Diabetes Prevention and Control Program
Partners with YMCA to Pilot Diabetes Prevention Program
Submitted by Jeanne Harmon, RD, MBA, CDE, WA DPCP
The Washington Diabetes Prevention and Control Program (DPCP) is partnering with 4 YMCA’s across the state to implement the Diabetes Prevention Program (DPP) Lifestyle Balance Curriculum. This curriculum is adapted from the research curriculum used in the DPP, where it was demonstrated that risk of progression to type 2 diabetes among persons with pre-diabetes was reduced by 58% when those persons participated in a lifestyle intervention. The lifestyle intervention’s aim is to help people with pre-diabetes lose 5-7% of body weight and increase physical activity to 150 minutes per week.
David Marrero, PhD, of Indiana University, and his colleagues have demonstrated that similar results to the DPP can be achieved in the community setting, at YMCA’s in Indianapolis. The 16-week curriculum is delivered by trained YMCA staff, and is presented in group sessions. The YMCA staff has a minimum of a BS/BA degree, and go through a 2-day training course before leading the intervention groups.
In Washington, the 4 YMCA’s that will be participating are in Auburn, Gig Harbor, Wenatchee and Spokane. They were selected because they are “Activate America” Y’s, with a focus on health promotion for their members. The 4 YMCA’s will begin promoting the program, by late summer, with the assistance of local Diabetes Educators and Regional Diabetes Coalitions. The DPCP and YMCA are developing recruitment and enrollment materials for distribution starting in July 2009. The start date for the 16-week intervention is October 1, 2009. Participants will receive a free 1-year YMCA membership as an incentive for participation.
Any educators or providers in the vicinity of the four YMCA’s are invited to contact the DPCP for information on how to refer patients to the intervention. Participants must have pre-diabetes, with FPG between 100 mg/dl and 125 mg/dl or 2 hour plasma glucose (with an OGTT) of 140 mg/dl to 199 mg/dl. Persons with FPG 100mg/dl to 125 mg/dl have Impaired Fasting Glucose (IFG) while those with a 2-hour OGTT of 140 mg/dl to 199 mg/dl have Impaired Glucose Tolerance (IGT). Persons who have either or both IFG or IGT have pre-diabetes, and are eligible to enroll in this program. (Source: ADA Clinical Practice Recommendations 2009).
The Division of Diabetes Translation of the Centers for Disease Control and Prevention, which funds the DPCP, is exploring how they can support training of YMCA staff and staff at other community-based organizations and potentially at health care organizations, to implement the DPP curriculum more widely.
Contact information for Jeanne Harmon, RD, MBA, CDE who is the project lead:
email: Jeanne.harmon@doh.wa.gov; phone: 253 395 6758
Integrating Tobacco Cessation with Diabetes Education and Self-Management
Pre-conference Workshop- April 30, 2009
Submitted by Jeanne Harmon
Jeanne Harmon RD, MBA, CDE of the Diabetes Prevention and Control Program and Juliet Thompson of the Tobacco Prevention and Control Program, Washington State Department of Health, spoke at this pre-conference workshop to an audience of approximately 70 diabetes educators. The main messages were:
· Tobacco use and diabetes are a dangerous combination, as tobacco contributes to the development of complications of diabetes
· Tobacco use is a risk factor for developing type 2 diabetes
· Educators can effectively promote tobacco cessation with their patients who use tobacco
· A very short intervention, Ask/Advise/Refer was discussed with the participants
o Ask every patient if they use tobacco
o If they use tobacco, advise them to quit
o Refer tobacco users to the WA Quitline 1800 QUIT NOW
Both Jeanne’s and Juliet’s presentations are available on the WADE website; please contact either of them for more information.
Jeanne.harmon@doh.wa.gov or Juliet.thompson@doh.wa.gov