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  • 1. Diabetes
    • For Institute for Healthy Aging at Keiro
    Take Time To Care
  • 2. About FDA
    • The oldest consumer protection agency in the U.S.
    • Ensures that regulated products are safe and effective.
  • 3. What FDA Regulates Animal Drugs, Feed, and Testing Foods Biologics Human Drugs Cosmetics Medical Devices and Radiological Health
  • 4. FDA Office of Women’s Health
    • Advocates
    • Promotes
    • Provides
    Created in 1994
  • 5. Why Diabetes?
    • Millions suffer with this disease
    • Leading National Killer
    • Disabling
    • Costly
    • Growing
  • 6. Ethnic Minority Women
    • Minority and racial groups are the hardest hit by type 2 diabetes.
    • Prevalence is 2-4 times higher among black, Hispanic, American Indian, and Asian Pacific Islander women than white women.
  • 7. Prediabetes
    • Higher than normal blood glucose levels
    • Not high enough to be classified as diabetes
    • Increases risk of developing type 2 diabetes, heart disease, and stroke
    • Progression to diabetes is not inevitable
  • 8. Diabetes in Pregnancy
    • Problems for the mother:
    • 20-50% chance of developing
    • type 2 diabetes 5 to 10 years
    • after pregnancy
    • Diabetic complications can progress
    • Preeclampsia
    • Problems for the baby:
    • Large for Gestational Age (LGA)
    • Prematurity
    • Neonatal complications
    • 10x increased risk for obesity during childhood and adolescence
    • Intrauterine death
    • Congenital abnormalities
    Gestational Diabetes Mellitus (GDM) is a significant risk factor for the development of diabetes after a pregnancy
  • 9. National Data & Statistics
    • 9.7 million women - 8.8% of all women aged 20 years or older have diabetes
    • ~1 in 3 are unaware they have it
    • Risk and prevalence increase with age
    • Gestational diabetes develops in 2-5% of all pregnancies
  • 10. Trends National Diabetes Surveillance System State-Specific Estimates of Diagnosed Diabetes Among Adults Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population by State, United States, 1994 http://www.cdc.gov/diabetes/statistics/prev/state/index.htm Missing Data <4% 4-4.9% 5-5.9% 6+%
  • 11. Trends National Diabetes Surveillance System State-Specific Estimates of Diagnosed Diabetes Among Adults Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population by State, United States, 2004 http://www.cdc.gov/diabetes/statistics/prev/state/index.htm Missing Data <4% 4-4.9% 5-5.9% 6+%
  • 12. Trends National Diabetes Surveillance System State-Specific Estimates of Diagnosed Diabetes Among Adults Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population by State, United States, 1994 and 2004 http://www.cdc.gov/diabetes/statistics/prev/state/index.htm Missing Data <4% 4-4.9% 5-5.9% 6+% 2004 1994
  • 13. County-level Estimates of Diagnosed Diabetes for Adults aged ≥ 20 years: United States 2007
  • 14. Effects of Diabetes
    • Heart Disease and Stroke
    • High Blood Pressure
    • Blindness
    • Sexual Dysfunction
    • Other Complications
    • Kidney Disease
    • Nervous System Disease
    • Amputations
    • Dental Disease
    • Complications During Pregnancy
    6th leading cause of death in the U.S. and can lead to serious health problems
  • 15. Additional Complications
    • Poor vision, hearing, smell, and taste
    • Difficulty chewing and digesting food
    • Decreased mobility and exercise
    • Cognitive and psychological problems
    • Effects of other chronic diseases
  • 16. The Good News… You Can Manage Diabetes
    • Watch what you eat and exercise.
    • Use medicines wisely.
    • Check your blood sugar and know your “ABCs.”
  • 17. Managing Diabetes Watch What You Eat and Get Exercise
  • 18. Managing Diabetes
    • Use Medicines Wisely
    • Follow the directions when taking pills or shots.
    • Ask your doctor, nurse, or pharmacist for information about your medicines.
  • 19. Managing Diabetes
    • Check Your Blood Sugar and
    • Know Your “ABCs”
    • Talk to your health care team about your “ABCs” :
      • A -1-C blood sugar level (less than 7)
      • B lood pressure (less than 130/80)
      • C holesterol (less than 200 overall; LDL less than 100; HDL greater than 60)
    • Keep your “ABCs” under control
    • Ask doctor for A-1-C blood sugar level test
  • 20. FDA Office of Women’s Health Website www.fda.gov/womens Women and Diabetes http://www.fda.gov/ForConsumers/ByAudience/ForWomen/WomensHealthTopics/ucm117969.htm Download the FDA New Medication Booklets
  • 21. Outreach Goals
    • Prevent or delay diabetes
    • Support women at risk
    • Promote appropriate care
    • Prevent, delay, and minimize complications
    • Highlight action strategies
    • Discuss personal involvement opportunities
  • 22. Partners
    • Community Health Centers
    • Keiro Institute for Healthy Aging
    • Las Vegas Casinos
    • Hadassah
    • Jacob’s Institute
    • Five (5) National Nurses Associations (Black, Hispanic, Asian, American Indian and Alaska Native)
    • National Partnership for Women & Families
    • Websites: iVillage, CNN, WebMD
    • Over 22,000 community drug stores
    Thousands have partnered with the FDA OWH to deliver the TTTC message, including:
  • 23. Program Messages
    • Three key TTTC messages for women with
    • diabetes:
    • Watch what you eat and exercise.
    • Use medicines wisely.
    • Check blood sugar and know your “ABCs.”
      • A -1-C Level
      • B lood Pressure
      • C holesterol
  • 24. Publications
    • My Medicines Brochure
    • Diabetes Brochure
    • Diabetes Fact Sheet
    • Diabetes Recipes Cards (includes Hispanic/Latino culturally appropriate recipes)
  • 25.
  • 26.
  • 27.
  • 28. Japanese Translations
  • 29. Outreach Summary Results
    • Distributed 5 million brochures nationwide via 3,200 drug store outlets
    • 58% reached were female; 42% were male
    • 89% were over 40 years old
    • Reached 50,000 through nurses in high-risk minority communities
  • 30. Join Us!
    • To partner with us in a TTTC activity:
    • http://www.fda.gov/womens
    • To download free information: http://www.fda.gov/womens/taketimetocare/diabetes/default.htm
    • To order free brochures:
    • http://www.pueblo.gsa.gov/cic_shop/orderinfo.htm
  • 31. For More Information
    • FDA Diabetes Website:
      • http://www.fda.gov/diabetes
    • American Diabetes Association:
    • 1-800-DIABETES (1-800-342-2383) http://www.diabetes.org