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The 5 P’s of Pre-Diabetes

Learn about the successful Pre-Diabetes reversal program focusing on prevention, education, and community partnerships. Developed by Bee Williamson, this initiative strives to lower diabetes risk factors through outreach and community support. Explore Lindi's inspirational journey and the positive outcomes achieved in partnership with Nelson Bays Health Promotion team.

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The 5 P’s of Pre-Diabetes

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  1. The 5 P’s of Pre-Diabetes Bee WilliamsonCommunity Education Coordinator (Heart & Diabetes)

  2. Problem Statistically 1:5 people over the age of 15 have Pre-diabetes 2008/2009 Adult Nutrition Survey, Otago University More Pre-diabetes being identified through Heart & Diabetes Checks Increasing numbers of Young adults 30 – 70% risk of developing Type 2 DiabetesAckerman Et Al 2011, Tabák Et Al 2012 Also a risk factor for Heart Events Increase to Health $

  3. Partnerships Collaborated with Green Prescription and Health Promotion team – unique opportunity to create seamless pathways Developed a programme“tool kit” aims & objectives, processes, and evaluation Involved links to existing health & community services Built on relationships in Secondary Care – Diabetes & Cardiac Nurse Specialists Sessions delivered monthly in the community (PHO or Library) Rolled out to Primary Care: 4 x large GP Practices

  4. Programme A “one-off” 2.5 hour community group session Health literacy to build understanding Beliefs, behaviours and HOW to change Reflection / goal setting Take home resources Programme evaluation Follow –up for one year

  5. ProgrammeReversing Pre-diabetes 3-Year Overview2013-2016 220 64 122 2013-2014 2014-2015 2015-2016 patients patients patients 8 in Community 23 sessions 13 sessions 8 sessions 43% Under 65 years of age attended An additional 20 % family /whānau attended 6% Maori 2% Pacifika A minimum of 91% improved knowledge, self efficacy, and rated sessions > 8/10

  6. PreventionReversing Pre-diabetes 2013-2016 75% 59% Reduced stress levels Reduced HbA1c levels 88% Improved eating habits Self-reported outcomes over 3,6 and 12 months 61% 65% More active Reduced weight

  7. Prevention Simple Inexpensive Existing Partnerships Evidence

  8. Personal Success • Lindi 46 year old Māori amputee • Single Mum • High LDL and triglyceride levels / Low HDL • HbA1c 43 mmol/mol (pre-diabetes) • Overweight • Trying to quit smoking • No structured physical activity • Stressed One year later……….

  9. Acknowledgements Lindi Rule – Patient storyGlenis Bell Health Promotion ManagerPresenters; Bee Williamson and Marc DavidsenNelson Bays Health Promotion TeamDiabetes and Cardiac teams Nelson Hospital

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