I CAN Prevent Diabetes! Individuals and Communities Acting Now to Prevent Diabetes

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

Increases the risk of developing Type 2 diabetes Heart disease Stroke

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

I CAN Prevent Diabetes!

Based on the results of the Diabetes Prevention Program

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


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


Determine:How participants will be recruited

Establish recruitment plan Establish relationships between clinic and

community organizations Recruit community partners Referrals Labs


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.


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.


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

MDH Contact

Rita Mays

MN Diabetes Program

[email protected]

651-201-5433

Tammy Didion

MN Diabetes Program

[email protected]

651-201-5425

www.icanpreventdiabetes.org

Thank You!

Documents

I CAN Prevent Diabetes! Individuals and Communities Acting Now to Prevent Diabetes