Online Program

Oral

Diabetes is a serious and costly disease. In 2011, about 26 million people were affected by diabetes, representing more than 8% of the United States population, and the number of persons with the disease is increasing each year in all groups. This is especially the case in populations at high risk for poor health. The annual cost of diabetes in 2011 was estimated to be $174 billion in the United States. The management of this disease is important for 1) preventing acute and chronic complications, morbidity, and hospitalizations; 2) reducing direct and indirect costs; and 3) for improving the overall quality of life in persons with diabetes. Based on research evidence, the American Diabetes Association defines optimal standards of care for persons with diabetes. In addition, the Community Prevention Task Force found sufficient evidence for effectiveness to recommend diabetes self-management education (DSME) in “community gathering places” for persons with type 2 diabetes. There are 3 dimensions to the delivery and receipt of diabetes management and optimal care: • The individual and his/her family • Providers of care (physicians, nurses, nutritionists, podiatrist, and community health workers, etc.) • Community and clinical systems The presentations will provide examples of each dimension in the delivery and receipt of recommended care for persons with diabetes. The first presentation uses GIS mapping to illustrate the varying frequency in the distribution of specified DSME services in the US, and illustrates the fact that where one lives could impact access to DSME services. Two presentations discuss how high risk communities have responded to limited or lack of access to DSME services by using alternative diabetes self-management programs and/or cultural and linguistically appropriate DSME services. Lastly, two panelists will focus on providers of care, gender, clinical management and self-management of diabetes. One panelist will discuss clinical systems, and recommendations for improving the quality of services provided to women with gestational diabetes, a condition that has intergenerational effects on the incidence and prevalence of diabetes. The other and final panelist will discuss race and gender and its impact on the individual’s perception of access to care and self-management services.

Session Objectives: Explain how GIS mapping can be used to identify gaps in services and provide data for planning. Discuss how high risk communities have responded to lack of diabetes related services at the community level. Describe interventions employed to improve gestational diabetes data quality and post-partum care.

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH) , Masters Certified Health Education Specialist (MCHES)