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Choctaw Nation DiabetesWellness Center
“Happy Heart”
Cardiovascular Disease Risk Reduction Project
Program informationChoctaw Nation of Oklahoma
*The clinical measures listed on these documents were used by the programs over the past 10 years and were current at their time of use. However, these example documents are not intended to serve as current clinical guidelines. Programs using these documents will need to ensure the clinical measures are current for their intended use.
The Facts
Every 33 seconds cardiovasculardisease will claim someone’s life.
It results in more deaths than allforms of cancer combined.
Each year, about 1.1 million people in the United States have heart attacks, and almost half of them die.
Known as a silent killer because it often has no warning signs until a stroke or heart attack ensues.
Heart Attack is the leading cause of death in both men and women in the United States today.
People who have type 2 diabetes have a four times greater chance of dying of a cardiovascular event, such as heart attack or stroke.
“Happy Heart”, CVD Grant Awarded through a competitive grant
process 30 Grantees across the United
States 5 year grant beginning October, 2004
– September, 2009 Extended an additional year, 2010 We will apply for 2 additional years
this summer.
Who Can Participate Native Americans/Alaska Natives Diagnosis to Type 2 Diabetes Age 18 and older Exclusion Criteria:
Pregnancy Active alcohol or substance abuse by provider
judgment End Stage Renal Disease on Dialysis Any other significant medical conditions or
circumstances that may adversely affect participation
Ways to Reduce the Risk of CVD
Stop Smoking Keep Blood Pressure Within Normal Range Maintain Blood Glucose Levels Within Normal
Range Keep Cholesterol Levels Within Range Exercise Daily (at least 30 minutes) Adhere to Low Sodium/Low Fat Diet
Target Ranges– Blood Pressure Below
130/80– LDL
Cholesterol(Bad) Below 100
– HDLCholesterol (Good) Men40 or
greater
Women 45 orgreater
– Triglycerides Less than 150
– A1C Less than 7%
Participant Benefits Monthly case management visits until target ranges
are reached, then visits will be quarterly. Nurse Case Managers assist with management of
care, setting goals and are available to answer participant questions in person or by telephone.
Physical Activity Leader (PAL) to assist withdeveloping and maintaining a personal exercise plan.
Consultation with a Registered Dietician and assistance with personal meal planning.
Group and individual diabetes and cardiovasculardisease education classes.
Laboratory test performed regularly. Family participation is encouraged through community
events.
Minutes of Physical Activity Each Week
20 21
38
14 17
17
29
16
46
11 11
60
43
7
0
50
0
10
20
30
40
50
60
70
0 minutes 1-89 minutes 90-149mintues
>150 minutes
Baseline
1st Annual
2nd
Annual 3rd
Annual
Mean HbA1c at Each Assessment
7.6
7.9
7.7
7.4
7.67.5
7.1 7.2 7.27.1
8.1
7.8
8.2
8
7.8
7.6
7.4
7.2
7
6.8
6.6
Female Male Total
Baseline
1st Annual
2nd
Annual 3rd
Annual
Mean LDL at Each Assessment
20
0
40
60
120
100
80
Female Male Total
Baseline
1st Annual
2nd
Annual 3rd
Annual
Mean Systolic Blood Pressure
120
118
122
124
126
132
130
128
Female Male Total
Baseline
1st Annual
2nd
Annual 3rd
Annual
Mean Diastolic Blood Pressure
76
75
74
73
72
71
70
69
68
Female Male Total
Baseline
1st Annual
2nd
Annual 3rd
Annual
Mean BMI
38
37
36
35
34
33
32
31
30
Female Male Total
Baseline
1st Annual
2nd
Annual 3rd
Annual
Current Participation
We have recruited 265 participants. Base line examinations have been
performed on 197 participants. We currently have 186 active participants.
