Diabetes

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Close-up image of a woman taking a blood sample from her finger with a glaucometer

Introduction

This resource brief provides a selection of current, high-quality resources about diabetes and its public health impact. Topics range from the need for screening and treatment to special focuses on how to conduct successful outreach to special and vulnerable populations. Resources are chosen from NCA partners based on utility for use by community health centers.

About the Issue

Diabetes mellitus (DM) occurs when the body doesn’t produce enough or respond appropriately to insulin, which is needed to absorb and use glucose (sugar) to fuel the body. “Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications.”1 Healthy People 2020 has established 16 objectives to reduce the prevalence of the disease, increase diagnosis, and improve care. Evidence-based professional information/recommendations and consumer information have been collected nationally along with aggregated national data.

Focused Resource

Improving Diabetes Outcomes: Curated Expert Guidance, Tools, and Resources

Annotation: This web portal contains critical resources on a quality improvement approach, patient-specific activities, population-oriented activities, foundational work related to a public health approach to diabetes. A downloadable toolkit focuses on resources that augment a six-step quality improvement approach that build upon best practices, analytics, and adoption of programs. Audience: Clinicians, Outreach Staff. Developed by: HITEQ. See other resources developed by this organization.

Highlighted Resources from the Clearinghouse

These resources have been developed by our partners and serve as an introduction to the topic.

Diabetes and Asian Americans: The Need to Screen at 23

Annotation: This webinar provides an overview of the American Diabetes Association’s 2015 diabetes screening guidelines for Asian Americans and the science that’s behind them. Epidemiologic studies have shown that standard body mass index (BMI) cut point of 25 is inappropriate for defining diabetes risk in Asian Americans. Consequently, the American Diabetes Association (ADA), National Institutes of Health (NIH) and Centers for Disease Control and Prevention (CDC) have acknowledged the need to screen Asian Americans at a BMI cut point of 23 to identify those with or at risk for future diabetes.It also highlights the Screen at 23 Campaign and resources available to support health centers in preventing and diagnosing diabetes for Asian Americans. Audience: Clinicians. Developed by: Association of Asian Pacific Community Health Organizations (APCHO). See other resources developed by APCHO.

Diabetes in Special and Vulnerable Populations: A National Learning Series – Part 1

Annotation: This webinar kicks off a national learning series on effective strategies to prevent, treat, and manage diabetes among special and vulnerable health center program patients. In a collaboration between AAPCHO and Migrant Clinicians Network (MCN), this webinar explores important lessons learned from the National Diabetes Collaborative which made impressive gains in improving diabetes care for the most vulnerable. Panelist discussed how to incorporate some of the most important lessons of the collaborative into current efforts to diagnose, treat and manage diabetes most effectively. Audience: Clinicians. Developed by: Association of Asian Pacific Community Health Organizations (APCHO). See other resources developed by APCHO.

Diabetes in Special and Vulnerable Populations: A National Learning Series – Part 2

Annotation: This webinar focuses on the social determinants of health (SDOH) that affects vulnerable patients, like housing instability, complicate efforts to self-manage diabetes. Some of the communities at highest risk for developing diabetes are farmworkers, LGBT-identified individuals and those experiencing homelessness. Individuals from these populations are more vulnerable due to challenges unique to their racial/social groups such as lack of access to affordable housing and healthy food, lack of stable housing due to constant mobility, limited English proficiency and other social determinants of health. These factors impact their ability to obtain health insurance, access affordable health care, and follow medication adherence. Audience: Clinicians. Developed by: Association of Asian Pacific Community Health Organizations (APCHO). See other resources developed by APCHO.

Diabetes in Special and Vulnerable Populations: A National Learning Series – Part 3

Annotation: This webinar focuses on how one of the main ways diabetic patients access care is primarily through health centers. With Type I and Type II diabetes on the rise, many health centers struggle to properly diagnose patients of all ages with diabetes. This webinar explores diabetes prevention and care strategies across the lifespan. Presenters will discuss standards of care in the screening and prevention for children, adults, and the elderly, sharing experiences from the field. Presenters also engages participants around case examples of successful diabetes prevention programs, pediatric, adult, and geriatric clinical guidelines for prevention and screening, Finally, presenters connects participant with resources to outreach opportunities and tools they can apply and adapt for their own health centers. It is a collaboration between AAPCHO, National Nurse-Led Care Consortium (NNCC), School-Based Health Alliance (SBHA), and the National Center for Equitable Care for the Elderly (ECE). Audience: Clinicians. Developed by: Association of Asian Pacific Community Health Organizations (APCHO). See other resources developed by APCHO.

Keeping Diabetes Under Control

Annotation: This interactive tool provides a brief overview of the most basic Diabetes self management strategies along with a health tracking tool designed for patient and provider interaction. Audience: Outreach Staff. Developed by: National Center for Farmworker Health (NCFH). See other resources developed by NCFH.

All Resources from the Clearinghouse

The clearinghouse actively collects focused resources on this topic. You can view all resources within the clearinghouse related to diabetes here.


References

1 Healthy People 2020. Diabetes Web Portal.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS16089, Technical Assistance to Community and Migrant Health Centers and Homeless, for $6,375,000 with 0 percent of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.