• In 2016, diabetes was the sixth leading cause of death in New Mexico. An estimated 11.6% of adults had diagnosed diabetes, and 20.0% of adults with diabetes had not been diagnosed for a total estimate of one in seven New Mexico adults having diabetes. Prediabetes and diabetes cost New Mexico about $2.5 billion per year.
• The measure is impacted by the health care delivery system (e.g. health insurance financing), aging of the population, increasing incidence and prevalence of diabetes, and “upstream” factors including low income, limited educational achievements, environments that promote obesity, and policies that perpetuate these factors.
• Risk factors for diabetes include prediabetes, smoking, being overweight, being 45 years of age or older, having a parent or sibling with type 2 diabetes, low physical activity, giving birth to a baby that weighs more than nine pounds, having had diabetes while pregnant, and being African American, Hispanic/Latino American, American Indian, or Pacific Islander. 
• The Diabetes Prevention and Control Program (DPCP) continues to work with the health system and community partners to increase awareness of, referrals to, and participation in diabetes self-management education and support services.

• New Mexico Department of Health Heart Disease & Stroke Prevention Program
• Public Health Division Regions
• New Mexico Interagency Benefits Advisory Committee
• Referral contractor
• Marketing contractor
• HealthInsight NM
• New Mexico Primary Care Association
• Zia Association of Diabetes Educators
• Chronic Disease Self-Management Education and Support Programs (CDSMEP) and CDSMEP Regional Coordinators & Master Trainers

• Losing 5-7% of body weight 
• Increasing physical activity (150 minutes per week) 
• Adopting a healthier diet
• The National Diabetes Prevention Program (NDPP):
  • A proven intervention to help people at high risk for diabetes achieve  healthy lifestyle changes. 
• Case management interventions, which are effective in improving glycemic control. 
• Disease management programs provided by health care organizations and diabetes self-management education in community gathering places, private homes, work sites, and school settings.

• Lead efforts to scale and sustain prevention and management programs by: 
  • Training NDPP Lifestyle Coaches and CDSMEP Leaders; 
  • Strengthening linkages between health systems and community organizations to refer individuals to programs; 
  • Promoting programs among health care providers and other referring entities and consumers; 
  • Seeking reimbursement for programs.

No new hospitalization data are available; 2014 is the most recent year. As soon as 2015 data are available, a new data point will be added to the trend line for this indicator. As mentioned above, this indicator is impacted by numerous factors outside of the area of responsibility of DPCP and public health. However, DPCP continued to work on activities within its sphere of influence that support improved diabetes management:

• Provided diabetes self-management education to 102 individuals (89 in English, 13 in Spanish), with an average completion rate of 76.5%.
• Established a new brand for its evidence-based programs, entitled Paths to Health New Mexico: Tools for Healthier Living.
• Implemented a centralized referral and data system for its Paths to Health NM programs.
• Held two major stakeholder meetings to get input and commitment on the best way to collectively prevent and manage diabetes.
  • 140 individuals participated in a meeting about the NDPP; the DPCP and its partners are using this input to create a diabetes prevention state plan that will guide diabetes prevention work for the next 12-18 months. 
  • 57 individuals participated in a meeting about diabetes self-management education support. This input is informing the Program’s FY18 work plan. 
• Trained 235 health professionals on diabetes prevention and control at quarterly NM Diabetes Advisory Council meetings.