Promoting diabetes care, prevention and a cure worldwide. Professor Linda Siminerio Chair, BRIDGES Executive Committee, IDF
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1 Promoting diabetes care, prevention and a cure worldwide
2 The Federation 200+ member associations in 160+ countries 2 million+ members 7 regional offices
3 s 7 Roles Evidence Advocacy + Campaigning Translational Research Convening Best Practice Projects Humanitarian Programmes Global Guidelines
4 Building Research in Diabetes Global Environments & Systems BRIDGES
5 38 Projects in 34 Countries
6 Scientific Impact of Supported Projects So Far >80 Oral and poster presentations at national and international congresses 8 Manuscripts published in peer reviewed journals 21 Articles in international magazines 1 Guideline on peer education adopted as official guidelines
7 Examples of Diabetes Primary Prevention Outcomes BRIDGES
8 LT07-115: Diabetes prevention in Chennai, India (Project ended April 2012) A translation randomized trial of culturally specific lifestyle intervention for diabetes prevention in India using community leaders for recruitment Screening of adults Identification of 1,253 high-risk individuals 620 participants (intervention and control group) 18 intervention groups, each received 16 lifestyle sessions
9 LT07-115: Diabetes prevention in Chennai, India (Project ended April 2012) Changes in clinical and metabolic outcomes between 0 and 6 months were significantly greater in intervention group (p< for all outcomes). 8 presentations worldwide, 5 articles in national newspapers Additional findings in progress
10 ST07-025: Prevention of diabetes in People at high risk in a medium size City in Vietnam (Project ended July 2014) Evaluate measures that motivate people at risk to do screening and evaluate lifestyle intervention in people at risk using local health centers & employees Recruited and trained 20 prevention agents Collected 9,550 diabetes risk questionnaires Performed 2,550 IGT and IFG Educated group: after 6 mos, 27.5% lost 5% b.w. Team has been assigned by the Ministry of Health to implement the project in the whole country
11 Diabetes Outcomes in Secondary Prevention Projects (Examples) BRIDGES
12 LT09-227: Gestational diabetes in China (project running until July 2013) Implement and evaluate (with an RCT) an evidence-based GDM-care protocol and translate findings, using a shared care model, into the three-tiered ante-natal care system in Tianjin. Distribution of questionnaires related to GDM Screening of women at risks 3 education sessions for women intervention groups
13 LT09-227: Gestational diabetes in China (project running until July 2013) questionnaires on gestational diabetes completed women screened Average decrease of 110 grams of birth weight (P<.05) Reduction of 17,6% of macrosomia (P<.05)
14 Assess the effectiveness of DSME program in rural communities in Phillipines (Project ended December 2010) Recruitement of participants in Barangays (admin units) and volunteer peer educators Education sessions Outcomes (HBA1c, Cholesterol, glycemic control...)
15 ST07-002: DSME in rural communities, Philippines (Project ended December 2010) Significant reduction of HBA1c in intervention (6.93% vs. 7.79%, p<.05) Intervention replicating across the Philippines
16 Alexandria Faculty of Medicine RI District 2450 Rotary Alexandria West ST07-004: Diabetic foot in Egypt (Project running until June 2013) professionals and patients educated Medical and foot examination of patients Prevalence of nail pathology from 64.6% to 27.3% (p=0.03) Prevalence of active diabetic foot ulcers from 11.0% to 3.2% (p<0.001) 8 Egyptian universities are now initiating centers for diabetes foot care
17 Building From Success
18 BRIDGES Research Net Use successful interventions supported by BRIDGES Export to other countries Request the direct involvement of local authorities Onsite workshop before the start of the project Continuous support during the intervention «Diabetic foot in Alexandria, Egypt»
19 Adapting to a Changing World Building Capacity 9 workshops in 5 continents & 4 languages on grant writing 2 workshops on abstract/publication writing in 2013 D-START: Twinning on prevention dedicated to LMCs
20 World Guide to BRIDGES 2012 Launch in November 2012 Available online Available soon as a smartphone/tablet apps
21 More Information
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