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Result 1: Improved Health Status for New Mexicans

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

Current Value

161.8 per 1,000

2016

Definition

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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. 
  • An estimated 11.6% of New Mexico adults have diagnosed diabetes (2016 NM Behavioral Risk Factor Surveillance System). 
  • The National Health and Nutrition Examination Survey estimated that 27% of adults with diabetes had not been diagnosed, for a possible prevalence of diabetes among NM adults of 14.6%. 
  • 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. 
  • The New Mexico Department of Health (NMDOH) Diabetes Prevention and Control Program (DPCP) has been and will continue to scale and sustain Diabetes Self-Management Education and Support programs (CDSMEP), a proven intervention for improving self-management.

Partners

  • NMDOH Heart Disease & Stroke Prevention Program
  • NMDOH Public Health Division Regions
  • New Mexico Interagency Benefits Advisory Committee
  • Referral contractor
  • Marketing contractor
  • HealthInsight New Mexico
  • New Mexico Primary Care Association
  • Zia Association of Diabetes Educators
  • 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, case management interventions are effective in improving glycemic control. Other effective strategies include disease management programs provided by health care organizations and diabetes self-management education in community gathering places, private homes, worksites, and school settings.

Strategy

  • Lead efforts to scale and sustain prevention and management programs by: 1) training NDPP Lifestyle Coaches and CDSMEP Leaders; 2) strengthening linkages between health systems and community organizations to refer individuals to programs; 3) promoting programs among health care providers/other referring entities and consumers; and 4) seeking reimbursement for programs.

FY18 Annual Progress Summary

In FY18, the Diabetes Prevention and Control Program continued to work 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, in 14 counties, summarized below: 
•    English workshops: 34 (45) 
•    Spanish workshops: 11
•    Participants: 537
•    Completers: 386 (72%)

In addition, the Diabetes Prevention and Control Program continued to work 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 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. 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. 

Diabetes Prevention Program classes summarized:
•    Classes: 9
•    Participants: 133
 

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