Diabetes Education Columbus Community Hospital Stacy Biesel RN, CDE
Stacy Biesel, RN CDE Registered Nurse Certified Diabetes Educator Locations: Columbus Community Hospital Prairie Ridge Health Clinic in Beaver Dam
The Diabetes Epidemic (US) An estimated 9.3% of the population has diabetes. 29.1 million Americans Diagnosed 21.0 million Undiagnosed 8.1 million 27.8% of people with diabetes are undiagnosed It is estimated that 86 million Americans have pre-diabetes.
The Diabetes Epidemic (WI) An estimated 10.1% of the population has diabetes. 475,090 Wisconsinites Diagnosed 346,090 Undiagnosed 128,900 It is estimated that about 1.46 million residents of WI have pre-diabetes.
What is Diabetes Type I Type II LADA Gestational Diabetes Prediabetes Other Types
Types of Diabetes Type 1 = 10% of diabetes cases Genetic link Presence of islet cell autoantibodies Autoimmune destruction of beta cells Type 2 = 90% of diabetes cases Genetic predisposition Obesity Impairment of insulin secretion and defects in insulin action in Type 2 diabetes
Typical Symptoms Frequent urination Excessive thirst Extreme hunger or constant eating Unexplained weight loss Presence of glucose in the urine Tiredness or fatigue Changes in vision Numbness or tingling in the extremities Slow-healing wounds or sores Abnormally high frequency of infection
Treatments Monitor BG levels at home Meal planning Physical activity Medication or insulin
Medications for Diabetes Oral Medications Insulin Other injectable medications
Insulin Delivery Devices Syringes Insulin Pens Insulin Pumps
Blood Glucose Monitors Smaller sample sizes Auto code Memory Ability to download Averages Alerts
Continuous Glucose Monitors Under-the-skin sensor Better understanding of BG trends More information to make management changes Now available as Personal CGM s as well
Complications Heart disease and stroke Adults with diabetes have heart disease death rates about 2 times higher than adults without diabetes. The risk for stroke is 1.5 times higher among people with diabetes. Hypertension In 2009-2012, 71% of adults with self-reported diabetes had blood pressure greater than or equal to 140/90 mmhg, or used prescription medications for hypertension.
Complications cont. Blindness Diabetes is the leading cause of new cases of blindness among adults Kidney Disease DM is the leading cause of kidney failure leading to dialysis Neuropathy 60% - 70% of people with DM have mild to severe forms of nervous system damage Amputation More than 60% of non-traumatic lower-limb amputations occur in people with DM MANY people CAN control their diabetes to prevent or manage these complications!
Diabetes Self-Management Education (DSME) is the KEY collaborative process in which people with diabetes gain the knowledge and skills needed to modify behavior and successfully self-manage both the dayto-day and the lifetime challenges of living with diabetes and its related conditions
Diabetes Services Offered Diabetes Self Management Education What diabetes is and how it effects your body Carbohydrate understanding and strategies for portion control How and when to monitor blood glucose at home Stress, coping and sick day care Problem solving Preventing long-term complications Setting personal health goals Developing a personal self-management plan Team approach Personalized diabetes selfmanagement plan 90% of diabetes management is self-care We help put you in control
Self-Care Behaviors
Who s on Your Team?
Do You or Anyone You Know Have? A new or current diagnosis of Type 1, Type 2, LADA, Gestational Diabetes or Pre-diabetes Diabetes is in need of better control Diabetes related complications Hemoglobin A1C above 7.0 Struggling with nutrition and carbohydrates Struggles with physical activity Struggles with blood glucose monitoring or Medication compliance
Interested in More? Contact Primary Care Provider and request referral for education services at Columbus Community Hospital Diabetes Outpatient Services; Stacy Biesel RN, CDE 920-623-1244 Nutrition Outpatient Services; Sara Zook RD-CD 920-623-1545
Diabetes Health QUIZ Name: 1. As the prevalence of obesity increased in the US, the number of people diagnosed with diabetes decreased. a. True b. False 2. Type 2 diabetes accounts for % of diabetes cases. a. 10% b. 30% c. 60% d. 90% 3. What is a typical symptom of diabetes? a. Frequent urination b. Excessive thirst c. Fatigue d. Changes in vision e. All of the above 4. Having diabetes increases your risk for developing heart disease, stroke, kidney disease and high blood pressure. a. True b. False 5. What can Outpatient Diabetes Education do for you? a. Help you understand diabetes and how it effects your body b. Help prevent long-term complications c. Help you set personal health goals to best manage diabetes d. Help you understand nutrition and why physical activity is important e. All of the above