Diabetes is not just a medical problem, it is a socioeconomic challenge

Our approach is patient focused, structured around sustainable community based solutions as building blocks to form a national solution. The key elements of our approach is having Diabetes Nurse Educators as the main point of contact with patients, maximize the use of information technology for education and patients’ monitoring and treatment, and empowering the patient and the community to have ownership of the program and sustain it.
Diabetes management and prevention requires integrated programs that involves well informed patients, communities, and multidisciplinary healthcare teams supported by well planned, coordinated infrastructures, sufficient funding that includes governmental agencies, pharmaceuticals and other industries, and not-for-profit organizations.

Team A Community Based Diabetes Prevention and Management Model ("CBDPMM"), a patient focused approach, was developed by HN Consultants Ltd. (HNCL) of West Vancouver, British Columbia in association with a team of healthcare professionals specialized in diabetes prevention and management, and considerable input from patients and other stakeholders. The model was developed based on the precedents and findings of "Diabetes and My Nation". The model was implemented at the Haisla First Nation and has achieved significant results in terms of prevention and management of diabetes and the sustainability and ownership of the disease within the community.

We have demonstrated a successful program that integrates all aspects that affect the person with diabetes, from motivation to social support with constant monitoring by the health care professionals. It is not only the responsibility of health authorities; it is the responsibility of all stakeholders, from community leaders, educational authorities, sports and healthy living groups and industries. Empowerment of patients through culturally appropriate education, supporting the communities through establishing an infrastructure of trained healthcare providers and healthcare system, and developing long-term strategies are the key components to the comprehensive diabetes prevention and management program.

This program has demonstrated that Diabetes Nurse Educators can play an integral part in the implementation of the program as the main point of contact for monitoring patients and coordinating treatment activities. They provide intimate motivational access to healthcare which permits alternative and cost effective approaches to all aspects of diabetes management. Finally, this program has also demonstrated that E-health for education and monitoring of patients, similar to our program "Virtual Diabetes Center", must be applied to sustain the quality of services as the number of people with diabetes is increasing at an alarming rate not matched by the increase in human or financial resources to deal with it.
Prevention and management of Type 2 diabetes on a national level is a massive task for most governments worldwide. The rate of increase in the number of people diagnosed with type 2 diabetes far exceeds available resources to these governments. Patients and communities can play an important role to support these efforts.
Diabetes Facts

  • The estimated diabetes prevalence for 2010 has risen to 285 million, representing 6.4% of the world’s adult population, with a prediction that by 2030 the number of people with diabetes will have risen to 438 million. Source: IDF Diabetes Atlas

  • “Diabetes is a chronic, debilitating and costly disease associated with severe complications, which poses severe risks for families, Member States and the entire world and serious challenges to the achievement of internationally agreed development goals including the Millennium Development Goals”. United Nations Resolution 61/225

  • Diabetes and its complications have a significant economic impact on individuals, families, health systems and countries. For example, WHO estimates that in the period 2006-2015, China will lose $558 billion in foregone national income due to heart disease, stroke and diabetes alone.Source: WHO

  • In developing countries, less than half of people with diabetes are diagnosed. Without timely diagnoses and adequate treatment, complications and morbidity from diabetes rise exponentially. Source: The World Diabetes Foundation

  • $174 billion: Total costs of diagnosed diabetes in the United States in 2007. Source: American Diabetes Association

  • Type 2 diabetes was once a disease that occurred primarily, if not exclusively, in adults. Today, however, the disease is increasingly appearing in adolescents and even in children. Source: Canadian Diabetes Association