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Dining with Diabetes

Dining with Diabetes. Living Well with Diabetes Extension Educator Title or County. Program Sessions. Session #1 – Living Well with Diabetes Session #2 – Carbohydrates and Sweeteners Session #3 – Fats and Sodium Session #4 – Putting It All Together 3-Month Follow - up (optional).

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Dining with Diabetes

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  1. Dining with Diabetes Living Well with Diabetes Extension Educator Title or County

  2. Program Sessions • Session #1 – Living Well with Diabetes • Session #2 – Carbohydrates and Sweeteners • Session #3 – Fats and Sodium • Session #4 – Putting It All Together • 3-Month Follow - up (optional)

  3. Program Goals • Learn about diabetes and the relationship to nutrition and physical activity • Discuss diabetes self management • Taste test diabetes-friendly recipes • Learn healthy cooking techniques • Gain confidence in diabetes self management • Interact with others in class

  4. Today’s Class Session #1 – Living Well with Diabetes • Diabetes Basics • Types of Diabetes • Emotional Impact • Smoke Alarms for Diabetes Complications • Goal Setting • Tasting Diabetes-Friendly recipes

  5. Diabetes has become a public health crisis Over 30 million!

  6. * DIABETES * not just your mother’s disease

  7. Diabetes Can be Confusing

  8. Do you have Diabetes? A touch of sugar? Pre-diabetes? Sugar’s a little high?

  9. Feelings about Diabetes? • No big deal • Worried • Scared • Overwhelmed • Empowered • Angry • Doomed Photo credit: Seattle Municipal Archives CC licensed

  10. Glucose and Insulin • Glucose: fuel for the cells • Blood sugar • Carbohydrates convert to glucose most easily • Insulin: hormone made by the pancreas • Enables glucose to leave the blood and enter the cells and organs of the body. Photo Credit: TesaPhotography CC licensed Photo Credit Benjah CC licensed

  11. Insulin is the key to open the door

  12. Types of Diabetes Type 1 Type 2 • Body does not makeinsulin • Body weight can benormal or underweight • Diet and exercise helpcontrol • Must take insulin • Body does not use insulin correctly • Body weight is usually overweight or obese • Diet and exercise help control • May need pills or insulin

  13. Complications of Uncontrolled Diabetes • Nerve Pain • Blindness • Heart disease and stroke • Kidney Failure • Sexual dysfunction • Loss of limbs

  14. Complications do not have to happen!

  15. Managing Your Diabetes • A1c • Blood pressure • Cholesterol • Estimated Glomerular Filtration Rate (eGFR) or microalbumin • Dilated eye examination • Dental examination • Feet checked

  16. Hemoglobin A1c Test • Laboratory test • Measures sugar attached to red blood cells • Should be 7% or less • Checked every 3-4 months

  17. If your A1c is too high • Follow meal plan • Take medications • Test blood sugar • Increase activity

  18. Physical Activity – The Magic Bullet

  19. Monitor your blood sugar • Follow doctor’s recommendations • Review number before meals • Review number 2 hours after the start of a meal • Numbers will vary, dependent on meal content and other factors

  20. Blood Pressure American Diabetes Association Goal(2015) 140/90 Individual goals may be lower

  21. If your BP is too high • Increase activity • Stop smoking • Lose weight • Take medications • Eat foods with less salt

  22. Kidney Function • eGlomerular Filtration Rate (GFR) or • Microalbumin (urine test) • Should be tested once a year • Early sign of kidney failure

  23. Cholesterol • A type of fatty substance measured in blood • LDL is the bad kind of cholesterol • LDL should be at 100 mg/dL or less

  24. If your cholesterol is too high • Stop smoking • Reduce weight • Increase activity • Eat less solid fat and sugar • Take medications if prescribed • Follow up with doctor

  25. Eye and Foot Exams • Dilated eye exam for retinopathy • Daily home foot exam • Yearly foot exam by a healthcare professional

  26. If there are problems with your eye examination • The earlier they are found the better the results • Control your blood pressure • Control your blood sugar • Stop smoking

  27. Dental Care • See your dentist at least twice a year • People who have diabetes are twice as likely to have gum disease

  28. You + Doctor = Team • Keep your appointments • Take your medications • Follow a diet plan – talk to a dietitian or diabetes educator • Include exercise in your day • Ask questions, report problems • Address smoke alarms so they do not develop into diabetes complications

  29. SMART Steps S What’s one SMART step you can make towards better management of your diabetes? pecific M easurable A ttainable R elevant T imely

  30. Next session Carbohydrates and sweeteners

  31. Acknowledgements This curriculum was developed through the collaborative efforts of the National Extension Dining with Diabetes Working Group. Special thanks to several individuals for their leadership and contributions: • Shari Gallup, Ohio State University Extension and Fran Alloway, Penn State University Extension, curriculum adapters • Barb Hennard, Ohio State University Extension, recipe compilation • Stephanie Faroh, Purdue University Extension, evaluation coordinator Appreciation for permission to adapt the content of the original Dining With Diabetes program is expressed to West Virginia University Extension Service The presentation is powered by SmileTemplates.com

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