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Shaping the Relevance of Nutrition with an Understanding of Diabetes. Cindy Goody Iowa Dietetic Association Annual Meeting November 4, 2009 Altoona, IA. Objectives. State the prevalence and incidence of diabetes in the United States and Iowa.
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Shaping the Relevance of Nutrition with an Understanding of Diabetes Cindy Goody Iowa Dietetic Association Annual Meeting November 4, 2009 Altoona, IA
Objectives • State the prevalence and incidence of diabetes in the United States and Iowa. • Discuss at least three medical nutrition therapy interventions to prevent and treat diabetes. • Indicate at least three ways to become involved in diabetes grassroots awareness, action and advocacy initiatives.
Diabetes in the U.S. Shaping the Relevance of Nutrition with an Understanding Diabetes Source: CDC BRFSS 2007
Diabetes in Iowa Source: CDC BRFSS 2007
Diagnosed Diabetes in the U.S. Diagnosed (1960-2007) and Projected Diagnosed (2005-2050) Cases 50 40 30 Diagnosed cases People (millions) Projected diagnosed cases 20 10 0 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 Year Source: CDC BRFSS 2007
Diabetes Incidence A total of1,600,000 new cases of diabetes were diagnosed in 2007 in the United States among people aged 20 years and older. Source: NIDDK, National Diabetes Statistics 2007. www.diabetes.niddk.nih.gov/dm/pubs/statistics
15 12 9 Cases per 100 person-years 6 3 0 Caucasian African Hispanic American Asian All participants American Indian Metformin Placebo/Standard care Lifestyle Diabetes Prevention Program Results Source: DPP NEJM 2002
Intensive Treatment Reduces CVD Risk in Type 1 Diabetes 0.06 Conventional 0.04 Cumulative Incidence of Nonfatal Heart Attack, Stroke, or Death from Cardiovascular Disease 0.02 Intensive 0.00 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Years Since Entry to Study Source: NEJM 353: 2643-2653, 2005.
Prevention and Treatment of Type 2 Diabetes TODAY BARI 2D ACCORD LookAHEAD HEALTHY DPPOS Pre- diabetes Type 2 Diabetes Disability Death Complications Normal Clinical disease Preclinical state Complications 54,000,000 20,800,000 Secondary Prevention Tertiary Prevention Primary Prevention
ADA Diabetes Care & Education DPG • Communications • Active, supportive listserv • Publications • On the Cutting Edge & NewsFlash • Client Education Handouts • Cultural Food Practices
ADA Diabetes Care & Education DPG • ADA Symposia and FNCE • Metabolic Syndrome • Bariatric Surgery for the Person with Diabetes • Diabetes & Disordered Eating • Carbohydrates: Newest Research on Glycemic Control • Research • Public Policy • H.R. 1402, “The Catalyst to Better Diabetes Care Act of 2009”
Involvement Increases Intelligence Find opportunities at dce.org
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