2. Diabetes: The Key Ingredient Gilberto Wilson, Jr. HSCI 273 June 12, 2013

3. TO BE DISCUSSED Diabetes As One of the Leading Causes of Death in the US The Healthy People Initiative: The basics Comparison of the Health Status of Four CA Counties Interpreting the Differences Stopping Diabetes: Initiatives in Healthcare

4. Causes of Death in the U.S. Leading Causes of death (CDC.gov, 2010) Heart Disease Cancer Stroke/Cardiovascular Disease Accidents Alzheimer’s Disease Diabetes

6. Causes of Diabetes in the U.S. Hereditary or Inherited Traits Age: 80% of cases occur after 50 year, incidences increase with the age factor. Poor Diet (Malnutrition Related Diabetes): Improper nutrition, low protein and fiber intake, high intake of refined products are the expected reasons for developing diabetes. Obesity and Fat Distribution Sedentary Lifestyle Stress : Either physical injury or emotional disturbance Drug Induced: Clozapine (Clozaril), olanzapine (Zyprexa), risperidone (Risperdal), quetiapine (Seroquel) and ziprasidone (Geodon) are known to induce this lethal disease. Infection of the pancreas Sex : Diabetes is commonly seen in elderly especially males but, strongly in women and those females with multiple pregnancy or suffering from (PCOS) Polycystic Ovarian Syndrome. Hypertension : high systolic pressure. Serum lipids and lipoproteins : High triglyceride and cholesterol levels -Diabetes Information Hub, 2013

7. Why is diabetes so important to control? Diabetes Hypertension Cerebrovascular Accident Kidney Disease Foot, eye, and skin complications Stress and Mental health issues Oral Health Problems Neuropathy Cardiovascular disease American Diabetes Association, 2013

8. Why is diabetes so important to control? Diabetes Hypertension Cerebrovascular Accident Kidney Disease Foot, eye, and skin complications Stress and Mental health issues Oral Health Problems Neuropathy Cardiovascular disease American Diabetes Association, 2013

9. Healthy People Initiative Managed by the Office of Disease Prevention and Health Promotion Sets health objectives in order to: Encourage collaborations across communities and sectors Empower individuals toward making informed health decisions Measure the impact of prevention activities Healthypeople.gov

10. Healthy People Initiative 2010 Access to Quality Health Services Injury and Violence Prevention Arthritis, Osteoporosis, and Chronic Back Conditions Maternal, Infant, and Child Health Cancer Medical Product Safety Chronic Kidney Disease Mental Health and Mental Disorders Diabetes Nutrition and Overweight Disability and Secondary Conditions Occupational Safety and Health Educational and Community-Based Programs Oral Health Environmental Health Physical Activity and Fitness Family Planning Public Health Infrastructure Food Safety Respiratory Diseases Health Communication Sexually Transmitted Diseases Heart Disease and Stroke Substance Abuse HIV Tobacco Use Immunization and Infectious Diseases Vision and Hearing Overarching Goals Increase quality and years of healthy life Eliminate health disparities Focus Areas - Healthypeople.gov/2010

11. Where California Counties Stand - Notice the difference between Orange County and all other counties; There are far more diabetes-related deaths and far less coronary heart disease related deaths than the other displayed counties. - CDC.gov

12. What does this mean? Possible Theories – Difference is positive; health care programs are helping those with diabetes to stave off further complications – Difference is negative; Patients living with diabetes are dying earlier, eliminating the chance for further complications to take place.

13. A Comparison of Socioeconomic Data Census Data By County Census DataKernOrangeSan BernardinoSan Diego Population856,1583,090,1322,081,3133,177,063 Race by % White83.00%74.90%77.70%77.00% Black6.30%2.10%9.60%5.60% Indian/Alaska Native2.70%1.10%2.00%1.40% Asian4.70%18.40%6.90%11.40% Native Hawaiian/Pacific Islander0.30%0.40%0.50%0.60% Hispanic/Latino50.00%34.10%49.90%32.50% White (Not of Hispanic Descent)37.90%43.50%32.70%48.00% Persons reporting two or more races3.00%3.10%3.30%4.10% Education (High School Graduate %)71.20%83.40%77.80%85.30% Median Income Household$48,021$75,762$55,853$63,857 Family$52,041$112,192$61,525$74,633 Per Capita$20,167$34,416$21,932$30,955 Source: http://quickfacts.census.gov/qfd/states/06000.html

14. Healthcare Is Happening

15. Meanwhile, In San Bernardino…

16. But All is Not Lost

17. Connection Diabetes and the complications caused by the disease are among the leading causes of death in the U.S. Preventing and controlling diabetes could be the key to helping people to live longer, healthier lives. Having the income to afford healthcare and available resources are definite advantages

18. Healthcare Professionals can contribute in many ways

19. References “Healthy People: What Are Its Goals?” http://www.healthypeople.gov/2010/About/goals.htm http://www.healthypeople.gov/2010/About/goals.htm “What Causes Diabetes?” http://diabetesinformationhub.com/WhatCausesDiabetes.php http://diabetesinformationhub.com/WhatCausesDiabetes.php “Complications”. American Diabetes Association. Living With Diabetes. http://www.diabetes.org/living-with- diabetes/complications/http://www.diabetes.org/living-with- diabetes/complications/ GlucoFit Club-Interview 1 http://www.youtube.com/watch?v=wl4PolhJjwI http://www.youtube.com/watch?v=wl4PolhJjwI Sanofi: Committed to Tmproving Global Diabetes Management http://www.youtube.com/watch?feature=player_profilepage&v=Et bfhw6s-c4#action=share