the great diabetes epidemic: a manifesto for action
TRANSCRIPT
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The Great Diabetes Epidemic:
A Manifesto for Action
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We Have An Epidemic
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We Have An Expensive Epidemic
2000 2010 2015 2025$0
$100
$200
$300
$400
$500
$600
$132
$299
$373
$514
Actual and Projected Expenditures
Billi
on $
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Patients with Diabetes Cost Medicaid 300% More Than Patients without Diabetes
Without diabetes With diabetes$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$4,568
$14,229
Average Annual Medicaid Charges
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Diabetes is Not Just Another Chronic Disease
5,205
4,374
3,288
1100
1,000
2,000
3,000
4,000
5,000
6,000
Diabetes Cancer Heart Disease HIV
New Cases Per Day
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Diabetes: a classic public health problem
• Prevention is difficult to “achieve by individual clinicians and patients alone; it requires integrated disease management and organized systems of care.”
• The magnitude and persistence of the increase in obesity and diabetes “suggest these problems are beyond the capacity of individual health care delivery systems
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Three Stages of Prevention• Primary• Keep pre-diabetes from developing
• Secondary• Prevent pre-diabetes from progressing
• Tertiary• Prevent complications from developing
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Start with Tertiary Prevention—Prevent the BAD Complications
•Blindness•Amputations•Dialysis, and•CVD
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Components of Tertiary Prevention
• Community Diabetes Control Council
• Screening for Diabetes and Pre-diabetes
• Diabetes Registry• Community Diabetes Care Center
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• Secondary Prevention• Primary Prevention