1. 260209 NCB Noël Barengo, MD, PhD, MPH Department of Public Health University of Helsinki, Finland Unit of Clinical Research, University Hospital La Paz, Madrid, Spain E-mail: noel.barengo@uku.fi Diabetes prevention in the Mediterranean region: The Med_PLAN

2. Background Vienna Declaration 2006 presented at the informal conference of Health Ministers at the formal Council in June 2006 Type 2 diabetes (T2D) is rapidly increasing IFG and risk factors of type 2 diabetes rapidly increasing in Mediterranean region

3. Mission The project develops and implements strategies for assessment, prevention and communication to respond to increasing non-communicable disease threats, particularly type 2 diabetes (T2D) in the Mediterranean region

4. Aims of the project  To assess the prevalence of glucose metabolism disorders in the Mediterranean region  To assess the impact of lifestyle interventions according to baseline lifestyle habits and biomarkers related to glucose metabolism disorders  To develop and implement a novel intervention and communication program for people at high risk for T2D  To implement the new European Guidelines of T2D Prevention in the Mediterranean region  To develop a curriculum for health professionals and to train them T2D diabetes prevention  To assess the direct costs of T2D prevention in primary care

5. Methodology MED_PLAN consists of 10 workpackages (WPs) Integrated into three large EU projects –IMAGE project (Munich/Dresden) –DE-PLAN (Helsinki/Madrid) –InterAct (Cambridge)

6. Work packages (I) WP 1: Steering Committee, coordination of the project WP 2:Baseline survey. Assessing the prevalence of glucose metabolism disorders in the Mediterranean middle-aged population WP 3:Development of a curriculum in diabetes prevention for the training of prevention managers WP 4:Mediterranean region diabetes prevention guidelines WP 5:Training prevention managers for primary health care system

7. Work packages (II) WP 6:Identifying people at high risk for T2D and implementing the intervention WP 7:Interventions, biomarkers and lifestyle factors WP 8:Creating diabetes prevention e-portal WP 9:Economic evaluation of diabetes prevention WP 10:Qualitative evaluation of diabetes prevention activities

8. Steering Committee Prof. Rafael Gabriel/Noël Barengo Mediterranean Group for the Study of Diabetes One representative each participating country

9. Steering Committee = Work Package 1 (Coordination of the project) => 5-7 members WP 2 Baseline survey WP 3 Curriculum WP 4 Guidelines WP 7 Biomarkers and lifestyle factors WP 8 E-Diabetes portal WP 5 Training of health professionals WP 6 Identifying and intervention WP 9 Economic evaluation WP 10 Qualitative evaluation of the project WP part of IMAGE project (EU)WP based on experience of DE-PLAN project (EU)

10. Plans for 2009 Creating network Recruitment possible collaboration partners Establishing Steering Committee Identifying funding sources Study protocol, study manuals, budget, timetable

11. 260209 NCB Thank you