Raport Anual Baylor 2019 Baylor Annual Report 2019 EN | Page 26

Outcomes of the risk assessment of pre- PROFESSIONAL SERVICES New Program: Pre-Diabetes Screening for Hep-HIV Patients All hands: screen and monitor to mitigate comorbidities Caring for patients with chronic infections means adjusting and developing programs to better meet their needs and improve their quality of life. We are aware of the high risk of co-morbidities in people living with HIV, VHB, and/or VHC infections. Baylor’s complex care model is designed to increase quality of life, and screening for diabetes is another step in this direction. We hope this new component of the long-term care program will become, with proper resources, a self-standing screening service for the general population in the communities where we operate our three voluntary counseling and testing centers. screening for pre-diabetes and diabetes “We felt encouraged to design and submit the proposal for this new long-term care program component: changes, they have the opportunity to maintain their among Baylor beneficiaries. It was a team effort to design and pilot the program in 2019, providing tests for our Hep-HIV beneficiaries. Our top motivation is to reverse as many pre-diabetes cases as possible.” - Cristina Bagaiof, RN “There are several mechanisms explaining the link between HCV and Type 2 diabetes: Steatosis has been particularly related to insulin resistance. The early PROFESSIONAL SERVICES: Component - Pre-Diabetes diabetes for the New Hep & HIV bene ciaries Outcomes of the risk assessment of pre- Screening for Hep-HIV Patients diabetes for of the HIV bene ciaries Outcomes the Hep risk & assessment of pre- diabetes for needed the Hep & HIV bene ciaries Medical follow-up 31% Outcomes of needed the risk Medical follow-up 8% assessment of pre- 31% Low levels of physical activity diabetes for needed the Hep & HIV bene ciaries Medical follow-up Low levels of physical activity Poor diet, with low intake of fruit and vegetables Low levels of physical activity 31% 31% 8% 35% 31% 8% Poor diet, with low intake of fruit Medical follow-up needed and vegetables 98 HIV patients Poor diet, with low intake of fruit and vegetables 8% Low levels of physical activity 98 HIV patients detection of glycemic disorders and pre-diabetes may reverse the trend. By making the appropriate lifestyle 84% 98 HIV patients Poor diet, with low intake of fruit and vegetables 84% 84% 48% 35% 31% 48% 90 Hep patients 35% 84% 48% 90 Hep patients 31% 90 Hep patients 35% 48% quality of life.” - Maria Pătrașcu, GP HEP 98 HIV patients 90 Hep patients HEP HEP HIV HIV HEP HIV Age distribution of pre-diabetes screening program HIV <45 55-64 Age distribution of 45-54 pre-diabetes screening >64 program Age distribution of 45-54 pre-diabetes screening >64 program <45 55-64 <45 26 45-54 55-64 Made with >64 Made with Age distribution of pre-diabetes screening program Made with 27