Harold Schnitzer Diabetes Health Center

Transcription

1 Harold Schnitzer Diabetes Health Center Managing Your Diabetes- The Keys to Controlling Blood Sugar Presented by: Don Kain, MA, RD, CDE April 8, 2010

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3 Monitoring Your Blood Sugar Check Your Blood Sugar Feedback from your blood glucose machine can be used by you on a daily basis and your provider to make adjustments that will reduce your risk of diabetes complications.

4 Monitoring Your Blood Sugar Blood Sugar Testing- Two Types Blood Glucose Machine Provides immediate feedback on your blood sugar A1C Test Average blood sugar for 3-4 months

5 Monitoring Your Blood Sugar Blood Glucose Machine Goals Time Goal Fasting/before meals mg/dl 2 hours after a meal < 180 mg/dl

6 Monitoring Your Blood Sugar A1C Test The A1C blood test gives you a picture of your blood glucose level over a period of 3-4 months As red blood cells circulate throughout your body glucose molecules stick to them Very simply, the A1C is a measure of how much glucose is sticking to your red blood cells

7 Monitoring Your Blood Sugar Relationship Between Your A1C & Your Blood Glucose A1C % Estimated Average Glucose mg/dl

8 Healthy Eating With Diabetes Eat Healthy Food Eat 3 well-balanced, carbohydrate controlled, meals at regular times throughout the day

9 Healthy Eating With Diabetes Meal Planning Tips Have Balance Control Portions Eat at Regular Times Carbohydrate is Key

10 Healthy Eating With Diabetes Meal Planning Tips- Have Balance Eat 3 well-balanced meals per day Include carbohydrate, protein and a small amount of fat in each meal

11 Healthy Eating With Diabetes Meal Planning Tips- Control Portions Carbohydrate Men 3-5 servings per meal Women 2-4 servings per meal Protein Men & women 6-8 ounces cooked meat, poultry, or fish per day Fat Men & women 1-2 servings per meal

12 Healthy Eating With Diabetes Meal Planning Tips- Eat at Regular Times Eat your well-balanced meals at about the same time every day Try to eat about every 4-5 hours If more than 5 hours passes, eat a small snack to prevent from getting too hungry

13 Healthy Eating With Diabetes Meal Planning Tips- Carbohydrate is Key Carbohydrates in food raise the blood sugar the most after you eat Eating the same amount of carbohydrate at about the same time will help you to control your blood sugar A serving of carbohydrate is 15 grams

14 Healthy Eating With Diabetes Suggested Carbohydrate Servings per Meal- Grams Gender To Lose Weight To Maintain Weight For the Very Active Women 2-3 (30-45 grams) 3-4 (45-60 grams) 4-5 (60-75 grams) Men 3-4 (45-60 grams) 4-5 (60-75 grams) 4-6 (60-90 grams)

15 Physical Activity Increase Your Physical Activity Accumulate at least 30 minutes of moderate intensity physical activity on 5 or more days of the week

16 Physical Activity Exercise Burns Blood Sugar

17 Physical Activity Exercise makes your cells more sensitive to insulin in your body

18 Physical Activity Exercise & Insulin Sensitivity Improved insulin sensitivity lasts hours To get the full benefit of exercise on your insulin sensitivity do not let more than 2 days pass between exercise sessions

19 Physical Activity Exercise helps with weight loss Losing pounds often improves insulin sensitivity, but regular exercise helps to improve blood glucose control independent of body weight

20 Physical Activity Frequency Intensity Type Time FITT Principle of Exercise

21 Physical Activity Exercise for Optimal Blood Sugar Frequency: Aim for at least 5 days a week Intensity: Talk test Type: Aerobic burns calories and improves blood sugar control Time: 30 minutes; can be done in intervals

22 Medication Take Your Medication Take your diabetes medication as prescribed by your provider

23 Support Seek Support Seek support from your family, friends and health care providers to help you make positive lifestyle changes that will improve your blood sugar

24 Support Living Well with Chronic Conditions Workshops 6-week workshop that provides tools for living a healthy life with chronic conditions including diabetes, arthritis, asthma and heart disease Developed and validated by Stanford University Adopted statewide by the Oregon Department of Human Services (DHS)

25 Support Living Well with Chronic Conditions Workshops Available on campus at the OHSU Center for Women s Health ( ), $30.00 for a 6-week workshop Statewide information available at healthoregon.org/livingwell

26 Harold Schnitzer Diabetes Health Center Our Mission To offer integrated, compassionate, patientcentered and family-oriented diabetes care

27 Harold Schnitzer Diabetes Health Center Our Diabetes Education Services- Individual Consultation Medical Nutrition Therapy Blood Glucose Meter Training Insulin Start Training Insulin Pump Training Byetta & Symlin Start Training Continuous Glucose Monitoring Sensor Training

28 Harold Schnitzer Diabetes Health Center Our Services- Group Education for Diabetes & Pre-Diabetes American Diabetes Association Recognized Group Education Programs Successful Living With Diabetes- Type 2 & You, What You Can Do Successful Living With Diabetes- One Should not be a Lonely Number Harold Schnitzer Diabetes Health Center Pre- Diabetes Program Know Your Risk, Reduce Your Risk!

29 Harold Schnitzer Diabetes Health Center Our Services- Group Education for Type 2 Diabetes American Diabetes Association Recognized Group Education Programs Successful Living With Diabetes- Type 2 & You, What You Can Do 2-3 sessions (9 hours of education total) Comprehensive overview of the management of type 2 diabetes including: Healthy eating and carbohydrate counting Physical activity Self monitoring of blood glucose Acute & chronic complications Medications Behavior change and goal setting

30 Harold Schnitzer Diabetes Health Center Our Services- Group Education for Type 1 Diabetes American Diabetes Association Recognized Group Education Programs Successful Living With Diabetes- One Should Not Be a Lonely Number Varied numbers of sessions (9 hours of education total) Comprehensive overview of the management of type 1 diabetes advanced management skills including: Healthy eating and carbohydrate counting Physical activity Intensive insulin therapy Insulin pump therapy and continuous glucose monitoring Current research and future technologies Behavior change and goal setting

31 Harold Schnitzer Diabetes Health Center Our Services- Group Education for Pre-Diabetes Harold Schnitzer Diabetes Health Center Pre-Diabetes Program: Know Your Risk, Reduce Your Risk! One Session (2 ½ Hours) Comprehensive overview of the management of pre-diabetes including: Diabetes Prevention Program Healthy eating and carbohydrate counting Physical activity Behavior change and goal setting We charge a nominal fee of $25 for this program

32 Harold Schnitzer Diabetes Health Center Our Diabetes Educators Linda Blarjeske, RD, LD, CDE Certified Diabetes Educator since 1999 Sara Hohn, RN, CNS, CDE Certified Diabetes Educator since 1993 Don Kain, MA, RD, LD, CDE Certified Diabetes Educator since 1995 Amelia McQuery, RD, LD, CDE Certified Diabetes Educator since 2006

33 Harold Schnitzer Diabetes Health Center How To Contact Us Important Contact Information Location = Physicians Pavilion- Suite 140 Front Desk = Fax = Web =