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MICHAEL JOHNSON AND ALANE MCCAHEY YMCA’S DIABETES PREVENTION PROGRAM

FOR YOUTH DEVELOPMENT

FOR HEALTHY LIVING

FOR SOCIAL RESPONSIBILITY

YMCA of Eastern Union County

YMCA’S DIABETES PREVENTION PROGRAM

2 | PRESENTATION TITLE HERE | ©2010 YMCA of the USA

PREDIABETES • 79 million

Americans (35% of all adults)

DIABETES • 25.8 million

Americans

WHY IS THIS HAPPENING?

TYPE 2 DIABETES

What is Type 2 Diabetes:

-In adults, Type 2 Diabetes accounts for 90-95% of all diagnoses cases of diabetes

-Type 2 diabetes begins with an insulin resistance; the cells of the body do not use its insulin properly

-As the need for insulin increases, the pancreas loses its ability to produce it (Supply does not match the Demand)


AGE-ADJUSTED PERCENTAGE OF U.S. ADULTS WHO WERE OBESE OR WHO HAD DIAGNOSED DIABETES

Obesity (BMI ≥30 kg/m2)

Diabetes

1994

1994

2000

2000

No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0%

No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0%

2008

2008

NEW JERSEY OBESITY AND DIABETES STATISTICS

-Chart shows rise of Diabetes in New Jersey

-8.1% of adults in Middlesex County diagnosed with Diabetes

-8.2% of adults in Union County

-In 2010 23.7% of adults in New Jersey were obese with a BMI > 30 (44 of 51)

DIABETES IN NEW JERSEY 2009

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DIABETES IN NEW JERSEY 2009

County Percentage

Atlantic County 8.8%

Bergen County 6.8%

Burlington County 8.4%

Camden County 9.2%

Cape May County 8.4%

Cumberland County 10.2%

Essex County 9.2%

Gloucester County 9.4%

Hudson County 8.3%

Hunterdon County 6.2%

Mercer County 8.7%

Middlesex County 8.1%

Monmouth County 7.5%

Morris County 6.6%

Ocean County 8.6%

Passaic County 8.2%

Salem County 9.3%

Somerset County 6.2%

Sussex Count 7.4%

Union County 8.2%

Warren County 7.5%

8 | PRESENTATION TITLE HERE | ©2010 YMCA of the US

DIABETES IN NEW JERSEY

New Jersey Diabetes Statistics

New Jersey diabetes statistics and death rates:

6.4 out of every 100 adults in New Jersey has diabetes, ranking it 29th highest in the nation for the ratio of people with diabetes to the general population.

27.9 out of every adult 100,000 deaths in New Jersey are due to diabetes, ranking New Jersey 15th highest in the nation for diabetes-related deaths.

In 2005, 475,000 New Jersey adults were diagnosed with diabetes and by 2007, 9% of the total adult population had been diagnosed with diabetes


DIABETES IN NEW JERSEY

New Jersey Diabetes Statistics

-In 1995, New Jersey had a diabetes rate of 4.9%

-In 1995, New Jersey had an obesity rate of 12.3%

-According to 2010 statistics released by the CDC, an estimated 596,000 adults in New Jersey have been diagnosed with diabetes, an increase from 6.8 percent in 2004 to 9.2 percent in 2010.


SO WHAT IS THE FUTURE FOR NEW JERSEY?


2008

IF TRENDS CONTINUE….

According to a report (F as in Fat: How Obesity Threatens America’s Future 2012) released September 12, 2012 by

Trust for America’s Health and the Robert Wood Foundation:

-If obesity rates continue to climb, by 2030, the obesity rate in NJ could reach 48.6% of all adults

-In New Jersey, this would contribute to:

-971,386 new cases of Type 2 Diabetes

-2,087,173 new cases of coronary heart disease & stroke

-2,177,679 cases of hypertension

-1,418,265 new cases of arthritis

-308,035 new cases of obesity-related cancer


IF TRENDS CONTINUE….

-By 2030, obesity-related health care costs in New Jersey could climb 34.5%, which could be the highest increase within the country. A total of 9 states could see increases over 20%

-By 2030, in the United States, the medical cost of adult obesity is estimated to increase from $147 billion to $210 billion per year


BURDEN OF DIABETES

National Diabetes Fact Sheet 2011

-As of 2007, the total cost of Diabetes was 174 billion dollars annually

-Medical expenses for people with diabetes are more than two times higher than for people without diabetes

-Diabetes is the leading cause of kidney failure, non-traumatic lower

limb amputations, and new cases of blindness among adults in the

United States.

-The risk for stroke and heart attack is 2-4 times higher in individuals

with diabetes

BURDEN OF DIABETES

National Diabetes Fact Sheet 2011

-60-70% of people with diabetes have mild to severe forms of

nervous system damage

-Women who have had Gestational Diabetes have a 35-60% chance

of developing diabetes in the next 10-20 years

-The risk of death among people with diabetes is about twice that of

people of similar age but without diabetes

-Accounts for 17% of all deaths for ages >25

-Diabetes is the 7th leading cause of death in the United States


ADDITIONAL DIABETES INFO….

The dramatic rise in the diabetes rate is now considered a public health crisis, particularly since the Centers for Disease Control and Prevention (CDC) says that about one-third of people with

diabetes are undiagnosed.


THE PROGRAM

HISTORY OF THE YMCA DIABETES PREVENTION PROGRAM

-The YMCA Diabetes Prevention Program is an evidenced-based program that has been developed and tested for more than a decade

-Initial work by the National Institute of Health’s Diabetes Prevention Program showed that lifestyle interventions to lose weight and increase PA significantly reduced the development of Type 2 Diabetes by 58% during a three year period.

-Reduction was even greater (71%) among adults 60 yrs or older


HISTORY OF THE YMCA DIABETES PREVENTION PROGRAM

-Participants lost an average of 5-7% of their entry-level body weight increased their daily PA from baseline to 30 minutes a day for most days of the week.

-The study was conducted as one-on-one

-Walking was the most common form of PA

-This study of work was replicated by the researchers at Indiana University School of Medicine I partnership with the YMCA of Greater Indianapolis.

-One difference was this study was in a group setting


YMCA’S DIABETES PREVENTION PROGRAM

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•Overweight* Adults (18+) with prediabetes

•Confirmed via one of 3 blood tests

•Or have 2 or more risk factors Who?

•12 month program; 16 session core program, and maintenance

•1 hour per week

•8-15 people in group based, classroom setting

What?

• Anytime, anywhere (classroom-type setting) When? Where?

•Weigh-in at every session

•Weight recorded in online tracking system

•Facilitated by Y Lifestyle Coach (person skilled in Listen First and group facilitation)

How?

INDIVIDUALIZED LIFESTYLE PROGRAM

Program Goals:

≥ 7% loss of body weight and maintenance of weight loss

≥ 150 minutes per week of physical activity

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SUCCESS IS DEPENDENT UPON…

CRITICAL ROLE TO REDUCE TYPE 2 DIABETES IN OUR COMMUNITY

LIFESTYLE COACH

– Primary relationship holder with participant

– Must have Listen First skills

– Must have empathy for health seekers and understanding of behavior change

– Ability to facilitate and build community with the groups

– Timely submission of data

– Frequent contact with participants

– Conducts make-up sessions

WHAT MAKES THIS PROGRAM A “GAME CHANGER” IN THE Y?

• Evidence-based program – no tweaking the program

– New England Journal of Medicine, Feb. 7, 2002

– American Journal of Preventative Medicine, 2008

– Lancet, October 29, 2009

• We have to build a referral network

• We may be reimbursed by 3rd party payers for participant performance

• We must be HIPAA compliant

• CDC Recognition Program

• Performance standards

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PERFORMANCE STANDARDS

• Uniformity of delivery of the program

• An unprecedented level of quality assurance

• Overall, mean weight loss must be greater than or equal to 5%

• Submission of data within 48 hours

• Failure to adhere to standards leads to a corrective action plan and potential termination

• Maintain CDC recognition when available

PARTICIPANT TESTIMONIAL

Add video tape of testimonial


HOW YOU CAN GET INVOLVED

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FINDING PARTICIPANTS – WHERE?

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Physician Groups

State/Local Health Dept’s

Local Hospital

Medical Societies

Community Health Centers

ADA

If you build it they won’t come

We need your support!

PARTNERING WITH COMMUNITY ORGANIZATIONS

– How can you help spread the word?

–What can we do together to raise awareness?

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QUESTIONS/ THOUGHTS/ COMMENTS

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