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Goal:
Affinity is seeking projects that focus on the diagnosis, treatment, management and prevention of diabetes and its risk factors.

Overview: Over the last several decades, the rate of adult-onset diabetes (Type 2, the common type in adults) has increased dramatically in this country, prompting the Centers for Disease Control and Prevention to label diabetes an epidemic. Type 2 diabetes is estimated to represent approximately 90% to 95% of all diagnosed cases of diabetes. The surge in diabetes has been linked to the increasing obesity rate in this country. In addition, approximately one-third of people with diabetes do not know they have the disease. If not detected early and treated properly, diabetes may have devastating consequences.

Diabetes is a metabolism disorder characterized by high levels of blood glucose resulting from the body’s inability to produce or properly use insulin.  Diabetes is easily

 

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diagnosed and clinical guidelines for proper treatment are available. Diabetes can be managed with lifestyle changes and/or medications. There are also guidelines and recommendations for people who have pre-diabetes blood levels, which may indicate an impaired ability to process glucose. Those needing frequent diabetes testing and monitoring include: persons with impaired glucose tolerance, obese adults, everyone over the age of 60, people with high blood pressure, women with a history of gestational diabetes, people who have a first-degree relative with Type 2 diabetes, and racial / ethnic minority groups.

In the past eight years, diabetes has doubled among adults in New York City. In a recent survey for New York City, one in every 13 adults reported having diabetes. Neighborhoods with the highest levels of obesity often have the highest rates of diabetes. In addition, diabetes disproportionately affects Hispanic and African-American New Yorkers. Diabetes is an especially serious problem for Hispanics in New York City, who are four times more likely to have diabetes than whites and Asians, and two times more likely than African-Americans.

Today there are excellent devices for monitoring blood glucose levels, effective treatments for diabetes and major advances in prevention. When detected in its earliest stages, diabetes is more easily controlled, and complications can be avoided. But if not diagnosed early or managed properly, diabetes may have devastating consequences, including heart attack, stroke, kidney failure, blindness, severe nerve damage, and limb amputations. The National Institute of Diabetes and Digestive and Kidney Diseases Diabetes Prevention program, a major study conducted on a diverse population of overweight Americans with impaired glucose tolerance, showed that a healthy low-fat diet and regular exercise can reduce body weight by 7% and ward off Type 2 diabetes in people who are at high risk for the disease.

Due to today’s obesity epidemic, more people are developing diabetes than ever before and suffering from its complications -- and the numbers of those with this chronic condition are projected to rise. Minority groups, who may have the most unmet treatment needs, are shown to have the greatest incidence of diabetes. Focusing on the diagnosis, treatment, self-management and prevention of diabetes and its risk factors, particularly obesity, is essential to prevent morbidity and mortality, and improve health and functioning.


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