New York State's Approach to Diabetes

The New York State Department of Health (NYSDOH) works with many partners and contractors to develop and implement a range of diabetes prevention and management activities in community and health care settings. With both state and federal funding, NYSDOH advances a strategic coordinated response through environmental approaches that promote healthy eating and active living across multiple sectors; health system transformation to improve population health and outcomes for those with prediabetes and diabetes; the development and sustainment of a statewide system of clinical - community linkages that foster improved access and participation in evidence-based prevention and self-management programs; and surveillance, epidemiology and evaluation activities that allow the NYSDOH to monitor and communicate progress.

Centers for Disease Control and Prevention (CDC)

The CDC funds state health departments to support programs and activities to prevent or delay the onset of type 2 diabetes and to improve health outcomes for people diagnosed with diabetes. CDC's funding and activities are part of two multi-program cooperative agreements that address type 2 diabetes; heart disease and stroke; nutrition, physical activity, and obesity; and school health.

  • State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health
    The NYSDOH, funded by the CDC, provides support for the NYS Health Systems Learning Collaborative (HSLC). Seven Federally Qualified Health Centers are working with their local health departments to test quality improvement strategies within the centers and to strengthen connections to community-based organizations delivering the Diabetes Prevention Program and home blood pressure self- monitoring programs to improve outcomes for patients with hypertension, diabetes, and prediabetes.
  • State and Local Public Health Actions, Local Initiatives for Multi-Sector Public Health Action (Local IMPACT) Project
    The NYSDOH, funded by the CDC, provides support for the Local IMPACT Project to help prevent and control obesity, diabetes, heart disease and stroke, and reduce health disparities among adults. NYSDOH awarded four partnerships to work in high need areas throughout New York State outside of New York City. The purpose of the NYSDOH Local IMPACT project is to support the implementation of general and priority adult population strategies in community and health system settings. The New York State Local IMPACT Project
  • National Diabetes Prevention Program
    This initiative is a partnership of public and private organizations working to reduce the growing problem of prediabetes and type 2 diabetes. The partners work to make it easier for people with prediabetes to participate in evidence-based, affordable, and high-quality lifestyle change programs to reduce their risk of type 2 diabetes and improve their overall health. CDC-recognized lifestyle change program is a structured program—in person or online — developed specifically to prevent type 2 diabetes. It is designed for people who have prediabetes or are at risk for type 2 diabetes, but who do not already have diabetes. A trained lifestyle coach leads the program to help you change certain aspects of your lifestyle, like eating healthier, reducing stress, and getting more physical activity. The program also includes group support from others who share your goals and struggles National Diabetes Prevention Program
  • The Behavioral Risk Factor Surveillance System (BRFSS)
    The BRFSS is an annual statewide telephone survey of adults developed by the CDC and administered by the NYSDOH. The BRFSS provides information on behaviors, risk factors, and utilization of preventive services related to the leading causes of chronic and infectious diseases, disability, injury, and death among the noninstitutionalized, civilian population aged 18 years and older. The BRFSS diabetes module is administered at the state and local level and is a powerful tool for targeting and building diabetes prevention and management activities. BRFSS data is highlighted in a series of BRFSS Briefs, and Information for Action reports produced by NYSDOH. Behavioral Risk Factor Surveillance System (BRFSS)

New York State Funded Initiatives:

  • Creating Healthy Schools and Communities (CHSC)
    Creating Healthy Schools and Communities is a state-funded coordinated, multi-sector initiative designed to increase demand for and access to healthy, affordable foods and opportunities for daily physical activity in high-need school districts and their associated communities. Twenty-five contractors are working across the state to implement this initiative. More information can be found at: Creating Healthy Schools and Communities (CHSC)
  • Creating Breastfeeding Friendly Communities
    Breastfeeding reduces an infant's risk of diabetes and obesity, and a mother's risk for type 2 diabetes. The Creating Breastfeeding Friendly Communities initiative funds six organizations to establish breastfeeding friendly coordinated community support networks for families from pregnancy through infancy to increase breastfeeding initiation, exclusivity and duration. The funded entities advance broad-based policy, system and environmental changes that protect and promote breastfeeding within community settings and businesses. They also work to help child care and healthcare providers support families who opt to breastfeed. This initiative creates or expands community-based breastfeeding coalitions and helps to increase the number of healthcare practices, child care centers and day care homes that achieve the NYS Breastfeeding Friendly Practice designation. It also increases the number of worksites that provide accommodations for breastfeeding employees and the number of Baby Cafés where breastfeeding women receive a combination of expert and social support.
  • Breastfeeding Quality Improvement in Hospitals (BQIH)
    The Breastfeeding Quality Improvement in Hospitals Learning Collaborative (BQIH) is a partnership between the NYSDOH and the National Institute for Children's Health Quality NICHQ). BQIH work is based on the Ten Steps to Successful Breastfeeding, the evidence-based maternity care practices developed by the World Health Organization and UNICEF. Hospitals who participate in BQIH work to increase the percentage of infants fed any breast milk and the percentage of infants fed only breast milk and to decrease the percentage of breastfed infants supplemented with formula during the birth hospitalization. This is achieved by improving hospital maternity care practices and breastfeeding support.
  • Breastfeeding Friendly Practice Designation
    Health care providers play an integral role in promoting and supporting a woman's decision to breastfeed. This promotion and support begins during preconception care and continues through prenatal, postpartum and ongoing care of the woman, the infant, and her family. Health care providers are vital sources of expertise to communicate the advantages of breastfeeding and the risks of not breastfeeding, help promote exclusivity and enable long-term breastfeeding success based on the mother's intentions. Becoming designated as a Breastfeeding Friendly Practice indicates dedication to improving and establishing optimal maternity and newborn care in support of breastfeeding. This designation provides opportunities for health care practices to promote the quality of their services to their community.