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Download National Diabetes Education Program. Changing the way diabetes
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NAT I ONAL DI ABETES E DUCATION P R O G R AM Changing the way diabetes is treated. Purpose of the Session Changing the way diabetes is treated • Update on NDEP activities • Review accomplishments of race/ethnic work groups • Plans for new comprehensive care campaign • Obtain input for future planning How is science driving NDEP activities? • DCCT: Metabolic control matters. Changing the way diabetes is treated How has the science evolved? Changing the way diabetes is treated • UKPDS: Blood pressure control matters • 4S and West of Scotland: cholesterol control makes a difference • Meta-analysis of aspirin data: aspirin therapy works for PWD How have practice guidelines changed? • JNC VI • ATP III • ADA Clinical Guidelines Changing the way diabetes is treated We are changing the way diabetes is treated. Changing the way diabetes is treated • • • • • DQIP AMA, JCAHO and NCQA AHA New therapies Major education campaigns NDEP Accomplishments Changing the way diabetes is treated • Control Your Diabetes. For Life. campaign • Educational materials • Clinical tools • Key partners working together We still need to bridge the gap. Current Care Desired Care 5 Components of the NDEP Awareness Campaigns Special Populations Partnership Network Community Interventions Health Systems Changing the Way Diabetes Is Treated Comprehensive Diabetes Control Changing the way diabetes is treated Risk Factors for Complications of Type 2 Diabetes 63 60 NHANES III, 1991-1994 58 51 P e r c e n t 42 40 45 36 28 22 20 0 Hba1c Albumin- Hyper LDL HDL Trigly- BMI Cigarette >7% uria tension>130 <35 glycerides >30 smoking >200 The Good News: People with diabetes can take steps to significantly reduce their risk of heart disease Changing the way diabetes is treated The ABCs of Diabetes Control A = A1C B = Blood pressure C = Cholesterol Changing the way diabetes is treated The Science Behind the ABCs of Diabetes Control Changing the way diabetes is treated A1C Changing the way diabetes is treated • DCCT: Intensive blood glucose therapy reduced risk of microvascular complications • EDIC: Microvascular benefits endure • EDIC: Intensive therapy reduced risk of atherosclerosis Blood Pressure UKPDS Changing the way diabetes is treated • 10-point reduction in systolic and 5-point reduction in diastolic blood pressure • 21% decrease in heart attack risk • 44% decrease in stroke risk Blood Pressure Hypertension Optimal Treatment Study (HOT) • Three diastolic goals: 80, 85, and 90 • 51% reduction in CV events at diastolic pressure of 80 Changing the way diabetes is treated Controlling Blood Pressure in People with Diabetes Changing the way diabetes is treated • ABCD and HOPE: effectiveness of ACE inhibitors • HOPE: 25 - 30% reduction in risk of heart attack, stroke, or CV death • UKPDS: beta blockers and ACE inhibitors worked equally well Controlling Cholesterol in People with Diabetes Changing the way diabetes is treated • CARE: 25% reduction in heart attacks or CV deaths using statin therapy • 4S significantly reduced CHD incidence with simvastatin • NCEP: recommends LDLcholesterol < 100 for people with diabetes The Bottom Line: • Aggressive control of blood glucose, blood pressure, and cholesterol can make a big difference in outcomes for people with diabetes. Changing the way diabetes is treated Be Smart About Your Heart Campaign Logo Insert “Be Smart” campaign logo Campaign Messages Changing the way diabetes is treated • Diabetes is a key risk factor for CVD • Rigorous control of blood glucose, blood pressure, and cholesterol helps prevent CVD and other diabetes complications. • Move more, eat better, and take medications as prescribed, to feel better and enjoy a better quality of life. Campaign Messages • What are my A1C, blood pressure and cholesterol numbers? • What are my treatment goals? • What do I need to do to reach my goals? Changing the way diabetes is treated Campaign Components Changing the way diabetes is treated • Educational materials • Mass media messages • Special populations tailored messages • Clinical tools • Participation of NDEP partner organizations How can you help? • Promote the ABCs of Diabetes to your patients and your colleagues • Reinforce the physical activity and healthy eating messages Changing the way diabetes is treated Find out more: • Call 1-800-438-5383 to order materials • Call 1-877-232-3422 for Hispanic campaign materials • Call 1-800-860-8747 to speak with a diabetes information specialist • Visit the NDEP Web Sites Changing the way diabetes is treated – http://ndep.nih.gov – www.cdc.gov./diabetes
