Diabetes & Heart Disease Prevention & Control
Our program provides the following services and activities for Delaware residents:
- Implement programs to control the ABCs: A1c blood glucose, blood pressure, and cholesterol;
- Support programs using best and promising practices;
- Build strong partnerships with health and community organizations across Delaware, state agencies, and national health and diabetes organizations;
- Promote integrated health systems to maximize support of all people with or at risk of diabetes;
- Provide primary prevention programs for people with pre-diabetes;
- Identify culturally appropriate approaches to promote diabetes prevention among racial, ethnic, and other priority populations;
- Promote the use of and adherence to treatment guidelines for diabetes;
- Provide training and technical support to health professionals;
- Provide speakers, programs, products, and educational materials for people with diabetes, pre-diabetes, or who are at risk of developing the disease;
- Provide nutritional education programs for people with, or at risk for, diabetes and for care givers and health professionals;
- Promote community blood screenings for early diagnose and/or diabetes control;
- Conduct public awareness campaigns focusing on prevention or control of diabetes and its complications;
- Support community screenings for diabetes, pre-diabetes and/or hypertension; and
- Collect and disseminate data on the burden of diabetes in Delaware.
Community Blood Screenings
There is a lack of awareness among the general public about the prevalence and seriousness of diabetes. In addition, the disease affects certain populations more than others. Some populations are more difficult to reach through the usual health care channels. Delaware's screening, education, and referral project focuses primarily on high-risk populations, but reaches the general population as well.
To locate a screening site or request one to be held in your community, please contact the Diabetes Prevention and Control Program.
The Program sponsors diabetes and hypertension community blood screenings. These screenings place emphasis on two areas: 1) the early detection of hypertension, pre-diabetes, and diabetes through screening and education and 2) diabetes and/or hypertension management through testing, assessment, and follow-up referrals. Screening events are implemented for the general public, as well as specific events designed for high-risk populations.
Individuals identified with diabetes, pre-diabetes or high blood pressure are referred to their primary care provider. If participants do not have a primary care provider, they are given information about Federally Qualified Health Centers and community clinics most conveniently located for their needs.
The impact of the screening program is determined through administration of a participant questionnaire that measures actions taken to lower the risk of hypertension, diabetes, or diabetes complications—as well as adherence to screening recommendations for medical follow-up.
Goals of the screening project include:
- Implementing community screenings to identify people who are at an elevated risk for hypertension.
- Identify and refer all people who have an A1c greater than 9 and/or hypertension greater than 140/90 to both a pharmacist and health home.
- Identify and refer all people who have diabetes and an A1c greater than 9 and/or hypertension greater than 140/90 to the Diabetes or Chronic Disease Self-Management Program.
- Identify and refer all people who have pre-diabetes to the YMCA's Diabetes Prevention Program.
- Provide structured education on pharmaceutical (prescription) treatment for those participants with elevated A1c greater than 9 and/or hypertension greater than 140/90.
- Distribute Your Guide to Prevent, Test, and Treat Chronic Diseases to every participant.
- Develop a tracking tool for capturing demographic data for people identified at-risk for hypertension—and, in addition, follow-up for those identified with hypertension greater than 140/90.
- Provide follow-up and track changes on all people referred who have an A1c greater than 9 and/or hypertension greater than 140/90.
- Provide education to participating pharmacists and staff about the project, and about hypertension and the importance on controlling blood pressure.
Mobile Diabetes and Hypertension Wellness Initiative
The purpose of this Wellness Initiative is to address health disparities among high-risk populations by reducing non-compliance rates of certain diabetes tests and exams. This initiative targets underserved adults who live in Delaware's rent-assisted communities, either in their communities or at their places of employment. Health specialists are trained prior to the implementation of small on-site diabetes wellness expos. The training provides an overall review of the project and defines outcome objectives for the diabetes wellness expos.
This initiative targets non-compliant diabetics or adults with pre-diabetes, by offering on-site, diabetes-related screenings that have not previously been received by the selected audience. During the wellness expos, the contractor provides HbA1c, glucose, total cholesterol, HDL cholesterol, and blood pressure screenings conducted by degreed and/or certified personnel. The contractor also provides nutrition and physical activity education. Nutrition and physical activity play an important role in the management and control of diabetes and hypertension. Participants receive educational materials produced by the National Diabetes Education Program. Follow-up calls are conducted to determine if appropriate actions are being taken.