Primary Care-Centered Diabetes Management Programs Expanded System-Wide –

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NYC Health + Hospitals today expanded the diabetes management programs available to approximately 66,000 New Yorkers with diabetes who receive care in the City’s public hospitals and community-based health centers. The health system’s diabetes management programs utilize alternative methods to more easily adjust medications and new technologies to help patients remain in control of their diabetes in addition to traditional in-person appointments. The expansion includes integrating clinical pharmacists in each of the health system’s 11 hospitals and four Gotham Health community clinics city-wide, having the capacity to complete more than 10,000 teleretinal screenings annually due to machines being available system-wide, and offering peer mentoring and remote monitoring opportunities for many patients with diabetes. NYC Health + Hospitals’ A1c control rates, or blood sugar levels, have returned to pre-pandemic levels among patients enrolled in these diabetes management programs.
“For patients with diabetes, controlling their diabetes can be difficult and there is not one solution that works for all patients. Our health system’s multifaceted approach to diabetes programs makes it easier for patients to not only manage their blood sugar levels, but do it in a way that works best for them and their needs,” said NYC Health + Hospitals Vice President and Chief Population Health Officer Nichola Davis, MD. “With the help of our expert, passionate, and diverse clinical teams – that spans chronic disease nurses, clinical pharmacists, nutritionists, peer mentors and more – we will continue to extend these programs that allowNew Yorkers to live healthier, fuller lives.”
NYC Health + Hospitals has expanded primary care-centered diabetes management programs to include:
“Being able to work one-on-one with Clinical Pharmacist Nick Niceforo really made the difference for my diabetes,” said a 58-year-old NYC Health + Hospitals/Queens diabetes patient enrolled in the clinical pharmacist program. “He was able to explain medication administration, their purpose, and the proper way to use it that led to lowering my A1c levels to a healthier rate. But his work went further, also helping me understand how foods affected my blood sugar levels that helped me control my sugar even more.”
“Once in a while, a patient will come along that sticks with you. For me, it was a male school teacher who had chronically elevated A1c levels in the double digits – extremely dangerous,” said Chronic Disease Nurse Chinye Uzor at NYC Health + Hospitals/Gotham Health, Gouverneur. “With our support, we helped this patient enroll into multiple diabetes control programs, including our clinical pharmacist program, peer support groups, and he was referred to a nutritionist for further one-on-one work. Now, he is able to control his A1c levels and live a healthier life.”
“For years, my office has worked towards building a healthy Bronx through the creation of our #Not62 campaign and different health initiatives,” said Bronx Borough President Ruben Diaz Jr. “As we recover from the COVID-19 pandemic, we must invest in our health, and the expansion of primary care-centered diabetes management programs will do just that. I commend NYC Health + Hospitals for their on-going dedication to tackle critical health issues in The Bronx and New York City.”
Patients with diabetes receiving care at NYC Health + Hospitals who have A1c levels that are uncontrolled (usually A1c 8.0 or higher) are typically referred to the hospital’s suite of supportive diabetes services. Depending on their needs, a patient can be referred and enrolled to more than one program to achieve better controlled A1c levels. Hemoglobin A1c is a simple blood test that measures average blood sugar levels over the past three months, which reflects diabetes control.”.
In addition to these programs, NYC Health + Hospitals offers expert diabetes care at all acute health facilities and neighborhood health centers, which may include education classes, one-on-one sessions, and patient support groups. NYC Health + Hospitals/Kings County, Jacobi, Lincoln, Metropolitan, North Central Bronx, and Queens, as well as NYC Health + Hospitals/Gotham Health, Sydenham, are accredited for providing high-quality, evidence-based education for patients with diabetes.
The prestigious accreditation from the American Association of Diabetes Educators or the American Diabetes Association verifies that the hospitals’ programs meet national standards for diabetes self-management education, which have been shown to be cost-effective and improve clinical outcomes and patients’ quality of life.
Nearly one million New Yorkers have diabetes, and about 19 percent are undiagnosed. Uncontrolled diabetes can cause blindness, and kidney disease, and lower extremity amputations in adults. Obese New Yorkers are two times more likely as other adults to have diabetes. Adults living in high-poverty neighborhoods are also at least twice as likely to report having diabetes compared to adults living in low-poverty neighborhoods. The average medical expenditures for people with diagnosed diabetes are about $16,752 per year, with about $9,601 of this being attributed to diabetes management directly.
Contact: Press Office, 212-788-3339
About NYC Health + Hospitals
NYC Health + Hospitals is the largest public health care system in the nation serving more than a million New Yorkers annually in more than 70 patient care locations across the city’s five boroughs. A robust network of outpatient, neighborhood-based primary and specialty care centers anchors care coordination with the system’s trauma centers, nursing homes, post-acute care centers, home care agency, and MetroPlus health plan—all supported by 11 essential hospitals. Its diverse workforce of more than 42,000 employees is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible. For more information, visit and stay connected on Facebook at or Twitter at @NYCHealthSystem.
Copyright 2021, The City of New York
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Copyright 2021, The City of New York


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