The mission of the Western Tribal Diabetes Project (WTDP) is to empower tribal communities to utilize diabetes data at the local level to track the Indian Health Service Standards of Care for Patients with Type 2 Diabetes, insure patients receive timely care, improve case management, identify gaps in care, and better address program planning.
The Western Tribal Diabetes Project serves the 43 federally recognized tribes in Idaho, Oregon, and Washington. The WTDP National component serves diabetes programs outside of the Portland Area.
The goal of WTDP is to provide technical assistance to Northwest Tribes to develop a system for sustained data collection, reporting, and utilization. The goals of WTDP are designed to assist tribes in:
The goal of Western Tribal Diabetes Project (WTDP) is to provide technical assistance to Northwest Tribes to develop a system for sustained data collection, reporting, and utilization. The objectives of WTDP are designed to assist the Tribes:
Build a foundation to provide complete and accurate information about patients with diabetes
Estimate the burden of disease and impact of diabetes by using an electronic diabetes register
Improve health outcomes by using an electronic diabetes register to make informed decisions about clinical diabetes care
Prevent diabetes in high-risk individuals.
WTDP has developed several tools to guide diabetes programs through a step-by-step approach for data improvement and health promotion. To learn more about WTDP, including our step-by-step approach and tools, please visit our Project Information Page.
The WTDP consists of two divisions: Northwest and National. WTDP delivers its services through support from our Portland offices and site visits to participating tribes. During the site visits WTDP staff provide hands-on training and support. Most sites receive at least two site visits.
Working with participating tribes, WTDP uses a step-by-step approach for diabetes data improvement.
Diabetes (also called diabetes mellitus) is a chronic disease usually characterized by very high levels of blood glucose (often called blood sugar). There are two major types of diabetes, now called type 1 and type 2. Although the two forms are different in many ways, the end result of both is high blood sugar and the long-term complications that result.
Over time, diabetes can damage nearly every tissue in the body and result in disastrous complications, including heart attacks, stroke, blindness, kidney failure, and amputations of toes, feet, or legs. Because of the risk of these complications, patients who have diabetes should have regular check-ups. The IHS Standards of Care for Patients with Type 2 Diabetes describe recommended checks in detail.
Prediabetes is a related condition in which blood sugar levels are high, but not as high as in diabetes. In 2006, the IHS released standards of care for prediabetes, including screening guidelines. Another related condition, gestational diabetes, sometimes develops in women during pregnancy. Although gestational diabetes usually goes away after the baby is born, a woman who has had it has a higher chance of developing type 2 diabetes later in life. With modest weight loss and regular physical activity, people can delay or prevent the onset of diabetes.