Priority Area: Chronic Disease - Diabetes

Objectives

  • By the year 2013, reduce the prevalence of adult diabetes and hospital complications of diabetes in New York so that:
    • The percent of adults with diabetes is no more than 5.7%. (Baseline 8.2%, BRFSS, 2007)
    • The rate of hospitalizations for short-term complications of diabetes are no more than:
      • 2.3 per 10,000 (ages 6-17). (Baseline: 3.1 per 10,000, SPARCS, 2005-2006)
      • 3.9 per 10,000 (ages 18+). (Baseline: 5.2 per 10,000, SPARCS, 2005-2006)

Indicators for Tracking Public Health Priority Areas

Each community's progress towards reaching these Prevention Agenda Objectives will be tracked so members can see how close each community is to meeting the objectives.

Data and Statistics

QARR – Online Report of Managed Care Plan Performance in NYS

Interactive reports on the performance of health plans are available through the NYSDOH website. These reports are designed to help consumers choose health plans that meet their needs and the needs of their families. The reports provide easy-to-read information on health plan performance including provision of primary and preventive health care. Data are provided for commercial and government-sponsored managed care plans.

Prevention Quality Indicators

The Prevention Quality Indicator (PQI) website is the first free, publicly accessible tool in NYS to identify hospitalization rates by ZIP code level for conditions generally considered preventable with access to good primary care. Information is also provided on health disparities by breaking data down according to patients' race and ethnicity. Conditions available in this data include hypertension, diabetes-related complications and asthma.

New York State Department of Health Programs

Diabetes Prevention and Control Program

The Diabetes Prevention and Control Program (DPCP) collaborates with local, state and national partners to reduce and eliminate the burden of diabetes in NYS. Since its inception, the DPCP has transitioned from a focus on the control of diabetes complications to a comprehensive public health approach including prevention of type 2 diabetes and the promotion of healthy lifestyles across the lifespan. The DPCP has identified three goals to align with the Centers for Disease Control and Prevention’s national diabetes program framework:

  • Prevent type 2 diabetes.
  • Prevent complications, disabilities and the burden associated with diabetes.
  • Eliminate diabetes-related health disparities.

In order to achieve these goals, the DPCP implements strategies within the following priority areas:

  • Public Awareness and Education
  • Children and Diabetes in Schools and Childcare Settings
  • Healthcare Practice
  • Access to Care
  • Sustainability and Policy, Systems and Environmental Change
  • Public Health Tracking and Evaluation

Strategies – The Evidence Base for Effective Interventions

Guide to Community Preventive Services (The Community Guide)
Presents systematic reviews of the effectiveness of selected population-based interventions addressing diabetes, focused on strategies within two areas:
  • Health-care system level interventions to manage chronic diseases and promote case management.
  • Diabetes self-management education in various settings.
Guide to Clinical Preventive Services
Provides evidence-based recommendations for screening, counseling and preventive medications to reduce the risk of cancer.
Diabetes Prevention Program, National Institutes of Health
Demonstrates that lifestyle change, such as weight loss and increased physical activity, among people with pre-diabetes reduces the risk of type 2 diabetes by 58 percent and may return blood glucose levels to normal. In adults over the age of 60, the risk was reduced by 71 percent.
Keeping America Healthy: A Catalog of Successful Programs, Partnership to Fight Chronic Disease
Provides examples of effective population health improvement programs that have been implemented in a variety of settings. Includes a catalog of programs that can serve as examples of ways to maintain or improve health related to chronic disease.
American Diabetes Association Clinical Practice Recommendations and Standards of Care
A number of ADA clinical practice recommendations are available through this site, including Standards of Medical Care in Diabetes-2011, Diabetes Care in the School and Day Care Setting and National Standards for Diabetes Self-Management Education.
American Diabetes Association
Provides an overview of Diabetes Ketoacidosis - a serious condition that can lead to diabetic coma (passing out for a long time) or even death
Diabetes Self-Management Education (DSME): An Action Guide, Partnership for Prevention and the Centers for Disease Control and Prevention
This document provides evidence-based guidance for public health practitioners on how to establish a community-based DSME program.
Diabetes Care Quality Improvement: A Resource Guide for State Action, Agency for Healthcare Research and Quality (AHRQ)
Provides an overview of the factors that affect the quality of care for diabetes, presents the core elements of health care quality improvement, provides data to inform decision-making and offers a variety of best practices and policy approaches to diabetes quality improvement
Diabetes Initiative, Robert Wood Johnson Foundation
Includes program descriptions, journal articles, reports, and success stories, as well as implementation, training, education and assessment resources focusing on 1) Advancing Diabetes Self Management and 2) Building Community Supports for Diabetes Care in real world clinic and community settings of diverse populations.
Making Systems Change for Better Diabetes Care, National Diabetes Education Program
Designed to help health care professionals make a difference in the way diabetes is prevented and treated, including models, links, resources and tools based on current peer-reviewed literature and evidence-based clinical practice recommendations.
National Committee for Quality Assurance/HEDIS
The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service.
New York State Department of Health, Diabetes Prevention and Control Program
Tools and resources (including glucagon administration training) to assist health professionals and health care providers with diabetes prevention and management.
New York State Department of Health, Diabetes Prevention and Control Program - Children’s Resource Guide
A guide provides comprehensive and up-to-date resources that help children with diabetes grow up to be healthy and productive adults. In addition to providing practical tools and important information for school personnel, allowing children with diabetes to participate fully and safely in the school setting, the guide addresses the serious emerging issues of childhood obesity/overweight and type 2 diabetes in children, and provides promising strategies to reduce risk.
Centers for Disease Control and Prevention Emergency Preparedness Tips
Diabetes care during natural disasters, emergencies, and hazards
New York State Health Foundation – YMCA Diabetes Prevention Project
The New York State Health Foundation awarded the New York State YMCA Foundation a grant to implement community-based diabetes prevention programs in 10 regions across New York State - an initiative to prevent the onset of Type 2 diabetes among thousands of New Yorkers. The initiative is a partnership among the NYS YMCA Foundation, the NYS DOH’s Diabetes Prevention and Control Program, and NYSHealth.

Additional data, statistics and strategies related to a variety of risk factors for chronic diseases can be found on the following priority area pages:

Partners

More Information

Diabetes Prevention and Control Program
Riverview Center, 150 Broadway - Room 350
Albany NY 12204-0678
Phone: (518) 408-0125
Fax: (518) 474-3356
E-mail: diabetes@health.state.ny.us