healthy living with diabetes

Healthy Living with DiabetesPresented by the

Wisconsin Institute for Healthy Aging, Wisconsin Department of Health

Services and their partners

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Why is Healthy Living with Diabetes Needed?

• 1 in 12 Americans affected by diabetes• By 2050 there will be 40 million Americans

with type 2 diabetes• WI: 475,000 adults with diabetes and 1.45

million adults with pre-diabetes• Even higher incidence in communities of

color• 25% of Wis. Medicare beneficiaries have type 2 diabetes

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Consequences of Diabetes• Mortality is twice that of people without

diabetes of similar age• Leading cause of blindness, heart disease, and

stroke – and lower extremity amputations• Very expensive to treat - 2009 Wisconsin data– $4.07 billion in direct health costs– $2.7 billion in indirect costs

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The Healthy Livingwith Diabetes Program

• Community workshop• For individuals with type 2 diabetes, pre-

diabetes or either who live with or care for or about someone who does

• 2.5 hours/week for 6 weeks• Led by 2 trained co-leaders, 1 with diabetes or

has a connection to someone with diabetes (e.g., caregiver, CDE, etc.)

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The Healthy Living with Diabetes Program

• Evidence-based• Meets AoA’s highest standard• Developed by Stanford University’s Patient Education

Research Center with CDEs• Developed over years of:

– pilot-testing– refinement– evaluative researchhttp://patienteducation.stanford.edu/

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Program’s Underlying Assumptions

• People with diabetes have similar concerns and problems

• They must deal with both physical symptoms and impact on lives/emotions

• Lay people can teach program as effectively, if not more effectively, than health care professionals

• The program process is as important, if not more, than substance

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Researched and ProvenStudy Results show:

• improved diabetes self-management self-efficacy • decreased symptoms of hypo and hyperglycemia • improved HbA1C• decreased health distress• improved communication with physicians• improved self-rated health• decreased emergency room visits

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Works well with Existing Diabetes Education Programs and Certified

Diabetes Educators• Group problem-solving compared to expert and

student approach• No individualized medical advice = more

discussion time for daily living with diabetes• Some similar topics; approach very different• Peer-led education very motivating• Health team prescribes “what” needs to be done;

workshop gives peer support to “how”

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Target Population

• Adults with type 2 diabetes or pre-diabetes• Adults who live with or care for or about

someone who has type 2 diabetes or pre-diabetes

• Regardless of how long the person has been living with diabetes

• Cognitively able to participate in process

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Topics

• Techniques to deal with physical symptoms of diabetes

• Dealing with difficult emotions• Appropriate exercise • Meal planning for people with diabetes• Appropriate use of medication• Working more effectively with health care

professionals

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Dissemination in Wisconsin

• Began in 2013• Diverse agencies offer the workshop• Diverse sites host the workshops• Diverse professionals or lay individuals

who serve as leaders

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Leader Qualifications & Characteristics• Health care, aging or disability network

professionals, or lay volunteers• At least one Leader has diabetes or close

connection• Experience with diabetes – personal or

professional• Comfortable leading groups of adults• Comfortable following a script• Past participants encouraged!

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Leader Expectations• Attend all four* days of Leader trainings• Work with a sponsoring organization• Lead workshops in pairs, both trained• Lead two workshops each year• Follow program script• Use required books and charts• Follow WIHA administrative protocols* There is a separate two-day cross training for current Living Well Leaders

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Are You Ready?• Identify the local sponsoring organization AND• Identify your co-leader AND• Communicate with local aging unit AND• Together, review the Planning Guide (see next slides)

* One or both Leaders must have diabetes or close connection

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Healthy Living with DiabetesLeader & Local Partner Organization

Planning Guide

• Identify local sponsoring organization, e.g., county/tribal aging unit or hospital-based coordinator

• Obtain supervisor support from your place of employment (if applicable)

• Connect with a health care provider and any CDE• Identify two Leaders – already trained or need training?• Select dates and times for first workshop• Decide whether workshop will be free or a fee• Select and reserve site, room, room arrangement• Who will submit workshop notification to WIHA?• What agency will receive workshop registrations?

Continued...

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Healthy Living with DiabetesPlanning Guide, cont’d

• Outreach and Marketing– See WIHA website materials– Presentations – Where? Who will present?– Health Care providers, including CDEs– Individual recommendations – Who?

• Supplies needed– Copies of Living a Healthy Life with Chronic Conditions– Required charts– Easels, blank flipchart pads, tape, and markers– Participant handouts– Refreshments

• Data Collection• Funding Needed?

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Website for Leaders

www.wihealthyaging.org–Click on FOR LEADERS ONLY–Click on Healthy Living with Diabetes– username: leaders@wihealthyaging.org password: wihaleaders

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Support for Leaders• Listserv• WIHA Leader Newsletter• Regular Leader conference calls or

meeting where available• Technical assistance• Leader Coaching• Healthy Aging Summit

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Leader Training• Come in pairs, or solo if county already has a

trained Leader• Four* full days – must attend all to learn:– basics on diabetes– curriculum of Healthy Living with Diabetes

program– group facilitation, including practice

• Learn WIHA protocols and support available• During first workshop, may have coaching

session*Two days if cross-training

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Leader Training – to apply• Leader Application – link on WIHA website• Complete application; pay fee• Commit to requirements• Attend in pairs, unless already a Leader in

county• With Sponsoring Organization, complete

Planning Guide• 20-person limit

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? ? ? QUESTIONS ? ? ?

• Betsy Abramson 608-243-5691 betsy.abramson@wihealthyaging.org

• Sherri Ohly 414-687-1223 sherri.ohly@wihealthyaging.org

• Anne Hvizdak 715-677-3037 anne.hvizdak@dhs.wisconsin.gov

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THANK YOU!

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