1. Diabetes and Kidney Disease are Diabetes and Kidney Disease are
Common, Costly and Preventable Common, Costly and Preventable
Diabetes:
2010 Guide for Michigan Legislators
Showing the Importance of State Funded Prevention and Disease Management Programs
• 1 in 10 adults (about 1 million) in Michigan have it, but 1/3 don’t know it.
• 1 in 5 (about 2 million) in Michigan have prediabetes.
Diabetes and Kidney Disease/Failure in Michigan
• Diabetes is the the leading cause of kidney failure, the #1 cause of blindness in adults, and the leading
cause of non-traumatic amputations. Having diabetes doubles the risk of heart attack and stroke.
• Diabetes kills more Americans every year than breast cancer and AIDS combined.
• Nationally, 1 in 10 health care dollars is spent on diabetes.
• Diabetes is common, costly, and serious - but preventable and manageable.
Chronic Kidney Disease/Failure:
• More than 900,000 Michigan adults have chronic kidney disease, but most don’t know it.
• There are over 18,500 people in Michigan being treated for kidney failure (12,574 on dialysis,
5,935 with kidney transplants).
• Dialysis treatments cost approximately $72,000 per patient per year and $78,000 per patient
per year if the person has diabetes.
• Kidney disease caused by diabetes and high blood pressure (the leading causes of kidney failure)
can often be prevented or delayed.
Diabetes and High Blood Pressure But Rates of Kidney Failure from Diabetes
Minority populations are targeted for many of the state-funded prevention programs because of Continue to be the Leading Causes are Dropping Faster in Michigan than the U.S.
their high risks for diabetes, high blood pressure, and kidney disease.
of Kidney Failure. Since Implementation of State Prevention
Programs in the Mid 1990’s.
THE GOOD NEWS: 14%
12.7% United States
• Diabetes and chronic kidney disease can often be prevented or delayed. Diabetes High Blood 12% Michigan
42% Pressure 10%
• State-funded, evidence-based programs provide better health for Michigan residents. 29%
8% 8.1%
• These programs were rated #5 (out of 139) in the Price of Government health priorities in 2005. 6%
• PLEASE SUPPORT STATE-FUNDED DIABETES AND KIDNEY PROGRAMS. 4%
1.9%
2%
Glomerulonephritis 0 0.6%
Programs in this handout are funded by Other 7%
the Michigan Department of Community 20% Cystic kidney disease 1988- 1993- 1998- 2003-
DPAC
Diabetes Partners in Action Coalition Health in partnership with the Diabetes 2% 1992 1997 2002 2007
Diabetes Partners in Action Coalition Partners in Action Coalition and the
www.dpacmi.org National Kidney Foundation of Michigan. www.nkfm.org Causes of Kidney Failure Progression Rates of Kidney Failure
January 2010 Michigan 2007 Caused by Diabetes

2. Funding Cuts Threaten Evidence-Based Programs THAT WORK.
Diabetes Self-Management Education (DSME) Chronic Kidney Disease (CKD) Management WISEWOMAN PATH (Personal Action Toward Health)
• People receiving DSME get better care. The CKD Navigator program provides Health Care Plans with: • Serves high-risk women across the state. • A chronic disease self-management workshop.
People with DSME Receive More Basic Tests/Exams
• Comprehensive disease management for CKD, diabetes • WISEWOMAN provided glucose testing to 5,574 women • Improves quality of life and lowers treatment costs.
2007-08 and high blood pressure (October 1, 2006 – December 1, 2009). • Evidence based.
Without DSME With DSME
• Medication therapy management -1,685 fasting glucose tests
45% 44% 46% 48%
44% • Outcomes to ensure success for all stakeholders -374 women diagnosed with prediabetes
-103 women identified with undiagnosed diabetes
• Health Plans participating in CKD Navigator:
The only WISEWOMAN program
•
29%
28% 27% 27% 25% -McLaren Health and CareSource Michigan
in the country to deliver diabetes
prevention counseling to women
Interim Assessment - CareSource Project with prediabetes.
Reduction in hospitalizations 50% • Integrating WISEWOMAN and
2 A1c Tests Eye Exam Foot Exam Self-Monitor Self-Check
Reduction in ER visits 50% Diabetes Prevention programs
• “I feel more on top of my game now. I am more in control.”
Annually Blood Sugar Foot Exam
(Michigan Department of Community Health) Reduction in weight 23% makes sense, reaches more people,
Reduction in blood pressure 11% and maximizes use of resources. Doris, Sparta
• “I have found DSME to be supportive, informative and
lifesaving.” Sharon, Detroit • “I have more confidence now that I can do my exercises
and lose weight.” Participant, Detroit
Serving people with diabetes statewide since 1979. Serving 600 patients at McLaren Health, CareSource and Serving more than 4,200 women in 29 counties each year.
Priority Health since 2006. Two additional health plans Serving 2,700 residents in 62 Michigan counties since 2007.
are expected to start the program in 2010. Bottom Line: Achieving 5-7% weight loss and
Bottom Line: Diabetes Self-Management Education
participating in at least 30 minutes of physical activity, Bottom Line: 99% of participants said they would
+ physicians following clinical guidelines = a return
Bottom Line: Health plans can expect to see a 3:1 return 5 days a week, 58% of people identified with predia- continue to use self-management techniques they
on investment of $4.34 to $1.
on investment. betes can return to normal glucose levels. learned in the workshop.
School Education Programs Healthy Hair Starts with a Healthy Body™ Healthy Families Start with You EnhanceFitness
& Dodge the Punch: Live Right™ • Partnership with Head Start • A low-cost, evidence-based program proven to:
Kids and Kidneys • African American beauty salon stylists and barbers are • Kids and parents learn about healthy eating, -increase strength
• Elementary school students learn about meal preparation, and active living. -boost activity levels
trained to provide health education in their communities.
nutrition, exercise and disease prevention. • Regie the Rainbow Man helps! -elevate mood
Healthy Kids and Kidneys
• 6th grade students at high-risk for diabetes, high blood
pressure and kidney disease learn to improve their health.
Kids Interested in the Care of their Kidneys (K.I.C.K.)
• High school students learn about diabetes, high blood
pressure, kidney disease prevention, and organ donation.
• “What you do is really cool. In an orange folder we got, • “I would never have known I had high blood pressure with- • “It’s fun and beneficial for my daughter. She loves • “I am gaining more momentum in my physical health
there is a health pyramid so now I can keep my kidneys out this program. Now I can deal with my blood pressure it! We purchase and eat more fruits and vegetables than ever before. I am going to stick with it as long as I
healthy.” Allison, Grandville and get it under control.” Participant, Detroit because of the program.” Parent of child in program have the opportunity to do it.” Amos, Ecorse
Serving 43,000 since 1999 in Detroit, Flint, Grand Rapids, Serving 1,300 (adults & kids) since 2006 in Wayne,
Inkster, Lansing, Muskegon, Pontiac, Saginaw, Southfield Serving residents in 13 counties since 2000.
Serving students statewide. Programs have educated Oakland, Monroe and Washtenaw counties.
more than 1 million children since 1998. and Ypsilanti.
Bottom Line: 94% of participants reported their physi-
Bottom Line: 73% of adults and 58% of children made cal ablilties have been maintained or greatly improved.
Bottom Line: Students show a 20% knowledge gain. Bottom Line: 59% of participants made at least one at least one healthy lifestyle change.
healthy lifestyle change.