Result 1: Improved Health Status for New Mexicans Download Data

P002: Diabetes hospitalization rate per 1,000 people with diagnosed diabetes

162.3 per 1,0002017

Story Behind the Curve
  • Diabetes, one of the leading causes of death and disability in the US, is the sixth leading cause of death in New Mexico (NM).
  • In 2017, an estimated 220,039 NM adults ages 18 and older (13.7%) had diabetes, and only 7 in 10 with the condition were aware of it. (NM Behavioral Risk Factor Surveillance System)
  • Risk factors for diabetes include: overweight; ≥45 years of age; parent/sibling has type 2 diabetes; physically active fewer than three times/week; gave birth to a baby that weighed more than nine pounds; and ever had diabetes while pregnant.
  • African Americans, Hispanic/Latino Americans, American Indians, and some Asian Americans are at higher risk for type 2 diabetes.
  • Poor New Mexicans may lack access to healthy food and safe physical activity venues, as well as medications and medical supplies, putting them at increased risk.
  • For individuals with diagnosed diabetes, effective disease management and self-management are key to reducing the risk for complications, which can lead to costly interventions, including hospitalizations.
Partners
  • NMDOH Heart Disease & Stroke Prevention Program
  • Public Health Division Regions
  • Referral system contractor PAC Software, Inc. (formerly Consortium for Older Adult Wellness)
  • Marketing contractor CWA Strategic Communications 
  • American Association of Diabetes Educators, national (AADE) and local affiliates (AADE NM)
  • HealthInsight NM
  • NM Primary Care Association
  • Chronic Disease Self-Management Education and Support Programs (CDSMEP) and CDSMEP Regional Coordinators & Master Trainers
     
What Works

People at high risk for diabetes, including those with diagnosed prediabetes, may prevent or delay the onset of diabetes by losing 5-7% of body weight, increasing physical activity (150 minutes per week) and adopting a healthier diet. The National Diabetes Prevention Program (NDPP) is a proven intervention to help people at high risk for diabetes achieve these lifestyle changes. For people with diagnosed diabetes, the condition can be managed and complications can be prevented or reduced through improved quality of clinical care and increased access to sustainable self-management education and support services. Case management interventions are effective in improving glycemic control. Disease management programs provided by health care organizations and diabetes self-management education in community gathering places, private homes, worksites, and school settings is a proven intervention.  Blood sugar, blood pressure and cholesterol control, and tobacco cessation are all important for effective management.

Strategy
  • Lead efforts to scale and sustain prevention and management programs by: 1) training National Diabetes Prevention Program Lifestyle Coaches and Chronic Disease Self-Management Education and Support Program Leaders; 2) strengthening linkages between health systems and community organizations to refer individuals to programs; and 3) promote programs among health care providers/other referring entities and consumers.
FY18 Annual Progress Summary

During FY18, the Diabetes Prevention and Control Program worked with its statewide partners to offer Diabetes Self-Management Education and Support services, which include the Chronic Disease Self-Management Education and Diabetes Self-Management Education Programs. Through an active presence in 16 counties, 62 programs were offered, including 13 Spanish language programs. Of 725 participants, 600 (83%) completed the programs.

The Diabetes Prevention and Control Program also worked with its partners to improve access to, participation in, and coverage for the National Diabetes Prevention Program for adults with prediabetes. Three new National Diabetes Prevention Program (NDPP) delivery sites, Nor-Lea Medical District, the Solution Group, and Bernalillo County Cooperative Extension Services, were established and registered through the Centers for Disease Control and Prevention’s Diabetes Prevention Recognition Program. Across all program delivery sites, nine NDPP classes were offered to 133 participants. The Diabetes Prevention and Control Program’s Master Trainer Select for the National Diabetes Prevention Program delivered one lifestyle coach training producing 15 new lifestyle coaches. New Mexico’s Diabetes Prevention Action Plan was also finalized and will be used to guide further efforts to grow and ensure the long-term success of the National Diabetes Prevention Program. The plan is comprised of four components: 1) screening, testing, and referral; 2) awareness; 3) coverage; and 4) availability and support.

Scorecard Result Program Indicator Performance Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy