171691 Emory Latino Diabetes Education Program: Raising the Bar in Diabetes Care for Latinos in Georgia

Tuesday, October 28, 2008

Daniela Salas, MPH, CHES , Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, Atlanta, GA
Amparo Gonzalez, RN, BSN, CDE , Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, Atlanta, GA
Guillermo Umpierrez, MD, FACP , Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, Atlanta, GA
Latinos with diabetes have a higher incidence of diabetic complications than other ethnic groups. Several healthcare barriers have been identified in highly populated ‘traditional' Latino areas in the US, but barriers to diabetes care in ‘non-traditional' areas as in the Southeast are not known. The Emory Latino Diabetes Education Program (ELDEP) is a non-profit program aimed to provide diabetes education and lifestyle intervention to Latinos in Georgia. We present our experience and results during the first 2 years of the program. A total of 431 patients (age: 47±13 yr) attended the first class and 124 returned for a follow-up class within 6 months. All subjects were foreign-born and most came from Mexico (71%) and Central America (18%). The initial mean indices included an A1C: 9.1±3%, BMI: 31±6 kg/m2, systolic BP: 129±22 mmHg, DBP: 81±15 mmHg. The mean A1C decreased to 8.1±2% (p<0.01). Women experienced better glycemic control than males. Patients that participated in both classes increased routine BG monitoring from 57% to 84% (p<.048), the use of BG log tools from 44% to 63% (p<0.5). The following barriers to diabetes care were identified: low literacy: ~15% of patients did not read or write Spanish; poor language proficiency: 49% do not speak, read or understand English; low health insurance coverage: 83% have no health insurance; low education level: 8% completed high school; lack of diabetes education: 74% had no previous diabetes education; and financial problems: 58% of subjects claimed severe financial limitations in buying food and prescribed diabetes regimen, with 81% of subjects having an annual income <$5,000.

Our results have identified important social and cultural barriers to diabetes care in Latinos. The ELDEP is a successful and easy to implement education model to improve diabetes care in underserved Hispanic population.

Learning Objectives:
1. List three barriers to Diabetes care in the Latino community in Georgia. 2. Describe the outcome measures used to assess effectiveness of the Emory Latino Diabetes Education Program 3.Develop a Latino Diabetes Education Program in your community with a budget of $150,000/year that includes patient education and healthcare provider training.

Keywords: Diabetes, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Coordinator for the Emory Latino Diabetes Education program. Additionally, I have collected, entered and analyzed the data presented in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.