1. The 5 P’s of Pre-Diabetes
Bee Williamson Community Education Coordinator (Heart & Diabetes)

2. Problem
Statistically 1:5 people over the age of 15 have Pre-diabetes 2008/2009 Adult Nutrition Survey, Otago University
More Pre-diabetes being identified through Heart & Diabetes Checks
Increasing numbers of Young adults
30 – 70% risk of developing Type 2 Diabetes Ackerman Et Al 2011, Tabák Et Al 2012
Also a risk factor for Heart Events
Increase to Health $

3. Partnerships
Collaborated with Green Prescription and Health Promotion team – unique opportunity to create seamless pathways
Developed a programme “tool kit” aims & objectives, processes, and evaluation
Involved links to existing health & community services
Built on relationships in Secondary Care – Diabetes & Cardiac Nurse Specialists
Sessions delivered monthly in the community (PHO or Library)
Rolled out to Primary Care: 4 x large GP Practices

4. Programme A “one-off” 2.5 hour community group session
Health literacy to build understanding
Beliefs, behaviours and HOW to change
Reflection / goal setting
Take home resources
Programme evaluation
Follow –up for one year

5. Programme Reversing Pre-diabetes 3-Year Overview 2013-201664
122
220
Programme Reversing Pre-diabetes Year Overview
patients
patients
patients
8 in Community
13 sessions
23 sessions
8 sessions
43% Under 65 years of age
attended
An additional 20 % family
/whānau attended
6% Maori % Pacifika
A minimum of 91% improved knowledge, self efficacy, and rated sessions > 8/10

6. Self-reported outcomes over 3,6 and 12 months
Prevention Reversing Pre-diabetes
75%
59%
Reduced stress levels
Reduced HbA1c levels
88%
Improved eating habits
Self-reported outcomes over 3,6 and 12 months
61%
65%
More active
Reduced weight

7. Simple Inexpensive Existing Partnerships Evidence
Prevention
Simple
Inexpensive
Existing Partnerships
Evidence

8. Personal Success One year later………. HbA1c 43 mmol/mol (pre-diabetes)
Lindi 46 year old Māori amputee
Single Mum
High LDL and triglyceride levels / Low HDL
HbA1c 43 mmol/mol (pre-diabetes)
Overweight
Trying to quit smoking
No structured physical activity
Stressed
One year later……….

9. Acknowledgements
Lindi Rule – Patient story Glenis Bell Health Promotion Manager Presenters; Bee Williamson and Marc Davidsen Nelson Bays Health Promotion Team Diabetes and Cardiac teams Nelson Hospital