Dining with DiabetesLiving Well with Diabetes

Extension Educator

Title or County

Program Sessions

• Session #1 – Living Well with Diabetes

• Session #2 – Carbohydrate and

Sweeteners

• Session #3 – Fats and Sodium

• Session #4 – Putting It All Together

• 3-Month Follow - up (optional)

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

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

Diabetes has become a public health crisis

Over 30 million!

Diabetes Can be Confusing

Do you have Diabetes?

Pre-diabetes?

Sugar’s a

little high?

A touch of

sugar?

Feelings about Diabetes?

• No big deal

• Worried

• Scared

• Overwhelmed

• Empowered

• Angry

• Doomed

• Relieved

Photo credit: Seattle Municipal Archives CC licensed

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

Insulin is the Key to Open the Door

Type 1 Type 2

• Body does not make

insulin

• Body weight can be

normal or underweight

• Diet & exercise help

control

• Must take insulin

• Body does not use

insulin correctly

• Body weight usually

overweight or obese

• Diet & exercise help

control

• May need pills or insulin

Types of Diabetes

Complications of Uncontrolled Diabetes

• Nerve pain

• Blindness

• Heart disease and

stroke

• Kidney failure

• Sexual dysfunction

• Loss of limbs

Complications do not have to happen!

Physical Activity – The Magic Bullet

Managing Your Diabetes

• A1c

• Blood pressure

• Cholesterol

• Estimated Glomerular Filtration

Rate (eGFR) or microalbumin

• Dilated eye examination

• Dental examination

• Feet checked

Hemoglobin A1c Test

• Laboratory test

• Measures sugar

attached to red

blood cells

• Should be 7% or less

• Checked every 3-4

months

If Your A1c is too High

• Follow meal plan

• Take medications

• Test blood sugar

• Increase activity

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

Blood Pressure

American Diabetes

Association Goal

(2015)

140/90

Individual goals may

be lower

If Your BP is too High

• Increase activity

• Stop smoking

• Lose weight

• Take medications

• Eat foods with less salt

Kidney Function

• eGlomerular Filtration Rate (GFR) or

• Microalbumin (urine test)

• Should be tested once a year

• Early sign of kidney failure

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

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

Eye and Foot Exams

• Dilated eye exam for retinopathy

• Daily home foot exam

• Yearly foot exam by a healthcare professional

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

Dental Care

• See your dentist at least twice a year

• People who have diabetes are twice as likely to

have gum disease

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

pecific

easurable

ttainable

elevant

imely

S

MAR

T

SMART Steps

What’s one SMART

step you can make

towards better

management of

your diabetes?

Next Session

Carbohydrates and sweeteners

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

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