c/o WMA B.P, 63,01212 Ferney-Voltaire CDEX –FRANCE Tel. +33 (450) 04 47 59 Fax. +33 (450) 40 59 37 www.ifmsa.org

STEP BY STEP FIGHTING DIABETES

World Diabetes Day 2014 Manual

This manual is inspired by the IFMSA-Mexico Project “Paso a Paso contra la Diabetes”

By Sergio Mechaca, NPO IFMSA-Mexico 2014-2015 Edited by the SCOPH International Team 2014/2015

c/o WMA B.P, 63,01212 Ferney-Voltaire CDEX –FRANCE Tel. +33 (450) 04 47 59 Fax. +33 (450) 40 59 37 www.ifmsa.org

A. INTRODUCTION Hello dear SCOPHero! We are happy to present this document as a work from the international team to help you as a guide in the development of activities that raise awareness about diabetes. The World Diabetes Day unites the global diabetes community to produce a powerful voice for diabetes awareness and advocacy, engaging individuals and communities to bring the diabetes epidemic into the public spotlight.

Healthy Living and Diabetes is the World Diabetes Day theme for 2014 - 2016. The 2014 activities and materials proposed by IDF focus on the importance of starting the day with a healthy breakfast to help prevent the onset of type 2 diabetes and effectively manage all types of diabetes to avoid complications. Special focus will be placed on the importance of starting the day with a healthy breakfast.

Key Facts about Diabetes:

- 382 million people have diabetes, by 2035 this will rise to 592 million

- The number of people with type 2 diabetes is increasing in every country

- 175 million people with diabetes are undiagnosed

- 80 % of people with diabetes live in low- and middle- income countries

- Every six seconds a person dies from diabetes

The World Diabetes Day logo is a blue circle - the global symbol for diabetes. The blue circle signifies the unity of the global diabetes community in response to the diabetes pandemic.

Together we can raise awareness about diabetes between those around us, so the SCOPH International Team invites you to add the Diabetes Blue Circle on your profile photo and spread this idea in your city, country and then around the world!!!

For that just go to http://www.idf.org/worlddiabetesday/selfie-app take a selfie, add the blue circle and share with all your friends!!

The SCOPH International Team has already joined the campaign, we're waiting for you! Share with us your photos, activities and ideas for the World Diabetes Day!

#WDD2014 #HealthyLiving

Blue/Orange Love,

Your SCOPH International Team 2014/2015

c/o WMA B.P, 63,01212 Ferney-Voltaire CDEX –FRANCE Tel. +33 (450) 04 47 59 Fax. +33 (450) 40 59 37 www.ifmsa.org

B. EXECUTIVE SUMMARY This Activity seeks to tackle the diabetes epidemic we are living in today’s world. The high number of Patients suffering from it around the world plus the serious complications we are seeing growing day by day makes us realize the need for an efficient and organized work focused in all prevention levels. “Step by Step fighting diabetes” expresses the gradual change we are looking for in our society.

C. Main Goal: Raise awareness and become part of the changing generation in the diabetes present situation. Using dates as the world diabetes day. OBJECTIVES: Promoting healthy lifestyles in every prevention level:

1. Evaluate the knowledge of the population about the risks factors to develop diabetes.

2. Educate the youngest population about the importance of having healthy habits to prevent diabetes mellitus, its risks factors, as well as its complications.

3. Establish standards in patients with Diabetes Mellitus about changes that might help them to control better their disease, teaching them not only about what is diabetes but also about ways to complete their treatment.

4. Building capacity in medical students and primary care doctors about the integrated treatment of Diabetes Mellitus, including always the human side as well as international guidelines.

5. Make a database and assess evaluate the knowledge that affected patients have about it, its complications and the therapeutical options they have.

D. ACTIVITIES SUGGESTED

Media Campaign

Campaign “Step by Step fighting diabetes”

Social Networks: · Messages on facebook page, twitter, instagram all referring to diabetes. · Videos · Photo contest · Blue Monument Challenge: Lighting important buildings in blue in order to raise awareness about diabetes. · Representations: Emblematic situations in which people make everyone notice about the importance of the diseases. Things like creating a blue circle in candles are included here. · Bicycle Blue Route: attending to a bicycle route wearing t-shirts with messages about diabetes awareness.

E. INTERVENTIONS: Health fairs: where the main topic is centered in metabolic syndrome and diabetes. Focus on making early detections of the diseases, awareness about healthy lifestyles and referring all patients with the disease to join the helping club we describe in the next lines.

c/o WMA B.P, 63,01212 Ferney-Voltaire CDEX –FRANCE Tel. +33 (450) 04 47 59 Fax. +33 (450) 40 59 37 www.ifmsa.org

Information stands may be useful in malls, parks and public places where a lot of people tend to pass by. Marches, races, soccer tournaments and physical “activation” under the name “step by step”: making events that promote physical activity as well as prevention of the disease and its complications. Conferences and talks focusing on people at risk of developing the disease: educating them how to make the change and go back in time according to the exposition to risk factors. Teaching the patient Through talks and approach to patients with diabetes, inform about what is true when it comes to the disease. Talk to them about the real risk of not choosing the good blood sugar control and make them accountable for the possibilities of making a good change now. Build capacity about the 7 highly effective habits of the diabetes patient. (Link below) Building capacity on medical students (together working with SCOME) Building capacity on the next topics: · Preventing diabetes in the first level attention. · American Diabetes Association Classification

· Oral Anti-diabetic Treatment · Insulin schemes treatment · Preventing Complications · Psychological approach

Protecting our future Step by Step

Focused to children among 6 and 12 years old

Main objective: Teaching the habits on physical activity and healthy eating

Methods: Adopt a school and group of children to work with. You can choose just one group or grade, the idea is making a quality impact not a big one. Take somatometric measurements (Height, weight, BMI) and food habits information. Make periodic sessions which will be 4 and might be chosen either weekly or every two weeks. Each session will be organized like this: 1. Healthy eating

2. Physical activity

3. Healthy Eating

4. Physical Activity

Each session will be 30 to 45 minutes long. The sessions will be conducted with recreative activities. Proposals showed in the appendix. Support groups: Project focused in reuniting up to 10 to 15 patients with the disease, weekly with the idea of helping them control their disease. Each session will last 40 to 60 minutes with information about physical activity, nutrition and preventing complications. 1. What is my disease?

2. What can I eat?

3. How can I exercise?

4. My feet and I?

c/o WMA B.P, 63,01212 Ferney-Voltaire CDEX –FRANCE Tel. +33 (450) 04 47 59 Fax. +33 (450) 40 59 37 www.ifmsa.org

5. Cardiovascular complications 6. Renal complications

Each session will start with 10 to 15 minutes to take somatometry measurements and glucose test. 10 to 15 minutes will also be dedicated at the end of the session for sharing feelings and experiences among the participants. Suggested material: 7 highly effective habits of the patient with diabetes: http://www.diabeteseducator.org/DiabetesEducation/Patient_Resources/AADE7_PatientHandouts.html

F. EVALUATION METHODS 1. CONFERENCES

Polls will be performed. You can find them in appendix 1

2. Support clubs: This club will be evaluated by the end of each session with the table presented in appendix 2

3. PROTECTING OUR FUTURE STEP BY STEP

Evaluation of this workshop will be made at the end of the sessions and by following one or two months later to see if the intervention created a long term impact. Appendix 3

4. STANDS AND MASSIVE ACTIVITIES

Attendance and data collects will be reported and evaluated through the table in appendix 4.

G. FOLLOW-UP 1. Statistics

It is really important to gather the data of the different screening and awareness activity to compare the expected outcomes with the current ones.

2. Partnership: Partnership with other Non-Governmental Organisations is very useful to empower the campaign and make your voice heard at the local/national level, especially in terms of making the change and advocacy purposes.

3. Feedbacks for the next campaign: Positive things/ things to be improved for the future. Evaluation starts from the beginning of the campaign it is a must to write down comments and recommendations to make it as much comprehensive as possible.

4. Impact Assessment: Use for epidemiological studies:

The data that is gathered could be used for epidemiological studies. Collaboration with Professionals from the start of the activity would help you follow the criteria and support studies already taking place.

PS: You can have a look at our Projects Database to see what other SCOPHians have done in the past in the World Diabetes Day!

http://scophprojects.wordpress.com/tag/diabetes/page/2/