Diabetes Day Activity Plan (1)
165438+1October14th is World Diabetes Day. At present, about 1 1 out of every 100 adults in China suffer from diabetes, and about 50 people are diabetic reserve army (pre-diabetes)! There are many complications in the chronic course from pre-diabetes to diabetes, such as cardiovascular and cerebrovascular diseases, 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 families and society. It has become one of the main public health problems in China, and the early detection, intervention and treatment of diabetes have also become urgent problems in China.
Because most patients with type II diabetes have no obvious symptoms, the onset is slow, more than half of them are asymptomatic, and it is not easy to be found in the early stage, so most patients cannot get early treatment. What's more, the existing diabetes detection methods have certain limitations on the early detection of diabetes! Professor Pan Changyu, a famous endocrinologist in China and the General Hospital of the People's Liberation Army, pointed out that only detecting fasting blood glucose will miss the diagnosis of nearly 80% of pre-diabetes and diabetic patients. Because when the fasting blood glucose is 6. 1 mmol/L, it may be a diabetic. Therefore, when patients are diagnosed with diabetes, they are often found to have serious complications, such as stroke, coronary heart disease, eye disease, diabetic nephropathy, dermatosis or gangrene of lower limbs, and have a medical history of at least 5- 10 years.
The Health Management Center of our hospital took the lead in introducing the advanced equipment of eZscan in provincial hospitals, which can predict the risk of diabetes 5- 10 years in advance! It makes up for the deficiency of detection methods during the 5- 10 years before blood sugar rises. It can be used to evaluate the condition of diabetic patients and predict the risk or severity of complications 5- 10 years in advance, so as to intervene and treat in time and restore health.
In order to popularize the knowledge of diabetes prevention and control to the masses, deepen the awareness of diabetes prevention and control, and guide the whole society to pay attention to diabetes and prevent diabetes, Shiyan Health Management Association and our hospital health management center specially launched the activity of "risk detection and health management of diabetes and diabetes complications".
Activity time: 20XX years 1 65438+1October1to165438+1October 30th.
Activity mode:
1. Provide free diabetes risk testing service to five citizens every day, and give corresponding risk health management guidance. Suitable for testing people:
(1) All high-risk groups of diabetes should be screened: family history of diabetes; Cardiovascular and cerebrovascular diseases; Hypertension and gout; Overweight or obesity, especially abdominal obesity (waist circumference male >; 90 cm, female >; 85cm)； A sedentary lifestyle; Smoking and drinking; Previously diagnosed as impaired glucose tolerance (IGT), impaired fasting glucose regulation (IFG) and/or metabolic syndrome; Elevated triglycerides, decreased high density lipoprotein cholesterol or both; Assess the risk of impaired glucose tolerance (IGT) before pregnancy; Have a history of gestational diabetes; Giving birth to a big baby (birth weight ≥ 4 kg); Polycystic ovary syndrome; Taking drugs and hormones to treat schizophrenia and bipolar disorder; Repeated sores, sores and swelling, poor eyesight, repeated skin infections, lower limb pain or abnormal sensation, and no reason can be found; People over 40.
(2) diabetic patients.
2. Citizens who need to be tested can receive a test number sign free of charge at the outpatient medical guide desk every day.
3. You can attend the public lecture on health education held in June165438+1October "Diabetes (Diabetes Reserve Army) Health Management Club":
(1) 20xx165438+1October 10, 4: 00-4: 30 p.m. Intestinal flora imbalance and diabetes, 4: 30-5: 00 p.m. Health exercises, lectures by Professor xx and researcher.
(2) 20xx165438+14: 30pm on October 24th, balance acupuncture treated diabetic complications.
Sick, 4: 30-5: 00, aerobics, Ba Duanjin, deputy director of xx, deputy chief physician.
Testing location: Health Management Center (3rd floor of emergency complex)
Tel: xx Diabetes Risk Testing Room
Diabetes Day Activity Plan (2)
The short-term goal of diabetes treatment is to eliminate diabetes 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, improve the quality of life of diabetic patients and prolong their lives through good metabolic control. In addition to medication, the behavior and self-management ability of diabetic patients are also the key 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 relatively perfect diabetes education and management system should be established. According to the "Management Standard of Whole-course Nursing Network for Diabetic Patients in xx City (Trial)", combined with the actual situation in our district, the "Implementation Plan of Whole-course Nursing Network for Diabetic Patients in xx District" was formulated.
First, the management mode of "Sugar Friends Network"
1, "1+ 1+X", team composition: each team is managed by a management team consisting of 1 specialist, 1 general practitioner and several health managers (according to the number of patients managed).
2. Graded diagnosis and treatment responsibilities: ① Specialist is responsible for diagnosing and screening the complications of patients accessing the network, making individualized treatment and management plans, and visiting the community regularly; ② General practitioners are responsible for supervising patients to carry out the diagnosis and treatment plan formulated by specialists, understanding the changes of their condition, keeping records of the follow-up course, and referring patients with poor disease control to specialists in time; ③ The health manager is responsible for the specialist's individualized management plan for patients, and carries out daily follow-up and health education in order to achieve the expected effect of personal behavior intervention.
3. Quality control management: The specialists or experts of the Second Hospital of xx City shall formulate the management path, process and goal of patients accessing Sugar Friends Network. The implementation basis is: (1) 20xaoa diabetes diagnosis and treatment guidelines; (2)20XX guidelines for prevention and treatment of diabetes in China; (3)20XX China Diabetes Prevention and Treatment Guidelines (Basic Edition); (4) China diabetes care and education guide; (5) Refer to the National Public Health Management Service Standard for Patients with Type 2 Diabetes (20XX Edition). According to the thinking of evidence-based medicine, every detail in the work has been strictly checked and designed, so that it is reasonable and well-founded. The establishment of a perfect quality control management evaluation system is conducive to the supervision and assessment of the daily management of primary medical and health institutions by the District Health Bureau.
4. Training mechanism: The District Health Bureau and the Second Hospital of xx should undertake professional practice guidance and related training for general practitioners, nurses and managers, and organize various trainings organized by the Municipal Health Bureau. Grass-roots medical and health institutions should do a good job in talent training plan and send high-quality professional and technical personnel to participate in relevant training, including health managers, nutritionists and other training.
5. Establish a communication mechanism for contact consultation: each grass-roots medical and health institution and the endocrinology department of the Second Hospital of xx set up referral liaison officers respectively, and through the mutual communication of the liaison officers of both parties, the problems that cannot be solved in the work can be reported to the director of endocrinology department or the medical and political department of the District Health Bureau for coordination.
6. Establish a two-way referral mechanism. When patients need to be referred to the Second Hospital of xx City, the contacts of both parties will coordinate, open a green channel for patients, contact experts or arrange hospitalization, so as to realize the seamless docking of two-way referral between hospitals and primary medical and health institutions, which will really benefit patients; In the process of hospitalization, specialists should arrange general practitioners to participate in ward rounds, so that general practitioners can know the diagnosis and treatment of patients and the changes of their condition in time, which is conducive to the cultivation of general practitioners and embodies the advantages of integrated management; After treatment, patients with stable condition will be transferred back to primary health care institutions for daily management. The contact person of the Second Hospital of xx City will feed back the diagnosis and treatment situation and medical records of patients in superior hospitals, and the specialist will explain the follow-up diagnosis and treatment and management matters to general practitioners, so that the community can implement the new management plan and realize the daily diagnosis and treatment of primary health care institutions.
Second, the access path of "Sugar Friends Network" patients
1, determine the management object.
"Tang You users. Com "are: (1) type 2 diabetic patients aged 35 and above, including pre-diabetic patients; (2) Diabetic patients transferred by "two-way referral".
2. Discover the management objects within the jurisdiction (screening for type 2 diabetes)
(1) High-risk population of type 2 diabetes: ① Age ≥40 years old; ② History of impaired glucose regulation (IGR); ③ Overweight (B MI≥2.4kg/
m？ ) or obesity (B MI≥ 28kg /m? ) and/or central obesity (male waist circumference ≥90cm, female waist circumference ≥ 85 cm); ④ Sit-in lifestyle; ⑤ High-risk race with family history of type 2 diabetes in first-degree relatives; ⑥ Have a history of macrosomia (birth weight ≥4kg) and gestational diabetes.
(GDM) historical women; ⑦ Hypertension (systolic blood pressure ≥ 140 and/or diastolic blood pressure ≥90mmHg), or receiving antihypertensive treatment; 8 dyslipidemia (HDL-C ≤0. 9 1 mmol/L (≤35mg/dl) and TG≥ 2. 22mmol/L (≥ 200mg/dl), or undergoing lipid-lowering treatment; Pet-name ruby patients with atherosclerotic cardiovascular and cerebrovascular diseases; Attending a short history of steroid diabetes; ? Polycystic ovary syndrome (PCOS):? Patients receiving long-term antipsychotic and/or antidepressant treatment.
(2) Diabetes risk assessment: See table 1.
Diabetes Day Activity Plan (3)
I. Background of the event
World Diabetes Day'WDD was initiated by the World Health Organization and the International Diabetes Federation on June 5438+099 1 * *, and will be held on June 165438+ 10/4 every year, aiming at arousing global attention and awakening to diabetes.
20XX is the continuation year of diabetes series activities of the International Diabetes Federation in the next three years. 20XX-20XX Diabetes Day will carry out a series of activities around the theme of "Healthy Living and Diabetes". The key message conveyed by Hope Activity is: let more people know about diabetes, understand healthy lifestyle and its important role in preventing and treating type 2 diabetes and avoiding complications, advocate healthy lifestyle and living environment, and better protect our health. Xx Diabetes Prevention Center and the Department of Endocrinology and Metabolism of xx People's Hospital will launch a series of publicity activities for the United Nations Diabetes Day on 20XX11day and 12.
Second, the theme of the event
Healthy living and diabetes
Three. Time, place and details of the activity
20xx-11-11-14: Department of Endocrinology and Metabolism, 30xx People's Hospital.
20XX Diabetes Association with the theme of "Healthy Living and Diabetes"
20xx-11-12-8: 30xx outpatient hall of people's hospital of xx city.
Free outpatient consultation on United Nations Diabetes Day
Activities of Diabetes Association:
1. Expert interaction
2. Young people with diabetes read phonological information.
3. Health talk
4. Sugar Friends Garden Activity (1, you and I set the goal together-the establishment of the goal card; 2. I monitor, I meet the standard-self-blood sugar monitoring and answering questions; 3. I inject, I am safe-diabetes injection technology consultation))
Diabetes Day Activity Plan (IV)
Diabetes is a chronic disease that seriously threatens human health. According to the latest data of the International Diabetes Federation (IDF), in 20 15, the number of diabetic patients worldwide reached 280 million, and the number of deaths reached 3.8 million every year. Since 199 1, the International Diabetes Federation and the World Health Organization have designated 165438+ 10/4 as the United Nations Diabetes Day, and the blue circle is the symbol of diabetes. Every year, on the occasion of Diabetes Day, more than 2,000 landmark buildings around the world, such as the London Eye and the Eiffel Tower, will light up blue light, hence the name "Blue Action".
Because diabetes is the main chronic disease that threatens the health of residents in our city, controlling diabetes is one of the working objectives of "Healthy Beijingers-Ten-Year Action Plan for National Health Promotion" (2009-20 18), and it is also an important content to promote the equalization of basic public health services in the reform of medical and health system. With the theme of "Diabetes Education and Prevention" and the slogan of "It is urgent to control diabetes", this session launched a series of large-scale diabetes publicity activities such as "Blu-ray Action". In order to further improve the public's understanding of diabetes and do a good job in the publicity activities of "United Nations Diabetes Day" on 20 15, xx District decided to carry out the publicity activities of "United Nations Diabetes Day" throughout the region.
I. Purpose of the event
(1) Improve residents' awareness of diabetes prevention and cultivate a healthy lifestyle.
(2) 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 self-management of diabetic patients, and reduce and delay the occurrence of complications.
Second, the arrangement of publicity activities
(1) main venue:
1. Activity time: 20151.04 (Saturday) 9: 00- 10: 30.
2. Venue: Choose Canal Culture Square in xx District as the main venue, which is one of the main venues for cultural and sports activities of residents in xx District, and many people come to the activities every day.
3. Participants: the staff of the Prevention and Protection Department of the District Health Bureau, the health education staff of the District CDC, the health care staff of the Chinese medicine hospital, 1 clinician.
4. Preparation before the event:
(1) Formulate the activity plan of diabetes day in the whole region and report it to the CDC of the Municipal Health Bureau.
(2) Making banners of theme activities of Diabetes Day.
(three) publicity materials used in the preparatory activities.
5. Contents and forms of activities:
① Take blood sugar measurement and distribute publicity materials to all community residents who come to participate in the activities, and register newly discovered diabetic patients in order to be included in the standardized management of diabetes in the community.
② On-site activities are conducted in the form of free consultation. In addition to measuring blood sugar and filling in the registration form, there is also an information desk. The doctor is a doctor in a Chinese medicine hospital.
③ Banners with the theme of Diabetes Day were hung at the activity site, posters were posted, and display boards of knowledge about diabetes hazards, diet, exercise and self-management were posted.
④ Advocating a healthy lifestyle and effectively preventing and treating diabetes. For example, lead residents to take healthy steps on the spot.
⑤ Encourage high-risk individuals or diabetic patients to receive regular health guidance and physical examination.
⑥ Invite TV stations and journalists from xx District to participate.
6. Activity summary: Write the information and summary within 2 days after the activity, and report it to the CDC of the Municipal Health Bureau.
(2) Sub-venue:
1. Activity time: 20XX 1 1.04 (Saturday) 9: 00 am-10: 30 am.
2. Location: Each hospital/community center chooses the residents' gathering place within its jurisdiction as the main venue for activities, which is one of the main places for residents' cultural and sports activities, and many people come to activities every day.
3. Participants: medical staff in hospitals/community centers and 1 clinicians.
4. Preparation before the event:
(1) Make a diabetes day activity plan in this area, and report it to the Chronic Diseases Institute of the District CDC and the Prevention and Protection Department of the District Health Bureau before June 25th at 65438.
(2) Making banners of theme activities of Diabetes Day.
(three) publicity materials used in the preparatory activities.
5. Contents and forms of activities:
① Each community health service center in the whole region should choose at least one community to carry out the theme activities of Diabetes Day, and carry out activities according to the activity plan issued by the xx District Health Bureau. After the activity, the activity summary and hypertension registration data will be reported to the Chronic Diseases Department of the District CDC and the Prevention and Protection Department of the District Health Bureau within two days.
(2) Each community makes a certain amount of publicity materials for diabetes day by itself.
③ Hanging banners and putting up posters with the theme of Diabetes Day at the activity site; If conditions permit, display the knowledge about diabetes hazards, diet, exercise and self-management.
④ Take blood sugar measurement for all community residents who come to participate in the activities, distribute publicity materials, register newly discovered diabetic patients and bring them into the standardized management of diabetes in the community.
(1) The high-risk population was screened with waist circumference scale, and the blood sugar of fingertip was detected in men with waist circumference ≥90cm and women ≥85cm. For patients whose fasting blood sugar is greater than or equal to 5.6 mmol/L and whose blood sugar is greater than or equal to 7.8 mmol/L two hours after meals (starting at 10: 00 in the morning), it is recommended that patients undergo OGTT examination (the materials prepared by the District CDC are made public to the people).
(2) Make statistical registration for high-risk groups and fill in the screening form.
⑤ On-site activities can take many forms, such as large classes and free clinics. In addition to measuring blood sugar and filling in the registration form, there is also a consultation desk, where at least one professional doctor is responsible for consultation.
⑥ Activities advocate a healthy lifestyle and effectively prevent and treat diabetes. For example, lead residents to take healthy steps on the spot.
⑦ Encourage high-risk individuals or diabetic patients to receive regular health guidance and physical examination.
I recommend it carefully.