Lions District 24-A and The American
Diabetes Association National Capital
Area
Team up to
Stop Diabetes® and Blindness
By
PCC Chair Dennis Brining & Lions Core 4
Diabetes Coordinator, Nina Litton
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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.
4. Increase membership by being visually relevant.
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Partners:
•
ADA: Education & Training
•
LCIF: Funding
•
Lions of 24-A & 24-C: Ambassador volunteers
•
CLB: Diabetic Retinopathy Screening Support
•
Walgreens: Medical Supplies & Flue Clinics
•
Fairfax County Health Department: County Support
•
Others in development
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“The partnership between the Lions Clubs,
ADA ad the Fairfax County Health
Department is an example of organizations
that recognize that they have shared
interests and goals and the way to achieve
these goals is by working together”
James Copeland, Director of Community Health Development and
Preparedness at the Fairfax County Health Department
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The Lions Diabetes Awareness and Action Program
Mission Statement is:
“To conduct and support local and large-scale effort
leading to the control and treatment of diabetes and its
complications through education, prevention and research.”
The Mission of the American Diabetes Association is:
“To prevent and cure diabetes and to improve the lives of
all people affected by diabetes.”
90% of Adult Onset Blindness is caused by POORLY
managed diabetes
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Diabetes in Virginia
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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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From 1995 to 2007, the Virginia population
increased by 16%...
Diabetes prevalence increased by 95%.
An estimated 466,883 adult Virginians had
diagnosed diabetes and another estimated
233,441 had undiagnosed diabetes.
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Prevalence of Diabetes in Virginia by Age Group, 2007
Age Group Percentage with Diabetes
18-24
25-34
35-44
45-54
55-64
65+
1.4%
1.2%
3.9%
7.6%
14.8%
20.4%
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Diabetes rates in Appalachian Counties
11% vs 7.2% other counties
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The five health districts with the highest
prevalence of diabetes in 2006 were:
–
–
–
–
–
Southside (16.5%)
Cumberland Plateau (16.0%)
Pittsylvania-Danville (14.2%)
Piedmont (12.1%)
Lenowisco (12.0%)
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LCIF Core 4 Diabetes Pilot Study 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.
4. Increase membership by being visually relevant.
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Patient Assessment Protocol Cont.
Let’s look at what we plan to
do to meet our goals and
which Lions Clubs are
supporting the pilot program.
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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 Will Be Trained As Diabetes Ambassadors
– ADA Train the Trainer Sessions
– Diabetes/Wellness Education at Screenings
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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
•
•
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
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Lions will be trained to perform the following
functions at (or after) screenings:




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
 Conduct Participant Referral Follow up
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Training Dates
Training Venue
Date
General overall Training
7- 14- 2012
CR-2 Camera Training
8-24-2012
Team Leader and Team
Assistant Training
9-15-2012
Ambassadors, Assistants &
Team Leader Training
9-29-2012
Practice Screening and
Additional Training
10-13-2012
Others TBD
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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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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 24-A to include:








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
Participant Referral Follow up
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Selected and Potential Screening Locations to date:
Entity/Location
Date
24-A Fall Conference-Herndon,
VA
10-6-2012
United Community MinistriesAlexandria, VA
10-20-2012
FACETS-Fairfax
11-3-2012
Arlington DHHS-Arlington
TBD
Westmoreland Dept. of Health
Services-Westmoreland
TBD
Workhouse Art Colony-Fairfax
TBD
St. Anthony’s-Falls Church
TBD
Other Suggestions?
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Each screening component has a Team Leader/Assistant and 9-10
Ambassador Volunteers.
Diabetes/Wellness Education
Diabetes Risk Assessment Survey
Consent
Blood Pressure Measurement
Blood Glucose Measurement
Body Mass Index Measurement
Crowd Control
CR-2 Camera Operation
Translators/Other Language
Participant Referral Follow up
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Diabetes/Wellness Education
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Type 2 Diabetes Risk Test.
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Body Mass Index
• What is Body Mass Index?
http://www.nhlbisupport.com/bmi/bmicalc.htm
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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
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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Year-end Project Evaluation
How many people were screened?
How many people were referred to see a health care provider
due to abnormal screening results?
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!
Blog to-come
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Questions
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Contacts:
PCC Dennis Brining
703-503-8019
dlbent@aol.com
Nina Litton
202-499-8854
lionsdiabetesproject@gmail.com
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