Programs
NIRC currently seeks to sponsor, collaborate and otherwise support 25 different programs in five categories that foster active early identification of insulin resistant individuals and active prevention of IR related disease. Click on any of these category headings to review its programs.
Public Awareness Programs There are currently six proposed programs in this category. PA-01 Purpose: To educate parents of school age children about the importance of early identification of insulin resistance and the active prevention of its downstream diseases. Description: Create brochure for parents of school age children explaining IR, its signs and symptoms, diagnostic tests, consequences, and active prevention practices to be followed. Distribute through school boards and systems, and through pediatricians' offices. (Return to program categories)
PA-02 Purpose: To educate school age children about insulin resistance, its effects and how its downstream diseases can be prevented. Description: Create brochure for school age children (grade 6 and above) explaining IR, its signs and symptoms, diagnostic tests, consequences, and active prevention practices to be followed. Distribute through school boards and systems, and through pediatricians' offices. (Return to program categories)
PA-03 Purpose: To educate the general population about insulin resistance, its effects, the value of early identification and how its downstream diseases can be prevented. Description: Create a news magazine video segment explaining IR, its signs and symptoms, diagnostic tests, consequences, and active prevention practices to be followed. Distribute through tv networks and stations. (Return to program categories)
PA-04 Purpose: To educate school age children about insulin resistance, its effects and how its downstream diseases can be prevented. Description: Repackage PA-03 as school health education visual aid. Distribute through school boards and systems. (Return to program categories)
PA-05 Purpose: To educate the general population about insulin resistance, its effects, the value of early identification and how its downstream diseases can be prevented. Description: Create news magazine radio segment (approx. 3 minutes) explaining IR, its signs and symptoms, diagnostic tests, consequences, and active prevention practices to be followed. Distribute through tv networks and stations. (Return to program categories).
PA-06 Purpose: To educate the general population about insulin resistance, its effects, the value of early identification and, in this case, especially how its downstream diseases can be prevented. Description: A NIRC/Corporate sponsored contest to indentify and reward working "active prevention" programs with demonstrated results. The purpose of such programs include weight management, insulin and glucose level management, exercise, nutrition and other lifestyle improvement approaches, plus advancements in drug therapies. In addition to program rewards, individual named contributors receive awards. Both parts of program are accompanied by aggressive media coverage. (Return to program categories). Clinical Practices Programs There are currently six proposed programs in this category. CP-01 Purpose: To identify prevailing clinical practices among internists regarding IR and metabolic syndrome. Description: Sponsor research to assess prevailing clinical practices among internists regarding the identification and treatment of insulin resistant individuals. Assess the relative influence of reimbursement rules, diagnostic test availability, physician knowledge, and other factors. Seek professional publication and general media coverage. (Return to program categories).
CP-02 Purpose: To identify prevailing clinical practices among pediatricians regarding IR and PCOS. Description: Sponsor research to assess prevailing clinical practices among pediatricians regarding the identification and treatment of insulin resistant individuals. Assess the relative influence of reimbursement rules, diagnostic test availability, physician knowledge, and other factors. Seek professional publication and general media coverage. (Return to program categories).
CP-03 Purpose: To identify prevailing clinical practices among gynecologists regarding IR and PCOS. Description: Sponsor research to assess prevailing clinical practices among gynecologists regarding the identification and treatment of insulin resistant individuals. Assess the relative influence of reimbursement rules, diagnostic test availability, physician knowledge, and other factors. Seek professional publication and general media coverage. (Return to program categories).
CP-04 Purpose: To identify prevailing clinical practices among fertility specialists regarding IR and PCOS. Description: Sponsor research to assess prevailing clinical practices among fertility specialists regarding the identification and treatment of insulin resistant individuals. Assess the relative influence of reimbursement rules, diagnostic test availability, physician knowledge, and other factors. Seek professional publication and general media coverage. (Return to program categories).
CP-05 Purpose: To identify prevailing clinical practices among endocrinologists regarding IR, metabolic syndrome and PCOS. Description: Sponsor research to assess prevailing clinical practices among endocrinologists regarding the identification and treatment of insulin resistant individuals. Assess the relative influence of reimbursement rules, diagnostic test availability, physician knowledge, and other factors. Seek professional publication and general media coverage. (Return to program categories).
CP-06 Purpose: To identify the best practices associated with clinical diagnosis of IR, especially in the absence of overt symptoms, within various age groupings and ethnic populations. Description: Sponsor research to assess the efficacy and effectiveness of available diagnostic practices to identify insulin resistant individuals. Seek professional publication and general media coverage. (Return to program categories).
Public Policy Education Programs There are currently four proposed programs in this category. PPE-01 Purpose: To assess policy maker knowledge and attitudes regarding IR and related policy alternatives. Description: Sponsor research to assess prevailing knowledge and attitudes among state legislators and members of congress regarding insulin resistance. Seek general news coverage. (Return to program categories).
PPE-02 Purpose: To increase policy maker knowledge and attitudes regarding IR and related policy alternatives. Description: Provide IR-focused speakers and presentation materials to organizations that educate state legislators, appointed state and federal policy makers, and Congressional staff and members about health care issues. (Return to program categories).
PPE-03 Purpose: To improve knowledge and understanding regarding IR. Description: Using respectful correspondence and presentations, educate CDC and NIH policy makers to add insulin resistance to routine clinical occurrance reporting requirements, and to various comprehensive disease/condition glossaries. (Return to program categories).
PPE-04 Purpose: To change insurance reimbursement rules to encourage early identification of insulin resistant individuals and to foster active prevention programs. Description: Using respectful correspondence and presentations, educate insurance industry and Medicare policy makers to add reimbursement for insulin resistance screening, counseling and active prevention programs when indicated. (Return to program categories).
Insulin Resistance Research Programs There are currently four proposed programs in this category. IRR--01 Purpose: To assess the long-term effects of early IR identification and active prevention programs on subsequent health. Description: Sponsor multi-community research to assess the long-term health effects of early identification and active prevention. Using a twin-communities approach, where one twin is acted upon and the other merely observed, measure the consequential occurrance of hypertension, CVD, pre-diabetes, diabetes and other IR-downstream non-infectious disease cases over multiple semi-decade intervals. Seek JAMA or NEJM publication. (Return to program categories).
IRR--02 Purpose: To learn the various genetic behaviors of IR related DNA. Description: Sponsor genetic research to expand current understanding about the genetic origins of insulin resistance. Seek JAMA or NEJM publication. (Return to program categories).
IRR--03 Purpose: To learn the various biochemical triggering mechanisms that lead to activation of insulin resistance. Description: Sponsor basic biomedical research to expand current understanding about the activation of insulin resistance by exploring changes in weight, calorie consumption and nutrition. Seek JAMA or NEJM publication. (Return to program categories).
IRR--04 Purpose: To learn the various biochemical mechanisms that lead to a potential de-activation of insulin resistance. Description: Sponsor basic biomedical research to expand current understanding about how insulin resistance can be de-activated by exploring the effects of weight loss, calorie consumption rates and various nutrition approaches. Seek JAMA or NEJM publication. (Return to program categories).
Disease Prevention Economics Programs There are currently five proposed programs in this category. DPE--01 Purpose: To assess the lifetime per year costs of a type 2 diabetes case including consequential disease and care. The resulting per year cost becomes the payoff of whatever cost is involved in preventing such cases. Description: Sponsor an economic research program to determine the average per year cost in current dollars of a person developing type 2 diabetes including lifetime progression and consequential disease and treatment. (Return to program categories).
DPE--02 Purpose: To assess the lifetime per year costs of a non-cholesterol-derived heart disease case including consequential disease and care. The resulting per year cost becomes the payoff of whatever cost is involved in preventing such cases. Description: Sponsor an economic research program to determine the average per year cost in current dollars of a person developing cardio-vascular diseaseincluding lifetime progression and consequential treatment. (Return to program categories).
DPE--03 Purpose: To assess the lifetime per year costs of a case of clinical hypertension including consequential disease and care. The resulting per year cost becomes the payoff of whatever cost is involved in preventing such cases. Description: Sponsor an economic research program to determine the average per year cost in current dollars of a person developing hypertension including lifetime progression (stroke) and consequential treatment. (Return to program categories).
DPE--04 Purpose: To assess the aggregate social cost of type 2 diabetes including annual care, early morbidity, lost time, quality of life and healthcare infrastructure resourse consumption. Part of this assessment will be a finite determination of the effect of type 2 diabetes on population. A study of this type quantifies why "Prevention costs less than disease." Description: Sponsor an economic research program to determine the total societal cost of all type 2 diabetes and its effects including treatment and consequential outcomes like retinopathy, amputation and renal failure. (Return to program categories).
DPE--05 Purpose: To assess the average individual lifetime cost benefit of the earliest possible identification and provision of active prevention of IR's downstream consequences. Description: Sponsor an economic research program to determine the total per person cost benefit of earliest possible identification of insulin resistance versus no pre-symtomatic identification and also, the provision of active prevention programs for those identified with IR versus neglecting active prevention. (Return to program categories).
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