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Dehko 2D Project (D2D)

Dehko 2D Project (D2D). Implementation Project of the Programme for the Prevention of Type 2 Diabetes 2003-2007 Liisa Hiltunen MD, vice president Marjatta Stenius-Kaukonen vice president Finnish Diabetes Association. The five geographical areas of FIN-D2D. North Ostrobothnia

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Dehko 2D Project (D2D)

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  1. Dehko 2D Project (D2D) Implementation Project of the Programme for the Prevention of Type 2 Diabetes 2003-2007 • Liisa Hiltunen MD, vice president Marjatta Stenius-Kaukonen vice president Finnish Diabetes Association Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  2. The five geographical areas of FIN-D2D North Ostrobothnia -population 374 000 South Ostrobothnia -population 195 000 North Savonia -population 250 000 Central Finland -population 265 000 Pirkanmaa -population 455 000 Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  3. Dehko 2D Project (D2D) Implementation Project of the Programme for the Prevention of Type 2 Diabetes 2003-2007 The action plan Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  4. FIN-D2D Programme, AIMS 1.To reduce the incidence of type 2 diabetes and to reduce risk factors and care requirements for the complications of type 2 diabetes 2.To identify among the population those who are at high risk of developing type 2 diabetes 3.To provide earlier diagnosis when people are unaware of their type 2 diabetes 4.To bring people with type 2 diabetes quickly into the sphere of appropriate treatment 5.To generate regional and local models and programmes for the prevention of type 2 diabetes 6.To demonstrate the cost-effectiveness of prevention Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  5. Programme for the Prevention of Type 2Diabetes in Finland 2003-2010Three Strategies • Population Strategy • High-Risk Strategy • Strategy of Early Diagnosis and Management Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  6. www.diabetes.fi Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  7. Screening, diagnosis and interventions in FIN-D2D FINDRISC No preventive measures Score <7 Score 7-14 Written information Score ≥15 Normoglycemia OGTT CHD Gestational diabetes IFG, IGT IFG IGT Interventions Diabetes Evaluation Treatment of hyperglycemia and risk factors Follow-up Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  8. D2D Project: Intervention Primary health care or other players: Weight control groups Quit smoking-groups Exercise groups Self-activity groups Group intervention Identification of high-risk subject 1. Visit (nurse) 2. Visit (doctor) Individual intervention Yearly follow-ups Self-initiated lifestyle changes Other Intervention forms Regular healthcare visits Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  9. Evaluation of the FIN-D2D • The feasibility, effectiveness and costs of the FIN-D2D will be evaluated according to a spesific evaluation plan • Evaluation includes comparison of five geographical areas of FIN-D2D to the rest of Finland regarding for example incidence of T2D and prevalence of undiagnosed T2D Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

  10. Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association

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