Diabetes/Cardiovascular
Our plans for diabetes, cardiovascular, hypertension, cholesterol and obesity are focused on shoring up the weak spots in the algorithms.
The sequence starts with a diagnosis followed by a care plan based on guidelines ... then the meds half of the prescribed solutions happens much better than the lifestyle half.
For diabetes, there are signficant gaps in education, self-management training, exercise, weight loss, the three tests, MedsChecks, stress management.
A diagnosis for diabetes triggers an increased urgency to bring hypertension under control (the guidelines change with the diagnosis). The meds half responds accordingly but the lifestyle half doesn't.
Existing programs dedicated to diabetes have to successfully address co-morbidities like hypertension (more a heart and stroke issue) and exercise (more a physio or kin issue).
Our plans strive to engineer greater success with the lifestyle solutions using the resources that already exist in the community.
We are working to describe how "diabetes navigation" should happen among the various stakeholders.