Oklahoma city indian clinic special diabetes program for indians community-directed program - oklahoma city indian clinic (OKCIC) is located in oklahoma city (OKC), oklahoma

With more than 23,000 active patients, OKCIC is the largest urban indian health care facility in the contiguous united states. OKCIC welcomes all american indian/alaska native (AI/an) members of all federally recognized tribes regardless of where they live. Urban AI/an face the barrier of living many miles away from their tribal and/or IHS health care facilities. Lack of personal transportation, public transportation and high gas prices are barriers to traveling outside of OKC. Special diabetes program for indians (SDPI) enabled OKCIC to provide the very best diabetes care encompassing all areas of diabetes. Since receiving SDPI grant funding in 1997, OKCIC began providing specific medical care to patients with diabetes, tracking their care with the diabetes registry and providing diabetes education and support groups. According to the american diabetes association, 14.3% of oklahoma adults have type 2 diabetes and 36.9% have prediabetes. OKCIC diabetes prevalence is 16.5%. Our current SDPI team consists of fulltime registered nurse/certified diabetes care and education specialist (CDCES), registered dietitian (RD)/CDCES, two additional RDS, three lifecoaches/certified personal trainers, administrative assistant and 33% of our endocrinologist's salary. To address the current rise in diabetes, prediabetes and obesity OKCIC SDPI team will initiate processes and programs to decrease glycemia in patients with diabetes. We will address our best practice, glycemic control, by initiating a process where patients will be seen by the OKCIC endocrinologist and followed up with visits to a CDCES and RD. Our patients with diabetes will be referred to our accredited diabetes self-management education and support (DSMES) program braid for group education. The 2022 audit report indicates OKCIC "blood sugar control" < 8.0 at 63%. Our SDPI team wants to continue OU R interventions and demonstrate even greater improvement. Opportunities for cooking class, wellness center and personal lifecoaching will be provided. For patients with a diagnosis of prediabetes, lifecoaching services are available along with our fully recognized CDC diabetes prevention program (STAR), cooking class and wellness center facilities. Get set program developed in 2008 and is available to all OKCIC patients who want to reduce their risk of diabetes and prediabetes. Get set helps to motivate patients to stay involved with physical activity and nutrition education. Retinal imaging will be provided to all patients with diabetes. A trained SDPI retinal imager will take pictures which will be evaluated by an OKCIC optometrist. SDPI STAR cooking classes will be offered to AI/an patients and their families. The goal of STAR cooking is to provide education to native families to develop healthier habits through nutritious cooking at home that is affordable and with simple recipes. To increase patient access to STAR cooking we will provide a weekly cooking video that highlights healthy, affordable, and simple recipes that the whole family can enjoy. Each week a new recipe will be shared on the oklahoma city indian clinic website and social media platforms. The SDPI team will track data from each of these programs. Patients will be offered satisfaction surveys to get feedback on program services.