title: QSource quality initiative. Reversing the diabetes epidemic in Tennessee.
abstract: This paper summarizes the results of a recent report on diabetes in Tennessee. Diabetes has reached epidemic proportions in Tennessee. In 2001, an estimated 7.7% of the population was diabetic, an increase from 5.8% a decade earlier. This increase is largely due to widespread unhealthy eating habits, physical inactivity, and associated obesity. The majority of diabetes is preventable and can be effectively treated through daily exercise and a healthy diet. Diabetes prevention efforts in Tennessee schools and communities, however, are grossly inadequate. Providers and payers underemphasize prevention. Since the causes of diabetes can be traced to childhood habits, early prevention is the key to reversing the diabetes epidemic. Immediate statewide action must be taken to promote daily exercise and decrease access to high-calorie, high-fat "junk" food in our schools and communities. Physicians, health professional organizations, health plans, government, churches, schools, and employers must work together to battle the diabetes epidemic through public education, community-wide health promotion programs, and efforts to improve quality of diabetes care for all Tennesseans.
authors.affiliation: University of Tennessee Health Science Center, Department of Medicine, Division of General Internal Medicine, 66 N. Pauline, Suite 381, Memphis, TN 38105, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: Bailey
authors.forename: Deborah V
authors.initials: DV
authors.lastname: Gibson
authors.forename: Manoj
authors.initials: M
authors.lastname: Jain
authors.forename: Stephanie A
authors.initials: SA
authors.lastname: Connelly
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Ryder
authors.forename: Samuel
authors.initials: S
authors.lastname: Dagogo-Jack
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D004196:Disease Outbreaks / Q000517:prevention & control; D015444:Exercise; D005247:Feeding Behavior; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D015994:Incidence; D008019:Life Style; D008875:Middle Aged; D009747:Nutritional Physiological Phenomena; D009765:Obesity / Q000150:complications* / Q000453:epidemiology / Q000517:prevention & control; D011635:Public Health Administration; D011787:Quality of Health Care; D012307:Risk Factors; D013714:Tennessee / Q000453:epidemiology