Program Update Winter 2009

Vol. 10, No. 1

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NDEP & the Jonas Brothers Partner to Create New PSA Campaign

The Jonas Brothers with Dr. Kaufman

Thanks to NDEP chair Francine R. Kaufman, M.D., NDEP recently had the opportunity to work with the Jonas Brothers to create a new public service announcement (PSA) campaign for people with diabetes. Recognized as the 2008 Breakthrough Artist by the American Music Awards and nominated in the Best New Artist category for the 51st GRAMMY Awards, the Jonas Brothers are the music trio of brothers Nick, Joe, and Kevin. The youngest member, Nick, has type 1 diabetes and has become an advocate for young people with diabetes, even writing a song about his struggle with the disease. Dr. Kaufman, who knows the family, asked for their support of this initiative to promote NDEP.

NDEP caught up with the Jonas Brothers in their studio office to record two radio PSAs. Print PSAs are also in development using pictures from the on-location photo shoot, and an online video of the recording will be posted to the NDEP website. Both the PSAs and video promote NDEP and its control messages to people with diabetes by encouraging them to take action to manage the disease and seek support from their family and friends.

NDEP plans to distribute the PSAs to radio stations and print publications across the country, as well as make them available on our website, www.YourDiabetesInfo.org. Check News & Notes for more information about these new promotional tools!

A Message from Our Chair

I was honored to accept the role of chair of the Executive and Steering Committees of the NDEP for 2008-2011. however, as many of you know, I recently accepted an opportunity to take my career in a new direction and will only serve in this role for a few months. Martha Funnell, M.S., R.N., C.D.E. has been named chair-elect of NDEP and will assume for the role of chair in May.

My commitment to NDEP, however, is unwavering. I will remain a member of the diabetes in Children and Adolescents Work group and connect wherever i can help promote NDEP. My initial involvement was in the development of Helping the Student with Diabetes Succeed: A Guide for School Personnel. This effort represented all the elements that make NDEP a success: information rooted in the strongest scientific evidence available; a strong team effort with key partners; and broad promotion of materials to critical audiences. We are now updating the guide, following these same core principles. the revised guide is planned release by early fall 2009.

We also apply these principles to our work as we identify and prepare to share more information about how to make lifestyle changes. Identifying effective tools for people with diabetes, people at risk, and their health care team is a critically important step as we build on our achievement in diabetes awareness and work to turn awareness into changes in health outcomes. This focal point includes newly developed and released curricula and toolkits for promotores and community health workers, a capacity building toolkit for community organizations to help them respond to the diabetes epidemic, and a revised meal planner in Spanish and English, Más Que Comida.

Since the inception of NDEP, we have worked together to increase awareness among the general public that diabetes is a serious disease. Awareness has increased from 8 percent in 1997 to 89 percent in 2006. Much of the success comes from you—our partners. And our success going forward depends on your continued support. I pledge my continued support and participation in our partnership effort to change the way diabetes is treated.

Francine R. Kaufman, M.F.
Chair, National Diabetes Education Program

Clinical Practice Implications for Recent Study Findings

• Action to Control Cardiovascular Risk in Diabetes Study (ACCORD)
• Action in Diabetes and Vascular Disease trial (ADVANCE)
• Diabetes Control and Complications Trial (DCCT)
• United Kingdom Prospective Diabetes Study (UKPDS)
• Veterans Affairs Diabetes Trial (VADT)

The findings of several recent studies of people with diabetes affect clinical decisions for diabetes management. NDEP resources for health care professionals are updated to reflect the findings of ACCORD, ADVANCE, DCCT, UKPDS, and VADT. See the box below for a brief description of targets for the ABCs of diabetes as measured by A1C, blood pressure, and cholesterol.

Clinical guidelines are designed to help health care professionals with decision-making. However, it is essential for people with diabetes to work with their health care team to determine their targets for the ABCs of diabetes.

NDEP is incorporating these guidelines in a newly updated Guiding Principles for Diabetes Care, a publication that provides health care professionals with an overview of the key elements of early and intensive clinical diabetes care and prevention. The principles are based on the best level of evidence available and key sources are noted. Guiding Principles will be promoted to all NDEP health care professional partner organizations, as will the 2009 Diabetes Numbers-At-a-Glance card, both of which will be available in the spring.

Additionally, NDEP is committed to resetting its Control Your Diabetes. For Life. campaign in 2009 to emphasize the seriousness of diabetes and the importance of early diagnosis and management.

Rate of Type 2 Diabetes Cases Doubles in 10 Years

NDEP, CDC offer the latest diabetes statistics

The rate of new cases of type 2 diabetes nearly doubled in the last 10 years, according to the Centers for Disease Control and Prevention (CDC). New diagnoses of type 2 diabetes rose from 4.8 per 1,000 people from 1995 to 1997, to 9.1 per 1,000 people from 2005 to 2007. The study, published in a fall 2008 issue of CDC’s Morbidity and Mortality Weekly Report, used CDC’s Behavioral Risk Factor Surveillance System (BRFSS) to collect data on new diabetes cases in 33 states that reported data for both time periods.

The data suggests that interventions to promote weight loss and increase physical activity for people at risk are needed to reduce the incidence of diabetes. The highest numbers of new type 2 diabetes cases, according to the data, were in southern states—Alabama, Florida, Georgia, Kentucky, Louisiana, South Carolina, Tennessee, Texas, and West Virginia—and mirror the increase in obesity rates.

CDC’s Diabetes Data & Trends website features the prevalence of diagnosed diabetes by county using data from BRFSS and the U.S. Census Bureau’s Population Estimates Program. For more information, visit www.cdc.gov/diabetes.

Also, NDEP’s fact sheets now reflect the latest diabetes statistics, including prevalence rates for high-risk groups such as African Americans, Hispanics/Latinos, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and a new fact sheet for older adults. To download the fact sheets, visit www.YourDiabetesInfo.org/resources/index.aspx?ToolType=2. To view the 2007 Diabetes Fact Sheet, visit www.diabetes.niddk.nih.gov/dm/pubs/statistics/index.htm.

NDEP Work Group Leadership News

The leadership of six NDEP work groups recently changed as terms concluded. Therefore, NDEP is pleased to announce the recent appointment of the following new work group leaders:

African American/African Ancestry Work Group (AA/AA WG)

• Janet Brown-Friday, R.N., M.S.N., M.P.H., chair, AA/AA WG, Diabetes Clinical Trials Unit, Albert Einstein College of Medicine
• Carol Mallette, M.A., vice chair, AA/AA WG, Diabetes Outreach and Education System, Southern Jersey Family Medical Centers

American Indian & Alaska Native Work Group (AIAN WG)

• Charlene Avery, M.D., chair, AIAN WG, American Association of Indian Physicians

Asian American & Pacific Islander Work Group

• O. Fahina Tavake-Pasi, chair, AAPI WG, National Tongan American Society
• Henrietta Ho-Asjoe, M.P.S., vice chair, AAPI WG, Center for the Study of Asian American Health, New York University School of Medicine

Business Health Strategies Work Group (BHS WG)

• Melissa Stankus, M.P.A., chair, BHS WG, Chelko Consulting Group
• Pamela Geis, vice chair, BHS WG, Wisconsin Diabetes Prevention and Control Program

Hispanic/Latino Work Group (H/L WG)

• Rosalba Ruiz-Holguin, M.D., M.P.H., chair, H/L WG, U.S.-Mexico Border Diabetes Prevention and Control Project
• María Lemus, vice chair, H/L WG, Visión y Compromiso

Pharmacy, Podiatry, Optometry & Dentistry Work Group (PPOD WG)

• W. Lee Ball Jr., O.D., F.A.A.O., chair, PPOD WG, American Optometric Association
• Dennis Frisch, D.P.M., vice chair, PPOD WG, American Podiatric Medical Association

In addition, NDEP thanks its outgoing chairs and vice chairs for their dedication and contributions:

• Gladys Gary-Vaughn, Ph.D., immediate past chair, AA/AA WG, U.S. Department of Agriculture
• Kelly Moore, M.D., immediate past chair, AIAN WG, U.S. Center of Excellence in the Elimination of Disparities, American Indian and Alaska Native Programs
• Tele Frost-Hill, R.N., F.N.P., immediate past chair, AAPI WG, Clinical-Women’s and Adult Health Department, Department of Public Health
• Man-Ja Lee, R.N., B.S.N., immediate past vice chair, AAPI WG, Operating Suite Parkland Health and Hospital System
• Pamella Thomas, M.D., M.P.H., immediate past chair, BHS WG, Lockheed Martin Aeronautical Systems Company
• Isabel Salinas Almendárez, M.P.H., immediate past chair, H/L WG, Inova HealthSource
• Julia Burgos, immediate past vice chair, H/L WG, Latino Initiatives, American Diabetes Association
• JoAnn Gurenlian, R.D.H., Ph.D., immediate past chair, PPOD WG, American Dental Hygienists’ Association

Promote, Promote, Promote

NDEP Partners with Olympic Gold Medalist

Kevin Young, a 1992 Olympic Gold Medalist and World-Record Holder, recently partnered with NDEP to record an audio news release (ANR) that promoted type 2 diabetes prevention to people at risk. His message—that you don’t have to be an Olympic Gold Medalist to prevent diabetes—has aired on more than 5,000 radio stations nationwide, reaching more than 13 million listeners. To download the ANR in its entirety, visit www.radionewssource.com/Scripts/ndepolympic.htm.

Spreading the Word

NDEP Partners at Work

Because our partners play such a key role in our mission to promote, promote, promote, they also play a key role in our ability to measure NDEP’s reach by completing the Partner Activity Survey. NDEP would like to thank all the partners who participated in the Summer 2008 edition of the survey. Here are just a few of the ways partners reported that they are promoting NDEP.

Work Group Members

• W. Lee Ball Jr., O.D., F.A.A.O. of the Pharmacy, Podiatry, Optometry & Dentistry Work Group introduced 43 first-year optometry students from the New England College of Optometry to NDEP’s resources for pharmacists, podiatrists, optometrists, and dentists and encouraged them to visit the website. He also gave a presentation about NDEP’s messages, materials, and resources during the American Optometric Association’s Healthy Eyes Healthy People Conference.
• Dean Burgess, M.S.N., R.N., C.O.h.N.-S. of the Business Health Strategies Work Group informed members of the American Association of Occupational Health Nurses (AAOHN) about NDEP’s initiatives and provided links to NDEP resources via AAOHN’s weekly e-news blast.
• Helen Eltzeroth, M.S. of the Older Adult Work Group collaborated with the Medicare Diabetes Screening Project to conduct a joint webinar for over 100 Area Agencies on Aging (AAAs) and Title VI Native American aging programs. AAAs respond to the needs of Americans age 60 and older. Title VI programs provide nutritional and supportive services to American Indians, Alaskan Natives, Native Hawaiians, and their elders.
• Clyde Evans, Ph.D. of the African American/African Ancestry Work Group distributed a blast e-mail to approximately 7,600 stakeholders to announce the release of NDEP’s Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention curriculum.
• Mele look, M.B.A. of the Asian American & Pacific Islander Work Group highlighted NDEP resources during an international physicians’ conference, conducted community health workers’ classes using NDEP materials, and facilitated TV and print coverage of NDEP’s activities and messages.
• Sandra Parker, R.D., C.D.E. of the Health Care Professional Work Group was interviewed by Nestlé USA, Inc. regarding ideas for future articles in their Everyday Eating magazine for people with diabetes and mentioned NDEP’s One Call, One Click campaign as a resource.
• Carmen Ramirez, B.A., B.S. of the Hispanic/latino Work Group included NDEP’s It’s Never Too Early to Prevent Diabetes. A Lifetime of Small Steps for a Healthy Family. tip sheet in packets provided to 130 attendees during the Third Annual Gestational Diabetes Conference co-sponsored by the Arizona Diabetes Prevention and Control Program.
• Janine Rourke, R.N., B.S.N., C.D.E. of the American Indian & Alaska Native Work Group distributed NDEP materials and resources at three community events targeted to youth and adults.
• Gail Spiegel, M.S., R.D., C.D.E. of the Diabetes in Children & Adolescents Work Group wrote an article for School Nurse News, which has a circulation of 7,500. the article focused on carbohydrate counting for youth with diabetes and highlighted NDEP as a resource.

State Diabetes Prevention and Control Programs (DPCPs)

• The Delaware DPCP used NDEP materials to coordinate trainings conducted for Women, Infant & Children program nutritionists. The trainings included state and national resources to help participants with or at risk for developing gestational diabetes.
• The District of Columbia DPCP developed a formal technical assistance program to increase the number of diabetes education support programs that are available to Washington, D.C. residents. The program promoted and used resources from NDEP’s New Beginnings: A Discussion Guide for Living Well with Diabetes, DiabetesAtWork website, and Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention materials.
• The Iowa DPCP developed a pharmacy bag with NDEP’s “I Can Control My Diabetes by Working with My Health Care Team” foot care message for distribution through local community health centers and pharmacies.
• The Missouri DPCP distributed a press release promoting NDEP’s Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention resource.
• The Rhode Island DPCP incorporated NDEP lesson plans and 4 Steps to Control Your Diabetes. For Life. campaign messages and materials in their new Multicultural Diabetes Education program. the program relies on doctors, nurses, nutritionists, and pharmacists from Latin American countries to develop and conduct presentations for people with diabetes.
• The Texas DPCP developed two new Step by Step radio spots for American diabetes Alert day that featured musical presentations to highlight steps people can take to prevent diabetes based on NDEP’s messages. listeners were encouraged to contact NDEP to request a free copy of Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients booklet.
• The Utah DPCP distributed NDEP’s Tips for Teens with Diabetes tip sheet during school presentations. They also used NDEP’s DiabetesAtWork workshop kit CD to organize various activities.

National Outreach Organizations

• The Association of American Indian Physicians distributed approximately 250 Move It! And Reduce Your Risk of Diabetes school kits during their annual meeting and health conference.
• The Black Women’s Health Imperative celebrated the 25th anniversary of the Black Women’s Health Conference and reached over 300 African American women with NDEP message and materials.
• The National Alliance for Hispanic Health promoted NDEP through their national toll-free helpline, “Su Familia,” and provided consumer and health care professional trainings on diabetes prevention and control at five implementation agencies.
• The National Latina Health Network partnered with the National Institutes of Health to implement a Diabetes and Cardiovascular Education program in four sites and incorporated NDEP materials into their sessions.
• The National Medical Association (NMA) published two articles's in their consumer publication Healthy Living that has a readership of 200,000. NMA also placed NDEP’s One Call, One Click print public service announcement in the January and July issues of the Journal of the National Medical Association, which reaches 42,000 members. In addition, NMA’s coalitions in Atlanta, Houston, Indianapolis, Los Angeles, Pine Bluff, and Washington, D.C. have reached nearly 45,000 people through collaborative outreach efforts including health fairs, diabetes seminars and lectures, and church meetings.

Partner Spotlight

NDEP applauds the National Association of School Nurses (NASN) for a productive partnership over the years. As one of NDEP’s eight national organizations funded by the Centers for Disease Control and Prevention (CDC), NASN develops and implements activities to help disseminate NDEP’s messages and materials to high-risk audiences.

The goal of NASN’s CDC-funded program, the Managing and Preventing Diabetes and Weight Gain project, is to capitalize on the intimate and credible relationships school nurses have with the communities that they serve to strengthen behaviors and provide positive messages about the management of type 1 and the prevention of type 2 diabetes in children. Affiliate sites include: Oakland, California; Columbus, Ohio; Albuquerque, New Mexico; Saint Paul, Minnesota; and the entire state of Colorado. The diabetes prevention programming targets fourth grade students, while the diabetes management programming targets grades K through 12.

Nichole Bobo, R.N., M.S.N., A.N.P. has been the NASN representative and a member of NDEP's Diabetes in Children and Adolescents Work Group (CAWG) for the past several years. A key CAWG collaboration was NASN’s role in helping NDEP develop and disseminate the 2003 Helping the Child with Diabetes Succeed: A Guide for School Personnel to school nurses across the country. Currently, NASN is helping NDEP revise and update the School Guide, which will be available by early fall 2009. Additionally, NDEP collaborates with NASN to develop articles for each issue of NASN Newsletter, which has a circulation of 14,000. Past topics have included carbohydrate counting, glucose sensors, school nurse volunteers at diabetes camps, and an overview of NDEP’s resources for teens.

Save the Date

2009 NDEP Partnership Network Meeting

The 2009 NDEP Partnership Network Meeting will be held August 17-18 at the Centers for Disease Control and Prevention’s Global Communications Center in Atlanta, Georgia. Stay tuned for more details in coming issues of NDEP’s News & Notes e-newsletter.

New and Noteworthy

A Job Well Done

• The Communicator Awards has recognized NDEP’s One Call, One Click radio public service announcements (PSA) and the 4 Steps to Control Your Diabetes. For Life. brochure with Awards of Distinction. These resources have been selected as materials and tools that exceed industry standards in quality and excellence.

• The 15th annual National Health Information Awards has recognized NDEP’s One Call, One Click print PSA and Tips for Teens: Dealing with the Ups and Downs of Diabetes tip sheet with Awards of Merit. These materials are credited as being among the nation’s top health information materials.

NDEP Publications New and Updated

To order these publications and other NDEP materials, visit the NDEP website, www.YourDiabetesInfo.org, or call 1-888-693-NDEP (6337); TTY: 1-866-569-1162.

NDEP on the Road

NDEP regularly exhibits at national meetings across the country. Exhibits provide an opportunity to share information and publications, promote NDEP messages and resources, and strengthen links with partner organizations. Upcoming NDEP exhibits are listed below:

Office of Minority Health

Third National Leadership Summit on Eliminating Racial and Ethic Disparities in Health (tentative)
February 25-27, 2009.
National Harbor, MD

American College of Cardiology

58th Annual Scientific Session
March 29-31, 2009
Orlando, FL

American Alliance for Health, Physical Education, Recreation and Dance

National Convention
March 31-April 4, 2009
Tampa, FL

Association of Health Care Journalists

Health Journalism 2009
April 16-19, 2009
Seattle, WA

CDC's Division of Diabetes Translation

2009 Conference
April 21-24, 2009
Long Beach, CA
NDEP presentation by Joanne Gallivan, M.S. R.D.

American College of Physicians

Internal Medicine 2009
April 23-25, 2009
Philadelphia, PA

American Association of Clinical Endocrinologists

18th Annual Meeting
May 13-17, 2009
Houston, TX

American Academy of Physician Assistants

37th Annual Conference
May 23-28, 2009
San Diego, CA

American Diabetes Association

69th Scientific Sessions
June 5-9, 2009
New Orleans, LA
NDEP group presentation

The Endocrine Society

91th Annual Meeting
June 10-13, 2009
Washington, DC

American Academy of Nurse Practitioners

24th National Conference
June 17-21, 2009
Nashville, TN
NDEP presentation by Martha Funnell, M.S., R.N., C.D.E.

Stay Connected with NDEP

• Visit NDEP online at www.YourDiabetesInfo.org. Learn more about diabetes, download and order free diabetes education resources and tools, learn how to work with NDEP to promote diabetes prevention and control, and find out more about how NDEP works to change the way diabetes is diagnosed, treated, and prevented.

• NDEP News & Notes, NDEP’s e-newsletter distributed on the first Monday of every month, keeps you informed about our activities and helps you identify opportunities to incorporate our campaign messages and resources into your programs. Email us at ndep@mail.nih.gov to be added to the NDEP distribution list.

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