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Click to edit Master title style<= /div>
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------=_NextPart_01C55AE7.14742B70 Content-Location: file:///C:/9EC3A291/ADVICE2005slides1_files/master08.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C55AE7.14742B70 Content-Location: file:///C:/9EC3A291/ADVICE2005slides1_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C55AE7.14742B70 Content-Location: file:///C:/9EC3A291/ADVICE2005slides1_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ADVICE 2005 1 Slides
Promoting Better Health Outcome= s for Your Patients with Diabetes:

A 5-Part Review of Evidence-Bas= ed
Treatment and Education Strateg= ies
Betsy Dokken, NP, CDE
Diabetes Nurse Practitioner
Arizona Health Sci= ences Center
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Session 1
<= span class=3DBB style=3D'position:absolute;left:-4.43%;top:.39em'>nIntro= duction
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<= span class=3DBB style=3D'position:absolute;left:-4.08%;top:.39em'>nPrima= ry Prevention of Type 2 Diabetes
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Introduction
n2005 - second series
n2004 series: basic diabetes education
nAvailable at: http://vi= deo.biocom.arizona.edu/video/videolibrary/azte= lemed/ADVICE
nPlease review if necessary
n
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Introduction
nTarget audience:
nPhysicians, nurses, dietitians, pharmacists, health educators, and other professionals who already provide care to people with diabetes
nFocus:
nWhat are the interventions that make the biggest difference in health outcomes of people with diabetes? =
nMedical management, education, policy changes
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Evidence-Based Medicine
nLevel 1:  Random= ized Controlled Trials
nLevel 2:  Head to Head Trials or Systematic        Review of Cohort Studies
nLevel 3:  Case-C= ontrol Studies
nLevel 4:  Case-series
nLevel 5:  Expert Opinion
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Course Participation
nPlease provide e-ma= il address
nSend to = tskinner@email.arizona.edu
nE-mail questions or comments regarding the course content
nSend a case to discuss
nIf applicable, I wi= ll share via e-mail with other participants
nAvailable at: http://vi= deo.biocom.arizona.edu/video/videolibrary/atp/= ADVICE
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Primary Prevention of Type= 2 Diabetes
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Lifetime Risk for Diabetes
nIf born in 2000:= 3;
n32.8% if male (1 in 3)
nIf Hispanic, 45.4%&= #13;
n38.5% if female (2 = in 5)
nIf Hispanic, 52.5%&= #13;
nLife expectancy:= 3;
nIf diagnosed at age 40:
nMen will lose 11.6 = life years
nWomen will lose 14.3 life years
n
nJAMA, October 8, 2003 – Vol 290, No. 14, p 1884-1890
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Undiagnosed
diabetes
5.9 million
Prevalence of all Glycemic Abnormalities
in the United States
Additional
24.6 million
with IGT
Diagnosed
type 2 diabetes
10 million
Diagnosed
type 1 diabetes
 ~1.0 million
Centers for Disease Co= ntrol. Available at: http://www.cdc.gov/diabetes/pubs/estimates.htm;
Harris MI. In: National Diabetes Data Group. Diabetes in America. 2nd ed. Bethesda, Md:
NIDDK; 1995:15-36; U.S. Census Bureau Statistical Abstract of the U.S.; 2001<= /span>
US Population: 275 Million in 20= 00
10
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Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1990
<4%
4-6%
6-8%
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Content-Location: file:///C:/9EC3A291/ADVICE2005slides1_files/slide0026.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ADVICE 2005 1 Slides
Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1991-92
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
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file:///C:/9EC3A291/ADVICE2005slides1_files/slide0027.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ADVICE 2005 1 Slides
Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1993-94
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Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1995-96
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
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Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1995
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
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quoted-printable Content-Type: text/html; charset="us-ascii" ADVICE 2005 1 Slides
Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1997-98
Source: Mokdad et al., Diabetes Care 2000;23:1278-83.
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text/html; charset="us-ascii" ADVICE 2005 1 Slides
Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 1999
Source: Mokdad et al., Diabetes Care 2001;24:412.
= 8-10%
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Diabetes Trends* Among Adults in the U.S.,
(Includes Gestational Diabetes)
BRFSS 2000
Source: Mokdad et al., J Am Med Assoc 2001;286:10.
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