 000

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

Implementation Project of the Programme for

the Prevention of Type 2 Diabetes 2003-2007

The action plan

Dehko 2D Project (D2D)

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

FIN-D2D Programme, AIMS

1.To reduce the incidence of type 2 diabetes and to reduce risk factors and care requirements for the complications of type 2 diabetes

2.To identify among the population those who are at high risk of developing type 2 diabetes

3.To provide earlier diagnosis when people are unaware of their type 2 diabetes

4.To bring people with type 2 diabetes quickly into the sphere of appropriate treatment

5.To generate regional and local models and programmes for the prevention of type 2 diabetes

6.To demonstrate the cost-effectiveness of prevention

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

Programme for the Prevention of Type 2Diabetes in Finland 2003-2010

Three Strategies

• Population Strategy• High-Risk Strategy• Strategy of Early Diagnosis and

Management

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

Screening, diagnosis and interventions in FIN-D2D

CHD

Gestational diabetes

IFG, IGT

Score <7

Score 7-14 Written information

No preventive measures

Score ≥15

OGTTNormoglycemia

IFG

IGT

DiabetesInterventions

Follow-up

FINDRISC

Treatment of hyperglycemia and risk factorsEvaluatio

n

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

D2D Project: Intervention D2D Project: Intervention

Identification of high-risk subject

1. Visit (nurse)

2. Visit(doctor)

Group intervention

Individual intervention

Self-initiated lifestyle changes

Other Interventionforms

Yearly follow-ups

Primary health care or other players:

Weight control groups Quit smoking-groups Exercise groups Self-activity groups

Regular healthcare visits

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

Evaluation of the FIN-D2D

• The feasibility, effectiveness and costs of the FIN-D2D will be evaluated according to a spesific evaluation plan

• Evaluation includes comparison of five geographical areas of FIN-D2D to the rest of Finland regarding for example incidence of T2D and prevalence of undiagnosed T2D

Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association