Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Dehko 2D Project (D2D)...
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Transcript of Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association Dehko 2D Project (D2D)...
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Dehko 2D Project (D2D)
Implementation Project ofthe Programme for the Prevention ofType 2 Diabetes 2003-2007
• Liisa Hiltunen
MD, vice presidentMarjatta Stenius-Kaukonenvice presidentFinnish Diabetes Association
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
The five geographical areas of FIN-D2D
North Ostrobothnia-population 374 000
South Ostrobothnia-population 195 000
Central Finland-population 265 000
Pirkanmaa-population 455 000
North Savonia-population 250 000
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Implementation Project of the Programme for
the Prevention of Type 2 Diabetes 2003-2007
The action plan
Dehko 2D Project (D2D)
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
FIN-D2D Programme, AIMS
1.To reduce the incidence of type 2 diabetes and to reduce risk factors and care requirements for the complications of type 2 diabetes
2.To identify among the population those who are at high risk of developing type 2 diabetes
3.To provide earlier diagnosis when people are unaware of their type 2 diabetes
4.To bring people with type 2 diabetes quickly into the sphere of appropriate treatment
5.To generate regional and local models and programmes for the prevention of type 2 diabetes
6.To demonstrate the cost-effectiveness of prevention
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Programme for the Prevention of Type 2Diabetes in Finland 2003-2010
Three Strategies
• Population Strategy• High-Risk Strategy• Strategy of Early Diagnosis and
Management
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Screening, diagnosis and interventions in FIN-D2D
CHD
Gestational diabetes
IFG, IGT
Score <7
Score 7-14 Written information
No preventive measures
Score ≥15
OGTTNormoglycemia
IFG
IGT
DiabetesInterventions
Follow-up
FINDRISC
Treatment of hyperglycemia and risk factorsEvaluatio
n
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
D2D Project: Intervention D2D Project: Intervention
Identification of high-risk subject
1. Visit (nurse)
2. Visit(doctor)
Group intervention
Individual intervention
Self-initiated lifestyle changes
Other Interventionforms
Yearly follow-ups
Primary health care or other players:
Weight control groups Quit smoking-groups Exercise groups Self-activity groups
Regular healthcare visits
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association
Evaluation of the FIN-D2D
• The feasibility, effectiveness and costs of the FIN-D2D will be evaluated according to a spesific evaluation plan
• Evaluation includes comparison of five geographical areas of FIN-D2D to the rest of Finland regarding for example incidence of T2D and prevalence of undiagnosed T2D
Dehko 2D Project (D2D) 2003–2007 Finnish Diabetes Association