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.

In recognition of November as National Diabetes Awareness month and HRSA’s Bureau of Primary Health Care Diabetes Quality Improvement Initiative, which addresses diabetes prevention and management, as well as pediatric overweight and obesity prevention, the following highlighted resources have been identified to support health centers as they continue to innovate and deliver essential care to patients across the country

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.

Highlighted Resources from the Clearinghouse

Diabetes Clinical Management and Periodontal Care for Diabetic Patients Individuals Experiencing Homelessness

Abstract: This session will focuses on providing up-to-date standards of the American Diabetes Association guidelines for screening diabetic patients with periodontal disease, clinical recommendations for treatment and management of patients diagnosed with diabetes, the role of oral health and dental conditions for effective screening, and health center experiences in supporting patients in diabetes management. Successful strategies for how health centers have adapted their treatment and management of diabetes for individuals experiencing homelessness are also shared. Audience: Clinicians Developed by: AAPCHO (See other resources developed by this organization.)

Impact of the Workplace on Primary Care Management of the Diabetic Patient

Abstract: Management of diabetes can be affected by many factors including the type of job of the diabetic patient. More importantly, poor diabetes management can compromise a workers’ ability to perform their job duties. The standard of care to regulate blood glucose such as standardized medication, activity, and food regimens may not be possible for many workers, particularly those in low-wage jobs. There may be no place to store medication or food, breaks may be limited or not regularly be offered and following a food regimen while working may not be feasible. This webinar reviews how work can impact diabetes management and offers strategies and tools to assist diabetic patients in managing their disease at work. Results from a recent study with primary care providers will be shared to highlight new recommendations for clinical decision support. Audience: Clinicians Developed by: Migrant Clinicans Network (See other resources developed by this organization.)

Understanding and Addressing Diabetes in your Community: A Quick Guide for CHWs

Abstract: Understanding and Addressing Diabetes in your Community: A Quick Guide for CHWs is a resource for Community Health Workers that provides information about diabetes, and provides tools for Community Health Workers can use to guide patients with diabetes towards a healthier future. Included with the guide are guidelines on how to manage diabetes, as well as an A1c tracker so patients can track their progress towards their A1c goals. Audience: Outreach Staff Developed by: MHP Salud (See other resources developed by this organization.)

Interactive Map Public Housing Primary Care Diabetes Data

Abstract: An interactive national map that shows the prevelance of diabetes in counties and proximity to HRSA funded health centers Audience: C-Suite (CEOs, CFO’s, CIO, COO’s, CMO’s, etc) Developed by: National Center for Health in Public Housing (See other resources developed by this organization.)

2017 Diabetes Improvement Toolkit

Abstract: A website that hosts toolkits, guides, and other resources to support data collection, quality, and performance improvement with the use of Health IT tools Audience: C-Suite (CEOs, CFO’s, CIO, COO’s, CMO’s, etc) Developed by: HITEQ (See other resources developed by this organization.)

Health Centers Strategies for Diabetes Screening and Prevention for Children, Adults, and the Elderly webinar

Abstract: This webinar explores diabetes prevention and care strategies across the lifespan. Presenters discuss standards of care in the screening and prevention for children, adults, and the elderly, sharing experiences from the field. Case examples of successful diabetes prevention programs, adult clinical treatment, and geriatrics care focused on vulnerable populations of children and adults of all ages are provided. Audience: Clinicians Developed by: AAPCHO (See other resources developed by this organization.)

U.S. Diabetes Conversation Map

Abstract: Journey for Control’s U.S. Diabetes Conversation Maps is an interactive teaching tool that helps promote free-flowing dialogue between a diabetes educator and a group of patients with diabetes Audience: Clinicians Developed by: American Diabetes Association (See other resources developed by this organization.)

Diabetes Pro

Abstract: Diabetes Pro a multilingual patient education website that provides free access to diabetes management, nutrition, physical activity, behavioral health, and patient tools. Audience: Clinicians Developed by: American Diabetes Association (See other resources developed by this organization.)

Endocrinology TeleECHO Clinic

Endo ECHO

Abstract: The Endocrinology TeleECHO Clinic (Endo ECHO) trains and supports primary care providers in rural and underserved communities to improve their knowledge of and skill in the care and management of patients with endocrinologic needs. Issues like complex diabetes, thyroid disease, adrenal and pituitary disorders, hypogonadism, Polycystic Ovary Syndrome (PCOS), hyperlipidemia, metabolic bone disorders and transgender health are discussed weekly in a community of practice with a team of experts. Audience: Clinicians Developed by: University of New Mexico School of Medicine (See other resources developed by this organization.)

Diabetes Food Hub

Abstract: Website provides diabetes nutritional resources and recipes for healthy living Audience: Outreach Staff Developed by: American Diabetes Association (See other resources developed by this organization.)

Childhood Obesity Resources

Bright Futures

Abstract: Bright Futures a health promotion and prevention program that provides evidence-informed guidelines and resources for child screening and prevention activities in primary care, home visiting, child care, school-based health clinic, and other settings Audience: Clinicians Developed by: American Academy of Pediatrics (See other resources developed by this organization.)

Connect for Health: Design of a Clinical-Community Childhood Obesity Intervention Testing Best Practices of Positive Outliers

Abstract: HRSA has promoted this multidisciplinary care model as a best-practice for the implementation of childhood obesity multidisciplinary care teams. The Connect for Health study is designed to assess whether a novel approach to care delivery that leverages clinical and community resources and addresses socio-contextual factors will improve body mass index (BMI) and family-centered, obesity-related outcomes of interest to parents and children. Audience: Clinicians Developed by: Massachusetts General Hospital for Children (See other resources developed by this organization.)

Calories, Cavities, and Kids

The Role of Dental Professionals in Addressing Childhood Obesity

Abstract:  The webinar addresses the role of dental professionals in addressing childhood obesity. Oral health care providers have an excellent opportunity to promote healthy weight in children in view of their frequent contact with pediatric patients and conversations with parents about sugar-containing beverages, the single largest category of caloric intake in children. Audience: Clinicians Developed by: National Network for Oral Health Access (See other resources developed by this organization.)

Childhood Obesity Prevention Program Implementation Guide

Abstract: Childhood Obesity Prevention Program Implementation Guide provides healthy lifestyle and physical activity promotion educational information to families of young children Audience: Outreach Staff Developed by: MHP Salud (See other resources developed by this organization.)

Project Power

Abstract: Project Power is a healthy living program for children aged 8-16 that teaches nutrition, fitness, health, and wellness activities to prevent and reduce the number of children who develop type 2 diabetes Audience: Clinicians Developed by: American Diabetes Association (See other resources developed by this organization.)

 

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.

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) as part of an award totaling $6,375,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.