1. Choctaw Nation Diabetes Wellness Center
Program information
Choctaw Nation of Oklahoma
Choctaw Nation Diabetes
Wellness Center
“Happy Heart”
Cardiovascular Disease Risk Reduction Project
*The clinical measures listed on these documents were used by the programs over the past 10 years and were current at their time of use. However, these example documents are not intended to serve as current clinical guidelines. Programs using these documents will need to ensure the clinical measures are current for their intended use.

2. The Facts Every 33 seconds cardiovascular
disease will claim someone’s life.
It results in more deaths than all
forms of cancer combined.
Each year, about 1.1 million people in the United States have heart attacks, and almost half of them die.

3. Known as a silent killer because it often has no warning signs until a stroke or heart attack ensues.

4. Heart Attack is the leading cause of death in both men and women in the United States today.

5. People who have type 2 diabetes have a four times greater chance of dying of a cardiovascular event, such as heart attack or stroke.

6. “Happy Heart”, CVD Grant
Awarded through a competitive grant
process
30 Grantees across the United States
5 year grant beginning October, 2004 – September, 2009
Extended an additional year, 2010
We will apply for 2 additional years this summer.

7. Who Can Participate Native Americans/Alaska Natives
Diagnosis to Type 2 Diabetes
Age 18 and older
Exclusion Criteria:
Pregnancy
Active alcohol or substance abuse by provider
judgment
End Stage Renal Disease on Dialysis
Any other significant medical conditions or
circumstances that may adversely affect participation

8. Ways to Reduce the Risk of CVD
Stop Smoking
Keep Blood Pressure Within Normal Range
Maintain Blood Glucose Levels Within Normal Range
Keep Cholesterol Levels Within Range
Exercise Daily (at least 30 minutes)
Adhere to Low Sodium/Low Fat Diet

9. Target Ranges Blood Pressure  Below 130/80 LDL Cholesterol (Bad)
– HDL
Cholesterol (Good)
 Men 40 or
greater
 Women 45 or
greater
Triglycerides
 Less than 150
A1C
 Less than 7%

10. Participant Benefits
Monthly case management visits until target ranges
are reached, then visits will be quarterly.
Nurse Case Managers assist with management of care, setting goals and are available to answer participant questions in person or by telephone.
Physical Activity Leader (PAL) to assist with
developing and maintaining a personal exercise plan.
Consultation with a Registered Dietician and assistance with personal meal planning.
Group and individual diabetes and cardiovascular
disease education classes.
Laboratory test performed regularly.
Family participation is encouraged through community events.

11. Minutes of Physical Activity Each Week70 60 60 50 50 46 43 38 40
Baseline 1st Annual 2nd Annual 3rd Annual 29 30
20 21 20 16 11 11 10 7
0 minutes
1-89 minutes
90-149
mintues
>150 minutes

12. Mean HbA1c at Each Assessment
8.2 8
7.8
7.6
7.4
7.2 7
6.8
6.6
8.1
7.9
7.8
7.7
7.6
7.6
7.5
Baseline 1st Annual 2nd Annual 3rd Annual
7.4
7.1
7.1
Female
Male
Total

13. Mean LDL at Each Assessment
120
100 80
Baseline 1st Annual 2nd Annual 3rd Annual 60 40 20
Female
Male
Total

14. Mean Systolic Blood Pressure
132
130
128
Baseline 1st Annual 2nd Annual 3rd Annual
126
124
122
120
118
Female
Male
Total

15. Mean Diastolic Blood Pressure76 75 74 73 72 71 70 69 68
Baseline 1st Annual 2nd Annual 3rd Annual
Female
Male
Total

16. Mean BMI 38 37 36 35 34 33 32 31 30
Baseline 1st Annual 2nd Annual 3rd Annual
Female
Male
Total

17. Current Participation
We have recruited 265 participants.
Base line examinations have been
performed on 197 participants.
We currently have 186 active participants.