Capital City Diabetes Collaborative

Funded through the Merck Foundation’s “Bridging the Gap: Reducing Disparities in Diabetes Care” initiative, the Capital City Diabetes Collaborative, or CCDC, is addressing major issues identified with treatment of diabetes in Trenton, such as lack of coordinated care among health services, the need for peer support and education for diabetes self-management, and lack of access to healthy foods to aid those working their best to control their disease.

How does the CCDC help?

Through “Bridging the Gap,” the CCDC brings together many different sectors to promote improvements in diabetes care.  Specifically, we are focusing on goals in three sectors:

• Health Care: Improve health outcomes of Trenton residents with type-2 diabetes
• Social: Increase patient engagement and self-management of type-2 diabetes
• Environmental: Increase the availability of healthy foods for the Trenton community

To accomplish these goals, we are working to unify the care delivery process by streamlining systems that impact information, decision support, treatment, and modes of communication for patients and providers.

Additionally, we are collaborating across sectors to support self-management programs and patient education, along with a Trenton-based online food delivery system, which will provide healthy food deliveries to diabetes patients living in the city, increasing access to healthy foods and encouraging healthy lifestyle choices that may help with disease self-management. Partners include Snipes Farm & Education Center

Project Dulce

This peer mentor education/support group uses a curriculum called “Diabetes Among Friends” featuring practical advice and real-life examples to train peer educators to share understandable diabetes care and education that still meets American Diabetes Association standards.

Participants receive healthy foods, recipes and cooking demonstrations, along with tips for maintaining a healthy and active lifestyle. Classes are facilitated by trained THT staff. For more info, contact Population Health Program Manager Aida Martinez or Peer Educator Judith Hamilton.

“Our goal is that everyone in Trenton who has diabetes or cares for someone with diabetes has access to a program with mentors, right  in their neighborhood, to provide what they need to effectively manage their disease,” THT Senior Director of Population Health Ernest Morganstern said. “Is there a cure for diabetes? No–but with effective behavior modification and good medical care, you can live longer without complications.”

Project Dulce is supported by The Horizon Foundation.

Click on RESOURCES below for links to download care pathway and other diabetes information

Learn about our diabetes outreach efforts to help address needs and improve well-being.