{"id":271,"date":"2015-09-21T11:28:40","date_gmt":"2015-09-21T15:28:40","guid":{"rendered":"https:\/\/med.virginia.eduvcdpe\/?page_id=271"},"modified":"2022-06-14T14:51:50","modified_gmt":"2022-06-14T18:51:50","slug":"impact-prediabetes-diabetes-virginia","status":"publish","type":"page","link":"https:\/\/med.virginia.edu\/vcdpe\/impact-prediabetes-diabetes-virginia\/","title":{"rendered":"Diabetes Impact"},"content":{"rendered":"<h3>Impact of Prediabetes and Diabetes in Virginia<\/h3>\n<ul>\n<li>1 million Virginians have prediabetes (1\/3 of the state population!)<\/li>\n<li>9 of 10 Virginians don\u2019t know they have prediabetes<\/li>\n<li>~632,000 Virginians have diabetes (9.6% of the population)<\/li>\n<li>1 out of 4 persons in Virginia do not know they have diabetes<\/li>\n<li>Diabetes is most prevalent in rural areas of the state and where the poverty rates are the highest:\n<ul>\n<li>Eastern Shore Health District (Eastern Shore peninsula)\n<ul>\n<li>20.8 %<\/li>\n<\/ul>\n<\/li>\n<li>Lenowisco Health District (Appalachian counties of Southwest Virginia)\n<ul>\n<li>19.1% in Lee, Scott, Wise Counties and Norton City<\/li>\n<\/ul>\n<\/li>\n<li>Western Tidewater Health District (South Eastern Virginia)\n<ul>\n<li>18 % in Isle of Wight and Franklin Counties and Southampton and Suffolk Cities<\/li>\n<\/ul>\n<\/li>\n<li>Nearly one quarter of the 65+ population are living with diabetes in Virginia. Prevalence of diabetes increases dramatically with every 10-year age group<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<div class=\"mceTemp\"><\/div>\n<div id=\"attachment_1386\" style=\"width: 661px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1386\" class=\"wp-image-1386\" src=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va.jpg\" alt=\"a map of Virginia's counties\" width=\"651\" height=\"274\" srcset=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va.jpg 468w, https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va-300x126.jpg 300w\" sizes=\"(max-width: 651px) 100vw, 651px\" \/><\/a><p id=\"caption-attachment-1386\" class=\"wp-caption-text\">Figure 1. Percentage of People with Diabetes in Virginia in 2015<\/p><\/div>\n<p><div id=\"attachment_1387\" style=\"width: 698px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va-socio-status.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1387\" class=\"wp-image-1387\" src=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va-socio-status.jpg\" alt=\"Diabetes in Virginia by Socio-Economic Status in 2014\" width=\"688\" height=\"334\" srcset=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va-socio-status.jpg 457w, https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/db-in-va-socio-status-300x146.jpg 300w\" sizes=\"(max-width: 688px) 100vw, 688px\" \/><\/a><p id=\"caption-attachment-1387\" class=\"wp-caption-text\">Figure 2. Diabetes in Virginia by Socio-Economic Status in 2014<\/p><\/div><br \/>\n<\/p>\n<h2>Impact of Diabetes Prevention and Diabetes Self-Management Education Programs<\/h2>\n<h3><em><strong>Prevention of Diabetes<\/strong><\/em><\/h3>\n<ul>\n<li>Lifestyle management is an integral component of prevention and treatment of diabetes.<\/li>\n<li>People with prediabetes can prevent or delay type 2 diabetes by changing their lifestyle. Diabetes prevention programs (DPP) are available throughout Virginia (Figure 4) to educate and support people with prediabetes so that they can prevent or at least delay the onset of type 2 diabetes.<\/li>\n<li>DPP programs are effective. Participants in community programs reduced the incidence of diabetes by 41% through healthier eating patterns, regular physical activity and moderate weight loss. They also experienced reductions in blood glucose, blood pressure and cholesterol levels.<\/li>\n<li>Medicare will cover DPPs starting April 2018. Many employers and insurances cover DPP programs as well.<\/li>\n<\/ul>\n<h3><strong><em>Prevention of Complications of Diabetes<\/em> <\/strong><\/h3>\n<p>Most of the complications of diabetes can be prevented through good blood glucose control in the early stages of diabetes. If complications have already occurred, further harm can be prevented through:<\/p>\n<ul>\n<li><span style=\"color: #000080;\"><strong>Glucose control<\/strong><\/span> \u2013 Improved control of blood glucose can reduce the risk of microvascular complications in both type 1 and type 2 diabetes. These complications include those involving the eyes, kidneys and nervous system.<\/li>\n<li><span style=\"color: #000080;\"><strong>Blood pressure control<\/strong> <\/span>\u2013Reduction in high blood pressure decreases the risk of cardiovascular and cerebrovascular disease as well as the microvascular complications. Monitoring and medical management of high blood pressure is important.<\/li>\n<li><span style=\"color: #000080;\"><strong>Control of blood cholesterol<\/strong> <\/span>\u2013 Control of LDL and HDL cholesterol and triglycerides can reduce the cardiovascular complications of diabetes significantly. Improved diet and use of medications will help control blood cholesterol and reduce the risk of cardiovascular complications.<\/li>\n<li><span style=\"color: #000080;\"><strong>Care of feet<\/strong><\/span> \u2013 The care of feet is very important since persons with diabetes are often diagnosed with neuropathy and unable to sense pain from cuts or injuries to their feet. Not feeling a foot injury may lead to an infection if not treated in time.\u00a0 Daily foot checks are recommended.<\/li>\n<li><span style=\"color: #000080;\"><strong>Kidney Protection<\/strong><\/span> \u2013 Monitoring blood pressure and taking blood pressure medications as prescribed, quit smoking, and limiting salt intake may reduce the risk of kidney damage.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><div id=\"attachment_1388\" style=\"width: 946px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/Screen-Shot-2017-11-03-at-11.19.25-AM.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1388\" class=\"wp-image-1388\" src=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/Screen-Shot-2017-11-03-at-11.19.25-AM.png\" alt=\"Preventative and Management Behavior\" width=\"936\" height=\"289\" srcset=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/Screen-Shot-2017-11-03-at-11.19.25-AM.png 583w, https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/Screen-Shot-2017-11-03-at-11.19.25-AM-300x93.png 300w\" sizes=\"(max-width: 936px) 100vw, 936px\" \/><\/a><p id=\"caption-attachment-1388\" class=\"wp-caption-text\">Figure 3. Percent of Adults with Diabetes in Virginia who Engage in Preventive and Self-Management Diabetes Practices in 2015<\/p><\/div><br \/>\n<\/p>\n<h3><strong><em>Diabetes Self-Management Education<\/em> <\/strong><\/h3>\n<ul>\n<li>More than 45% of Virginians with diabetes have never taken a class on how to better manage their diabetes.<\/li>\n<li>6% of people who have less than a high school education have never taken a class as compared to 36.7% of people with more than a high school education.<\/li>\n<\/ul>\n<ul>\n<li>Diabetes Self-Management Education and Support (DSMES) is a standard component of diabetes care. People with diabetes are educated and support is provided around seven self-care behaviors: healthy eating, being active, monitoring, taking medication, problem solving, healthy coping and reducing risks.<\/li>\n<li>Engaging adults with type 2 diabetes in DSMES results in improvements in A1C by as much as 1%.<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><a href=\"#_ednref1\" name=\"_edn1\"><\/a><\/p>\n<div id=\"attachment_1389\" style=\"width: 608px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/DSME-and-DPP-programs-in-VA.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1389\" class=\"wp-image-1389\" src=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/DSME-and-DPP-programs-in-VA-300x209.jpg\" alt=\"Diabetes Self-Management \" width=\"598\" height=\"416\" srcset=\"https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/DSME-and-DPP-programs-in-VA-300x209.jpg 300w, https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/DSME-and-DPP-programs-in-VA-180x125.jpg 180w, https:\/\/med.virginia.edu\/vcdpe\/wp-content\/uploads\/sites\/287\/2015\/09\/DSME-and-DPP-programs-in-VA.jpg 468w\" sizes=\"(max-width: 598px) 100vw, 598px\" \/><\/a><p id=\"caption-attachment-1389\" class=\"wp-caption-text\">Figure 4. Diabetes Self-Management &amp; Education (DSME) and Diabetes Prevention Programs in Virginia as of 2017<\/p><\/div>\n<p><a href=\"#_ednref1\" name=\"_edn1\"><\/a><\/p>\n<h4><em>To find out more, please refer to the Virginia Department of Health report <strong><a href=\"http:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/25\/2016\/05\/Diabetes-in-Virginia-2017_final_7_17.pdf\">Diabetes Burden in Virginia<\/a><\/strong>, authored by Anne Wolf, MS, RD.<\/em><\/h4>\n","protected":false},"excerpt":{"rendered":"<p>Impact of Prediabetes and Diabetes in Virginia 1 million Virginians have prediabetes (1\/3 of the state population!) 9 of 10 Virginians don\u2019t know they have prediabetes ~632,000 Virginians have diabetes (9.6% of the population) 1 out of 4 persons in Virginia do not know they have diabetes Diabetes is most prevalent in rural areas of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":17,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":"","_links_to":"","_links_to_target":""},"tags":[],"class_list":["post-271","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diabetes Impact - Virginia Center for Diabetes Prevention &amp; 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