May 28th 2015 Presentation

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Diabetes is on the Rise…
But What Does Race Have to do With It?

DiabetesWatch Dr Harry Nyanteh and Josephine Mercado (Founder Hispanic Health Initiatives) as we look at the reasons diabetes is on the rise in our state and our country. Also we will explore treatments, trends and important clinical research on diabetes.

Florida ranks #9 in states with high diabetes rates.
It's a distinction that comes with a hefty price tag. Currently over 1.75 million cases have been diagnosed in Florida and we will be treating 1 million more by 2030.

According to the Center for Disease Control (CDC) and the American Diabetes Association (ADA), 9.3% of the United States population has diabetes which is roughly 29.1 million citizens. Of that number, 21.0 million are diagnosed with diabetes and 8.1 million people remain undiagnosed.

Races of PeopleThe incidence rates of diagnosed diabetes by race and ethnicity are...

7.6% Caucasian-Americans
9.0% Asian Americans
12.8% Hispanics
13.2% African-Americans
15.9% American Indians/Alaskan Natives

Compared with the rest of the nation, Florida has more blacks (16% compared with 12.6%) and more Hispanics (22.5% compared with 16.3%). Both groups have higher rates of diabetes than whites do: 77% higher among blacks and 66% higher among Hispanics, according to the ADA.

Why blacks and Hispanics have more diabetes is only partly understood. Lower income and education levels are associated with higher rates of obesity and diabetes. However, when adjusted for socioeconomic factors, these ethnic groups still have more diabetes, indicating there may be a genetic predisposition or cultural drivers.

The Cost of Diabetes...

The ADA released research on March 6, 2013 estimating the total costs of diagnosed diabetes have risen to $245 billion in 2012 from $174 billion in 2007, when the cost was last examined. This figure represents a 41% increase over a five year period.

In the United States, about $1 in every $10 healthcare dollars goes toward treating diabetes. On average, a person diagnosed with diabetes will have medical costs 2.3 times higher than someone without the disease.

Once a person has diabetes, he or she will likely always have it. Apart from bariatric surgery, a drastic and costly intervention, doctors know of no other way to reverse the disease yet.

Dr. Harry Nyanteh will give a brief overview of the disease, its causes, symptoms and current diagnostic testing for diabetes. The disease is preventable and manageable but there is no known cure as of this time. In this regard, Dr. Harry will report on the current treatments, trends and important clinical research on diabetes.

Josephine Mercado, JD is the Founder/Executive Director at Hispanic Health Initiatives, Inc. (HHI). She will speak of the community work HHI provides and activities/events available to the general public to learn whether or not they are at high risk of diabetes

Interactive Video Directory...

00:01 Introduction, History and Personal Story (Martin Forester)
04:00 Sponsor Info (Donni Alvarenga) Mission Healthy People
06:32 Bio of Dr. Harry Nyanteh, MD, MPH, MSC, CRCP (Martin Forester)
09:00 Diabetes Mellitus is on the Rise…Is Race an issue? (Dr. Harry Nyanteh)
09:59 Diabetes Mellitus Definition
10:23 Epidemiology of Diabetes
10:27 Epidemiology of DM: A Global Epidemic
11:58 High Blood Glucose -3rd Leading Risk Factor for Global Mortality
12:29 A Global Epidemic - By the Numbers
13:08 Most common in the more developed countries
13:46 Age Prevalence in the USA
14:20 U.S. Diabetes Growth (1958 - 2013)
14:56 New Cases of Diabetes Aged 18–79
15:28 New Cases of Diabetes By Gender
15:56 New Cases of Diabetes By Race
16:29 New Cases of Diabetes By Education
17:11 Race and Ethnicity Percentages
17:39 Diabetes by State
18:23 Diabetes in Florida
18:50 Diabetes in Florida Counties
19:06 Etiology Contributing Influences of Diabetes
19:48 Genetics and Gender Facts
20:30 Environmental and Ethnic Factors
21:06 Location and Seasonal Variance
21:42 Nutritional Factors
22:29 Obesity in America
22:59 Highest Prevalence of Diabetes and Obesity
23:21 Obesity Statistics
24:09 Toxic Agents, Viruses and Infection
24:45 Immunological/Biological Aspects
25:47 Global Facts
26:18 The Cost of Diabetes - Disease Complications
27:35 The Cost of Diabetes - Dollars and Cents
29:18 Treating Diabetes
30:42 Antihyperglycemic Therapy
31:00 Conclusion to Dr. Harry' Presentation
31:48 Bio & Intro Josephine Mercado, JD
33:17 About Hispanic Health Initiatives (Josephine Mercado, JD)
36:14 Diabetes and the Hispanic Community
37:35 Programs provided by Hispanic Health Initiatives (HHI)
44:00 More Diabetes & Ethnic Facts
46:28 Hispanic Incidence and Death Rates
51:01 Questions and how to continue the discussion after the presentation
51:43 What kind of research is going on both locally and nationally about diabetes? (Hank Lander)
54:11 What caused Florida diabetes rates to increase so it medication related? (Kim Reif)
56:34 What is Hypoglycemia? (Amy Noble)
57:23 Do you agree with food combining to lower blood sugar? (Amy Noble)
58:43 Statement on the importance of research and outreach to cure this disease (Karen Colon with CNS Healthcare)
1:00:20 Is there any Data that says Florida Diabetes rates are by people moving to Florida after they are diagnosed?
1:03:02 Are they any supplements or vitamins that can help with diabetes? (Quintin Gunn)
1:04:10 Are you aware of any diabetes studies within the military?
1:05:38 Presentation Conclusion (Martin Forster)

Come and join us for this important presentation!

This Presentation is Sponsored by
MOROF Member
Donni Alvarenga

Mission: Healthy People

Meeting Date - May 28, 2015

Meeting Time - 7:30 am till 9:00 am (doors open at 7:30 presentation begins around 8 am) 

Meeting Location - "The Venue On The Lake" at the Maitland Civic Center641 South Maitland Ave. Maitland, FL 32751 (Map)

Cost: $20 (Includes breakfast)

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For questions please call Chuck Wright at 407-260-0565 or email  

Speakers Bio...

Dr Harry NyantehDr. Harry Nyanteh, MD, MPH. MS is a Physician, Epidemiologist and Health Outcomes Researcher.

He is Chief Operating Officer of Omega Research Consultants, one of the Premier Clinical Research Site Management organizations in Florida. He has worked on more than 200 pharmaceutical industry trials and has done extensive research in neuro-immune biology.

Dr. Harry received his medical degree from one of the oldest medical universities in Europe, the University of Pecs, Hungary. His desire for Clinical Research motivated him to pursue a graduate degree in Public Health with a concentration in Epidemiology at the University of South Florida. At USF, he was inducted into the Phi Kappa Phi Honor Society, one of the oldest honor societies that recognize academic excellence. He went on to pursue a graduate degree in Pharmacy at the University of Florida, where he was a John Tigert Fellow. He is presently the 2015 Medical Honoree of the Arthritis Foundation Florida Chapter.

He is also an Advisory Committee Member of the Pharmacy Program of Seminole State College.He is currently a member of National Medical Association, International Society for Pharmacoeconomics and Outcomes Research, American College of Research Professionals, and the Hungarian Medical Association. Dr. Harry offers expertise in all aspects and phases of clinical trials in the areas of rheumatoid arthritis, lupus, hypertension, gout, endometriosis, fibroids, cholesterol, and diabetes. Under the leadership of Dr. Harry, the mission of Omega Research Consultants is to provide outstanding levels of service by collaboratively working with Pharmaceutical companies, Clinical Research Organizations and patients to deliver new life-changing drugs to the market.

Josephine Mercado, JDJosephine Mercado, JD
Founder/Executive Director at Hispanic Health Initiatives, Inc.

Josephine Mercado describes herself as a community person and a staunch advocate of the individual’s involvement in the resolution of her community’s problems. She has served, and serves, on numerous community boards and committees, acting on public education, family health and mental health.

She is a native New Yorker, of Puerto Rican descent, born and raised in Spanish Harlem. After eighteen years as a homemaker, and two years as a day care family counselor, she returned to school as an urban legal studies scholar, a curriculum of combined college-law school studies, cramming 7 years of study into 6 years. She graduated cum laude from City College and is a 1983 graduate of New York law school.

Josephine is the founder of First Saturday in October®, a New York based non-profit, doing breast cancer outreach to Latinas in NYC. After 18 years as a homemaker, she enrolled in College, as an Urban Legal Scholar. Six years later, she graduated from Law School, with a Juris Doctor. She practiced law for 17 years, devoting much of her time to latina/o health issues, among other “Pro Bono” involvement.

Josephine moved to central Florida in 1999 and is the founder and Executive Director of Hispanic Health Initiatives® (HHI), a private, non-profit, health education, early detection screening and referral agency. Since its inception in 2000, HHI has provided outreach to several thousand medically disadvantaged families. Most were at high risk for chronic and life threatening diseases. HHI’s mission is fulfilled through its four-county, volunteer-driven cancer and diabetes education and prevention campaigns that increase awareness and provide access to health information, early detection screening and linkages to medical homes.

Josephine has won local, state-wide and national recognition for her innovative “Take It to the Community” health and wellness initiatives. She has been profiled many times, in both English and Spanish local and state-wide media, as HHI is considered the “Voice” of Hispanic health in the Greater Orlando Metropolitan area.

Among the numerous recognitions received by both Josephine and HHI are: the Robert Wood Johnson Foundation Community Health Leader award; the Families USA Consumer Health Advocate award and the Intercultural Cancer Council National HOPE award.

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