Title: Living Well With Diabetes
1Living Well with Diabetes
Lesson 5 Living Well With Diabetes
2The Bad News
- People with diabetes are at risk for a variety of
problems - Problems can develop years after initial
diagnosis - More likely to have
- Heart attack, stroke, eye problems, kidney
disease, foot or leg amputation, frequent
infections, sexual problems
3And The Good News
- Diabetes complications do not have to occur
- People with diabetes can live long, healthful and
productive lives
4 Three Keys To Living Well with Diabetes
- Education
- Early Detection
- Regular Doctor/Health Care Team Visits
5EDUCATION
- Learn as much as you can about diabetes and its
complications - How
- What
- Why
6EARLY DETECTION
- Learn earliest signs and symptoms of potential
problems - Know your lab test results
- Keep track of changes
7REGULAR OFFICE VISITS
- Make regular office visits with your diabetes
care team - Set up a 3-month schedule and STICK TO IT!
- Contact immediately if you are having problems
- Working together strong prevention team
8Keep A Check
- At least once a year
- Physical exam
- Cholesterol
- Triglycerides
- Microalbumin
- Feet exam
- Dilated eye exam
- Flu shot
- Every 5 years
- Pneumonia vaccine
- Every Office Visit
- Blood glucose
- Blood pressure
- Weight
- Review meal plan
- Discuss concerns
- At least every 3-6 months
- A-1-C
9Who Should Be On Your Team?
- Doctor
- Diabetes educator
- Dietitian
- Pharmacist
- Nurse
- Foot doctor
- Eye doctor
- Mental health counselor
- Nurse practitioner
- Dentist
- Social worker
- Family and friends
10How Do Problems Start?
- Blood glucose levels consistently exceed 140
mg/dl - Physiological changes occur and affect organs and
body functions - Having high glucose levels for long term leads to
complications - Nerve damage, eye damage, kidney disease, dental
problems, foot problems, etc.
11Take Care of Your Heart
- Ask your doctor these questions
- What are my blood glucose, blood pressure and
cholesterol numbers? - What should they be?
- What actions should I take to reach these goals?
12Take Action Now To Reduce Heart Disease
- Eat the right amounts of foods for your meal plan
- Eat foods prepared with less salt and less fat
- Get at least 30 minutes of physical activity
every day - Maintain a healthy weight
13Take Action Now To Reduce Heart Disease
- Stop smoking seek help
- Take medicines the way your doctor tells you to
take them - Ask your family and friends to help
14Seeing After Your Eyes
- Have eyes checked at least once a year
- Tell your eye doctor if you
- See spots
- See poorly in dim light
- Have eye pain
- Or any other eye problem
15Keeping Your Kidneys Fit
- Get yearly screening for microalbumin
- Keep blood glucose tightly controlled
- Keep blood pressure in check
- Avoid medications that can damage kidneys
- Say no to nicotine
- Go easy on protein
- Use preventive medications when needed
16Taking Care of Your Tootsies
- Wear comfortable shoes and
- clean, properly fitting thick socks
- Wash your feet daily with lukewarm soapy water
and dry well, especially between toes - Keep feet soft by using lotion after a bath or
shower - Inspect daily cuts, scratches, redness or swelling
17Taking Care of Your Tootsies
- Call health care provider if wound does not heal
- Wear shoes with good support or diabetic shoes,
if possible - Never go barefoot, even inside your home
- Never, ever, do bathroom surgery on your own feet
- See a podiatrist for foot care (surgery, trimming
nails, medications)
18Dont Deny Your Dental Care
- Brush and floss your teeth daily
- Have your teeth cleaned every 3 to 6 months
- If you notice any problems, tell your dentist
19Your Sick Day Plan
- When to call your physician
- Fever
- Uncontrolled vomiting or diarrhea
- High ketone count
- Glucose levels above 240
- Do not know what to do
20Things to Do
- Take your medicines for diabetes
- Make sure to check blood sugar often
- Try to eat and drink according to your meal plan
as much as possible - 50 grams carbohydrates every 3-4 hours
- Write down blood sugar levels, ketone levels,
what you eat and medicines taken!!!
21Handy Sick Day Foods
- Gatorade
- Milk
- Soup
- Fruit juice
- Regular soft drinks
- Crackers
- Dry toast
- Cooked cereal
- Frozen yogurt, sherbet
- Sugar-free pudding
- Mashed potatoes
- Regular pudding
- Custard
- Peanut butter
22Be Food Safe
234 Basic Steps . . .
- Clean
- Separate
- Cook
- Chill
24Clean
- Wash hands and surfaces often
25Separate
26Cook
- Cook to proper temperatures
27(No Transcript)
28Chill
29Making Wise Food Choices
- Foods most likely to contain pathogens include
- Uncooked fresh fruits and vegetables
- Animal products
30Type of Food Higher Risk Lower Risk
Meat, Poultry Seafood Raw or undercooked Cooked to safe temperature
Milk Unpasteurized Pasteurized
Eggs Raw or undercooked Pasteurized
Sprouts Raw Cooked
Vegetables/Fruits Unwashed Washed
Cheese Soft Hard/processed/pasteurized
Hot Dogs/Deli Meats Not reheated Reheated
31Tips for Safe Shopping
- Check the sell by date.
- Put raw meat, poultry or seafood in plastic bags.
- Buy only pasteurized milk, cheese, dairy products
and juices. - Keep it safe when buying eggs.
- Dont buy food displayed in unsafe or unclean
conditions.
32Transportation Issues
- Pick up perishable foods last.
- Follow the 2 hour rule.
- Consider a cooler.
33Dining Out
- Ask about uncooked ingredients.
- Request a safe minimum temperature.
- To minimize your risk of getting a foodborne
illness it is wise to avoid restaurant buffets. - Keep the doggy bag safe.
34Uh Oh . . .
- Know the symptoms
- Nausea
- Vomiting
- Diarrhea
- Fever
35I Dont Think Were in Kansas Anymore . . .
- Preparing for Emergencies
36Before the Storm
- Prepare a waterproof insulated emergency kit
including standard emergency supplies plus - At least 3 days of diabetes supplies
- Carbohydrate source along with water and food
- A list of emergency contacts and medications
- Prescription bottles or numbers so you can
replace medications at a pharmacy, if needed - Cooler with at least 4 re-freezable gel packs for
storing insulin (if youre using insulin)
37Play It Safe
- Consider wearing medical identification.
- Identify school personnel to help with children.
- Wear sturdy shoes.
- Pack 2 to 3 days of extra clothing.
- Keep immunizations up to date.
- Keep your cell phone charged.
- Have a plan.
38During the Storm
- Identify yourself as a person with diabetes.
- Drink plenty of water.
- Watch what you eat and carry a fast source of
sugar with you at all times. - Stick with your testing and medication schedule.
- Check your feet!
39Have Diabetes. Will Travel.
40Plan Ahead
- Have a medical exam
- Control your ABCs
- Ask for prescription and letter explaining
medications, supplies and allergies - Acquire medical identification
- Learn to say I have diabetes and sugar or
orange juice, please in the language of the
countries if traveling abroad
41Plan Ahead
- Plan for time zone changes
- Find out flight times, and if meals will be
served, ask for special meal - Always carry enough food to cover flight time and
delays
42Travel Preparations
- Take twice the amount of medication and supplies
you need normally pack at least half in carry-on
bag - Carry-on bag
- All the insulin and syringes you will need for
trip - Blood and urine testing supplies
- Extra batteries for glucose meter
- All oral medications
- Other medications or medical supplies
- Your ID and medical identification
- Emergency snacks
43Travel Preparations
- Keep insulin cool by packing in insulated bag
with refrigerated gel packs. - Pack a first-aid kit.
- Dont forget a sharps container.
- Notify airport security that you have diabetes.
- Have all medications and delivery systems clearly
marked with prescription labels intact.
44You Can Be Your Own Worst Enemy . . .
45Acceptance of Diagnosis
Depression
Denial
Anger
Bargaining
Acceptance
46Worst Enemies
- Im tired and this is how I relax.
- These foods taste good.
- I eat more when I am stressed.
- I dont want to think about whether foods are
healthful or not. - I dont want to face my diabetes.
- Everyone is nagging me.
- I dont want to worry my family.
- Its too hard to make it to the doctor.
47Best Friends
- I want to protect my family from losing me.
- I am ready to face reality and do something about
my diabetes. - I am willing to try something new.
- I am willing to take charge and to take action.
- I am willing to ask for help.
- My family is important to me, and they can help.
- I should share what I am feeling with my family.
48Are You Ready to Change???
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
49How Can I Be My Best Friend?
- Tell yourself you can do it.
- Pat yourself on the back for positive changes.
- Ask for help when you need it and share your
fears. - Seek out positive people.
- Believe that you deserve to have a healthy body.
- Dont beat up on yourself.
- Dont let yourself get away with excuses.
50How Can I Help My Family Member?
- Learn about diabetes.
- Understand your loved ones diabetes.
- Find out what your loved one needs.
- Talk about your feelings.
- Offer practical help.
- Try a new approach.
- Get help.
51Diabetes Does Not Control Me
52References
- American Diabetes Association
- National Diabetes Education Program
- The Diabetic Bible by Dana Armstrong and Allen
Bennett King - Diabetes Life Lines The University of Georgia
Cooperative Extension - U. S. Food and Drug Administration
- U. S. Department of Agricultures Food Safety and
Inspection Service - Diabetes Prevention and Control Program
- Journey for ControlAdvancing Diabetes Education
by Merck and Company
53Living Well With Diabetes
Prepared By Terri Crawford, Extension Agent,
Nutrition, Northeast Region Cathy Agan,
Extension Agent, FNP Ouachita Parish