1. HEALTHY PEOPLE 2020: DIABETES By Jazzy, Abby, and Caley

2. Healthy People Objectives D-1 Reduce the annual number of new cases of diagnosed diabetes in the population D-14 Increase the proportion of persons diagnosed with diabetes who receive formal diabetes education D-15 Increase the proportion of persons with diabetes whose condition has been diagnosed D-16 Increase prevention behaviors in persons at high risk for diabetes with prediabetes 11

3. What is diabetes? Metabolic disorder Insulin production Type 1 Type 2 Gestational 5

4. Effects of Diabetes 23.6 million people in the United States 7th leading cause of death Increase risk of heart disease by 2 to 4 times Lowers life expectancy by up to 15 years Leading cause of kidney failure, lower limb amputations, adult onset blindness 11

5. Are you at risk? Who should be tested? Anyone over 45 Anyone younger than 45 Overweight Additional risks Modifiable, Non-Modifaible, Socially Determined 17

6. Does Diabetes target Populations Differently? 1

8. Local CDC age-adjusted incidence rate in every 1000 individuals in Whatcom County 8.3 in 2004 7.1 in 2012 4 D-1

9. Costs/Diagnosis Insurance Unity care is reimbursed through Medicaid Insurance companies will cover costs Depending on provider Diagnosing New Cases Endocrinologists diagnose cases of diabetes 6, 12 D-15

10. Whatcom County Prevention Organizations Local Organizations that have Diabetes Programs Peacehealth Nutrition and Diabetes clinic Public Diabetes Information Meeting WIC Food Sense Program Diabetes Prevention Coordinator 12, 16, 15, 18 D-14, D-16

11. Washington

12. Diagnosing New Cases 8% of the state’s population 172,000 people are undiagnosed Diabetes Tests Worksheet $120,000 annually on DPP 13, 17 D-1, D-15

13. Prevention 1 in 3 Washington residents have prediabetes 25 diabetes prevention programs Diabetes Prevention and Control Program 15 D-16

14. Diabetes Prevention and Control Program Worksite Wellness Programs Data Publication Washington Epidemic and Action Report Education Programs Washington Diabetes Network D-14, D-16 15

15. Education 60 diabetes education programs approved by Medicaid for reimbursement WADE Self-learning focus Stop Diabetes Initiative Evergreen Health Diabetes Education and Nutrition Services 1, 14 D-14

16. Costs $3.75 billion in 2012 Increase to $5.39 billion (in 2012) 10 years from now $8,527 per person in 2012 17 D-16

17. National Level

18. Diagnosing Nationally 17.9 million diagnosed…5.7 million are undiagnosed Undiagnosed cases are extremely dangerous Diagnostic testing vs. screening HP2020 ↓ 1, 11 D-1, D-15

19. Prevention NIDDK- National Institute of Diabetes and Digestive and Kidney Disease Intramural vs. extramural Diabetes Prevention Program (DPP) National controlled clinical trial lifestyle changes show real result 9 D-16

20. Prevention is Easier Than Management Goal of community health workers prevention of diabetes has three facets increase physical activity losing body weight reducing caloric intake 11 D-16

21. Prevention Through Education National Diabetes Prevention Program Find a program in your area National Diabetes Education Progam BRFSS 4, 3 http://www.ama-assn.org/sub/prevent-diabetes-stat/ D-14

22. Change is not easy…. but it’s better when it’s fun Recipes Grocery shopping tips and meal planning Alternative Exercises Prevention pamphlets in all languages Work specific programs 3 D-14, D-16

23. Thank you for listening! ANY QUESTIONS