Shaping the relevance of nutrition with an understanding of diabetes
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Shaping the Relevance of Nutrition with an Understanding of Diabetes. Cindy Goody Iowa Dietetic Association Annual Meeting November 4, 2009 Altoona, IA. Objectives. State the prevalence and incidence of diabetes in the United States and Iowa.

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Shaping the relevance of nutrition with an understanding of diabetes

Shaping the Relevance of Nutrition with an Understanding of Diabetes

Cindy Goody

Iowa Dietetic Association Annual Meeting

November 4, 2009

Altoona, IA


Objectives

Objectives

  • State the prevalence and incidence of diabetes in the United States and Iowa.

  • Discuss at least three medical nutrition therapy interventions to prevent and treat diabetes.

  • Indicate at least three ways to become involved in diabetes grassroots awareness, action and advocacy initiatives.


Shaping the relevance of nutrition with an understanding diabetes

Diabetes in the U.S.

Shaping the Relevance of Nutrition with an Understanding Diabetes

Source: CDC BRFSS 2007


Diabetes in iowa

Diabetes in Iowa

Source: CDC BRFSS 2007


Shaping the relevance of nutrition with an understanding of diabetes

Diagnosed Diabetes in the U.S.

Diagnosed (1960-2007) and

Projected Diagnosed (2005-2050) Cases

50

40

30

Diagnosed cases

People (millions)

Projected

diagnosed cases

20

10

0

1960

1970

1980

1990

2000

2010

2020

2030

2040

2050

Year

Source: CDC BRFSS 2007


Diabetes incidence

Diabetes Incidence

A total of1,600,000 new cases of diabetes were diagnosed in 2007 in the United States among people aged 20 years and older.

Source: NIDDK, National Diabetes Statistics 2007.

www.diabetes.niddk.nih.gov/dm/pubs/statistics


Diabetes prevention program results

15

12

9

Cases per 100 person-years

6

3

0

Caucasian

African

Hispanic

American

Asian

All participants

American

Indian

Metformin

Placebo/Standard care

Lifestyle

Diabetes Prevention Program Results

Source: DPP NEJM 2002


Shaping the relevance of nutrition with an understanding of diabetes

Intensive Treatment Reduces CVD Risk in

Type 1 Diabetes

0.06

Conventional

0.04

Cumulative Incidence of Nonfatal Heart Attack, Stroke, or Death from Cardiovascular Disease

0.02

Intensive

0.00

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Years Since Entry to Study

Source: NEJM 353: 2643-2653, 2005.


Shaping the relevance of nutrition with an understanding of diabetes

Prevention and Treatment of

Type 2 Diabetes

TODAY

BARI 2D

ACCORD

LookAHEAD

HEALTHY

DPPOS

Pre-

diabetes

Type 2

Diabetes

Disability

Death

Complications

Normal

Clinical

disease

Preclinical

state

Complications

54,000,000

20,800,000

Secondary Prevention

Tertiary Prevention

Primary

Prevention


Ada diabetes care education dpg

ADA Diabetes Care & Education DPG

  • Communications

    • Active, supportive listserv

  • Publications

    • On the Cutting Edge & NewsFlash

    • Client Education Handouts

    • Cultural Food Practices


Ada diabetes care education dpg1

ADA Diabetes Care & Education DPG

  • ADA Symposia and FNCE

    • Metabolic Syndrome

    • Bariatric Surgery for the Person with Diabetes

    • Diabetes & Disordered Eating

    • Carbohydrates: Newest Research on Glycemic Control

  • Research

  • Public Policy

    • H.R. 1402, “The Catalyst to Better Diabetes Care Act of 2009”


Involvement increases intelligence

Involvement Increases Intelligence

Find opportunities at dce.org


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