Diabetes Self-Management for People with Disabilities and Type 2 Diabetes

Type 2 diabetes has been, and continues to be, a national epidemic. According to the 2020 Diabetes Statistics Report from the CDC, approximately 34.3 million people (or 10.5% of the US population) have diabetes.  (This has increased from 2007's statistics of 23.6 million people or 7.8% of the U.S. population).  People with disabilities are three times more likely to develop diabetes. Looking closer to home, according to Oregon’s 2018 BRFSS, 18.7% of adults with disabilities have diabetes compared to 6.8% of adults without disabilities.   The good news is that the chronic disease is preventable by improving access to health promotion programs and healthcare, as well as making healthy lifestyle changes. 

The Oregon Office on Disability and Health and the University Center for Excellence in Developmental Disabilities along with our local and national partners are committed to 1) increasing the awareness of the seriousness of diabetes and 2) offering and supporting programs to help people prevent and/or manage their diabetes. 

Diabetes Self-Management App Project

For People with Intellectual and Developmental Disabilities (I/DD) who have Type 2 Diabetes

Cognitopia and OODH have been working together over the last year to create a diabetes self-management app for people with I/DD and Type 2 Diabetes.  The app was pilot tested with several people with I/DD and Type 2 diabetes, and after the several updates and modifications, the app is now ready for a more comprehensive trial. 

Apply now!  Your agency could be part of the trial - at no cost!

Cognitopia and OODH are offering an exciting opportunity for up to ten developmental disability residential service providers to implement the diabetes self-management app with the people they serve who have Type 2 Diabetes.  Qualifying provider agencies must have between one and five customers (app Users) who are committed to participating in the program. Participants with I/DD and their supporting staff person can each earn up to $75 for their participation.

The duration of the trial program is 9-months and is designed to help people with I/DD better manage their type 2 diabetes and make new friendships and be part of a fun social and supportive network; and help agency staff provide a simple and comprehensive way to support and monitor their customers’ diabetes self-care.

The duration of the trial program is 9-months and is designed to help people with I/DD better manage their type 2 diabetes, and agencies’ staff provide a simple and comprehensive way to support and monitor their customers’ diabetes self-care.  

Interested parties must submit an application by 5pm August 28, 2020.  The project will run from September 2020 – May 2021. To view the project’s timeline click here.

In addition – Club Wellness!

We may also be able to offer a complimentary program called Club Wellness.  If funding permits, we will offer one of the awardees of the Diabetes Self-Management App Project a free Club Wellness Train-the-Trainer training (for up to 10 program staff) and program implementation (one-time only).  For more information about the project click here.  

Diabetes Self-Management Video

Woman standing in front of a screen saying 'Know your Diabetes; the game show'
Know Your Diabetes: the Game Show

Do you have a #Disability and #Type2Diabetes? Check out the Diabetes Self-Management Video for People with Intellectual and Developmental Disabilities. It's a fun new video to learn ways to stay healthy! Take Care of Your Diabetes  #Diabetes #DisabilityAndDiabetes 

About this video: This video was  created in collaboration with 10 states funded under the CDC cooperative agreement # CDC-RFA-DD16-1603, ‘Improving the health of people with mobility limitations and intellectual disabilities through state-based public health programs.” Arkansas, Iowa, Kansas, Massachusetts, Michigan, Montana, New Hampshire, New York, Oregon, and South Carolina collaborated to identify a cohort of adults with intellectual and developmental disabilities enrolled in Medicaid. Over the course of the grant, the States are conducting a series of analyses to identify the cohort’s most salient health issues.  Analyses identified high rates of diabetes and pre-diabetes in the selected Medicaid cohort. Based on these results, the States agreed to develop an intervention.  A web-based media product was developed and designed to promote effective diabetes management strategies among persons with intellectual and developmental disabilities and their caregivers. 

More about Diabetes and Pre-Diabetes

What is Type 2 Diabetes?

Diabetes is a general term meaning that blood glucose (sugar) is too high. There are three major types of diabetes: 

  • Type 1 (Insulin-Dependent or Juvenile Onset), the body cannot produce insulin; 
  • Type 2 (Non Insulin-Dependent or Adult Onset), the body has a reduced sensitivity to insulin, and the most popular affecting 90% to 95% of the U.S. diabetic population; and 
  • Gestational, occurring during pregnancy.  

With type 2 diabetes, either the body does not produce enough insulin or the cells are resistant to the insulin. Insulin is responsible for moving the glucose (sugar) into the cells to be used for energy. When blood glucose levels are consistently high, the blood becomes thicker, which makes it more difficult for the heart to pump blood throughout the body, leading to poor circulation. Over time, poor circulation due to high blood glucose levels can cause many problems in the body, including diabetic neuropathy (damage to the nerves that allow you to feel sensations such as pain and can lead to amputations), retinopathy (damage to the retina of the eye, which can eventually lead to blindness), and kidney disorders. 

What is Pre-diabetes?

About one-third of adults over the age of 18 have the condition, according to the Centers for Disease Control and Prevention (CDC). And because there are no symptoms of pre-diabetes, about 90 percent of those people don’t know they have it. Pre-diabetes is diagnosed when one or more screening tests find blood glucose levels that are higher than normal, but lower than those seen with type 2 diabetes. 

According to the 2018 Standards of Medical Care in Diabetes, a health care professional will check for pre-diabetes in overweight or obese adults who:

  • Have an immediate relative (mother, father, sister, or brother) with diabetes
  • Are African American, Latino, American Indian, Asian American, or Pacific Islander
  • Have a history of heart disease
  • History of gestational diabetes
  • High cholesterol
  • Have high blood pressure
  • Are physically inactive
  • Have other clinical conditions associated with insulin resistance

To find out if you are at risk for diabetes, take the diabetes risk test here.