Diabetes and Kidney Disease 2014 Guide for Michigan Policy Makers

Michigan’s New Evidence-Based Prevention Program: Reducing diabetes reduces kidney failure.

Diabetes Prevention Program (DPP)The DPP 12-month evidence-based lifestyle change program brings the proven success of the diabetes prevention clinical trial to people in communities around the country. Through 16 weekly sessions (core) and 6-8 monthly sessions (post-core), participants lose weight through healthy eating, being more physically active, and by recognizing and addressing barriers to healthy eating and physical activity. This lifestyle change program has been proven to reduce the risk of developing diabetes among people with prediabetes.

DPP promotes modest behavior changes, such as:

In 2009, Michigan spent $9 Billion to treat diabetes and $1.6 Billion to treat kidney failure.

*Treating 100 high risk adults with DPP:

• Avoids$91,400 in health care costs over a lifetime.

• Prevents15 cases of type 2 diabetes.

• Prevents162 missed work days.

• Avoids the need for high blood pressure and high cholesterol medications in 11people.

• Adds the equivalent of 20years of health.

Over 1 million people in Michigan have diabetes and 2.6 million have prediabetes.

Diabetes is the leading cause of kidney failure, causing over 40% of all cases.

As much as 80% of diabetes can be attributed to people being overweight or obese and inactive.

Problem

Solution Results

improving food choices

increasing physical activity to at least 150 minutes per week

helping participants lose 5%-7% of their body weight *References available upon request

Estimated Prediabetes Prevalence in MI

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

Num

ber o

f Adu

lts

Year

Estimated Prediabetes Prevalence (Adults 18+) in MI Projected to 2020

Estimated Prediabetes Prevalence in MI

• Prediabetes prevalence has continued to grow in Michigan. • In 2013, the estimated number of people with prediabetes was approximately equal to the population of Wayne and Genesee counties combined. • Without intervention, such as DPP, prediabetes will likely turn into diabetes, the leading cause of kidney failure.• Diagnosing prediabetes is a key component to prevention. Currently, only 7% of the people with prediabetes in Michigan know it. NKFM is working to raise provider awareness to increase prediabetes diagnosis.

Diabetes is the Leading Cause of Kidney Failure. Kidney Failure from Diabetes is Declining Faster in Michigan than in the U.S.

• Kidney failure can continue to decline by reducing the number of people with diabetes, high blood pressure, and obesity: the leading causes of chronic kidney disease.• NKFM is leading the charge to prevent kidney failure in Michigan through our innovative and evidence-based programs.• In order to prevent kidney failure, we need to stop it before it starts Evidence based programs such as DPP help to prevent kidney failure and diabetes.

UnitedHealth Center for Health Reform & Modernization The United States of Diabetes: “Challenges and Opportunities in the Decade Ahead”, UnitedHealth Group Working Paper 5, November 2010.

130.0

135.0

140.0

145.0

150.0

155.0

160.0

165.0

2005 2006 2007 2008 2009 2010 2011

per m

illio

n po

pula

tion

2013 USRDS Annual Report, Incidence Table A.9(2)

U.S.

MI

U.S. Renal Data System, USRDS 2013 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive

and Kidney Diseases, Bethesda, MD, 2013.

1169 Oak Valley DrAnn Arbor, MI 48108 734-222-9800www.nkfm.org

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Percent Prevalence7.6 - 9.2%

9.3 - 9.9%

10.0 - 10.6%

10.7 - 12.2%

The average diabetes prevalence for adults in Michigan is 9.2%.

% of county population with ESRD

0.1 to 0.2

0.2 to 0.3 >= 0.3

< 0.1

End Stage Renal DiseasePrevalence of

Percent Prevalence

Kidney Failure• More than 900,000 people in Michigan have chronic

kidney disease. . . and most don’t know it.• African Americans, Asian Americans, Hispanic

Americans, and Native Americans are at increased risk for developing kidney disease.

• After diabetes, high blood pressure is the second leading cause of kidney failure.

• Morethan70%ofallkidneyfailure,causedbydiabetesorhighbloodpressure,couldbepreventedordelayedbyeatinghealthy,gettingexercise,andtakingtherightmedications.

Diabetes • Over 1 million people in Michigan have diabetes. • Michigan’s new Diabetes Prevention Program can

help keep this number from growing.• Diabetes self-management education is critical for

those with diabetes. • When people learn to manage their diabetes,

complications like blindness, kidney disease, amputation, heart attack and stoke can be prevented.

• Diabetesistheleadingcauseofkidneyfailure.

Obesity• 66% of people in Michigan are overweight or obese.• Asmuchas80%ofdiabetescanbeattributedto

peoplebeingoverweightorobese.• 2.6 million have prediabetes.• Michigan’s new Diabetes Prevention Program

reducestheriskofdevelopingtype2diabetesby58%inpeoplewithprediabetes.

In the State of Michigan...