1. Diabetes Regional Report Cards: Diabetes risks, prevalence and complications in Washington Counties Marilyn Sitaker (marilyn.sitaker@doh.wa.gov) Angela Kemple (Angela.Kemple@doh.wa.gov) Diabetes Leadership Team February 16, 2010

2. Diabetes SDM Model Overview People with Uncomplicated Diabetes People with Prediabetes Diabetes onset People with Complicated Diabetes Death Prediabetes onset Recovery People with Normal Glycemic Levels Diabetes prevalence Unhealthy days & costs per person with diabetes Complications onset Marilyn Sitaker (marilyn.sitaker@doh.wa.gov) & Angela Kemple (Angela.Kemple@doh.wa.gov)marilyn.sitaker@doh.wa.govAngela.Kemple@doh.wa.gov

3. Washington Diabetes Population Flows Map People with Un Dx Diabetes People with Pre- diabetes Diabetes Onset People with Diabetes Complications Death Rate Pre- diabetes Onset Recovery People with Normal Blood Sugar Levels Total Prevalence Of Diabetes Diagnosis Unhealthy days per person with diabetes People with Dx Diabetes Diabetes Complications Onset LeverObesity reduction Pre-diabetes detection and management Diabetes detection and management Lever Indicator s % Obese general population % who get recommen ded levels of physical activity % of high risk patients with access to preventive care (available for general population) % General population screened for Prediabetes (2009 data available in 2010)  % General population screened for Diabetes (2009 data available in 2010)  % of people with diabetes with multiple preventive services (Get biannual A1c Test, annual foot exam, annual eye exam)

11. In Grays Harbor County … Over a third of household have income less than 200% of poverty. 1 3 out of 4 adults 25 and older do not have a college degree. About a 14 percent of the population is non-white or Hispanic. Slightly less than a third of adults have no medical insurance. Compared to Washington State … Grays Harbor County has more people with low income, more lacking college education, less non-white and Hispanic, and more without health insurance than the state average. Washington State County Profiles: Sociodemographic Factors

12. Washington State County Profiles: Risk Factors In Grays Harbor County … Thirteen percent of households experience food insecurity. 1 Eighty percent of adults do not eat enough fruits and vegetables. 2 Over a third of adults do not get adequate physical activity. 3 Nearly a quarter of adults are current cigarette smokers. Seven percent of adults use smokeless tobacco. Sixteen percent of adults say that smoking occurs in the home. Compared to Washington State … Inadequate nutrition, cigarette smoking, smokeless tobacco use, and Second Hand Smoke (SHS) exposure in the home in Grays Harbor County are higher than the state average. No other differences were statistically detectable

13. Washington State County Profiles: Risk Conditions In Grays Harbor County … A third of adults are Obese. 1 About a 30 percent of adults have high blood pressure. 2 Over a third of adults have high cholesterol. 2 1 out of 5 women 40 and over have not been screened for breast cancer. 3 About a fourth of women 18 and over have not been screened for cervical cancer. 3 About 35 percent of men and women 50 and over have not been screened for colorectal cancer. 3 Compared to Washington State … Obesity and hypertension in Grays Harbor County is higher than the state average. The percent not screened for colorectal cancer in Grays Harbor County is higher than the state rate. The percent not screened for breast cancer in Grays Harbor County is lower than the state rate. No other differences were statistically detectable.

14. In Grays Harbor County … About 1 in 10 adults have asthma. 1 Nearly 1 in 10 adults have diabetes. 1 Nearly 1 in 10 adults have had a heart attack, coronary heart disease, angina, or stroke. 1 About 5 out of 10,000 people are diagnosed with colorectal cancer per year. About 10 out of 10,000 people are diagnosed with lung cancer per year. More than 15 out of 10,000 women are diagnosed with breast cancer per year. Compared to Washington State … Rates of diabetes and heart disease and stroke in Grays Harbor County are higher than the state average. The number of people diagnosed with lung cancer per year in Grays Harbor County is higher than the state average. The number of people diagnosed with breast cancer per year in Grays Harbor County is lower than the state average. No other differences were statistically detectable. Washington State County Profiles: Disease Incidence & Prevalence

15. Marilyn Sitaker, MPH Chronic Disease Prevention Unit Lead Epidemiologist and Evaluation Coordinator (360) 236-3463 Thank You! For more information, Please contact: