Diabetes

For Institute for Healthy Aging at Keiro

Take Time To Care

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About FDA

The oldest consumer protection agency in the U.S.

Ensures that regulated products are safe and effective.

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What FDA Regulates

Animal Drugs, Feed, and Testing

Foods Biologics Human Drugs

CosmeticsMedical Devices and Radiological Health

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FDA Office of Women’s Health

Advocates Promotes Provides

Created in 1994

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Why Diabetes?

Millions suffer with this disease

Leading National Killer

Disabling

Costly

Growing

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Ethnic Minority Women

Minority and racial groups are the hardest hit by type 2 diabetes.

Prevalence is 2-4 times higher among black, Hispanic, American Indian, and Asian Pacific Islander women than white women.

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Prediabetes

Higher than normal blood glucose levels

Not high enough to be classified as diabetes

Increases risk of developing type 2 diabetes, heart disease, and stroke

Progression to diabetes is not inevitable

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Diabetes in Pregnancy

Problems for the mother:

20-50% chance of developing

type 2 diabetes 5 to 10 years

after pregnancy

Diabetic complications can

progress

Preeclampsia

Problems for the baby:

Large for Gestational Age (LGA)

Prematurity

Neonatal complications

10x increased risk for obesity

during childhood and adolescence

Intrauterine death

Congenital abnormalities

Gestational Diabetes Mellitus (GDM) is a significant risk factor for the development of diabetes after a pregnancy

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National Data & Statistics

9.7 million women - 8.8% of all women aged 20 years or older have diabetes

~1 in 3 are unaware they have it

Risk and prevalence increase with age

Gestational diabetes develops in 2-5% of all pregnancies

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TrendsNational Diabetes Surveillance System

State-Specific Estimates of Diagnosed Diabetes Among AdultsAge-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population

by State, United States, 1994

http://www.cdc.gov/diabetes/statistics/prev/state/index.htm

Missing Data <4% 4-4.9%

5-5.9% 6+%10

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TrendsNational Diabetes Surveillance System

State-Specific Estimates of Diagnosed Diabetes Among AdultsAge-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population

by State, United States, 2004

http://www.cdc.gov/diabetes/statistics/prev/state/index.htm

Missing Data <4% 4-4.9%

5-5.9% 6+%11

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TrendsNational Diabetes Surveillance System

State-Specific Estimates of Diagnosed Diabetes Among AdultsAge-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population

by State, United States, 1994 and 2004

http://www.cdc.gov/diabetes/statistics/prev/state/index.htm

Missing Data <4% 4-4.9%

5-5.9% 6+%

20041994

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County-level Estimates of Diagnosed Diabetes for Adults aged ≥ 20 years: United States 2007

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Effects of Diabetes

Heart Disease and

Stroke

High Blood Pressure

Blindness

Sexual Dysfunction

Other Complications

Kidney Disease

Nervous System

Disease

Amputations

Dental Disease

Complications During

Pregnancy

6th leading cause of death in the U.S. and can lead to serious health problems

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Additional Complications

Poor vision, hearing, smell, and taste

Difficulty chewing and digesting food

Decreased mobility and exercise

Cognitive and psychological problems

Effects of other chronic diseases

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The Good News…You Can Manage Diabetes

Watch what you eat and exercise.

Use medicines wisely.

Check your blood sugar and know your “ABCs.”

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Managing Diabetes

Watch What You Eat and Get Exercise

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Managing Diabetes

Use Medicines Wisely

Follow the directions when taking pills or shots.

Ask your doctor, nurse, or pharmacist for information about your medicines.

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Managing Diabetes

Check Your Blood Sugar andKnow Your “ABCs”

Talk to your health care team about your “ABCs”: A-1-C blood sugar level (less than 7) Blood pressure (less than 130/80) Cholesterol (less than 200 overall; LDL less

than 100; HDL greater than 60) Keep your “ABCs” under control Ask doctor for A-1-C blood sugar level test

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FDA Office of Women’s Health Website www.fda.gov/womens

Women and Diabeteshttp://www.fda.gov/ForConsumers/ByAudience/ForWomen/WomensHealthTopics/ucm117969.htm

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Outreach Goals

Prevent or delay diabetes Support women at risk Promote appropriate care Prevent, delay, and minimize

complications Highlight action strategies Discuss personal involvement

opportunities

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Partners

Community Health Centers Keiro Institute for Healthy Aging Las Vegas Casinos Hadassah Jacob’s Institute Five (5) National Nurses Associations (Black,

Hispanic, Asian, American Indian and Alaska Native)

National Partnership for Women & Families Websites: iVillage, CNN, WebMD Over 22,000 community drug stores

Thousands have partnered with the FDA OWH to deliver the TTTC message, including:

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Program Messages

Three key TTTC messages for women with

diabetes: Watch what you eat and exercise. Use medicines wisely. Check blood sugar and know your “ABCs.”

A-1-C Level Blood Pressure Cholesterol

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Publications

My Medicines Brochure

Diabetes Brochure

Diabetes Fact Sheet

Diabetes Recipes Cards (includes Hispanic/Latino culturally appropriate recipes)

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Japanese Translations

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Outreach Summary Results

Distributed 5 million brochures nationwide via 3,200 drug store outlets

58% reached were female; 42% were male

89% were over 40 years old

Reached 50,000 through nurses in high-risk minority communities

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Join Us!

To partner with us in a TTTC activity: http://www.fda.gov/womens

To download free information: http://www.fda.gov/womens/taketimetocare/diabetes/default.htm

To order free brochures:http://www.pueblo.gsa.gov/cic_shop/orderinfo.htm

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For More Information

FDA Diabetes Website:

http://www.fda.gov/diabetes

American Diabetes Association:

1-800-DIABETES (1-800-342-2383) http://www.diabetes.org

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