Diabetes Technology Meeting
Understand the importance of data science for diabetes and what can be done with the vast amount of data generated from biosensors and other digital diabetes products. Understand the current statusof various regulatory frameworks for diabetes technologies. Identify the benefits of continuous glucose monitors and their advantages over the self-monitoring of blood glucose. Identify improvements to current technology that can help facilitate the release of an artificial pancreas into the market. Identify novel insulin products such asbiosimilar insulin and hepatic directed insulin. Identify the importance of time-in-range as an endpoint in clinical trials. Identify novel insulin delivery technologies that facilitate improved user experience and improved outcomes. Determine best practices for disposing of waste from diabetes products. Identify new trends and hot topics in diabetes technology. Discuss the current state of the do-it-yourself movement for diabetes and its effect on outcomes. Continue reading >>
Stop Diabetes Swasthya India
STOP DIABETES-A MOVEMENT FOR DIABETES FREE INDIA: The project aims to implement a diabetes prevention program targeting the population of Gujarat. To create awareness about diabetes and its consequences among the various stakeholders and to sensitize them to take appropriate action for the care and prevention of Diabetes. (Among the general public, school going children, health care professionals and health workers). Early detection of diabetes by screening people at high risk for diabetes Early detection of diabetic complications by screening people with diabetes. To train Community doctors/Nurses/other Paramedical Staff/Interns in screening high risk individuals, carrying out blood tests to diagnose diabetes, IFG and IGT, provide education and counseling on reducing risk factors and changing life styles. Awareness campaign will reach > 20 million people. Around 2,00,000 pamphlets will be distributed. Over 10,000 booklets will be distributed. 30,000 will be tested for diabetes in camps and counselled for LSM. 6000 diabetics will be screened for complications. Under stop diabetes movement, we organize diabetes screening camps in different districts in the state of Gujarat on regular basis. We identify high risk persons for developing diabetes and screen them for free. We also give them free counseling for life style modification. Persons detected to have diabetes, goes for screening for diabetes related complications at institute. Continue reading >>
Culturally-grounded Diabetes Prevention Program For Obese Latino Youth: Rationale, Design, And Methods
N2 - Background Type 2 diabetes (T2D) disproportionately impacts Latino youth yet few diabetes prevention programs address this important source of health disparities. Objectives To address this knowledge gap, we describe the rationale, design, and methodology underpinning a culturally-grounded T2D prevention program for obese Latino youth. The study aims to: 1) to test the efficacy of the intervention for reducing T2D risk, 2) explore potential mediators and moderators of changes in health behaviors and health outcomes and, 3) examine the incremental cost-effectiveness for reducing T2D risk. Latino adolescents (N=160, age 1416) will be randomized to either a 3-month intensive lifestyle intervention or a control condition. The intervention consists of weekly health education delivered by bilingual/bicultural promotores and 3 moderate-to-vigorous physical activity (PA) sessions/week. Control youth receive health information and results from their laboratory testing. Insulin sensitivity, glucose tolerance, and weight-specific quality of life are assessed at baseline, 3-months, 6-months, and 12-months. We will explore whether enhanced self-efficacy and/or social support mediate improvements in nutrition/PA behaviors and T2D outcomes. We will also explore whether effects are moderated by sex and/or acculturation. Cost-effectiveness from the health system perspective will be estimated by the incremental cost-effectiveness ratio using changes in insulin sensitivity at 12-months. Conclusions The results of this study will provide much needed information on how T2D prevention interventions for obese Latino youth are developed, implemented and evaluated. This innovative approach is an essential step in the development of scalable, cost-effective, solution oriented programs to p Continue reading >>
- Prevalence of and Risk Factors for Diabetic Peripheral Neuropathy in Youth With Type 1 and Type 2 Diabetes: SEARCH for Diabetes in Youth Study
- A National Effort to Prevent Type 2 Diabetes: Participant-Level Evaluation of CDC’s National Diabetes Prevention Program
- New Study Shows Antidepressants Increase the Risk of Developing Type 2 Diabetes in Children and Youth
Evaluation Considerations
Organizations seeking to implement evaluations should identify evaluation strategies during the program planning phase. Developing an evaluation plan can help to clarify and guide the implementation of an evaluation approach. Important considerations include research questions, evaluation measures, evaluation design, and data collection strategies. Other considerations in developing health promotion and disease prevention evaluations include: Engaging stakeholders in evaluation planning: Stakeholders can help with evaluation by supporting data collection efforts. Stakeholders can ensure credible information is collected that logically corresponds with program expectations, reflects the practices and realities of the people served by the program, and can be organized to showcase the lessons learned. Defining evaluation goals and objectives: Evaluations can provide insight into program processes, effectiveness, outcomes, and impact. By defining evaluation goals and objectives, organizations can identify how program elements interact, practices to maximize program effectiveness, the value of those effects, and how the program influences its participants. Connecting program goals and objectives to outcome indicators: Organizations should define the goals and objectives of their health promotion/disease prevention program and connect these goals to measureable indicators and outcomes. Objectives should include the source of change (i.e., program activities), those affected by the change (target population), the extent of the change (what is changed and by how much), and when to expect change (short-term and long term outcomes). Selecting an evaluation design: Organizations should select an evaluation strategy that allows them to gather information important to stakeholders. Continue reading >>
Diabetes Coalition Of California Welcome!
TheDiabetes Coalition of California (DCC)is an independent, volunteer organization consisting of individuals and agencies dedicated to the prevention, recognition, and reduction of the adverse personal and public impact of diabetes in the states diverse communities. The Coalition is comprised of representatives from the general public, local health departments, universities, insurance and pharmaceutical companies, and a variety of community-based, voluntary, health and professional organizations. Membership is open to individuals and organizations interested in working with the coalition to meet their goals and objectives.Join this growing group of volunteers dedicated to the fight against diabetes. Purpose: The specific purpose of this organization is to prevent diabetes and its complications in Californias diverse communities. This shall be done by increasing awareness of diabetes, advocating for and promoting policies and programs that improve access to care, treatment, and outcomes for people with diabetes and those at risk for developing diabetes. In doing so, the DCC will help accomplish the mission and objectives of the California Diabetes Program (CDP) in the California Department of Public Health. Vision: To create a statewide volunteer network in order to enhance community efforts to reduce the burden of diabetes. Our goals are to prevent diabetes and its complications by risk reduction, early detection, and best practices. Continue reading >>
Diabetes Program Home
To achieve these goals, the program supports the following activities: Prevention of type 2 diabetes and its complications. Quality Improvement for better diabetes care. Quality Diabetes Education Initiative to increase access to quality diabetes self-management education and support. Epidemiology and Surveillance of diabetes, its complications and risk factors. Evaluation to improve program performance, account for our public health actions, and share lessons learned. Partnerships and Coordination to share resources, and increase the scope and effectiveness of interventions. The Montana Diabetes Program Fact Sheet summarizes our program activities, key statistics, and contact information. To see how we are working with schools, worksites, healthcare systems, communities, and the environment, and with other public health programs in Montana,go to the Chronic Disease Prevention & Health Promotion Bureau page. The State Public Health Actions (1305) and the Four Domains of Chronic Disease Prevention Infographic shows howwe are part of a national effort for chronic disease prevention and health promotion. From 2013 to 2018, the Montana Diabetes Program is implementing a work plan underthe State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health (1305) grant funded by the Centers for Disease Control & Prevention .The objectives of this work plan can only be accomplished through the joint efforts of healthcare leaders, insurers, public health agencies, policy makers, and healthcare organizations serving Montanans, and the engagement of the people of Montana. Continue reading >>
Overview
The importance of both diabetes and these comorbidities will continue to increase as the population ages. Therapies that have proven to reduce microvascular and macrovascular complications will need to be assessed in light of the newly identified comorbidities. Lifestyle change has been proven effective in preventing or delaying the onset of type 2 diabetes in high-risk individuals. Based on this, new public health approaches are emerging that may deserve monitoring at the national level. For example, the Diabetes Prevention Program research trial demonstrated that lifestyle intervention had its greatest impact in older adults and was effective in all racial and ethnic groups. Translational studies of this work have also shown that delivery of the lifestyle intervention in group settings at the community level are also effective at reducing type 2 diabetes risk. The National Diabetes Prevention Program has now been established to implement the lifestyle intervention nationwide. Another emerging issue is the effect on public health of new laboratory based criteria, such as introducing the use of A1c for diagnosis of type 2 diabetes or for recognizing high risk for type 2 diabetes. These changes may impact the number of individuals with undiagnosed diabetes and facilitate the introduction of type 2 diabetes prevention at a public health level. Several studies have suggested that process indicators such as foot exams, eye exams, and measurement of A1c may not be sensitive enough to capture all aspects of quality of care that ultimately result in reduced morbidity. New diabetes quality-of-care indicators are currently under development and may help determine whether appropriate, timely, evidence-based care is linked to risk factor reduction. In addition, the scientific evid Continue reading >>
Ong Sant Diabte / Ngo Health Diabetes - Program Mali
The NGO Sant Diabte started its Action Program in Mali in 2003. Between 2003 and 2009, Sant Diabte has gradually developed over 5 types of action through 3 complementary projects: 2003 - 2005: "Improvement of the management of patients suffering of diabetes mellitus in Mali" 2005 - 2007: Improvement of the training for health professionals in the fight against diabetes in Mali, and Information of the Malian public on diabetes' 2008 - 2009: " Improvement of the prevention, management of diabetes and of one of its major complications: amputation linked to diabetic foot" At the end of the project 2008 - 2009, an external evaluation was commissioned by the European Commission, which was a financial partner for this project (Presentation of the main results) . This evaluation showed the strong impact of this project but also recommendations to continue actions after this last 2-years phase of action ( External evaluation report (Fr)). From these recommendations, a new project was launched in partnership with the Ministry of Health of Mali and the team of Professor Sidibe (Endocrinologist - Head of Department of Endocrinology at the National Hospital of Mali) under the national Program of prevention and fight against diabetes. The project "Improvement of the prevention and management of diabetes (in adult, child and pregnant woman) and its complications (retinopathy and diabetic foot) in Mali, for a period of 36 months (2010-2012), financed by different partners, participates in the general objective of national policy to fight against diabetes in Mali. This policy aims at improving health and quality of life of the population through prevention and the fight against diabetes. It affects 9 intervention areas included in 7 regions of Mali: the District of Bamako, the regions Continue reading >>
Background & Objectives
Danish Diabetes Academy (DDA) constitutes an original networking platform for a national diabetes research strategy that is rational and science-based, and which will strengthen both basic and clinical research in diabetes. DDA is expected to foster enhanced collaboration between Danish diabetes research environments and ensure rapid distribution and shared access to novel research results, ideas and technologies, thus benefitting other research groups within the organisation. A video promoting DDAs mission, vision and activities recorded during Winter School in Malaga 2017. Diabetes mellitus both type 1 diabetes (T1D) and type 2 diabetes (T2D) - is a widespread disease increasing rapidly worldwide. The prevalence increases with around 5 % per year and is close to 10 % for adults. In Denmark we are approaching 300,000 diabetics, thus creating a great challenge both socioeconomically and medically. Danish Diabetes Academy (DDA) was established September 1, 2012 with 5-year grant from the Novo Nordisk Foundation of DKK 201,880,000 (EUR 27,059,485). Danish universities and university hospitals provided co-funding totalling DKK 100,000,000. Since its foundation, DDA has accomplished the following: Anually DDA has hosted two residential PhD courses, one Winter School for postdocs and more than four national and international seminars. Almost 70% of invited speakers at the seminars were recruited internationally. The average number of participants at the seminars has been over 100. DDA has established a PhD Network of Diabetes and Metabolism, with eight of nine university PhD programmes in Denmark taking part. DDA has organized eight networking activities annually, with the participation of Danish professional societies. The DDA also initiated a flourishing collaboration wit Continue reading >>
Current Projects Indiana University, School Of Medicine, Department Of Medicine
Participants may also receive at no cost: Passes to a local area community fitness center For more information about the Program Active Project, please visit This study is investigating models for primary prevention of type 2 diabetes in mothers who have had gestational diabetes and their children, both of whom are at increased risk. This study is investigating the effectiveness of a dashboard the study team created for the G3 health record system. The dashboard integrates diabetes disease and medication data, including patient-reported barriers to medication adherence. The dashboard is being evaluated at multiple ambulatory clinics to examine whether integrated electronic tools can support patient-centered decision-making processes for clinicians treating persons with diabetes. This study is investigating the effectiveness of a novel, interactive web tool at improving the quality of patient-provider communication for patients with diabetes. This study is investigating models for primary prevention of type 2 diabetes in mothers who have had gestational diabetes and their children, both of whom are at increased risk. The purpose of this study was to evaluate the demographic, health and self-care behaviors of the attendees of the Too Sweet for Your Own Good community diabetes education program. This study was a collaboration between Dr. Mary de Groot, Mr. Jochebed Daniyam, and Ms. Angela Good. Weight Watchers Model for Primary Prevention This study investigated the application of the Weight Watchers format for weight loss to the prevention of type 2 diabetes. The Translating Research into Action for Diabetes (TRIAD) study. TRIAD is a multi-center cohort study of diabetes care in managed care settings. The objectives of TRIAD are to describe quality of care, patient healt Continue reading >>
About The National Diabetes Education Program
The National Diabetes and Education Program (NDEP) works collaboratively with its partners at the federal, state, and local levels to improve the treatment and outcomes for people with diabetes, promote early diagnosis, and prevent or delay the onset of type 2 diabetes. NDEP is jointly sponsored by the U.S. Department of Health and Human Services’ National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC). Strategic Plan for 2014-2019 – NDEP’s strategic plan outlines its goals, objectives, and strategies. Executive Committee and Groups – NDEP’s committees and groups provide input and guidance for NDEP activities. Partner and Community Organizations – NDEP collaborates with its partners to achieve shared goals. NDEP’s History NDEP was founded in 1997 to translate the findings of the Diabetes Control and Complications Trial (DCCT) , which showed—that improved blood glucose levels can make a big difference in reducing complications associated diabetes. Since then NDEP has worked to translate findings of other major studies into practice including, but not limited to: United Kingdom Prospective Diabetes Study (UKPDS) – In response to the findings of the UKPDS, NDEP outreach evolved to address the ABCs of diabetes: comprehensive control of blood glucose, blood pressure, and cholesterol. Follow-up to the DCCT and UKPDS studies – In response to the findings of the Epidemiology of Diabetes Interventions and Complications (EDIC) study, which continues to monitor DCCT patients over time, and the UKPDS 10-year follow up study, the NDEP encouraged early identification and management of both type 1 and type 2 diabetes to reduce eye, kidney, nerve, heart, and blood vessel complications. Diabetes Prevention Program (DPP) study and Continue reading >>
Lifestyle Medicine Program Curriculum Outline - American College Of Preventive Medicine
Lifestyle Medicine Program Curriculum Outline Brief Course Description: This course provides the knowledge and skills that a physician needs in order to offer quality lifestyle medicineservices for the prevention and treatment of lifestyle-related (chronic) diseases. Detailed Course Description: This course offers the knowledge andskills that were recommended by a national consensus panel of representativesfrom several physician and health professional organizations as the basis forproviding quality lifestyle medicine services. Topics covered include thefifteen core competencies identified by the panel which focus on clinicalprocesses, as well as a review of key modalities in lifestyle medicine:nutrition, physical activity, sleep, coaching behavior change, tobaccocessation, managing risky alcohol use, and stress management/emotionalwellness. The courseprovides basic grounding in the field of lifestyle medicine and focuses onpractical skills for primary care clinicians. This version of the curriculum isdesigned for MDs and DOs. Because the course targets key learning objectives in a variety of topics, it isnot intended to cover any single topic in depth, nor the business of practicinglifestyle medicine. Participants who complete the 30 hours of CME will have awell-rounded training on the major topics in the field, including clinic processes. (1)Define LifestyleMedicine (LM) and describe the unique role of LM (2)Describe the LM corecompetencies as identified by a national consensus panel (3) Understand theimportance of LM in treating the nations lifestyle disease burden (4) Understand the roleof behavioral determinants of positive health outcomes (5) Cite the scientificevidence that demonstrates the association of risk conditions (from unhealthybehaviors) as key to healt Continue reading >>
Perceived Benefits And Barriers To The Diabetes Prevention Program
Perceived Benefits and Barriers to the Diabetes Prevention Program Perceived Benefits and Barriers to the Diabetes Prevention Program Nicole Johnson, DrPH, MPH, MA - University of South Florida, Stephanie T. Melton, PhD, MPH, MA - University of South Florida, Diabetes prevention interventions have a proven positive effect on health outcomes. The goal of this project is to understand the factors that motivate and deter people with prediabetes from utilizing evidence-based education programs, such as the Diabetes Prevention Program (DPP). Formative research was conducted among program facilitators, health providers who care for diabetes patients, and patients living with prediabetes to generate an in-depth understanding of perceptions of the program. The methodology included a mixed methods approach. A total of 97 interviews and 5 focus groups were conducted with health providers, program facilitators, and patients. An online survey was administered to 50 patients with prediabetes. All three populations agreed the DPP aided in implementing lifestyle changes and preventing the onset of type 2 diabetes, and the classes provided a positive experience for support, in-depth discussion, and opportunities for learning how to make lifestyle changes. However, while the overall benefits of the program were expressed, there were barriers noted by all populations that affect program utilization and physician referrals. General lack of knowledge, cost of the program, and the significant time commitment necessary to complete the program were barriers discussed. The Diabetes Prevention Program is successful in helping individuals with prediabetes make positive lifestyle changes. The lack of knowledge about the program, however, is a deterrent for utilization. Creation of a social marke Continue reading >>
The Diabetes Prevention Program (dpp)
Go to: Abstract The purpose of the present article is to provide a detailed description of the highly successful lifestyle intervention administered to 1,079 participants, which included 45% racial and ethnic minorities and resulted in a 58% reduction in the incidence rate of diabetes (2). The two major goals of the Diabetes Prevention Program (DPP) lifestyle intervention were a minimum of 7% weight loss/weight maintenance and a minimum of 150 min of physical activity similar in intensity to brisk walking. Both goals were hypothesized to be feasible, safe, and effective based on previous clinical trials in other countries (3–7). The methods used to achieve these lifestyle goals include the following key features: 1) individual case managers or “lifestyle coaches;” 2) frequent contact with participants; 3) a structured, state-of-the-art, 16-session core-curriculum that taught behavioral self-management strategies for weight loss and physical activity; 4) supervised physical activity sessions; 5) a more flexible maintenance intervention, combining group and individual approaches, motivational campaigns, and “restarts;” 6) individualization through a “toolbox” of adherence strategies; 7) tailoring of materials and strategies to address ethnic diversity; and finally 8) an extensive network of training, feedback, and clinical support. Abbreviations: DPP, Diabetes Prevention Program; IGT, impaired glucose tolerance The Diabetes Prevention Program (DPP) was a 27-center randomized clinical trial to determine whether lifestyle intervention or pharmacological therapy (metformin) would prevent or delay the onset of diabetes in individuals with impaired glucose tolerance (IGT) who are at high risk for the disease (1). Recently, it was reported that both the lifestyle Continue reading >>
Program Objectives
Diabetes & Hypertension Self-Management Program PROGRAM OBJECTIVES Diabetes is a serious chronic disease and affects 390,000 adults in West Virginia. In adults, type 2 diabetes mellitus [T2DM] accounts for about 90 to 95% of all cases of diabetes. The prevalence of T2DM in West Virginia is 11.8%, significantly higher than the national average of 8.3%. This ranks West Virginia fourth in prevalence among the 52 states and territories. In addition, 466,000 adult West Virginians have pre-diabetes. In order to advance the translation of knowledge into effective practice, preventing or delaying the early onset of diabetes and its complications is critical. Healthy lifestyle is antecedent to effective prevention of the disease for those in the pre-diabetes stage. However, a statewide diabetes prevention program in this medically underserved state is currently lacking and therefore proposed in the current study. Assessing the feasibility and effectiveness of a national Diabetes Prevention Program can guide clinicians and public health professionals in prevention and management of diabetes.The projected increase in the incidence and prevalence of diabetes and the high economic burden associated with its treatment makes this study timely and significant. Our long-term goal is to disseminate an evidence-based Diabetes Prevention and Management Program (DPM), a modified Diabetes Prevention Programs national clinical trial that showed participation in a healthy lifestyle program can lower the risk of developing T2DM. The objective of this project is to pilot test the effectiveness and fidelity of the DPM in two communities of West Virginia: Objective 1:To determine the effectiveness of the community lifestyle educational intervention program to promote behavior change related to di Continue reading >>
