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The 5 P’s of Pre-Diabetes

The 5 P’s of Pre-Diabetes. Bee Williamson Community Education Coordinator (Heart & Diabetes). Problem. Statistically 1:5 people o ver t he a ge o f 15 have Pre-diabetes 2008/2009 Adult Nutrition Survey, Otago University

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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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