dehko 2d project (d2d) 2003–2007 finnish diabetes association dehko 2d project (d2d)...
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Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Dehko 2D Project (D2D)
Implementation Project ofthe Programme for the Prevention ofType 2 Diabetes 2003-2007
• Liisa Hiltunen
MD, vice presidentMarjatta Stenius-Kaukonenvice presidentFinnish Diabetes Association
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
The five geographical areas of FIN-D2D
North Ostrobothnia-population 374 000
South Ostrobothnia-population 195 000
Central Finland-population 265 000
Pirkanmaa-population 455 000
North Savonia-population 250 000
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Implementation Project of the Programme for
the Prevention of Type 2 Diabetes 2003-2007
The action plan
Dehko 2D Project (D2D)
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
FIN-D2D Programme, AIMS
1.To reduce the incidence of type 2 diabetes and to reduce risk factors and care requirements for the complications of type 2 diabetes
2.To identify among the population those who are at high risk of developing type 2 diabetes
3.To provide earlier diagnosis when people are unaware of their type 2 diabetes
4.To bring people with type 2 diabetes quickly into the sphere of appropriate treatment
5.To generate regional and local models and programmes for the prevention of type 2 diabetes
6.To demonstrate the cost-effectiveness of prevention
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Programme for the Prevention of Type 2Diabetes in Finland 2003-2010
Three Strategies
• Population Strategy• High-Risk Strategy• Strategy of Early Diagnosis and
Management
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Screening, diagnosis and interventions in FIN-D2D
CHD
Gestational diabetes
IFG, IGT
Score <7
Score 7-14 Written information
No preventive measures
Score ≥15
OGTTNormoglycemia
IFG
IGT
DiabetesInterventions
Follow-up
FINDRISC
Treatment of hyperglycemia and risk factorsEvaluatio
n
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
D2D Project: Intervention D2D Project: Intervention
Identification of high-risk subject
1. Visit (nurse)
2. Visit(doctor)
Group intervention
Individual intervention
Self-initiated lifestyle changes
Other Interventionforms
Yearly follow-ups
Primary health care or other players:
Weight control groups Quit smoking-groups Exercise groups Self-activity groups
Regular healthcare visits
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Evaluation of the FIN-D2D
• The feasibility, effectiveness and costs of the FIN-D2D will be evaluated according to a spesific evaluation plan
• Evaluation includes comparison of five geographical areas of FIN-D2D to the rest of Finland regarding for example incidence of T2D and prevalence of undiagnosed T2D
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association