The Urban Diabetes Toolbox enables city and health leaders around the world to create their own action plan for tackling diabetes in their city. It provides new ways to setting the goal, map the challenge, understand the areas of greatest risk and vulnerability, and design interventions to halt the rise of diabetes.

The Toolbox has been developed through the Cities Changing Diabetes partnership, built on the experience of eight cities around the world. The stories of their research and actions are a resource for any city to draw on. Over time, the Toolbox will collect the experiences of more cities, offering encouragement and inspiration to everyone joining the fight against urban diabetes.


Setting the Goal
 

Diabetes Projection Model

The Diabetes Projection Model is a tool that plots the trajectory of diabetes in any city over time. It allows cities to forecast the impact that reducing obesity could have on both the prevalence and cost of diabetes. Using the model, it is possible to understand the scale of the challenge and set a goal for what it will take to bend the curve in a city.


Tools and downloads


    The model in Excel



Mapping the Challenge
 

Risk Monitor

The Risk monitor is a framework for quantifying and visualising the populations at highest risk of developing diabetes. By quantifying the number of people at highest risk of developing type 2 diabetes, cities can prioritise where action needs to be taken to push back the condition.

 

Tools and downloads


    How to Manual


Rule of Halves

The Rule of Halves analysis is a framework that shows where gaps need to be closed to ensure that everyone with diabetes is diagnosed, everyone diagnosed gets treated and everyone treated has better health outcomes. In the treatment of diabetes, this is critical in order to avoid complications, improve quality of life and reduce treatment costs for the health system.

Tools and downloads


    Introduction Manual

    How to Manual



Understanding Risk and Vulnerability
 

 

Diabetes Vulnerability Assessment

The Diabetes Vulnerability Assessment is a research tool for identifying city-level factors that make certain groups of people vulnerable or, conversely, resilient to diabetes and its complications. The Diabetes Vulnerability Assessment is an innovative approach for establishing a local evidence base with a special focus on the sociocultural factors that impact the health and well-being of residents.


 

Tools and downloads


    Introduction Manual

    How to Manual


Urban Diabetes Risk Assessment

The Urban Diabetes Risk Assessment builds on the findings of the Diabetes Vulnerability Assessments conducted in 2015. It generates valuable information about population sub-groups and their specific needs, priorities and barriers to care and health. It allows for the design of tailored city-level interventions and policies that are more effective in preventing and managing diabetes than those targeted at general populations. The approach facilitates city leaders to engage citizens around their experiences of vulnerability and shape interventions according to what will be most relevant locally.

Tools and downloads


    Introduction Manual

    How to Manual


 

Design Interventions

Global networks

Collaborative working supports cities to act in partnership to deliver interventions. Cities Changing Diabetes has established three new global networks to support knowledge sharing and cross-collaboration within Peer support, Community action research and Urban planning for partners engaged in the programme.

 

Click here to learn more


    Community Action Research-network

    Peer Support Knowledge Network

    Urban Planning Network


Action Arenas

The four Action Arenas draw on real-world examples to provide a set of inspirational cases for building city-level action plans. Click on the Action Arenas below to see how cities, including Cities Changing Diabetes cities, have developed initiatives across the four Action Arenas. The learnings from these actions can be applied by any city to build an urban diabetes action plan that is relevant to the local context and diabetes goals.

 

HEALTH-PROMOTING POLICY

Entails increasing awareness and understanding of urban diabetes, and getting these insights incorporated into local policy. Insights gained from the Cities Changing Diabetes research provide the opportunity to develop concrete and evidence-based solutions to address the urban obesity and diabetes challenge and improve overall health.
 

 

COMMUNITY INVOLVEMENT IN HEALTH

Strives to strengthen communities around vulnerable citizens who have diabetes or increased risk of developing diabetes, so that they can build resilience and improve their quality of life, diabetes care and treatment outcomes.

URBAN PLANNING

Focuses on obesity and diabetes prevention by showing the importance of health-promoting aspects, such as walkability and bikeability in urban planning. Research shows that the built environment in cities plays a key role in the ability to live a healthy life, for example access to green spaces and facilities for physical activity.
 

 

HEALTH SYSTEM STRENGTHENING

Engages stakeholders at all levels to build capacity into the local healthcare system. Cities Changing Diabetes research shows that vulnerable citizens sometime struggle to access a city’s formal health systems or get the support they need to live a healthy life with diabetes. This can happen despite living in relatively close proximity to healthcare facilities.