Prevention of Diabetes

1. Imrana Y. Hamdi MD
Graduate Student
MPH Program
Department of Health and
Kinesiology
Purdue University.
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2. Awareness Campaign
for
Early Detection and Prevention of
Diabetes
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3. Target Population
 Minority Residents.
Ages 20 and above.
Not diagnosed with Diabetes.
 Carry risk factors for Diabetes.
• Obesity or overweight.
• Family history of DM.
• Medical conditions predisposing to DM
• Pre-diabetics.
• History of gestational DM
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4. Questions to address:
 How important is the problem perceived to be.
 What are some changeable factors?
 Number of undiagnosed cases in the group.
 How can we encourage public participation.
 Can we reduce the incidence with a reasonable
cost benefit ratio.
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5. Needs Assessment
• New cases diagnosed per year:
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6. Prevalence
• Existing cases
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7. Prevalence in age 20 and >by
Ethnicity
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8. Demographics
• Diabetes is most common in people over
60.
• Aging itself is not responsible for Diabetes.
• The Risk of death with Diabetes is twice
the risk of Non Diabetics.
• By 2050 almost half of the population
other than whites will have diabetes.
• Costs 13,243 $ compared with 2,560 $.
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9. Disparities
• Ethnic disparities.
• Socio-economic disparities.
• Age related disparities
http://www.ahrq.gov/research/diabdisp.htm
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10. Potential Reasons For a Greater Burden
• Greater number of people with Diabetes.
• Greater complications of diabetes.
• Inadequate access to proper programs
• Improper care
• Lack of awareness.
• Personal behaviors
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11. Determinants of Personal behavior
• Westernization
• Decreased Physical activity.
- Increased television watching
- Increased videogames addiction
- Lack of awareness.
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12. CHAMPS.
UCSF.
 CHAMPS 1 and 2.
 Small steps big rewards program.
http://www.ndep.nih.gov/campaigns/SmallSteps/SmallSteps_index.htm
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13. Picture Of Diabetic foot
Diabeticdermopathy.htm
DermAtlas, Johns Hopkins University; 2000-2007
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14. Prediabetes and GTT.
• An abnormal FBS.
• An abnormal GTT.
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15. Goals
Beauty
To
 Reduce Mortality and Morbidity
 Reduce economic burden
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16. Smart Objectives
Are derived towards health and behavior
outcomes and quality of life
Using the HBM to improve Perceived
Susceptibility + P. Risks= Perceived
threat, to bring a behavior change.
Community Organization and Social
Networks
Create an awareness Campaign
Local Health Departments services
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17. Objectives Continued
 Develop an advisory committee
 Recruit and train Volunteers
 Evaluate the Process.
 Collect post campaign data
-Behavior change
-Incidence, Prevalence.
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18. Future
Millions of Cases of Diabetes in 2000
and Projections for 2030, with Projected Percent Changes.
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19. References
• http://www.medscape.com/diabetes-endocrinology
• The International Electronic Journal of Health
Education, 2001; 4:276-282
• The International Electronic Journal of Health
Education 2004; 7:27-37 27
http://www.iejhe.org
• http://www.ahrq.org/
• http://www.ahrq.gov/research/diabdisp.htm
• http://www.cdc.gov/diabetes/pubs/factsheet.htm.
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20. Additional references.
• United States Department of Agriculture (USDA)
www.nutrition.gov
• Food and Drug Administration's (FDA) Nutrition Facts Label
www.cfsan.fda.gov/~dms/foodlab.html
• Weight-Control Information Network
www.win.nih.gov/index.htm
• American Diabetes Association
www.diabetes.org
• American Dietetic Association
www.eatright.org
• © DermAtlas, Johns Hopkins University; 2000-2007
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