Healthy Living with Diabetes
Presented by the
Wisconsin Institute for Healthy Aging,
Wisconsin Department of Health
Services and their partners
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Why is Healthy Living
with Diabetes Needed?
• 1 in 12 Americans affected by diabetes
• By 2050 there will be 40 million Americans
with type 2 diabetes
• WI: 475,000 adults with diabetes and 1.45
million adults with pre-diabetes
• Even higher incidence in communities of
color
• 25% of Wis. Medicare beneficiaries have
type 2 diabetes
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Consequences of Diabetes
• Mortality is twice that of people without
diabetes of similar age
• Leading cause of blindness, heart disease, and
stroke – and lower extremity amputations
• Very expensive to treat - 2009 Wisconsin data
– $4.07 billion in direct health costs
– $2.7 billion in indirect costs
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The Healthy Living
with Diabetes Program
• Community workshop
• For individuals with type 2 diabetes, prediabetes or either who live with or care for
or about someone who does
• 2.5 hours/week for 6 weeks
• Led by 2 trained co-leaders, 1 with diabetes
or has a connection to someone with
diabetes (e.g., caregiver, CDE, etc.)
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The Healthy Living
with Diabetes Program
• Evidence-based
• Meets AoA’s highest standard
• Developed by Stanford University’s Patient
Education Research Center with CDEs
• Developed over years of:
– pilot-testing
– refinement
– evaluative research
http://patienteducation.stanford.edu/
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Program’s Underlying Assumptions
• People with diabetes have similar concerns
and problems
• They must deal with both physical symptoms
and impact on lives/emotions
• Lay people can teach program as effectively, if
not more effectively, than health care
professionals
• The program process is as important, if not
more, than substance
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Researched and Proven
Study Results show:
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improved diabetes self-management self-efficacy
decreased symptoms of hypo and hyperglycemia
improved HbA1C
decreased health distress
improved communication with physicians
improved self-rated health
decreased emergency room visits
Works well with Existing Diabetes
Education Programs and Certified
Diabetes Educators
• Group problem-solving compared to expert and
student approach
• No individualized medical advice = more
discussion time for daily living with diabetes
• Some similar topics; approach very different
• Peer-led education very motivating
• Health team prescribes “what” needs to be done;
workshop gives peer support to “how”
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Target Population
• Adults with type 2 diabetes or pre-diabetes
• Adults who live with or care for or about
someone who has type 2 diabetes or prediabetes
• Regardless of how long the person has been
living with diabetes
• Cognitively able to participate in process
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Topics
• Techniques to deal with physical symptoms of
diabetes
• Dealing with difficult emotions
• Appropriate exercise
• Meal planning for people with diabetes
• Appropriate use of medication
• Working more effectively with health care
professionals
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Dissemination in Wisconsin
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Began in 2013
Diverse agencies offer the workshop
Diverse sites host the workshops
Diverse professionals or lay individuals
who serve as leaders
Leader Qualifications & Characteristics
• Health care, aging or disability network
professionals, or lay volunteers
• At least one Leader has diabetes or close
connection
• Experience with diabetes – personal or
professional
• Comfortable leading groups of adults
• Comfortable following a script
• Past participants encouraged!
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Leader Expectations
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Attend all four* days of Leader trainings
Work with a sponsoring organization
Lead workshops in pairs, both trained
Lead two workshops each year
Follow program script
Use required books and charts
Follow WIHA administrative protocols
* There is a separate two-day cross training for current
Living Well Leaders
Are You Ready?
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Identify the local sponsoring organization AND
Identify your co-leader AND
Communicate with local aging unit AND
Together, review the Planning Guide
(see next slides)
* One or both Leaders must have diabetes or
close connection
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Healthy Living with Diabetes
Leader & Local Partner Organization
Planning Guide
• Identify local sponsoring organization, e.g., county/tribal aging
unit or hospital-based coordinator
• Obtain supervisor support from your place of employment (if
applicable)
• Connect with a health care provider and any CDE
• Identify two Leaders – already trained or need training?
• Select dates and times for first workshop
• Decide whether workshop will be free or a fee
• Select and reserve site, room, room arrangement
• Who will submit workshop notification to WIHA?
• What agency will receive workshop registrations?
Continued...
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Healthy Living with Diabetes
Planning Guide, cont’d
• Outreach and Marketing
– See WIHA website materials
– Presentations – Where? Who will present?
– Health Care providers, including CDEs
– Individual recommendations – Who?
• Supplies needed
– Copies of Living a Healthy Life with Chronic Conditions
– Required charts
– Easels, blank flipchart pads, tape, and markers
– Participant handouts
– Refreshments
• Data Collection
• Funding Needed?
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Website for Leaders
www.wihealthyaging.org
– Click on FOR LEADERS ONLY
– Click on Healthy Living with Diabetes
– username: leaders@wihealthyaging.org
password: wihaleaders
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Support for Leaders
• Listserv
• WIHA Leader Newsletter
• Regular Leader conference calls or
meeting where available
• Technical assistance
• Leader Coaching
• Healthy Aging Summit
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Leader Training
• Come in pairs, or solo if county already has a
trained Leader
• Four* full days – must attend all to learn:
– basics on diabetes
– curriculum of Healthy Living with Diabetes
program
– group facilitation, including practice
• Learn WIHA protocols and support available
• During first workshop, may have coaching
session
*Two days if cross-training
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Leader Training – to apply
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Leader Application – link on WIHA website
Complete application; pay fee
Commit to requirements
Attend in pairs, unless already a Leader in
county
• With Sponsoring Organization, complete
Planning Guide
• 20-person limit
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? ? ? QUESTIONS ? ? ?
• Betsy Abramson 608-243-5691
betsy.abramson@wihealthyaging.org
• Sherri Ohly 414-687-1223
sherri.ohly@wihealthyaging.org
• Anne Hvizdak 715-677-3037
anne.hvizdak@dhs.wisconsin.gov
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THANK YOU!
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