20. Diabetes is the #1 cause of….
– Kidney Failure
– Amputation
– Blindness
21. Cost to the Nation
• Over 20.8 million Americans have diabetes
(CDC 2005).
• Healthcare is 2-3 times that of those without
DM(WHO)
• Projected $156 billion by 2010 and $192 billion in
2020
• Perspective
• Cost of DM2 care in 2005 > budget of the D.
of Ed.
• Diabetes care is 12 percent of the total federal
health care spending nationwide—roughly one of
every eight dollars.
24. Total Healthcare Spending
• $2.3 TRILLION in 2007, or $7,600 per
person
• 16% of the gross domestic product (GDP)
• Projected to exceed $4 TRILLION by 2015
25.
26. Chart of Spending
-2 times as much as Canada
-3 times as much as Britain
- > 60% privately funded
27. • Spend more per capita
than any other country
on earth
• U.S. is 37th in the
global health rankings
28. Financial Expenditures
• Chronic Dz ≈ 75% of health care costs
– Acc. to Dept of HHS:
• CVD and CVA $351.8 billion (2003)
• Cancer $171.6 billion (2002)
• Diabetes $132 billion (2002)
• Obesity $117 billion (2000)
• Arthritis $82 billion (1995)
• Smoking DMC $75 billion
LP $80 billion
• Physical Inactivity $76 billion (2000)
• Poor Nutrition DMC $33 billion
LP $9 billion
51. What if………..
…….we ate MORE fruits,vegetables,whole
grains and legumes….
………we ate l e s s meat, fish, dairy, eggs, oil,
sugar and salt
&
increased our exercise habits!
52. Some Say…….
– If 10% of adults began a regular walking program,
$5.6 billion in heart disease costs could be saved.
– If Americans↓ Na intake by 2300mg/day = 3-6 mm Hg ↓
in SBP
• 11 % ↓ strokes
• 7 % ↓ coronary events
• 5 % ↓ total mortality
53.
54.
55. “A global response to a
global problem: the epidemic
of overnutrition.” WHO 2002
It is estimated that by 2020 2/3 rds of the global burden of
disease will be attributable to chronic noncommunicable
diseases, most of them strongly associated with diet.
The nutrition transition towards refined foods, foods of
animal origin, and increased fats plays a major role in the
current global epidemics of obesity, diabetes and
cardiovascular diseases, among other noncommunicable
conditions. Sedentary lifestyles and the use of
tobacco are also significant risk factors. …….. A concerted
multi-sectoral approach, involving the use of policy, education
and trade mechanisms, is necessary to address these matters.
56. All Major Health Institutions
• Encourage:
– Inc. Consumption of Fruit and Vegetables
– Inc. Fiber Intake
– Inc. Exercise
– Weight Loss
– Reduce Salt intake
– Reduce Fat Intake
– Reduce Cholesterol Intake
– Effective Stress Management
57.
58.
59. “Not only do persons with better health habits
survive longer, but in such persons, disability is
postponed and compressed into fewer years
at the end of life.”
Vita, AJ et al. NEJM 1998; 338:1035-1041
60. 50% ↓ in all-
12 year Cohort Study
1507 men 832 Women
Ages 70-90 years
cause and cause
Outcomes: 10 yr all cause mortality
4 Factors: Med. diet, Moderate EtOH, physical exercise
and non-smoking were ass. w ↓ in ACM
specific mortality
63. You have the answer to….
• Emptiness, loneliness, lack of purpose
• A host of common disease processes
– Obesity
– Cardiovascular Disease
– Type Two Diabetes
– Much of Cancer Risk
67. Tools to Use: Educate
• Know: Our plans miscarry because they
have no aim. When a man does not
know what harbor he is making for,
– Your Intentions
no wind is the right wind.-Seneca-
– Your Audience
– Your Limitations
75. Motivate
• Through
– Personal Example
– Personal Testimony
– Vicarious Experience
76. Tipping Point
• Create an epidemic of good health
• Identify personal “Circle of Influence”
• Positive, contagious behavior
• Small changes have big effects
• Change happens rapidly
77. A Gift
To whom much has been
given much shall be
expected!
Luke 12:48
81. Thank you!
For more Health information
visit www.esserhealth.com
Notes de l'éditeur
Lab values out of control…..Glucose in the 400-500’s, ….After determining why she was here I stopped and asked if she knew what caused her diabetes….and how her dit was…
The faucet of preventable disease is overflowing on the floor and as we respond with an acute care, emergent response very few people are reaching for the faucet.
Modifiable behavioral risk factors are leading causes of mortality in the United States. (JAMA, 2000 Mokdad et al. CDC)
Modifiable behavioral risk factors are leading causes of mortality in the United States. (JAMA, 2000 Mokdad et al. CDC) www.cdc.gov/cancer/ breast/statistics/ http://www.cdc.gov/cancer/Prostate/publications/decisionguide/
--http://www.ncbi.nlm.nih.gov/pubmed/12679416-- --http://www.chrp.org/pdf/HSR10_08_04.pdf --http://www.nchc.org/facts/cost.shtml --Catlin, A, C. Cowan, S. Heffler, et al, "National Health Spending in 2005." Health Affairs 26:1 (2006): 142-153. --Borger, C., et al., "Health Spending Projections Through 2015: Changes on the Horizon," Health Affairs Web Exclusive W61: 22 February 2006. -- http://www.mathematica-mpr.com/health/ --http://aspe.hhs.gov/health/NDAP/NDAP04.pdf
All prices from pharmacychecker.com Generics selected for pricing purposes All values based on recc. Therapeutic use
-- 6/22/02 radio address :Americans who are obese spend approximately 36 percent more on health care services than the general population. They spend 77 percent more on medications. --Catlin, A, C. Cowan, S. Heffler, et al, "National Health Spending in 2005." Health Affairs 26:1 (2006): 142-153.2.Borger, C., et al., "Health Spending Projections Through 2015: Changes on the Horizon," Health Affairs Web Exclusive W61: 22 February 2006. -- http://www.mathematica-mpr.com/health/ --http://www.nchc.org/facts/cost.shtml
http://www.who.int/research/en/
--http://findarticles.com/p/articles/mi_m0795/is_n4_v15/ai_15868836/pg_2 -- our of the six countries have 2.2-3.1 physicians per capita, and the other two (Japan, United Kingdom) have roughly 1.5 physicians per capita. This compares with 2.3 per capita in the United States. However, the specialty distribution of physicians is strikingly different between the United States and the other countries. In the United States, only about 33 percent of all physicians declare themselves to be primary care physicians (Politzer et al., 1991). This contrasts with the other countries, which have predominantly primary care physicians (53-63 percent) (Chaulk and Bialek, 1993; Rodwin et al., 1990; Fielding and Pierre-Jean, 1993; McAuley, 1992).
--http://www.who.int/whr/en/ -- (behind such notables as Oman, Saudia Arabia, Portugal etc.)
--http://www.healthierus.gov/STEPS/summit/prevportfolio/power/index.html#we --1in 4 health care dollars spent to treat HTN, Obesity, High lipids and diabetes
We are all painfully aware of the ongoing challenges in our economy; the subprime mortgage market, job losses, questionable solvency of the SSA, and even fortune 500 companies suffering from excess costs and reduced margins. In fact according to Business week, the only new job market has been the industrial medical complex.
--How did folks like JW get into such straits?
-- President’s Address on 6/22/02 :Americans who are obese spend approximately 36 percent more on health care services than the general population. They spend 77 percent more on medications.
--IOM rec on Na: AI 1.5g/d UL 2.3g/d --http://www.cspinet.org/ --http://www.ama-assn.org/ama/pub/category/16461.html -- http://www.iom.edu/?id=18495&redirect=0 -- Dr. Heikki Karppanen of the University of Helsinki and Dr. Eero Mervaala of the University of Kuopio report that an average 30-35 % reduction in salt intake during 30 years in Finland was associated with a dramatic 75 % to 80 % decrease in both stroke and coronary heart disease mortality in the population under 65 years. During the same period the life expectancy of both male and female Finns increased by 6 to 7 years.The most powerful explaining factor for the favorable changes was the more than 10 mmHg ("point") decrease in the average blood pressure of the population. A marked decrease in the average cholesterol levels of the population also remarkably contributed to the decrease of heart diseases. The extensive use of drugs contributed less than 10 % of the observed decreases in blood pressure, cholesterol, and cardiovascular diseases. -- http://www.iom.edu/Object.File/Master/20/004/0.pdf http://fnic.nal.usda.gov/nal_display/index.php?info_center=4&tax_level=3&tax_subject=256&topic_id=1342&level3_id=5140
Remember that an av. Inc. in caloric intake of 500KCal/day results in an av. weight gain of 1lb per week
6/22/02 radio address :Americans who are obese spend approximately 36 percent more on health care services than the general population. They spend 77 percent more on medications.
-- http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/obesity.htm --http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf --http://www.nhlbi.nih.gov/health/prof/heart/hbp/salt_upd.pdf --http://www.usatoday.com/news/health/2008-02-10-salt-dangers_N.htm -- Intersalt Cooperative Research Group (1988). Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion. BMJ . 297 : 319–328. --The contradictory nature of these findings accords with the unreliability of the methods used in NHANES III and IV (ie, 24-h dietary recall). Twenty-four-hour urinary sodium from complete urine samples is the only accurate way to estimate dietary salt intake, and this was not measured in NHANES III and IV. The large international study—INTERSALT, 2 which had 24-h urinary sodium and BP measured, showed that salt intake is directly associated with BP and the increase in BP with age in more than 10,000 individuals including both hypertensives and normotensives. -- -- http://www.nhlbi.nih.gov/new/press/nov30a99.htm -- Healthy adults living in a temperate climate can maintain a normal sodium balance with as little as 115 mg of dietary sodium per day. In consideration of the wide variation in Americans’ physical activity and climatic exposure, a safe minimum of 500 mg of sodium per day has been recommended. -- Dr. Heikki Karppanen of the University of Helsinki and Dr. Eero Mervaala of the University of Kuopio report that an average 30-35 % reduction in salt intake during 30 years in Finland was associated with a dramatic 75 % to 80 % decrease in both stroke and coronary heart disease mortality in the population under 65 years. During the same period the life expectancy of both male and female Finns increased by 6 to 7 years.The most powerful explaining factor for the favorable changes was the more than 10 mmHg ("point") decrease in the average blood pressure of the population. A marked decrease in the average cholesterol levels of the population also remarkably contributed to the decrease of heart diseases. The extensive use of drugs contributed less than 10 % of the observed decreases in blood pressure, cholesterol, and cardiovascular diseases. -- http://www.iom.edu/Object.File/Master/20/004/0.pdf http://fnic.nal.usda.gov/nal_display/index.php?info_center=4&tax_level=3&tax_subject=256&topic_id=1342&level3_id=5140
-- Bull World Health Organ. 2002;80(12):952-8. Epub 2003 Jan 23. Chopra M et al
--There is unanimous agreement that meaningful lifestyle change must be at the heart of re-0birth for our nation.
--Fraser et al. Archives of IM: 2001:161;1645-1652
--Am J Clin Nutr. 1999 Sep;70(3 Suppl):532S-538S.
A belief in Our Lord Jesus Christ and in the potential of the human person. You see ours is a message of hope, of promise, of potential for a world broken, hungry, scared, lost and fallen. We offer not only the saving relationship with Christ but an earthly lifestyle that can provide us with a rich, vital and energetic life. We offer a heritage of ….
Understand and prioritize the dialogue. Does this person need one on one time, group time, stories, studies…..even more critical do they need Jesus or do they merely need a physical tune up?
--Cooper Center in Texas --Lifestyle Centers of America in Oklahoma --Rippe Health in Massachuesets --Pritikin in Miami --Newstart in CA
--Dean Ornnish MD PRI --Neal Barnard MD PCRM
Mainstream medicine and our mainstream world fails to create relationships. But at the heart of every therapeutic…every healing interaction is a relationship. Knowing someone cares and I am cared for is often reason enough to inspire a change of heart or to motivate to greater efforts. Ex: A couple meets and they like each other. The desire for and recognition of a relationship of being “cared for” is prompts action….the man may be willing to shed a few pounds, cut his hair more often, clean his nails, and his significant other to do her hair up to dress in his favorits colors and make his favorite foods.
