Tyypin 2 diabeteksen sairastumisriskin arviointilomake ns. riskitesti Liite 4

Liite 10 Kuva 1. D2D-tiedonkeruun eteneminen ja vaihtoehtoiset interventio-ohjelmat. (Kuvalähde: Suunnitelma Tyypin 2 diabeteksen ehkäisyohjelman toteuttamiseksi 2003-2007, projektisuunnitelma. Suomen Diabetesliitto ry, 2004; s. 36.)

Liite 16 D2Dhankerahoitus Riskitesti Sokerirasitus Tiedonkeruu Ryhmäohjaukset Koulutus Yhteistyö 3 D2D-PELI TOTUUS JA TEHTÄVÄ Siilinjärven ja Maaningan th ky 2006-2008 Tehtävä: Tyypin 2 diabeteksen ehkäisyn hoitopolkujen luominen Joukkue: Totuus: Väestö n. 25 000 LÄHTÖ 1 Äitiysneuvola 2 Työterveyshuolto 16 lääkäriä 3 Lääkäreiden vastaanotot 16 omahoitajaa Tähtipelaajat 4 Fysioterapia 4 diabeteshoitajaa 5 Mielenterveysyksikkö Elämäntapakartoitukset ja ryhmäohjaukset 2-4 7 Lastenneuvola Varusteet 6 Kouluterveydenhuolto aloitettu v. 2000 vk 8 Terveydenhoitajat/ diabeteshoitajat 2 1 Laadun seuranta Valmentajat: Ylilääkäri Diabetesvastuulääkäri Terveydenhoitajien osastonhoitaja Diabeteshoitaja 4 5 Apujoukot: Kunnan liikuntatoimi Kansalaisopisto Diabetesliitto Muut paikalliset toimijat 6 8 7 Kertausharjoitus MAALI T2DM Hoito-ohjelma intranetissä

DEHKO Implementation of Type 2 Diabetes Prevention Plan Liite 20 1(2) Finnish Diabetes Association www.diabetes.fi Kiuruvesi Vesanto Pielavesi Te rvo Rauta- lampi Vieremä Iisalmi Maaninka Karttula Suonenjoki Prevention Programme of Type 2 Diabetes (D2D) in the Hospital District of Northern Savo (2005-2007) Aim: Systematic screening and prevention of type 2 diabetes will be among the priorities in the primary and occupational health care in the Northern Savo Region. Strategies and Methods in General: High Risk Strategy and the Strategy of Early Diagnoses and Management Sonkajärvi Va rpais- järvi Lapinlahti Rautavaara Kuopio Nilsiä Leppävirta Northern Savo Population 250 000 Keitele Siilinjärvi Juankoski Varkaus Tuus- niemi Kaavi Implementation and evaluation of methods in ImIiImplementation diabetes prevention anvaluation of methplementation and evaluatio Standardisation of the glucose tolerance test Training for Weight-Management Group Instructors (60) Local D2D- educations to multiprofessional personnel and to high risk people Nutritional councelling and physical exercise as a part of education of the FIN-D2D D2D- regional or local programmes (10-15) Updating and improving local treatment paths Early Information -lectures/ days A family oriented approach Tulppa -groups (Cardiovascular diseases and those with riskfactors for CVD). Population Strategy Good local collaboration with health care providers, other health promotion programmes and health organizations Different events and exhibitions for health promotion, e.g. Health Fairs, events at market place, health days at school and at army; type 2 diabetes risk assessment, energy of food, snacks and different drinks. Organisation 2006-2007: Finnish Diabetes Association Hospital District of Northern Savo Chief of the Project (Professor) Steering Committee Regional Coordinator (M. Health Sci.) Chair of the Regional Expert Committee (Docent, M.D.) Regional Expert Committee Project Coordinator (B. Health Care) Nutritionist (M. Health Sci.) (50 %) Office Secretary (10 %) Coordinator of Physical Exercise (50 %) Primary Health Care Centres and Occupational Health Care Private Occupational Health Care D2D Project Workers (15) Hospital District of Northern Savo www.psshp.fi

DEHKO Implementation of Type 2 Diabetes Prevention Plan REGIONAL ACTIVITIES Liite 20 2(2) Finnish Diabetes Association www.diabetes.fi Kuopio Organizing more diabetes education for nurses Basic diabetes education in groups for recently diagnosed type 2 diabetics Make a plan of action how to treat patients with gestational diabetes " Early Information"- lectures for high risk people Collaboration with the municipal training club; health and fitness tests Siilinjärvi, Maaninka "D2D-game"- treatment paths for the outpatient ward in different departments (9) in a primary health care centre A family oriented approach -identification of a child at a risk of obesity and diabetes -activities are directed to the whole family -give parents the responsibility of their children s health -encouraging and advising a healthy way of living "Sentit peliin"(think of your waistline) -groups Sisä-Savo Suonenjoki, Karttula, Rautalampi, Tervo, Vesanto An active D2D-project group Sport calendars Collaborations with school teachers of health education Collaboration with the health organizations Health promotion days and risk assessment days Leppävirta A customer oriented approach -customers take part in the problem solving and are in charge of their own health -documentation of lifestyle changes and need for change -knowledge, support, encouragement, motivation -follow-up, continuance of the care Hospital District of Northern Savo www.psshp.fi M.D. Leena Moilanen, Chair of the Regional Expert Committee M. Health Sci. Mervi Lehmusaho, Regional Coordinator Professor Leo Niskanen, Chief of the D2D-Project Pohjois-Savon alueellisia hanketyöntekijöitä: Kuvassa vas. Hanna Vänttinen, Ulla Pailamo, Annikki Sutinen Leena Damsten, Marja Karsikkoniemi, Satu Hautala Varkaus Collaboration with pharmacies (theme days), non-profit organizations and assosiations (peer groups), health care and accupational health care. Type 2 diabetes risk assesment form when Pap-test(women) and when theme weeks at MOT test (motor-vehicle inspection). Ylä-Savo Iisalmi, Vieremä, Lapinlahti, Varpaisjärvi Kiuruvesi, Rautavaara, Sonkajärvi, Pielavesi, Keitele Regional "Physical activity and nutrition project 2004-2008" (http://www.lapinlahti.fi/projektit/telira) Nutrition exhibit in municipalities and counselling materials of nutrition and physical activity Diabetes prevention -groups Physical activity groups Make a plan about how to treat obese children Health promotion in co-ordination and as part of multiprofessional teamwork; e.g. lectures and groups in folk high schools Motivating people to physical activity, reminders "Did you walk?" Collaboration with the health organizations Health exhibitions Metabolic syndrome-project in Lapinlahti county with Kuopio University Koillis-Savo Juankoski, Kaavi, Tuusniemi, Nilsiä Risk assesment days in pharmacies, for parishioner and unemployed Peer groups Physical activity groups -physiotherapy -exercise groups for elderly "Early Information"-lectures for high risk people in Nilsiä The Region Health Promotion Project of Northern Savo (2006-2008) 10 Partners Communities Home Page: http://www.iste.fi International and National Health Links Healthy Living Best Practices and/or Evidence-based Practices Healthy Living Strategy in Communities