1. Improving Patient Outcomes in Diabetes Matt Petersen Managing Director, Medical Information & Professional Engagement American Diabetes Association

2. Improving Patient Outcomes Gregg et al. N Engl J Med 370: 1514—1523, 2014 Trends in age-standardized rates of diabetes-related complications among U.S. adults with diabetes, 1990-2010

3. Improving Patient Outcomes 1.Improve A1C and other measures of quality care 2.HCP tools to make that happen 3.Supporting patient resources

4. Case Study: Diabetes Inside 403 randomly selected patients with diabetes 13% at goal: –A1C <8% –LDL <100 mg/dL –BP <130/90 mmHg –Aspirin therapy if indicated –Non-smoker

5. ADA Resources for Intervention HCP: Grand Rounds presentation and referral to ADA Standards of Medical Care –Intensified glucose control –Foot exams –Referral to diabetes education –Adequate follow-up Patient: Living With Type 2 Diabetes

6. HCP Insulin Attitude Survey Clinician agreement on insulin barriers and benefits Lack of consensus on the role of insulin –Implies important knowledge gaps and confusion

7. Second Grand Round 810 T2D patients with A1C >7% 39% A1C >9% No variation among individual providers

8. Type 2 Treatment Algorithm © American Diabetes Association 2016

9. Insulin Workshop Follow-up

10. Actions to Improve Glycemic Control Attended workshop? No Yes

11. Actions to Improve Glycemic Control Attended workshop? No Yes

12. Case Study Results 57% of patients with reduced A1C Earlier insulin initiation More aggressive oral therapy Higher use of patient education and community programs

13. Case Study Conclusion Data analysis + visualization Nationally endorsed messages Non-judgmental environment Entire clinical care team

14. ADA resources for professionals and patients

16. ADA Health Care Professional Tools

18. Professional Education Self-assessment programs Webcasts Point of Care Local events

19. Diabetes Self-Management Education Recognized program DSME referral algorithm Education resources Chronical Diabetes

20. HCP Resources for Patients Print resources: Living With Type 2 Diabetes Patient education library

21. ADA Online Resources

22. My Food Advisor

23. Create Your Plate

24. Diabetes 24/7

25. For the Workplace Wellness Lives Here –Health Champion Designation Mission Engagement Days Stop Diabetes @ Work Signature Physical Activity Events

26. Patient Resources National resources: diabetes.org 800-DIABETES Diabetes Forecast Local resources: Local page on diabetes.org 888-DIABETES

27. professional.diabetes.org