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PreDIABETES: are your patients flying under the radar?
Amazing but true: approximately 84 million American adults - more than 1 in 3 - have
prediabetes
. What's more, 90 percent of people with prediabetes don't know they have this serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as diabetes.
Patients can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems arise. It's important to talk to your patients about getting the appropriate testing ordered if they have any risk factors for prediabetes.
The following websites offer more information about screening and treatment:
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september 15 - october 15: Celebrate hispanic heritage month
with new family traditions
 Traditions are a part of family life passed from generation to generation, and many families make improving their health a new tradition.
While type 2 diabetes runs in many Hispanic/Latino families, there are steps people can take as a family to prevent or delay it.
Making healthy food choices, being more active, and supporting family members with prediabetes to lose a few pounds are ways to show the next generation that type 2 diabetes does not have to be their destiny. During National Hispanic Heritage Month, September 15 - October 15, Quality Insights is encouraging families to lower their risk for type 2 diabetes with new healthy habits.
Read more about how you can support diabetes prevention and management in the Hispanic community
.
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what to say and how to say it: navigating prediabetes conversations
If a patient has been identified as having prediabetes, the leader of the healthcare team (physician, nurse practitioner or physician assistant) should engage the patient in a discussion about the diagnosis.
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DOs
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DON'Ts
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Don't use the terms "borderline diabetes," "touch of sugar," or say the sugar is "a little high."
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Do tell the patient that having prediabetes means he or she has a
much higher chance
of developing type 2 diabetes in the coming years.
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Don't tell the patient it is just something to "keep an eye on" or monitor at the next visit. Conversely, don't have a lengthy discussion about risk percentages, which is confusing to many people.
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Don't tell the patient to lose weight and increase their physical activity without offering specific resources, behavioral strategies, support, and follow-up.
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optimize your ehr: prevent prediabetes
Feeling confused about how to quickly identify your prediabetes patient population and efficiently provide referrals to a local National DPP?
The
American Medical Association (AMA) offers
suggestions and guidance on how to use your electronic health record (EHR)
and technology to improve the care you provide patients with prediabetes.
While functionalities will vary depending on your EHR, you may find it helpful to print and share this information with others in your organization to determine how to best use your EHR for diabetes prevention.
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18th annual diabetes expo
Join the Delaware Diabetes Coalition on November 19, for their annual Diabetes Wellness Expo. Its purpose is to bring together healthcare providers, businesses, diabetes-related organizations and others to promote diabetes self-management and a healthier lifestyle for people with diabetes and prediabetes.
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Upcoming: podcasts and webinars
Type 1 Diabetes Through the Lifespan
Wednesday, October 16: 1:00 p.m. - 2:00 p.m.
This webinar will discuss the etiology of type 1 diabetes, from the causes and risk factors to diagnostic criteria, as well as treatment. We'll go in-depth into the changes and challenges of those living with type 1 diabetes across the lifespan - from early childhood all the way through senior care. Additionally, the presentation will review future implications - treatment options, prevention and cure.
Join Dr. Edward Sobel, Quality Insights Medical Director for the state of Delware, in a conversational review of the assessment, diagnosis and treatment of prediabetes in children and adults. Guidance on how to navigate communication around the topic of prediabetes is also presented, along with available education and referral options.
Participate in this 0.25 AMA PRA Category 1 Credit(s)™ Medscape CME activity to evaluate the clinical implications of the reach and use of diabetes prevention services in the United States, based on a nationally representative, population-based cross-sectional analysis of 2016 and 2017 National Health Interview Survey data.
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This publication was supported by the Cooperative Agreement Number NU58DP2018006563 from the Centers for Disease Control and
Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the
Centers for Disease Control and Prevention.
Publication number: DEDPH-HD-100419
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