What We’re Doing to Combat

Diabetes in Northern Virginia

Lions Clubs International IAG Mission

Myanmar, 2013Part III

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Diabetes Association Diabetes and Outreach Pilot Outreach

Pilot ProgramLCIF Core 4 Diabetes Grant Awarded: April 2012Grant Amount: $86,939Duration: May 2012-June 2013Goals:

1. Provide preliminary health screening services to underserved at-risk populations.

2. Provide preventive diabetes and wellness education in collaboration with local health department staff and other NGO’s to serve disadvantaged communities in District 24-A.

3. If pilot is successful, implement program in more districts.

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The state of diabetes and blindness in VirginiaUpdated January 2012

2010 Prevalence Rates of Visual LossSource: America Foundation for the Blind

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Partners/Contractors:

•ADA: Education & Training

•LCIF: Funding

•Lions of 24-A & 24-C: Ambassador volunteers

•CLB: Diabetic Retinopathy Screening Support

•Walgreens: Medical Supplies & Flu Clinics

•Fairfax County Health Department: County Support •DRWF: Screening Support

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The Need for Diabetes Education

• “Diabetes is increasing at an alarming rate globally. It is a complex, chronic condition that affects all areas of a person’s life and that requires high quality care. To this end, diabetes education is of critical importance and should be considered an integral part of diabetes prevention and care. Unfortunately this is not the case in many countries of the world where diabetes education is, at best, in its infancy or non-existent. The combination of lack of access to quality medical management and diabetes education leads to poor clinical outcomes, reduced quality of life and high health-related costs due to service utilization and the costs of treatment.”– International Diabetes Federation

• Education and training is key to making this a sustainable program beyond the current grant year.

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Lions Clubs Participating in The LCIF Core 4 Diabetes Pilot Project

Clubs Participating

Stafford County Lovettsville

Fairfax Host Greater Falls Run

Reston Lake Ridge

Manassas Lioness Lions Vienna Host

Aquia Harbor Evening Alexandria Asian American

Fort Belvoir Aquia Harbor Host

Arlington South Westmoreland

Bailey’s Cross Roads Alexandria Watergate

Clifton Burke

Sterling Tyson Corner

Gordonsville-24-C Lake of the Woods-24-C

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What are the risk factors which increase the likelihood of developing diabetes?• Being overweight or obese.

– BMI• Having a parent, brother, or sister with diabetes.

– Risk Assessment Survey• Being African American, American Indian, Asian American, Pacific Islander, or

Hispanic American/Latino heritage• Having a prior history of gestational diabetes or birth of at least one baby weighing

more than 9 pounds.– Risk Assessment Survey

• Having high blood pressure measuring 140/90 or higher.– Blood Pressure Station

• Having abnormal cholesterol with HDL ("good") cholesterol is 35 or lower, or triglyceride level is 250 or higher.

• Being physically inactive—exercising fewer than three times a week.– Risk Assessment Survey and Diabetes/Wellness Education Station

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Lions and other community volunteers are trained to perform the following functions at/or after screenings:

Take basic patient contact/consent information Conduct Diabetes/Wellness Education Programs Conduct Diabetes Risk Assessments Use the Canon CR-2 Non-Mydriatic Retinal Imaging Camera to

screen for possible Diabetic Retinopathy on adults with diabetes Take Blood Pressure, Blood Glucose and BMI readings Perform patient navigation services Provide Health Services Information for uninsured and underinsured

participants Conduct Participant Referral Follow up

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The Lions 24-A /Amerian Diabetes Pilot Project

Lions will conduct 6-12 free health screenings for adults at selected sites in the six counties that make up District 24-A to include:

Diabetes/Wellness Education Diabetes Risk Assessment Blood glucose testing Non-Mydriatic Retinal imaging of adults with diabetes using

the Canon CR-2 Camera Blood pressure Body-mass index readings using height and weight Patient navigation/Referral/Health Services Information Health services information for uninsured or underinsured

participants

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Each screening component has a Team Leader/Assistant and 9-10 Ambassador Volunteers

ConsentDiabetes Risk Assessment Survey

Body Mass Index Measurement

Blood Pressure Measurement

Blood Glucose Measurement

Diabetes/Wellness Education

CR-2 Camera Operation

Diabetes Education

Health Services Information

Participant Referral Follow up

Translators/Other Language

Crowd Control

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Consent and ParticipantPassport

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Type 2 Diabetes Risk Test

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What is Body Mass Index?

Body Mass IndexBody Mass Index

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• Body Mass Index

What is yourBody Mass Index?

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Blood Pressure Screening

Normal Blood Pressure Ranges for ADULTS per The American Heart Association:

Blood Pressure ScreeningBlood Pressure Screening

Category systolic, mmHg diastolic, mmHg

Hypotension < 90 < 60

Desired 90–119 60–79

Prehypertension 120–139 or 80–89

Stage 1 Hypertension 140–159 or 90–99

Stage 2 Hypertension 160–179 or 100–109

Hypertensive Crisis ≥ 180 or ≥ 110

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Blood Glucose Testing

Random blood sugar test: This test can be conducted throughout the day, irrespective of the meal times. The blood sugar levels should be between 70 and 125 mg/dL to be declared 'normal' in case of random testing method.

Blood Glucose TestingBlood Sugar Levels

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Fasting blood sugar:This test is commonly conducted to check the rise or fall in the glucose levels after a prescribed eight-hour fast. The levels are required to fall and get recorded between 70 and 99 mg/dL to be declared as normal blood glucose levels.

Blood Glucose TestingBlood Sugar Levels

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Non-Mydriatic Canon CR-2 Mobil Retinal Imaging Solution

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Retinopathy

Diabetic Retinopathy

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Diabetic Retinopathy

Diabetic Retinopathy Vision

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Health Services Information

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Diabetes/Wellness Education

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Walgreens Flu Shots

Year-end Project EvaluationHow many people were screened?

How many people were told to see a health care provider due to abnormal screening results? How many people were given information about local health resources?

How many people followed-up with a health care provider?

How many diabetes education programs were held? How many people attended? What were the pre- and post-test results?

Final Report to LCIF due on 6-22-2013.30

Critical components for the success of this project in the future involve/include: Providing diabetes education to Lions to empower them as Diabetes Ambassadors to spread the word.Expanding the network of collaborating local organizations and follow up to build firm relationships for the future. The Problem is too big and the need too great for one organization to handle alone.Interest in 24-A and other Districts across the Multiple to continue what we have started and/or expand it using LCIF Core 4 Grant Funding and other sources of revenue. Establishment of a Diabetes Foundation to insure the needed funds are available to take it to the next level. This is currently under development.

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Resources:

•District 24-A Web Site: www.valions.org

•Like us on Facebook and Twitter! Twitter account: @LionsC4DiabetesFacebook account: facebook.com/lionscore4-diabetesproject

•Blog to-come

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Questions

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Contacts: PCC Dennis Brining Suzanne Stolson703-503-8019 804-493-8433dlbent@aol.com stolson@copper.net

Nina Litton Dr. Suleiman Alibhai202-499-8854 703-855-5218Nina.litton@lc4dp.org suleimanalibhai@mac.com

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