The 5 Ps of PreDiabetes Bee Williamson Community
The 5 P’s of Pre-Diabetes Bee Williamson Community Education Coordinator (Heart & Diabetes)
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 Diabetes Ackerman Et Al 2011, Tabák Et Al 2012 • Also a risk factor for Heart Events • Increase to Health $
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
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
Programm e Reversing Pre-diabetes 3 -Year Overview 2013 -2016 2013 -2014 64 2014 -2015 patients 122 patients 2015 -2016 220 patients 8 in Community 8 sessions 13 sessions 23 sessions 43% Under 65 years of age attended 6% Maori 2% Pacifika An additional 20 % family /whānau attended A minimum of 91% improved knowledge, self efficacy, and rated sessions > 8/10
Preventio n Reversing Pre-diabetes 75% 59% Reduced stress levels Reduced Hb. A 1 c levels 88% 2013 -2016 Self-reported outcomes over 3, 6 and 12 months Improved eating habits 61% More active 65% Reduced weight
Prevention • Simple • Inexpensive • Existing Partnerships • Evidence
Personal Success • Lindi 46 year old Māori amputee • Single Mum • High LDL and triglyceride levels / • • • Low HDL Hb. A 1 c 43 mmol/mol (pre-diabetes) Overweight Trying to quit smoking No structured physical activity Stressed One year later……….
Acknowledgements Lindi Rule – Patient story Glenis Bell Health Promotion Manager Presenters; Bee Williamson and Marc Davidsen Nelson Bays Health Promotion Team Diabetes and Cardiac teams Nelson Hospital
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