The Heart Of DiabetesSM: Understanding Insulin Resistance

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The Heart Of DiabetesSM Understanding Insulin
Resistance
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The rise of diabetes in the United States

• About 13.9 million Americans have physician
  diagnosed diabetes
• During 1994 2002 the age-adjusted prevalence of
  diabetes increased 54 percent for U.S. adults,
  from 4.8 to 7.3 percent
• Type 2 diabetes may account for 90 to 95 percent
  of all diagnosed cases of diabetes

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Startling survey findings

• A 2003 survey by the American Heart Association
  found that
• 63 percent of people with diabetes surveyed
  realize that diabetes patients are at risk for
  cardiovascular disease, yet only half are working
  to prevent heart disease and stroke
• When asked about the most serious complications
  associated with diabetes, only 33 percent
  mentioned heart disease

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Prevalence of diabetes

• Prevalence of physician-diagnosed diabetes in
  adults age 20 and older
• For Mexican Americans, 10.4 percent of men and
  11.3 percent of women
• For African Americans, 10.3 percent of men and
  12.6 percent of women
• For Caucasians, 6.2 percent of men and 4.7
  percent of women

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How insulin resistance affects people with
diabetes

• Insulin resistance a condition where the body
  does not respond efficiently to the insulin it
  produces
• Insulin resistance seems to predispose a person
  to both diabetes and cardiovascular disease

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The American Heart Associations role

• The American Heart Association wants to raise
  awareness of diabetes and its link to
  cardiovascular disease
• In 2001, the association launched The Heart Of
  DiabetesSM Understanding Insulin Resistance

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What the program does

• The program explains the link between diabetes,
  cardiovascular disease and insulin resistance
• Participants receive tips and information to help
  them manage their diabetes and reduce their risk
  for heart disease and stroke

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Participants receive

• The Game Plan To A Healthy Life journal, designed
  to help people make healthy choices every day,
  which includes
• A plan for physical activity
• A tracker for glucose and cholesterol levels,
  weight and blood pressure

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The Heart Of Diabetes also offers strategies such
as

• Learning new ways to help begin and increase
  regular physical activity
• Increasing gradually the amount of time and
  intensity of their physical activity
• Learning how to choose high-energy foods that
  work best for someones diabetes plan
• Finding new local opportunities and resources for
  physical activity

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To enroll in the program or to learn more about
these risk factors and insulin resistance, which
contribute to both diabetes and cardiovascular
disease

• Call 1-800-AHA-USA1, or
• Log on to americanheart.org/diabetes

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The Heart Of DiabetesSM Understanding Insulin
Resistance is sponsored by Takeda Pharmaceuticals
North America, Inc. and Eli Lilly and Company
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Search Your Heart is an educational
community-based program culturally designed to
educate about the causes, symptoms and prevention
of cardiovascular disease and stroke.The
program contains six modules highlighting
diabetes, cholesterol, and blood pressure
management physical activity nutrition,
advocacy, stress, and stroke prevention.
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Search Your Heart Kit

• Includes
• 1. Kit Content Overview
• 2. Coordinators guide
• 3. Surveys for participants
• 4. Modules

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Search Your Heart Components

• Check for Life
• Activities for Life
• Bread of Life
• Lift Every Voice
• Stress Reduction
• Stomp Out Stroke

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• Each Module Includes
• Instructions on how to implement the program
• Implementation Timeline
• Definitions
• Resource lists

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Check for Life

• This module includes blood pressure, diabetes and
  cholesterol education materials and how to
  conduct screenings.
• Check For Life serves to educate participants
  about their individual health risks, concerns,
  and results. These results are monitored during
  a series of health screenings that are conducted
  throughout the program.

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Goals of this Module

• Motivate participants to have their blood
  pressure checked regularly.
• Screen as many participants as possible for high
  blood pressure, diabetes, and cholesterol.
• Provide at-risk participants with resources that
  will help them understand how to lower their BP.
• Complete evaluations/surveys.

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Activities for Life

• This module focuses on showing you how to make
  physical activity fun.
• It shows you how to incorporate physical activity
  into a fellowship activity.

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Goals of this Module

• Educate about the benefits of regular physical
  activity.
• Provide tips on how to incorporate regular
  physical activity into busy lifestyles.
• Motivate members to increase regular physical
  activity time.

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Bread of Life

• The purpose of this module is to examine what we
  eat, and then alter our meals to include a more
  balanced nutritious habit of eating.

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Goals of this Module

• Is to educate about the benefits of heart-healthy
  eating.
• To provide tips about incorporating
  heart-healthy eating into busy lifestyles.
• Motive members to change their eating habits
  while still enjoying traditional foods.

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Stomp out Stroke

• This module helps you conduct stroke prevention
  education. It teaches the warning signs and shows
  you how to coordinate stroke screenings.

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Goals of this Module

• Know the Warning Signs of a Stroke.
• To motivate participants to have their risk
  factors for stroke evaluated using the Whats
  Your Risk of Stroke screening tool.

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Stress Reduction

• This module includes tips on coping with stress.
• Managing stress is good for your overall health.

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Goals of this Module

• Provide tips on controlling the amount of stress
  in daily activity.
• Provide a way of dealing with uncontrollable
  stress.

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Lift Every Voice

• This module encourages communities to create and
  sustain community coalitions to advocate healthy
  living.

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Goals of this Module

• Help participants understand the issues of
  prevention, health care, and research.
• Motivate participants to advocate heart health in
  their communities and coalitions.

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• Where can I get a Kit?

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• Power To End Stroke
• A New Cause Campaign to Raise
• Stroke Awareness in African Americans

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Campaign Objectives

• Create a movement around African Americans and
  their disproportionate risk for hypertension,
  diabetes, stroke
• Increase awareness that stroke is preventable
  change current perception that stroke is
  inevitable
• Increase adherence to primary and secondary
  prevention guidelines
• Seek new corporate/foundation partners to drive
  expansion of campaign on opportunistic basis

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Phase I Key Health Messages

• Stroke is not inevitable. You can prevent it.
• African Americans are at higher risk for stroke.
• Know your risk. Control your blood pressure and
  diabetes to prevent stroke.
• Work with a family doctor to manage your risk.

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Power To End StrokePledge

• Two part pledge
• Copy to ASA (to receive additional information)
• Postcard to family/friend (to encourage them to
  take the pledge)
• For me, my family, my community, I will do my
  part to prevent and overcome stroke. I will make
  the right health choices. I will lift my voice
  in a movement to improve the health of my people
  today and for generations to come. I will not
  just survive but thrive by learning how to
  live stronger and longer.

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After the Pledge

• Tailored letter from the American Stroke
  Association (ASA)
• ASA sends consumer interest topic (i.e. sickle
  cell disease, stroke risk factors, stroke in
  African Americans, Caregiver/Stroke Survivor
  Information (Stroke Connection Magazine)
• Healthy Soul Food Cookbook, lapel Pins, PTES
  Quarterly Newsletter

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Ambassador Pillars

• Healthcare Medical professionals
• Community - Social Groups
• Advocacy Local, State, and Federal
  Representatives
• Faith-Based Leaders of Faith-Based
  Organizations
• Celebrity - Entertainers
• Funding Corporate Sponsors

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Ambassadors

• Serve as a liaison for the American Stroke
  Association to the African American Community.
• Share the stroke message to African Americans
  across Kansas.
• Advocate for stroke legislation that supports the
  American Stroke Associations mission.

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Go Red For Women

• This campaign helps women discover unique
  lifesaving power by learning about heart disease
  and stroke and taking positive action to reduce
  their risk

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Campaign Goals

• To raise awareness
• To prevent heart disease and stroke
• To save lives

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CVD Claims 500,000 Womens Lives Every Year

• CVD kills more women than the next 7 causes of
  death combined
• Breast cancer kills 1 in 30 women
• CVD kills 1 of every 2.5 women

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Why We Need Go Red For WomenHigh Blood Pressure
(HBP)The Silent Killer

• Women age 20 and older who have HBP
• White females 30
• Black/African-American females 45
• Mexican-American
  females 30

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Why We Need Go Red For WomenPhysical Inactivity

• Inactive women
• White females 36
• Black females 55
• Hispanic females 57
• Asian/Pacific Islander
  females 46

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Why We Need Go Red For WomenObesity / Overweight

• Overweight/obese women 20 and older
• White females 57
• Black females 77
• Mexican-American females
  72

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Go Red For Women Helps More Women Know Their Risk

• Learn your risk factors
• Live a healthy lifestyle to reduce them
• Know the warning signs of heart attack and stroke

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Go Red Campaign Objectives

• Educate health professionals, especially primary
  physicians
• Educate the public
• Educate policymakers through advocacy
• Raise funds for AHA womens
  programs

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Enroll and Benefit

• 1-888-MY-HEART (1-888-694-3278)
• americanheart.org
• Choose To Move and Simple Solutions
• Buy designated products from stores listed at the
  Go Red For Women Web site part of the revenue
  supports our association

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Go Red For Women!