Limited to the current level of medical science, diabetes is still a lifelong disease, so diabetics should be given close medical attention for life. The following is the "Diabetes Day Activity Program", welcome to read.
Diabetes Day Activity Program (a)
November 14 is the "World Diabetes Day". Currently, about 11 out of every 100 adults in China suffer from diabetes, and about 50 are diabetes reservists (pre-diabetes)! From pre-diabetes to diabetes in the chronic course of many complications occur: such as cardiovascular disease, autonomic neuropathy, nephropathy, retinopathy, cancer, and so on. Diabetes is not only a serious threat to human health, but also brings a heavy economic burden to the family and society, and has now become one of the major problems of China's public **** health, while the early detection, intervention and treatment of diabetes has also become an urgent problem in China.
Because most patients with type II diabetes have inconspicuous symptoms, the onset is slow, and more than half do not have any symptoms, it is not easy to be detected at an early stage, and most patients fail to get early treatment. What's worse is that the existing diabetes detection means for early detection of diabetes have certain limitations! China's famous endocrine experts, the People's Liberation Army General Hospital, Professor Pan Changyu pointed out that only fasting blood glucose test, will miss nearly 80% of the pre-diabetes and diabetes patients. Because fasting blood glucose at 6.1 mmol / L is likely to have been diabetic. As a result, patients diagnosed with diabetes are often found to have serious complications, such as stroke, coronary artery disease, eye disease, diabetic nephropathy, skin disease, or gangrene of the lower extremities, and have a history of at least 5-10 years.
Our health management center in the province's city and state hospitals were the first to introduce the French diabetes risk detection (eZscan) advanced equipment, which can predict the risk of diabetes onset 5-10 years in advance! Make up for the lack of detection means during the 5-10 years before the rise in blood sugar. It can be used for diabetic patients to assess their condition and predict the risk or severity of complications 5-10 years in advance, so as to intervene in time for treatment and return to health.
In order to popularize the knowledge of diabetes prevention and control among the general public, deepen the knowledge of diabetes prevention and control, and guide the whole society to pay attention to diabetes, prevention and control of diabetes, the Shiyan Health Management Society and the Health Management Center of Shiyan Hospital have launched the "Diabetes Risk and Diabetes Complication Risk Detection and Health Management" campaign.
Activity time: November 1, 20XX to November 30th.
Methods:
1. Provide free diabetes risk testing service for 5 citizens every day, and provide corresponding risk health management guidance. Appropriate testing population:
(1) All diabetes risk groups should be risk screening: family history of diabetes; cardiovascular and cerebrovascular disease; hypertension, gout; overweight or obesity, especially abdominal obesity (waist circumference male & gt; 90 cm, female & gt; 85 cm); sedentary lifestyle; smoking and drinking; previously diagnosed impaired glucose tolerance (IGT), impaired fasting glucose regulation (IFG), and/or impaired glucose regulation (IFG). (IFG) and/or metabolic syndrome; elevated triglycerides, low HDL cholesterol, or both; pre-pregnancy assessment of risk for impaired glucose tolerance (IGT); history of gestational diabetes mellitus; history of delivery of a large infant (≥4 kg at birth); polycystic ovary syndrome; use of anti-psychotic and manic-depressive syndrome medications, hormones, etc.; recurrent sores, pain, and swelling; and diminished visual acuity, Repeated skin infections and lower limb pain or sensory abnormalities and can not find the cause; over 40 years of age.
(2) Diabetic patients.
2, all need to do the test of the public can go to the clinic every day to the guide desk to get a free test sticker.
3, you can participate in the "diabetes (diabetes preparatory army) health management club" held in November health education public lectures:
(1) November 10, 20XX, 4:00-4:30 p.m. intestinal flora dysbiosis and diabetes, 4:30-5:00 health exercise, eight brocade. Lecture xx professor, researcher.
(2) November 24, 20XX, 4:00-4:30 p.m. Balance Acupuncture and Moxibustion for Diabetes Complications
, 4:30-5:00 p.m. Nutritional Exercises and Eight Duan Brocade, Presenter xx Deputy Director, Associate Chief Physician.
Testing location: Health Management Center (Emergency Complex, third floor)
Contact: xx Diabetes Risk Detection Room
Diabetes Day Activity Program (2)
The near-term goal of diabetes treatment is to eliminate the symptoms of diabetes and prevent acute metabolic complications through the control of hyperglycemia and related metabolic disorders. The immediate goal of diabetes treatment is to eliminate diabetic symptoms and prevent acute metabolic complications by controlling hyperglycemia and related metabolic disorders; the long-term goal of diabetes is to prevent or delay the occurrence of chronic complications through good metabolic control, to improve the quality of life of diabetic patients and to prolong life. In addition to medication, the behavior and self-management ability of diabetic patients are also critical to the success of diabetes control. Therefore, the control of diabetes is not a traditional treatment but a systematic management, in order to achieve this goal, a better diabetes education and management system should be established. According to the "xx city" diabetic patients throughout the care network "network patient management specifications (trial)", combined with the actual situation of our region, the development of "xx district" diabetic patients throughout the care network "implementation program.
I, "sugar friends network" management mode
1, "1 + 1 + X ＇, the composition of the team: each team by a specialist doctor, a general practitioner, a number of (according to the management of the number of patients configured) the health of the management team. The management team consists of a specialist, a general practitioner, and a number of health managers (configured according to the number of patients to be managed) to carry out the daily management of patients.
2, hierarchical diagnosis and treatment responsibilities: ① specialists are responsible for diagnosis and screening of complications of patients in the network, the development of individualized treatment and management programs, and regular community rounds; ② general practitioners are responsible for monitoring the implementation of the diagnostic and treatment programs developed by specialists, to understand the condition of the patient, make follow-up records, poorly controlled condition of the patient in a timely manner to the specialist; ③ health manager is responsible for the specialist for the patient individualized treatment programs; ③ health manager is responsible for the specialist for the patient individualized treatment programs. The manager is responsible for the implementation of individualized management programs for patients by specialists, daily follow-up and health education, aimed at individual behavioral interventions need to achieve the desired results.
3, quality control management: by the second hospital specialists or experts in xx city to develop "sugar friends network" into the network of patients management path, process, goals. The basis for implementation is based on: (1) 20XX AOA Diabetes Diagnosis and Treatment Guidelines; (2) 20XX China Diabetes Prevention and Control Guidelines; (3) 20XX China Diabetes Prevention and Control Guidelines (grass-roots level); (4) China Diabetes Nursing Care and Education Guidelines; and (5) the National Public Health Service Guidelines for the Management of Patients with Type 2 Diabetes Mellitus (20XX version) as reference. According to the thinking of evidence-based medicine, we strictly control and design every detail of our work, so as to make it justifiable. And the establishment of a perfect quality control management evaluation system, which is conducive to the district health bureau of primary health care institutions daily management supervision and assessment.
4, the training mechanism: District Health Bureau and the second hospital in XX City should take responsibility for the professional practice of general practitioners, nurses, managers of guidance and related training, organizations to participate in the various training held by the Municipal Health Bureau. Primary health care institutions should do a good job of talent training programs, selecting and sending high-quality professional and technical personnel to participate in relevant training, including health managers, dietitians and other training.
5, the establishment of liaison consultation and communication mechanism: the primary health care institutions and the second hospital endocrine xx each set up a referral liaison, the work encountered in the problem can not be solved, through the liaison between the two sides of the communication between the two sides to solve the problem, can not be solved the problem reported to the director of the Endocrine Division or the District Health Bureau of the Medical Affairs Department, by which the coordination of its appearance.
6, the development of two-way referral mechanism, when patients need to refer to the second hospital in XX City, the two liaison coordinators, for patients to open a green channel, contact specialists or arrangements for hospitalization, the realization of hospitals - grassroots medical and health care institutions in a seamless two-way referral, and really benefit the patients; patients. In the process of hospitalization, specialists should arrange for general practitioners to participate in the patients' room visits, so that general practitioners can understand the patients' diagnosis and treatment and changes in their conditions in a timely manner, which is conducive to the cultivation of general practitioners and reflects the advantages of integrated management; patients whose conditions are stabilized after treatment should be transferred back to the primary medical and healthcare institutions for daily management, and the liaison person of the Second Hospital of xx City will give feedback on the patients' diagnosis and treatment conditions in the higher-level hospitals as well as the patient's medical records and information. The specialist will explain the follow-up treatment and management to the general practitioner, so that the community can implement the new management program and achieve the daily treatment in the primary health care institutions.
The pathway for patients in the "Glucophage Network"
1. Determine the target of management
The target of the "Glucophage Network" is: (1) patients with type 2 diabetes within the jurisdiction, including those with diabetes mellitus, who are 35 years of age or older, and those with diabetes mellitus. The network is designed for: (1) patients with type 2 diabetes in the jurisdiction aged 35 years and above, including patients with pre-diabetes; (2) patients with diabetes referred from hospitals through "two-way referral".
2, the jurisdiction of the management of the discovery of the target (type 2 diabetes screening)
(1) type 2 diabetes high-risk groups: (1) age ≥ 40 years; (2) impaired glucose regulation (IGR) history; (3) overweight (B MI ≥ 24 kg /
m?) or obesity (B MI ≥ 28kg / m?) and/or central obesity (male waist ≥ 90cm, female waist ≥ 85cm). (≥85cm waist circumference for women); ④ sedentary lifestyle; ⑤ first-degree relatives with a family history of type 2 diabetes mellitus in high-risk races; ⑥ a history of giant babies (birth weight ≥4kg), gestational diabetes mellitus
(GDM) history of women; ⑦ hypertension (systolic blood pressure ≥140 and/or diastolic blood pressure ≥90mmHg), or are receiving antihypertensive therapy; ⑧ dyslipidemia (HDL1C ≤ 0.5 kg / m). 0.9 1 mmol / L (or diastolic blood pressure ≥ 90 mmHg), or are receiving antihypertensive treatment; ⑧ dyslipidemia (HDL-C ≤ 0 . 9 1 mmol / L (≤ 35mg / dl) and TG ≥ 2 . 22mmol / L (≥ 200mg / dl), or are receiving lipid-modifying therapy; ⑨ atherosclerotic cardiovascular disease patients; ⑩ a history of transient steroid diabetes;? Patients with polycystic ovary syndrome (PCOS):? Patients with long-term treatment with antipsychotics and/or antidepressants.
(2) Diabetes risk assessment: see Table 1
Diabetes Day Program (III)
I. Background
World Diabetes Day (WDD) is a day when the World Health Organization and the International Diabetes Federation (IDF) organize a meeting to discuss diabetes.
World Diabetes Day (WDD) was launched by the World Health Organization (WHO) and the International Diabetes Federation (IDF) in 1991***, and is scheduled to be held on November 14th every year, with the aim of raising awareness of diabetes globally.
The year 20XX is the continuation of the International Diabetes Federation's diabetes campaign for the next three years, and the 20XX-20XX Diabetes Day will be centered on the theme of "Healthy living and Diabetes". It is hoped that the key messages conveyed by the activities will be: let more people know about diabetes, recognize a healthy lifestyle and its important role in preventing and treating type 2 diabetes, avoiding complications, advocating healthy lifestyles and living environments, and better protecting our health. xx Municipal Diabetes Prevention and Control Center and the Department of Endocrinology and Metabolism of the People's Hospital of XX City will carry out a series of promotional activities on November 11th and 12th, 20XX. United Nations Diabetes Day series of promotional activities.
Second, the theme of the event
Healthy life and diabetes
Third, the time, place and details of the event
20XX-11-11-14:30 xx People's Hospital Endocrine Metabolism Department of the demonstration room
20XX "Healthy life and diabetes" as the theme of diabetes friends association
20XX-11-12-8:30 xx Municipal People's Hospital Hospital outpatient hall
United Nations diabetes day clinic consulting activities
Diabetes friends association activities:
1.1. Interaction of experts
2. Young voices ---- reciting messages to diabetic patients
3. Health lectures
4. Diabetic patients' gardening activities (1. You and I set goals together - the formulation of target cards 2. I monitor, I reach the target - self-monitoring of blood glucose and question and answer session 3. I inject, I'm safe - diabetic injection technology consultation)
Diabetic Patients' Fellowship
Diabetic Patients' Fellowship
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Diabetes Day Program (4)
Diabetes is a chronic disease that seriously threatens human health, the latest information from the International Diabetes Federation (IDF) shows that in 2015, there were up to 280 million people living with diabetes globally, and the number of deaths per year was up to 3.8 million. Since 1991, the International Diabetes Federation and the World Health Organization will be every year November 14 as the United Nations Diabetes Day, and the blue circle for diabetes logo. Because every year on Diabetes Day, the London Eye, the Eiffel Tower and more than 2,000 other landmarks around the world will be lit up with a blue light, the "Blue Light Initiative" is thus named.
As diabetes is a major chronic disease that threatens the health of the city's residents, controlling diabetes is one of the goals of the "Healthy Beijingers - Ten-Year Action Plan for Health Promotion for All (2009-2018)," and it is also one of the main objectives of the medical and healthcare system reform to promote basic public ********************************. Diabetes control is one of the objectives of the "Healthy Beijingers - Ten-Year Action Plan for National Health Promotion (2009-2018)", and is also an important part of the reform of the medical and health care system to promote the equalization of basic public health services. The theme of this year's campaign is "Diabetes Education and Prevention", with the slogan "Control Diabetes without Delay", and a series of large-scale publicity activities on diabetes, such as the "Blue Light Action", have been launched. In order to further enhance public awareness of diabetes, do a good job in 2015 "United Nations Diabetes Day" publicity activities, xx district decided to carry out "United Nations Diabetes Day" publicity activities in the region.
First, the purpose of the activities
(a) to raise awareness of the prevention of diabetes in residents, to develop a healthy lifestyle.
(2) To publicize the risk factors and early symptoms of diabetes, improve the early detection rate of diabetes, and reduce the risk of diabetes.
(3) Improve the knowledge and skills of diabetic patients in self-management to reduce and delay the occurrence of complications.
Two, publicity activities arrangements
(a) the main venue:
1, Activity time: November 14, 2015 (Saturday) 9:00-10:30 am.
2, Activity location: selected xx District Canal Culture Square as the main activity location, this is the residents of the district xx This is one of the main places for cultural and sports activities for the residents of XX district, and there are more people coming to the activities every day.
3, the participants: the District Health Bureau of the Prevention and Protection Section staff, the District CDC health education section staff, the Chinese Hospital health care section staff and a clinician.
4, the preparation before the event:
① Develop a district-wide diabetes day activity program, reported to the CDC of the Municipal Health Bureau.
② Production of banners used in the theme of Diabetes Day.
③ Preparation of publicity materials used in the activities.
5, the content and form of the activities:
① All the community residents to participate in the activities of blood glucose measurement and distribution of promotional materials, for the newly discovered diabetes patients to be registered, in order to be included in the community diabetes standardized management.
② on-site activities in the form of free consultation, in addition to measuring blood glucose to fill in the registration form there is also a consultation table, the physician for the Chinese medicine hospital doctors.
③ activity site hanging diabetes day theme banners, posters, display boards about the hazards of diabetes, diet, exercise and self-management knowledge.
④ Promote a healthy lifestyle and effective prevention and treatment of diabetes. The company's website has been updated with the latest information on the latest developments in diabetes, including the latest information on diabetes.
⑤ Encourage individuals or patients with high risk of diabetes to receive regular health guidance and health checkups.
⑥ Invite reporters from XX District TV Station and XX Times to attend.
6, the activities of the summary: the activities of the end of the 2 days after the completion of the information and summary, and reported to the Municipal Health Bureau of the Disease Control Division.
(B) Branch:
1, Activity Time: November 14, 20XX (Saturday) 9:00-10:30 a.m.
2, Activity Venue: Each hospital/community center to select an area of the residents gathered for the main activities of the location, which is the residents of one of the main cultural and sports venues, the activities of the day to come to the larger number of people.
3. Participants: Hospital/community center health care personnel and a clinician.
4, preparation before the event:
① Develop the jurisdiction of the Diabetes Day program, reported to the CDC Chronic Disease and the District Health Bureau of Prevention and Protection Section before October 25th.
② production of banners used in the theme of diabetes day activities.
③ Preparation of publicity materials used in the activities.
5, the content and form of activities:
① each community health center in the region to choose at least one community to carry out the theme of Diabetes Day activities, in accordance with the activities issued by the XX District Health Bureau to carry out the activities of the program, the activities will be concluded within two days after the end of the activities and the number of people registered hypertension and other information reported to the District CDC Chronic Disease Section and the District Health Bureau of prevention and protection.
② Each community to produce a certain number of publicity materials on Diabetes Day.
③ activity site hanging diabetes day activity theme banners, posters; conditions, if possible, placed on the display board about the hazards of diabetes, diet, exercise and self-management knowledge.
(4) All community residents to participate in the activities of blood glucose measurement and distribution of promotional materials, for the new discovery of diabetes patients to be registered, in order to be included in the community standardized management of diabetes.
(1) the use of waist circumference ruler for screening of high-risk groups, the male waist circumference ≥ 90cm, female waist circumference ≥ 85cm of the crowd, for the collection of fingertip peripheral blood glucose test, in which the fasting blood glucose ≥ 5.6mmol / L, 2 hours after the meal blood glucose ≥ 7.8mmol / L of the crowd (10:00 am to start) recommended that the patient for the OGTT examination (the District CDC prepared). materials for the people to publicize).
(2) Counting and registering high-risk people and filling out screening forms.
⑤ On-site activities can take various forms, such as a large classroom, free consultation. In addition to measuring blood glucose and filling out registration forms there is also a counseling table with at least one professional internist in charge of counseling.
⑥ activities to promote a healthy lifestyle, effective prevention and treatment of diabetes. The first step in the process is to make sure that you have a good understanding of what you are doing.
⑦ Encourage individuals or patients with high risk of diabetes to receive regular health guidance and health checkups.
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