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Changing the way diabetes is treated.

N. A. T. I. O. N. A. L. D. A. B. E. T. I. E. S. E. D. I. U. C. A. T. O. N. M. P. R. O. G. R. A. Changing the way diabetes is treated. Purpose of the Session. Update on NDEP activities Review accomplishments of race/ethnic work groups

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Changing the way diabetes is treated.

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  1. N A T I O N A L D A B E T I E S E D I U C A T O N M P R O G R A Changing the way diabetes is treated.

  2. Purpose of the Session • Updateon NDEP activities • Reviewaccomplishments of race/ethnic work groups • Plansfor new comprehensive care campaign • Obtaininput for future planning Changing the way diabetes is treated

  3. How is science driving NDEP activities? • DCCT: Metabolic control matters. Changing the way diabetes is treated

  4. How has the science evolved? • 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 Changing the way diabetes is treated

  5. How have practice guidelines changed? • JNC VI • ATP III • ADA Clinical Guidelines Changing the way diabetes is treated

  6. We are changing the way diabetes is treated. • DQIP • AMA, JCAHO and NCQA • AHA • New therapies • Major education campaigns Changing the way diabetes is treated

  7. NDEP Accomplishments • Control Your Diabetes. For Life. campaign • Educational materials • Clinical tools • Key partners working together Changing the way diabetes is treated

  8. We still need to bridge the gap. Current Care Desired Care

  9. 5 Components of the NDEP Awareness Campaigns Special Populations Partnership Network Community Interventions Health Systems

  10. Changing the Way Diabetes Is Treated

  11. Comprehensive Diabetes Control Changing the way diabetes is treated

  12. Risk Factors for Complications of Type 2 Diabetes NHANES III, 1991-1994 Percent Hba1c Albumin- Hyper LDL HDL Trigly- BMI Cigarette >7% uria tension>130 <35 glycerides >30 smoking >200

  13. The Good News:People with diabetes can take steps to significantly reduce their risk of heart disease Changing the way diabetes is treated

  14. The ABCs of Diabetes Control A = A1C B = Blood pressure C = Cholesterol Changing the way diabetes is treated

  15. The Science Behind the ABCs of Diabetes Control Changing the way diabetes is treated

  16. A1C • DCCT: Intensive blood glucose therapy reduced risk of microvascular complications • EDIC: Microvascular benefits endure • EDIC: Intensive therapy reduced risk of atherosclerosis Changing the way diabetes is treated

  17. Blood Pressure UKPDS • 10-point reduction in systolic and 5-point reduction in diastolic blood pressure • 21% decrease in heart attack risk • 44% decrease in stroke risk Changing the way diabetes is treated

  18. 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

  19. Controlling Blood Pressure in People with Diabetes • 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 Changing the way diabetes is treated

  20. Controlling Cholesterol in People with Diabetes • CARE: 25% reduction in heart attacks or CV deaths using statin therapy • 4S significantly reduced CHD incidence with simvastatin • NCEP: recommends LDL-cholesterol < 100 for people with diabetes Changing the way diabetes is treated

  21. 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

  22. Be Smart About Your Heart Campaign Logo Insert “Be Smart” campaign logo

  23. Campaign Messages • 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. Changing the way diabetes is treated

  24. 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

  25. Campaign Components • Educational materials • Mass media messages • Special populations tailored messages • Clinical tools • Participation of NDEP partner organizations Changing the way diabetes is treated

  26. 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

  27. 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 • http://ndep.nih.gov • www.cdc.gov./diabetes Changing the way diabetes is treated

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