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Diabetes in Public Housing

According to the most recent CDC’s National Diabetes Statistics report, more than 100 million U.S. adults have diabetes or prediabetes. As of 2015, more than 9 percent of the population — 30.3 million — had diabetes. Another 84.1 million had prediabetes. Rates of diagnosed diabetes were higher among American Indians/Alaska Natives (15.1 percent), non-Hispanic blacks (12.7 percent), and Hispanics (12.1 percent), compared to Asians (8.0 percent) and non-Hispanic whites (7.4 percent). The report also highlights that awareness levels remain too low. The research found that nearly 1 in 4 adults with diabetes didn’t even know they had the disease, and less than 12 percent with prediabetes knew they had that condition. By focusing on prevention, it may be possible to avoid the numerous complications of diabetes and obesity, which include not only eye, kidney and nerve problems but also dental disease, dementia and depression.

A 2017 HUD’s report shows that adults who receive assistance from HUD have higher rates of diabetes (17.6%) when compared to the total U.S. population (9.4 %)

A recent analysis of PHPC data shows that percentage of patients with diabetes served by Public Housing Primary Care (PHPC) grantees is also growing. The number of patients with diabetes in public housing primary care has increased by 6% since 2012

In 2016, according to the most recent UDS data, around 32% of patients served at PHPC site had uncontrolled diabetes (HbA1c>9). This figure, is almost two times higher than the percentage of diabetic patients with uncontrolled diabetes in the US population (18%).

This section provides resources, stories and best practices for Health Center Programs. We would like to hear from you. If you have any diabetes story, case study or best practice to share, you can email it directly to jose.leon@namgt.com

Diabetes Prevention and Management

Did you know that 9% of adults in Yakima County have been diagnosed with Diabetes? Staff at Yakima Neighborhood Health Services works with their Diabetic patients to make positive choices that fit within their daily lives. November is National Diabetes Month and they would like to share the message that “You are the center of your Diabetes Care team”. For video click here or watch below.

Dr. John Buse, MD, PhD, from the University of North Carolina, School of Medicine, shares how he cuts through the growing cluster of paperwork and prioritizes conversations and joint decision-making with his patients. For video click here or watch below.

Dr. Rodgers from The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) provides tips for preventing or delaying diabetes in older Americans. For video click here or watch below.

John Ryan, Dr.P.H., Professor of Family Medicine at the University of Miami School of Medicine, and Jennifer Bussell, M.D., F.A.C.P., Instructor of Clinical Medicine at Northwestern University Feinberg School of Medicine, discuss how achieving optimal medication-taking behavior is a collaborative process of communication and understanding between patients and their health care teams. For more information on the materials, click here.

William Polonsky, PhD, CDE, President and Founder of the Behavioral Diabetes Institute, shares research findings concerning poor motivation in diabetes care, describes techniques for assessing key contributors to patient disengagement, and presents practical methods for overcoming patient disengagement in diabetes clinical practice. For video click here or watch below.

Monica Peek, M.D., M.P.H., F.A.C.P. from University of Chicago, Division of General Internal medicine and Linda Siminerio, R.N., P.H.D., C.D.E., from University of Pittsburgh, Division of Endocrinology and Metabolism, describe the importance of shared decision-making, social and cultural barriers, and ways to enhance skills with vulnerable populations. For video click here or watch below.

This archived webinar featured Wendy Mettger, M.A., President of Mettger Communications and Joanne Gallivan, M.S., R.D., Director of the National Diabetes Education Program at the National Institutes of Health. The goals of the webinar: to understand the problem of low health literacy, why plain language can make a difference, and understand the barriers to comprehension. For video click here or watch below.

This archived webinar featured Linda Siminerio, PhD, RN, CDE, Professor of Medicine, University of Pittsburgh Division of Endocrinology and Metabolism; Maggie Powers, PhD, RD, CDE, President, Health Care & Education for the American Diabetes Association; and Joan Bardsley, MBA, RN, CDE, FAADE, Assistant Vice President, MedStar Health Research Institute. The goals of the webinar: describe and share challenges associated with delivering diabetes self-management education, including reimbursement and referral for services with leading diabetes organizations, health systems and policy-makers. For video click here or watch below.

This archived webinar featured Linda M. Siminerio, R.N., Ph.D., F.A.A.N., C.D.E., Professor of Medicine and Executive Director of the University of Pittsburgh Diabetes Institute explains the evolution of diabetes education in a presentation that offers a historical perspective of the field. Dr. Siminerio also discusses the current state of health care and implications for diabetes education. In addition, Joanne Gallivan, M.S., R.D., Director of the NDEP at the National Institutes of Health shares related resources available from the NDEP. For video click here or watch below.

Clinical Resources

Standards of Medical Care in Diabetes- 2017

Final Recommendation Statement- Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Screening

Diabetes Mellitus: Screening and Diagnosis

Obesity in Adults: Screening and Management

Final Recommendation Statement- Obesity in Children and Adolescents: Screening

National Diabetes Prevention Program

Effective Health Care Program

Diabetes Medications for Adults with Type 2 Diabetes: An Update

Behavioral Programs for Type 2 Diabetes Mellitus: Current State of the Evidence

Behavioral Programs for Type 1 Diabetes Mellitus: Current State of the Evidence

Tips to Help You Stay Healthy with Diabetes

Diabetes at Work

Blood Glucose Monitoring

Diabetes Foot and Skin Care

Diabetes and your Feet

Fighting Diabetic Complications

Coping with Diabetes

The Facts About Depression

What Can a Diabetes Support Group Mean to You?