Dac diabetes initiatives 9-27-11

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  • Projections estimate 1 in 3 Americans may have diabetes by 2050.
  • High need communities identified in the 2009 DSME Needs Assessment. Based on the following criteria:1) prevalence of diabetes among adults; 2) estimated counts of adults with diabetes; 3) diabetes mortality rates; 4) prevalence of adults with diabetes who received DSME; and 5) prevalence of preventive care practices (e.g. eye exam, foot exam, A1C) recommended for persons with diabetes.
  • High need communities identified in the 2009 DSME Needs Assessment. Based on the following criteria
  • The prevalence of diabetes in Colorado on 2010 was 6 percent among adults aged 18 years and older.(Diabetes prevalence is from 2010 BRFSS.)Improvement in DSME reported from 2006-2008 BRFSS, 61.2 percent of adult Coloradans with diabetes reported participating in diabetes self-management education (DSME). 
  • Based on 2005-2008 NHANES results, 35 percent of adults aged 20 years and older had prediabetes.By applying this estimate to the 2010 population of adults in Colorado aged 20 years and older, it is estimated that 1.3 million adults aged 20 years and older had prediabetes in Colorado.(Prediabetes estimate derived by applying nation estimate of prediabetes from 2005-2008 NHANES to the 2010 Colorado population for ages 20+.)
  • The prevalence of diabetes among adults aged 18 years and older in 2008 and 2010 was statistically significantly higher than the prevalence in 2005.
  • The prevalence of diabetes among White adults did not change between 2005 and 2010.The prevalence of diabetes among Black adults did not change between 2005 and 2010, as shown by the confidence intervals.The prevalence of diabetes among Hispanic adults increased from 5.2% in 2005 to 9.3% in 2009, a statistically significant increase. The prevalence was stable between 2009 and 2010 (no significant change).From 2006 to 2009, the prevalence of diabetes was statistically significantly higher among Black adults as compared to White adults.From 2007 to 20010, the prevalence of diabetes was statistically significantly higher among Hispanic adults as compared to White adults.There were no statistically significantly differences between Black and Hispanic adults in any year.
  • Dac diabetes initiatives 9-27-11

    1. 1. Diabetes Advisory Council Meeting<br />September 27, 2011<br />
    2. 2. Today’s Agenda<br />
    3. 3. Today’s Agenda Cont’d<br />
    4. 4. Meeting Goals:<br />To provide updates on diabetes initiatives at CDPHE<br />To introduce you to changes at CDPHE<br />To ascertain partner interests in being involved in on-going diabetes initiatives<br />
    5. 5. Diabetes State Initiatives <br />Diabetes Prevention and Self Management<br />September 27, 2011<br />Diabetes Advisory Council Meeting<br />
    6. 6. 26 Million with Diabetes<br /> 79 Million with <br />Prediabetes<br />
    7. 7. Incidence of Diagnosed Diabetes and Projected incidence (2008 – 2050)<br />Source: http://www.pophealthmetrics.com/content/8/1/29<br />
    8. 8. 2011-12 Tactics<br />Build infrastructure for the delivery of diabetes self-management education (DSME) in high-need communities <br />Support development of infrastructure for the National Diabetes Prevention Program (NDPP) in YMCAs and other system(s) in high-need communities<br />Cover this blue placeholder with your program logo<br />
    9. 9. High-Need Communities<br />Northeast Colorado<br />Southeast Colorado<br />Cover this blue placeholder with your program logo<br />
    10. 10. High-Need Communities<br />Southern Colorado<br />Cover this blue placeholder with your program logo<br />
    11. 11. Building DSME Infrastructure<br />Pharmacist-led DSME developed by the University of Colorado School of Pharmacy<br />Utilizing Conversation Maps®<br />Colorado QuitLine electronic referral<br />Be Well Colorado Workshops<br />Diabetes and Chronic Disease Self Management Programs developed by Stanford Patient Education Center<br />Cover this blue placeholder with your program logo<br />
    12. 12. Building NDPP Infrastructure<br />NDPP coming to Colorado in 2013 via Denver Metro Y<br />Looking beyond Y facilities<br />Colorado NDPP Advisory Group<br />Policy State Technical Assistance Team (PSTAT)<br />Employer and health plan buy-in to the NDPP<br />Provider referrals to the NDPP<br />Cover this blue placeholder with your program logo<br />
    13. 13. What is the NDPP<br />Based on the National Institutes of Health-led Diabetes Prevention Program research study<br />16 week curriculum<br />5 to 7% weight loss<br />At least 150 minutes of physical activity/week<br />58% risk reduction for high risk individuals<br />
    14. 14.
    15. 15. Questions? <br />Contact: <br />Michelle Hansen, Director Self Management Services Unit<br />Phone: 303-692-2577<br />Email: michelle.hansen@state.co.us<br />
    16. 16. Diabetes in Colorado<br />2010<br />6.0 % of adults aged 18 and older had diabetes<br />2009<br />Diabetes Self Management Education (DSME)<br />67% of adults aged 18 and older reported ever taking DSME <br />
    17. 17. Prediabetes<br /><ul><li>United States</li></ul>35% of U.S. adults aged 20 and older had prediabetes <br /><ul><li>Colorado</li></ul>An estimated 1.3 million adults aged 20 and older had prediabetes<br />
    18. 18. Data source: Behavioral Risk Factor Surveillance System, Health Statistics Section, Colorado Department of Public Health and Environment<br />
    19. 19. Data source: Behavioral Risk Factor Surveillance System, Health Statistics Section, Colorado Department of Public Health and Environment<br />
    20. 20. Questions? <br />Contact: <br />Michelle Hansen, Director Self Management Services Unit<br />Phone: 303-692-2577<br />Email: michelle.hansen@state.co.us<br />

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