1. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Dehko 2D Project (D2D) Implementation Project of the Programme for the Prevention of Type 2 Diabetes 2003-2007 Liisa Hiltunen MD, vice president Marjatta Stenius-Kaukonen vice president Finnish Diabetes Association

2. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association The five geographical areas of FIN-D2D North Ostrobothnia -population 374 000 South Ostrobothnia -population 195 000 Central Finland -population 265 000 Pirkanmaa -population 455 000 North Savonia -population 250 000

3. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Implementation Project of the Programme for the Prevention of Type 2 Diabetes 2003-2007 The action plan Dehko 2D Project (D2D)

4. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association FIN-D2D Programme, AIMS 1.To reduce the incidence of type 2 diabetes and to reduce risk factors and care requirements for the complications of type 2 diabetes 2.To identify among the population those who are at high risk of developing type 2 diabetes 3.To provide earlier diagnosis when people are unaware of their type 2 diabetes 4.To bring people with type 2 diabetes quickly into the sphere of appropriate treatment 5.To generate regional and local models and programmes for the prevention of type 2 diabetes 6.To demonstrate the cost-effectiveness of prevention

5. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Programme for the Prevention of Type 2 Diabetes in Finland 2003-2010 Three Strategies Population Strategy High-Risk Strategy Strategy of Early Diagnosis and Management

6. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

7. Screening, diagnosis and interventions in FIN-D2D CHD Gestational diabetes IFG, IGT Score <7 Score 7-14Written information No preventive measures Score ≥15 OGTT Normoglycemia IFG IGT Diabetes Interventions Follow-up FINDRISC Treatment of hyperglycemia and risk factors Evaluation

8. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association D2D Project: Intervention Identification of high-risk subject 1. Visit (nurse) 2. Visit (doctor) Group intervention Individual intervention Self-initiated lifestyle changes Other Intervention forms Yearly follow-ups Primary health care or other players: Weight control groupsQuit smoking-groupsExercise groupsSelf-activity groups Regular healthcare visits

9. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Evaluation of the FIN-D2D The feasibility, effectiveness and costs of the FIN-D2D will be evaluated according to a spesific evaluation plan Evaluation includes comparison of five geographical areas of FIN-D2D to the rest of Finland regarding for example incidence of T2D and prevalence of undiagnosed T2D

10. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association