Presentation on theme: "Choctaw Nation Diabetes Wellness Center"— Presentation transcript:
1Choctaw Nation Diabetes Wellness Center Program informationChoctaw Nation of OklahomaChoctaw Nation DiabetesWellness Center“Happy Heart”Cardiovascular Disease Risk Reduction Project*The clinical measures listed on these documents were used by the programs over the past 10 years and were current at their time of use. However, these example documents are not intended to serve as current clinical guidelines. Programs using these documents will need to ensure the clinical measures are current for their intended use.
2The Facts Every 33 seconds cardiovascular disease will claim someone’s life.It results in more deaths than allforms of cancer combined.Each year, about 1.1 million people in the United States have heart attacks, and almost half of them die.
3Known as a silent killer because it often has no warning signs until a stroke or heart attack ensues.
4Heart Attack is the leading cause of death in both men and women in the United States today.
5People who have type 2 diabetes have a four times greater chance of dying of a cardiovascular event, such as heart attack or stroke.
6“Happy Heart”, CVD Grant Awarded through a competitive grantprocess30 Grantees across the United States5 year grant beginning October, 2004 – September, 2009Extended an additional year, 2010We will apply for 2 additional years this summer.
7Who Can Participate Native Americans/Alaska Natives Diagnosis to Type 2 DiabetesAge 18 and olderExclusion Criteria:PregnancyActive alcohol or substance abuse by providerjudgmentEnd Stage Renal Disease on DialysisAny other significant medical conditions orcircumstances that may adversely affect participation
8Ways to Reduce the Risk of CVD Stop SmokingKeep Blood Pressure Within Normal RangeMaintain Blood Glucose Levels Within Normal RangeKeep Cholesterol Levels Within RangeExercise Daily (at least 30 minutes)Adhere to Low Sodium/Low Fat Diet
9Target Ranges Blood Pressure Below 130/80 LDL Cholesterol (Bad) – HDLCholesterol (Good) Men 40 orgreater Women 45 orgreaterTriglycerides Less than 150A1C Less than 7%
10Participant BenefitsMonthly case management visits until target rangesare reached, then visits will be quarterly.Nurse Case Managers assist with management of care, setting goals and are available to answer participant questions in person or by telephone.Physical Activity Leader (PAL) to assist withdeveloping and maintaining a personal exercise plan.Consultation with a Registered Dietician and assistance with personal meal planning.Group and individual diabetes and cardiovasculardisease education classes.Laboratory test performed regularly.Family participation is encouraged through community events.
11Minutes of Physical Activity Each Week 706060505046433840Baseline 1st Annual 2nd Annual 3rd Annual293020 21201611111070 minutes1-89 minutes90-149mintues>150 minutes
12Mean HbA1c at Each Assessment 8.2188.8.131.52.2184.108.40.206.220.127.116.11.67.5Baseline 1st Annual 2nd Annual 3rd Annual18.104.22.168FemaleMaleTotal
13Mean LDL at Each Assessment 12010080Baseline 1st Annual 2nd Annual 3rd Annual604020FemaleMaleTotal