#DiabetesMatters - Provincial Diabetes Strategy Overview

Provincial Diabetes Strategy

Overview

Diabetes Matters

May 12th, 2017

Martha St Pierre, B.ScN, RN, CDE

Provincial Diabetes Clinical Lead

Faculty/Presenter Disclosure

• Martha St. Pierre- Is an employee of Health PEI

• Relationships with commercial interests:

Grants/Research Support: NONE

Speakers Bureau/Honoraria: NONE

Consulting Fees: NONE

Other: NONE

CFPC CoI Templates: Slide 1

Disclosure of Commercial Support

• This program has received financial support from Health PEI,

CADTH, and PEI Medical Society in the form of educational grant.

• This program has received in-kind support from Health PEI,

CADTH, in the form of logistical support.

CFPC CoI Templates: Slide 2

Diabetes on PEI (2001 to 2013)

Source, PEI Epidemiology Unit, Dept of Health and Wellness, May 2016

67.8% ↑ in

prevalence for

adults (± 20 yrs)

in the 13 year

period

Diabetes Strategy

released July, 2014

• Available at

www.healthpei.ca

• Search word

“diabetes strategy”

Three overarching priorities

Key accomplishments - Prevention & Detection

• Two pilots completed (Montague Pilot Group Lifestyle Balance

Program and TOOLS for Wellness program Harbourside).

Committee examining recommendations for a primary care model

for PEI targeting pre-diabetes and obesity

• Nutristep screening tool launched within Public Health Offices for

toddlers and preschoolers

• CANRISK tool (diabetes risk calculator) promoted as part of

Diabetes Awareness month in November 2016. Posted on Health

PEI website & distributed to Primary Health Networks

• Continue to examine opportunities to work with Dept of Health &

Wellness on risk reduction strategies

Key accomplishments - Management

Acute Care

• Provincial Hypoglycemia Medical Directive

• Use of insulin pens in all acute care sites

• Changes to documentation and ordering in CIS, creation of an glance “diabetes dashboard”

• Patient education materials and Nursing Education tools

• Discharge planning processes to improve communication and referral process

Long Term Care

• Provincial Policy for Management of Hypoglycemia and Hyperglycemia (July, 2016)

• Pilot on the use of Insulin Order set for LTC frail elderly, Beach Grove (May, 2017)

• Continued education to community care and LTC staff through workshops

• Diabetes modules for community care / LTC staff to provide education, under development

Primary Care

• C-Change workshops in 2015 and 2016

• Collaborative physician office visits with diabetes educators, continues to expand

• Diabetes Matters, May, 2017

Key accomplishments - Management

New Government funded programs Funding

• Insulin Pump Program for children & youth, July 2014

• Retinopathy screening program, Nov 2014

• Nurse Practitioner – Provincial Diabetes Program – temporary full time, Sept 2015

Provincial Pharmacare Drug coverage

• Basal insulins (levemir, glargine) under Special Authorization

DPP-4 inhibitors (sitagliption, saxaliptin, lingliptin) under Special Authorization

• SGLT-2 inhibitors (canagliflozin, dapagliflozin and empaglifozin) under Special Authorization

• Diabetes Medication and Supplies Recommendation committee – newly formed

Programs

• Provincial Diabetic Foot Ulcer Screening tool – in primary care, with plans to expand

Moving Forward – fall 2017

• Continue to with acute / LTC / home care initiatives

• Renewal of the Diabetes Strategy beyond 2017

• Mental Health and Diabetes – examining opportunities to increase

screening, early approaches and referral as needed

References

• Health PEI (2014), Diabetes Strategy 2014-2017, Charlottetown: Health PEI

Available from : http://www.gov.pe.ca/photos/original/hpei_diabst_17.pdf

Thank you!

Enjoy the

Diabetes

Matters, 2017

Workshop!