Diabetes. For Institute for Healthy Aging at Keiro. Take Time To Care

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1 Diabetes For Institute for Healthy Aging at Keiro 1 Take Time To Care

2 About FDA The oldest consumer protection agency in the U.S. Ensures that regulated products are safe and effective. 2 2

3 What FDA Regulates Foods Biologics Human Drugs Medical Devices and Radiological Health Cosmetics Animal Drugs, Feed, and Testing 3 3

4 FDA Office of Women s Health Created in 1994 Advocates Promotes Provides 4 4

5 Why Diabetes? Millions suffer with this disease Leading National Killer Disabling Costly Growing 5 5

6 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. 6 6

7 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 7 7

8 Diabetes in Pregnancy Gestational Diabetes Mellitus (GDM) is a significant risk factor for the development of diabetes after a 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 8 8

9 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 9 9

10 Trends National Diabetes Surveillance System State-Specific Estimates of Diagnosed Diabetes Among Adults Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population by State, United States, Missing Data <4% 4-4.9% 5-5.9% 6+% 10 10

11 Trends National Diabetes Surveillance System State-Specific Estimates of Diagnosed Diabetes Among Adults Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population by State, United States, Missing Data <4% 4-4.9% 5-5.9% 6+% 11 11

12 Trends National Diabetes Surveillance System State-Specific Estimates of Diagnosed Diabetes Among Adults Age-Adjusted Prevalence of Diagnosed Diabetes per 100 Adult Population by State, United States, 1994 and Missing Data <4% 4-4.9% 5-5.9% 6+% 12 12

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

14 Effects of Diabetes 6th leading cause of death in the U.S. and can lead to serious health problems Kidney Disease Nervous System Disease Amputations Dental Disease Complications During Pregnancy Heart Disease and Stroke High Blood Pressure Blindness Sexual Dysfunction Other Complications 14 14

15 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 15 15

16 The Good News You Can Manage Diabetes Watch what you eat and exercise. Use medicines wisely. Check your blood sugar and know your ABCs

17 Managing Diabetes Watch What You Eat and Get Exercise 17 17

18 Managing Diabetes Use Medicines Wisely Follow the directions when taking pills or shots. Ask your doctor, nurse, or pharmacist for information about your medicines

19 Managing Diabetes Check Your Blood Sugar and Know 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 19 19

20 FDA Office of Women s Health Website Women and Diabetes Audience/ForWomen/WomensHealth Topics/ucm htm 20 20

21 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 21 21

22 Partners Thousands have partnered with the FDA OWH to deliver the TTTC message, including: 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 22 22

23 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 23

24 Publications My Medicines Brochure Diabetes Brochure Diabetes Fact Sheet Diabetes Recipes Cards (includes Hispanic/Latino culturally appropriate recipes) 24 24

25 25

26 26

27 27 27

28 Japanese Translations 28 28

29 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 29 29

30 Join Us! To partner with us in a TTTC activity: To download free information: To order free brochures:

31 For More Information FDA Diabetes Website: American Diabetes Association: DIABETES ( )

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