Reducing Disparities in Diabetic Care

Promoting effective prevention and treatment


Everyone with Diabetes Counts

Diabetes is the most common cause of blindness, kidney failure and amputations in adults, as well as a leading cause of heart disease and stroke. People with diabetes spend 2.3 times more on healthcare costs than others without the disease. In the United States, nearly 13 percent of adults age 20 and older have diabetes. Nearly one-third of persons 65 years and older have diabetes. African-Americans, Hispanics and Native Americans are nearly twice as likely as Caucasians to be diagnosed with diabetes¹.

The Great Plains QIN is working to improve health outcomes and reduce issues of health disparities among people with diabetes. Our approach and goals include:

  • Assisting physician clinics in improving utilization and clinical outcome measures for HbA1c, lipid, blood pressure and weight control for Medicare consumers with diabetes
  • Improving HbA1c, lipid, blood pressure and weight control outcomes for Medicare consumers with diabetes
  • Decreasing the number of individuals who require lower extremity amputations due to complications resulting from poorly controlled diabetes
  • Increasing Medicare consumer participation in Diabetes Self-Management Education (DSME) classes utilizing Chronic Disease Models, such as the Stanford Chronic Disease Program and the Diabetes Empowerment Education (DEEP) program (additional information on both programs is included below)
  • Increasing the number of diabetes educators, Certified Diabetic Educators (CDEs) and community health workers by partnering with stakeholders and academic institutions


Join the Learning and Action Network Today Button


What is the Stanford Diabetes Self-Management Program

The Stanford Diabetes Self-Management workshop is given 2½ hours once a week for six weeks, in community settings such as churches, community centers, libraries and hospitals. People with type 2 diabetes attend the workshop in groups of 12-16. Workshops are facilitated from a highly detailed manual by two trained leaders, one or both of whom are peer leaders with diabetes themselves. Classes are highly participatory, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.

Subjects covered include in the Stanford Program include: 1) techniques to deal with the symptoms of diabetes, fatigue, pain, hyper/hypoglycemia, stress and emotional problems such as depression, anger, fear and frustration; 2) appropriate exercise for maintaining and improving strength and endurance; 3) healthy eating 4) appropriate use of medication; and 5) working more effectively with health care providers. Participants make weekly action plans, share experiences and help each other solve problems they encounter in creating and carrying out their self-management program

For more information on the Diabetes Self Management Programs offered by the Great Plains Quality Innovation Network, contact a member of our team in your state.

1. National Institutes of Health and the Centers for Disease Control and Prevention

What is the Diabetes Empowerment Education Program (DEEP)

The DEEP curriculum was developed at the University of Illinois-Chicago’s Midwest Latino Health Research, Training and Policy Center.  It is evidenced-based and consists of 8 content modules that are taught in a 6 week series, for 2 hours each session. The modules are designed to be adapted to the needs and abilities of the workshop participants.

The DEEP program is directed towards:

•          Adults with diabetes
•         Their relatives and caregivers
•         Anyone who needs information on diabetes self-care

Training Events

[ai1ec view=”stream” display_filters=”false”cat_id=”Past Event” tag_name=”Diabetic-Care” exact_date=’7-1-2014′]



See All Diabetes Care News Posts 

Documents & Resources

External Resources

American Association of Diabetic Educators
American Diabetes Association
Avera McKennan Diabetes Center
Centers for Disease Control and Prevention: Diabetes Basics
Centers for Disease Control and Prevention Website
CMS Health Disparities Pulse Resource Center
Diabetes Awareness Month 2017
Diabetes Health for Life
Diabetes Prevention and Control Program: Kansas Department of Health and Environment
Diabetes Prevention and Control Program: Nebraska Department of Health and Human Services
Diabetes Prevention and Control Program: North Dakota Department of Health
Diabetes Prevention and Control Program: South Dakota Department of Health
Flu and You - Immunizations and Diabetes Fact Sheet
Hospitals In Pursuit of Excellence
Joslin Diabetes Center
Juvenile Diabetes Research Foundation (JDRF)
National Association of Chronic Disease Directors
National Diabetes Education Initiative
National Diabetes Information Clearinghouse
Park Nicollet International Diabetes Center
QIN-QIO Program - Everyone With Diabetes Counts
Robert Wood Johnson: Quality Field Notes Resource Guide
Sanford Health Diabetes Services
South Dakota Diabetes Coalition


Great Plains Quality Care Coalition

Our Vision: Through collaboration and partnership, we aspire to make healthcare in the Dakotas the best in the nation. We have partnered with committed nursing homes, community leaders and healthcare organizations to improve the care in our communities. Better together.