The International Diabetes Federation (IDF) has estimated that the number of adults with diabetes is expected to rise from 425 million in 2017 to 629 million by 2045. Type 2 diabetes mellitus does not causes specific symptoms for many years at onset, which explains why between 25%-50% of the cases of Type 2 diabetes mellitus remain undiagnosed at any time in the community. Plasma glucose either fasting or 2 hours after a 75g glucose load and HbA1c levels are recommended methods for Type 2 diabetes mellitus diagnosis in the general population. However, these are invasive, expensive and time consuming procedures and, hence, are not suitable for mass screening. It has been shown that the most cost efficient method for Type 2 diabetes mellitus screening in the general population is the use of a non-invasive tool for risk stratification as the first step followed by a blood test for glycaemia. Thus, screening for impaired glucose regulation should be targeted to individuals at high risk of Type 2 diabetes mellitus.
Finally, the treatment of T2D is difficult and regardless of pharmacological treatment blood glucose levels have shown to increase over time. Therefore, primary T2D prevention strategies may be more efficient than the secondary prevention approach. In addition, the most common T2D complications such as cardiovascular diseases may be postponed by preventing the development of T2D, highlighting the importance of early T2D prevention in the general susceptible population.
This webinar will provide a brief overview on the current estimates of the diabetes epidemics. Risk factors for type 2 diabetes and how to screen for people at increased risk of type 2 diabetes will be presented. In addition, the speakers will present the current scientific evidence in preventing or delaying the onset of type 2 diabetes in randomized clinically controlled trials and field trials. In the end, webinar participants are encouraged to discuss with the presenters various aspects of diabetes epidemiology.
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Noël C Barengo, MD, MPH, PhD was born and raised in Switzerland where he started his academic training. He studied at the University of Zurich (Switzerland), the Karolinska Institute (Sweden) and University of Eastern Finland where he graduated as MD in 1999. Thereafter he completed a Master in Public Health (2001) and a PhD in Public Health (2006) at the University of Eastern Finland (former University of Kuopio). He was given the title of lecturer in public health at the University of Helsinki in Finland in 2009. He has worked as independent consultant in non-communicable diseases for the Pan-American Health Organization, the ASPIRE center in Qatar, the Ministries of Health of Argentina, Colombia and Paraguay. At the present moment he works as Assistant Professor at the Herbert Wertheim College of Medicine, Florida International University in the USA. Dr. Barengo has 16 years teaching experience in epidemiology, research methods and public health. Among others, he has been teaching biostatistics, public health, health promotion, global health, epidemiology and research methods in pre- and post-graduated programs at several Universities in the Unites States, Europe and Latin America. Dr. Barengo´s primary research interests are prevention and control of diabetes, hypertension and cardiovascular diseases. Furthermore, his scientific research has been focused on how to control and improve lifestyle habits and risk factors of non-communicable diseases in the population and high-risk groups. He has published more than 80 scientific publications in peer-reviewed journals and three book chapters. His H index is 26 and by 2019 his publications have received over 4500 citations.
Kelsey Christian earned her Bachelor’s degree in Health Communication and her Master’s in Public Health from the University of South Florida. Her research interests are in health behaviors and how that affects health choices and chronic disease outcomes. Kelsey is a Health Educator Consultant for the Florida Department of Health in Hillsborough County in the Community Health division. She co-leads a team that facilitates the Diabetes Prevention Program, Diabetes Self-Management Education, and a NACCHO Model Practice Award winning program called Get Into Fitness Today. She and a team member also train other health department staff on inclusion within the Diabetes Prevention Program. In her role, she leads a robust referral and outreach program focused on increasing prediabetes awareness and screening to healthcare providers. Additionally, Kelsey is a Certified Health Education Specialist, a Certified Public Health professional, a DPP Lifestyle Coach, and a Master Trainer Select for the Diabetes Prevention Program.
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