1. The Great Diabetes Epidemic: A Manifesto for Action

3. We Have An Epidemic

4. We Have An Expensive Epidemic

5. Patients with Diabetes Cost Medicaid 300% More Than Patients without Diabetes

6. Diabetes is Not Just Another Chronic Disease

7. Diabetes: a classic public health problem Prevention is difficult to “achieve by individual clinicians and patients alone; it requires integrated disease management and organized systems of care.” The magnitude and persistence of the increase in obesity and diabetes “suggest these problems are beyond the capacity of individual health care delivery systems

8. Three Stages of Prevention Primary Keep pre-diabetes from developing Secondary Prevent pre-diabetes from progressing Tertiary Prevent complications from developing

9. Start with Tertiary Prevention— Prevent the BAD Complications Blindness Amputations Dialysis, and CVD

10. Components of Tertiary Prevention Community Diabetes Control Council Screening for Diabetes and Pre- diabetes Diabetes Registry Community Diabetes Care Center

11. Secondary Prevention Primary Prevention