1. Diabetes in Newaygo County
Muskegon River
Diabetes in Newaygo County
By: Morgan Stoneman, Olivia Beckman, Kimberley Clark & Katy Lucas

2. Assessment of Community Newaygo County 2009-2014
More sedentary lifestyle
Increased rate of obesity
Increased death rates
Increased teen pregnancy
Increased smoking & drinking
Lack of routine Dr. visits
Lack of leisure time activities

3. Analysis of Assessment Findings
Social Detriments Of Health (2014)
• Jobless rate of 6.8% reported
• 17.9% persons below poverty
• 58.4% of children must have free or reduced lunch
• 57.7% Medicaid paid births
• 2545 people per PCP (double the average in MI)
• 2180 people per dentist (higher than MI average)
• 1547 people per mental health provider (almost three times the MI average)
• 22.8% of residents had no access to healthcare in the past year (r/t cost)
• 26.4% smokers, 41.8% obese, 53.3 per 1000 teen pregnancy, and 10.6% diabetes.
(DHD #10, 2014)

4. Problem Statements Identified!
Increased risk/rate of diabetes within Newaygo county adults.
Increased rate of binge drinking incidence among adults
Increased sedentary lifestyle and obesity among adults and children

5. Community-Focused Nursing Diagnosis
Increased risk of death related to lack of knowledge of diabetes as evidence by community obesity and increased death rates.

6. Strengths/Weaknesses/Evidence of existing problem
Parks, rivers, small/involved community, and options for nutrition.
Decrease in jobless rates
Decrease in poor physical health in 14 of past 30 days (shows a increase in activity seeking)
Decrease in binge drinking in 2014 compared to prior years
Increased rate of immunizations shows community seeking healthcare
Weaknesses
Increased diabetes and related deaths
Increased infant mortality rates
Increased persons per PCP
Increased mental health issues
Increased rate of lack of healthcare in past year
Increased obesity rates
Reports of no leisure time/physical activity
High percentage of smoking and teen pregnacny

7. Goals and SMART Objectives
Decrease rate of death r/t diabetes
Decrease new onset of diabetes
Decrease glucose level for already diagnosed individuals
Increase physical activity community wide
Increase healthy eating options
Increase healthcare seeking behaviors/ routine PCP visits
Increase education on diabetes awareness
SMART Objectives (Specific, Measurable, Achievable, Relevant, Time oriented)
Community will show interest in increasing physical activity by attending workout sessions within the first month of launching.
Community will ask questions about diabetes education and show interest in lowing glucose level within the first month of awareness activities.
Community will be receptive of healthy eating options offered at restaurant locations and show interest by ordering diabetes friendly foods within three weeks of initiation.
Community members will schedule/attend routine PCP visits within the first year and follow guidelines for adequate healthcare.

8. Evidence Based Interventions
Community Exercise Program
Healthy eating options brochure for local restaurants.

9. Community Exercise program Calendar

10. Healthier options Brochure

11. Theoretical Support for Community Focused Intervention
Community shows trend of high incidence of mortality related to diabetes
Diabetes alone is above state average percentage
Community shows above average obesity rates
Community reports lack of healthcare intervention/ PCP
Community reports lack of physical activity and leisure time
Community reports show lack of education (HS and college)
Community shows lack of healthy options for dining out (lots of pizza, fast food, high fat options)

12. Policy Implications
If this initiative is carried out effectively, it stands to save Newaygo County some money. If obesity rates do not increase, our country “will save $550 billion dollars by 2030” (“About the United States Healthful…”, ushfc.org). Newaygo County could see relative savings.
Newaygo residents will be healthier and happier. Newaygo County will become a “destination” for young professionals and retirees.
Money that would have be spent on disease maintenance will instead be directed towards disease prevention research and education.

13. Evaluation Plan: Community Survey
How is your Progress?
Please fill out the information below. This survey is anonymous. Any suggestions, please feel free to elaborate at the bottom of this survey. Thank you for taking a few minutes to fill this out.
Gender: Male / Female Age:______________ Ethnicity: __________________
Diet Plan
Are you currently following a specific diet plan/nutritionist? YES / NO
If yes, please explain:________________________________________________________________ _________________________________________________________________________________________
How many meals per day are you eating?
Daily servings of fruits and vegetables?
Average amount of "junk foods" per day?
If yes, please explain types of foods: ______________________________________________
________________________________________________________________________________________
Exercise Plan
Are you currently following a specific exercise plan? YES / NO
Amount of time spent doing 30 min + of vigorous exercise?
Amount of time spent doing 60 min + of leisure exercise?
If yes, please explain:________________________________________________________________ _______________________________________________________________________________________
Suggestions- any suggestions on programs or opportunities for improvement in diet and/or exercise programs

14. References: