UNIT ONE LESSON 2Managing Diabetes

Objectives

At the end of the lesson, participants should be able to:1. State the benefits of managing diabetes2. Identify problems related to poor diabetes management3. Explain practices that help manage diabetes4. Set goals related to diabetes management5. Describe feelings and experiences of living with diabetes6. Identify ways to modify everyday recipes to fit into the

diabetes meal plan

L-esson

Benefits of Managing DiabetesWhen your blood glucose is close to normal, you are more

likely to:Have more energy Be less tired and thirsty Urinate less often Heal better and have fewer skin or bladder infections Have fewer problems with your eyesight, feet and

gums

Problems with Not Managing DiabetesHeart disease -- cardiovascular disease

People with diabetes are 2 to 4 times more likely to get heart disease and 5 times more likely to have a stroke

Problems with Not Managing DiabetesBlindness -- retinopathy

People with diabetes are at higher risk of developing blindness

Most people with diabetes have minor eye disordersHaving regular eye exams keep problems minor

Diabetic Eye Disease

source: National Eye Institute, National Institutes of Health Ref#: EDA01

Problems with Not Managing DiabetesNerve damage -- neuropathy

About 60 to 70 percent of people with diabetes develop nerve problems

Nerve problems can occur throughout the body. Symptoms include loss of feeling in the hands, arms, feet, and legs. Nerve problems can also occur in sexual organs.

Problems with Not Managing DiabetesKidney damage -- nephropathy

Practices that Help Manage Diabetes

Physical activity

Nutrition and meal planning

Adjust or add diabetes medications as needed

Work with your health care team

Physical ActivityBeing physically active every day:

Helps prevent weight gainImproves blood glucose controlLowers your risk for heart disease and stroke

Nutrition and Meal PlanningEating healthy is similar for a person with or without

diabetes

Eat a variety of food. Balanced amount of carbohydrates, protein and fats

Eat three meals and a snack at regular times throughout the day

Try not to skip meals

Pay attention to what you eat by keeping a food record

Begin with a Healthy Eating Plan

Include whole grains, fruits, vegetables, and lean protein

Eat less fat

Eat heart-healthy fish about twice a week

Steps to Control and Manage Diabetes

Check your blood glucose

Take your medication as prescribed by your doctor

Develop a Health Care TeamDoctor (an

endocrindologist if available)

Nurse (RN), CDE if available

Registered Dietitian (RD), CDE if available

Pharmacist, CDE if available

Eye doctor (ophthalmologist)

Foot doctor (podiatrist)

Dentist

Social worker

Mental health counselor

CDE stands for certified diabetes educator

E-mpowermentDiabetes Education Series: Managing Diabetes

Diabetes Education SeriesDescribe your experiences and feelings related to

managing your diabetes.

What was most difficult for you?

What are ways that you could overcome some of these difficulties?

A-ctionDid you accomplish the goal you set last week?

Set a goal to help you manage your diabetes.

R-eal-Life Problem SolvingTroy’s Story

Troy’s Story

Questions about Troy’s StoryWhat is Troy’s problem?

Why is this a problem for Troy?

What are some things that Troy needs to do to solve his problem? (List as many suggestions as possible.)

What might be the best way to solve his problem at this point? Why?

Questions about Troy’s StoryPlease find the Real-Life Problem Solving handout for

this lesson in your folder

These questions will help with your understanding of Troy’s story

N-utritionMenu:

Whole Wheat PancakesEgg Omelet

Strawberry fansSugar-free syrup

Skim milk

See you next week!

You are in controlWork at reaching your goal

Topic: Physical Activity and Diabetes

Date:

References:

Margaret E. Cook-Newell, Ph.D., R.D., L.D., CDE Irene Hong-McAtee, MD, MCR

Adrienne Glodt, B.S., Graduate Student Laura Hieronymus, MSEd, APRN, BC-ADM, CDE Cheryl Case, M.S., Harrison County Ann Hollon, M.A., Wolfe County 

Hazel Forsythe, Ph.D., R.D., L.D., CFCS Stephen D. Perry, M.S., R.D., L.D. Pam Sigler, M.S. Lynn Blankenship, M.S., Metcalfe County Theresa Scott, M.A., Floyd County Tamara Thomas, M.S., Franklin County

Rusty Manseau, B.A., Graphic Artist

Author: Ingrid Adams, Ph.D., Assistant Professor , Nutrition and Food Science, University of Kentucky

Other Contributors