What We’re Doing
to Combat
Diabetes in Northern Virginia
Lions Clubs International
IAG Mission
Myanmar, 2013
Part III
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Diabetes Association
Diabetes and Outreach Pilot Outreach
LCIF Core 4 Diabetes Grant Awarded: April 2012
Pilot
Program
Grant Amount: $86,939
Duration: May 2012-June 2013
Goals:
1. Provide preliminary health screening services to underserved at-risk
populations.
2. Provide preventive diabetes and wellness education in collaboration with
local health department staff and other NGO’s to serve disadvantaged
communities in District 24-A.
3. If pilot is successful, implement program in more districts.
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The state of diabetes and blindness in Virginia
Updated January 2012
2010 Prevalence Rates of Visual Loss
Source: America Foundation for the Blind
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Partners/Contractors:
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ADA: Education & Training
•
LCIF: Funding
•
Lions of 24-A & 24-C: Ambassador volunteers
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CLB: Diabetic Retinopathy Screening Support
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Walgreens: Medical Supplies & Flu Clinics
•
Fairfax County Health Department: County Support
•
DRWF: Screening Support
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The Need for Diabetes Education
• “Diabetes is increasing at an alarming rate globally. It is a complex, chronic
condition that affects all areas of a person’s life and that requires high
quality care. To this end, diabetes education is of critical importance and
should be considered an integral part of diabetes prevention and care.
Unfortunately this is not the case in many countries of the world where
diabetes education is, at best, in its infancy or non-existent. The
combination of lack of access to quality medical management and
diabetes education leads to poor clinical outcomes, reduced quality of life
and high health-related costs due to service utilization and the costs of
treatment.”– International Diabetes Federation
• Education and training is key to making this a sustainable program beyond
the current grant year.
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Lions Clubs Participating in The LCIF Core 4 Diabetes Pilot Project
Clubs Participating
Stafford County
Lovettsville
Fairfax Host
Greater Falls Run
Reston
Lake Ridge
Manassas Lioness Lions
Vienna Host
Aquia Harbor Evening
Alexandria Asian American
Fort Belvoir
Aquia Harbor Host
Arlington South
Westmoreland
Bailey’s Cross Roads
Alexandria Watergate
Clifton
Burke
Sterling
Tyson Corner
Gordonsville-24-C
Lake of the Woods-24-C
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What are the risk factors which increase the likelihood of developing diabetes?
• Being overweight or obese.
– BMI
•
Having a parent, brother, or sister with diabetes.
– Risk Assessment Survey
•
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Being African American, American Indian, Asian American, Pacific Islander, or
Hispanic American/Latino heritage
Having a prior history of gestational diabetes or birth of at least one baby weighing
more than 9 pounds.
– Risk Assessment Survey
•
Having high blood pressure measuring 140/90 or higher.
– Blood Pressure Station
•
•
Having abnormal cholesterol with HDL ("good") cholesterol is 35 or lower, or
triglyceride level is 250 or higher.
Being physically inactive—exercising fewer than three times a week.
– Risk Assessment Survey and Diabetes/Wellness Education Station
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Lions and other community volunteers are trained to
perform the following functions at/or after
screenings:
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Take basic patient contact/consent information
Conduct Diabetes/Wellness Education Programs
Conduct Diabetes Risk Assessments
Use the Canon CR-2 Non-Mydriatic Retinal Imaging Camera to
screen for possible Diabetic Retinopathy on adults with diabetes
Take Blood Pressure, Blood Glucose and BMI readings
Perform patient navigation services
Provide Health Services Information for uninsured and underinsured
participants
Conduct Participant Referral Follow up
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The Lions 24-A /Amerian Diabetes
Pilot Project
Lions will conduct 6-12 free health screenings for adults at
selected sites in the six counties that make up District 24A to include:
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Diabetes/Wellness Education
Diabetes Risk Assessment
Blood glucose testing
Non-Mydriatic Retinal imaging of adults with diabetes using
the Canon CR-2 Camera
Blood pressure
Body-mass index readings using height and weight
Patient navigation/Referral/Health Services Information
Health services information for uninsured or underinsured
participants
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Each screening component has a Team Leader/Assistant and 9-10
Ambassador Volunteers
Consent
Diabetes Risk Assessment Survey
Body Mass Index Measurement
Blood Pressure Measurement
Blood Glucose Measurement
Diabetes/Wellness Education
CR-2 Camera Operation
Diabetes Education
Health Services Information
Participant Referral Follow up
Translators/Other Language
Crowd Control
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Consent and Participant
Passport
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Type 2 Diabetes Risk Test
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Body Mass Index
What is Body Mass Index?
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• Body Mass Index
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What is your
Body Mass Index?
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Blood Pressure Screening
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Blood Pressure Screening
Normal Blood Pressure Ranges for ADULTS per The American Heart
Association:
Category
systolic, mmHg
diastolic, mmHg
Hypotension
< 90
< 60
Desired
90–119
60–79
Prehypertension
120–139
or 80–89
Stage 1 Hypertension
140–159
or 90–99
Stage 2 Hypertension
160–179
or 100–109
Hypertensive Crisis
≥ 180
or ≥ 110
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Blood Glucose Testing
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Blood Glucose Testing
Blood Sugar Levels
Random blood sugar test:
This test can be conducted
throughout the day,
irrespective of the meal
times. The blood sugar
levels should be between
70 and 125 mg/dL to be
declared 'normal' in case of
random testing method.
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Blood Glucose Testing
Blood Sugar Levels
Fasting blood sugar:
This test is commonly
conducted to check the rise
or fall in the glucose levels
after a prescribed eight-hour
fast. The levels are required
to fall and get recorded
between 70 and 99 mg/dL
to be declared as normal
blood glucose levels.
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Non-Mydriatic Canon CR-2 Mobil Retinal Imaging Solution
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Diabetic Retinopathy
Retinopathy
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Diabetic Retinopathy
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Diabetic Retinopathy Vision
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Health Services Information
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Diabetes/Wellness Education
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Walgreens Flu Shots
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Year-end Project Evaluation
How many people were screened?
How many people were told to see a health care provider due
to abnormal screening results? How many people were given
information about local health resources?
How many people followed-up with a health care provider?
How many diabetes education programs
were held? How many people attended? What were the preand post-test results?
Final Report to LCIF due on 6-22-2013.
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Critical components for the success of this project
in the future involve/include:
 Providing diabetes education to Lions to empower them as
Diabetes Ambassadors to spread the word.
 Expanding the network of collaborating local organizations and
follow up to build firm relationships for the future. The Problem is too
big and the need too great for one organization to handle alone.
 Interest in 24-A and other Districts across the Multiple to continue
what we have started and/or expand it using LCIF Core 4 Grant
Funding and other sources of revenue.
 Establishment of a Diabetes Foundation to insure the needed funds
are available to take it to the next level. This is currently under
development.
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Resources:
• District 24-A Web Site: www.valions.org
•
Like us on Facebook and Twitter!
 Twitter account: @LionsC4Diabetes
 Facebook account: facebook.com/lionscore4-diabetesproject
• Blog to-come
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Questions
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Contacts:
PCC Dennis Brining
703-503-8019
dlbent@aol.com
Suzanne Stolson
804-493-8433
stolson@copper.net
Nina Litton
202-499-8854
Nina.litton@lc4dp.org
Dr. Suleiman Alibhai
703-855-5218
suleimanalibhai@mac.com
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