2010 Global Diabetes Portfolio June

8/8/2019 2010 Global Diabetes Portfolio June

http://slidepdf.com/reader/full/2010-global-diabetes-portfolio-june 1/20

Project HOPE

Global Diabetes Portfolio

Courtney Guthreau

Global Diabetes Specialist



The Global Diabetes Epidemic 2007

www.idf.org



The Global Diabetes EpidemicThe Global Diabetes Epidemic 20072007

Top 10 Prevalence Rates (2007 v 2025)

10% 20% 30%

TOP 3

Case Burden

India 40.9 M

China 39.8 M

USA 19.2 M

www.idf.org



Global Health Crisis

< 1 in 4 achieve metabolic control

Doubles risk of CVD and stroke

5-10 years loss of life on average

1 death every 10 seconds

2 new cases every 10 seconds



Acute v Chronic Disease

Clinical, Education & Communication skills

Patient centered care

Peer support

Lifestyle modifications

Community mobilization



Helping People to Help Themselves



Self Care Challenge

E ating

Ex ercise

Oral Medication

Insulin

Testing

Sick

Days

AcuteComplications

Chronic Complications

Family



Current Diabetes Programs

Mexico2001-present

India2007-present

China

1996-present

New Mexico

2010



Common Components

Expert advisors

International standard of care

MOH partnership TOT Transfer for sustainability

Multidisciplinary, team-approach

Focus on Diabetes Education

Clinical (A1c) & QOL indicators



Context Specific Design

CHINA model

Assessment 1996

Top-down model

3 tiered TOT

Master training DE

- Master

- Tertiary Care- Primary Care

- Community

MEXICO model

Assessment 2001

Bottom-up model

3 tiered TOT

Patient educ.

- Community

- Patient/Peer- Primary Care

- Tertiary Care

CLINCIAL & COMMUNITY MOBILIZATION COMPONENTS



China Diabetes Program

10 University Hospital Training Centers

1,577 Trainers, 812 hospitals in 31 Provinces

> 200,000 beneficiaries



China Diabetes Program

Training & Patient education mats

Outcome study (KAP)

Recognized by MOH

Share the Care component

IDF South Asia Region, 2008



5 Steps for Self-Care Patient Course

Lend a Hand in Self-Care TOT Course

>150 HWs Trained

25 clinics & 3 NGOs serving > 1 million

adopt 5 Steps course

>2,500 Patients / Peers trained

>75,000 Community members reached

Mexico Diabetes Program



Decreased risk of complications (A1c)

30% to 6% depressed (WHO-5)

Global best practice DAWN Award, 2005 Diabetes Voice, 2005

Practical Diabetes International , 2006

WHO Peer Consult, 2007

Created local NGO SER BIEN

Mexico Diabetes Program



National Diabetes Education Program

Master Trainer/Centers of Excellence

Distance learning

Launching DE prof ession

Manual based on IDF DECS

12 Diabetes Centers participating

India Program



India Program



Began in Mexico Expanding to New Mexico & India

Diabesity targeting 3rd graders

Holistic approach school & home Health v illness focused

Promotes 3 healthy habits

Healthy Habits for a Healthy Weight

Layers ofObesity



Baseline Data 1,253 Third Graders

41% (514) overweight or obese

27% (343) high blood pressure

19% (233) high triglycerides

4 cases of Type 2 diabetes

50 cases of Pre-Diabetes



New Mexico HABITS Initiative

Targeting health disparities using Telehealth

Linking Obesity, Diabetes, CVD & Cancer

Prevention, Screening & Access to Specialty Care

HW training to build clinical & educational capacity



The Next 50 Years

Exploring Telehealth applications to increase reach

Promoting Peer Education

Addressing Type 2 / Diabesity Children

Screening/Treating Gestational Diabetes

New Programs in S. America & Africa

2010 Global Diabetes Portfolio June

Documents

Transcript of 2010 Global Diabetes Portfolio June