Video: Diabetes Week

Video: Diabetes Week

Video: Diabetes Week

Dr Norman Swan: Diabetes is the inability of your body to upload sugar for energy, and that’s because your body either doesn’t produce insulin, the hormone that takes glucose your bloodstream into cells for energy, or because your insulin doesn’t work as well as it should.

That failure to process glucose affects the entire body, damaging your blood vessels, your nerves, kidneys, eyes, and skin. For example, if diabetes isn’t well cared for, it can double the risk of heart attacks and strokes.

Now there are three types of diabetes. Type 1, which is the failure to produce insulin in the first place and needs insulin injections. Type 2 is the commonest form where insulin doesn’t work as well as it should. And then there’s gestational diabetes, which comes on during pregnancy. But let’s focus on type 2 diabetes as it counts for 85 per cent of all cases.

People who develop type 2 diabetes tend to have a life style which is inactive and have a poor diet, leading to being overweight or obese. That’s on top of carrying genes which makes you more susceptible to the condition in the first place.

Some group such as Aboriginal and Torres Strait Islanders people and people of Indian ethnicity have much higher chances of developing type 2 diabetes.

And what’s most concerning is that up to half a million Australians have type 2 diabetes and don’t know it, and that’s puts them at hidden but real risk of heart attacks, strokes, dementia, blindness, and kidney failure.

Michael (type 2 diabetes): The symptoms were pretty inconsequential at that stage. I was a little bit thirsty. I’d lost a tiny bit of weight, but there were no other real symptoms.

So I was able to manage the diabetes by exercise, by food control, and just being careful, but I quickly learned that diabetes is a progressive disease. It doesn’t get better. It just keeps developing. The symptoms really became quite severe. I was getting headaches.

I couldn’t sleep. I dropped a lot of weight very suddenly. I was thirsty in a sense that I imagine what I would be if I was in a desert. I was never satisfied no matter what I drank. And I really needed to find out what was wrong.

My GP sent me to a specialist, and they did a whole series of test and worked out exactly what was going wrong.

Dr Norman Swan: In most people, type 2 diabetes starts silently, but it’s important to be aware of early warning signs, such as if you you’re more thirsty than usual, or you’re passing more urine, feeling tired and lethargic.

Do you often feel hungry? Having cuts that take a while to heal or itchy skin infections. Is your vision blurred at times? Are you putting on weight? Do you have mood swings, headaches, dizziness, or leg cramps? Go to myDr.com.

au to check your diabetes risk.

Michael: I feel I’m complaining about a first world problem, but the change to my life style is the regularity with which I have to take medication. It’s very inconvenient and it’s very easy to forget to do it when you’re first starting until you get into a routine about it.

So I take both tablets, and over the last few years I am having self-administered insulin injections. I need to eat. Grazing I guess is what they refer to it as. I’m much better off if I eat 5 meals a day than I do if I have 3.

If I miss out on lunch, I can guarantee that I will have very high blood sugar levels and I’ll probably get a headache in the afternoon.

Dr Norman Swan: Initially, type 2 diabetes can be treated by eating a healthy diet, losing weight, getting regular aerobic exercises, strengthening your muscles through weight training or other exercises.

The more muscle mass you have, the better your insulin works. Over time you may need medication or require insulin to avoid more serious long-term complications.

So it’s important to see your doctor for regular checkups and blood tests.

Michael: I think you can manage it for quite a long time as I did, but eventually it will catch up to you, and you need to understand what the implication for that are for you and your family.

Dr Norman Swan: Diabetes Week is about early detection and early treatment. If you have any of the symptoms I just mentioned, don’t delay, make an appointment with your doctor.

Last Reviewed: 08/07/2018

myDr

Source: https://www.mydr.com.au/diabetes/video-diabetes-week

Type 2 Diabetes & Cardiovascular Disease Treatment | Trulicity (dulaglutide) Once Weekly Injection

Video: Diabetes Week

Important Facts About Trulicity® (Trῡ-li-si-tee). It is also known as dulaglutide.

TRULICITY is an injectable prescription medicine for adults with type 2 diabetes used to improve blood sugar (glucose) and used to reduce the risk of major cardiovascular events such as death, heart attack, or stroke in people who have heart disease or multiple cardiovascular risk factors.

  • You take it once a week by injecting it under the skin of your stomach, thigh, or upper arm. Use Trulicity together with the diet and exercise that your doctor recommends. Trulicity is not insulin.
  • Do not use Trulicity if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC).
  • Do not use Trulicity if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
  • Do not use Trulicity if you are allergic to dulaglutide or other ingredients in Trulicity.

Ask your doctor how to recognize the serious side effects below and what to do if you think you have one:

Inflamed pancreas (pancreatitis). Stop using Trulicity and call your healthcare provider right away if you have severe pain in your stomach area (abdomen), with or without vomiting, that will not go away. You may feel the pain from your abdomen to your back.

Changes in vision. Tell your healthcare provider if you have changes in vision during treatment with Trulicity.

Low blood sugar (hypoglycemia). Signs and symptoms of low blood sugar may include dizziness or light-headedness, confusion or drowsiness, headache, blurred vision, slurred speech, fast heartbeat, sweating, hunger, shakiness, feeling jittery, weakness, anxiety, irritability or mood changes.

Serious allergic reactions. Stop using Trulicity and get medical help right away if you have any symptoms of a serious allergic reaction which may include: swelling of your face, lips, tongue or throat, problems breathing or swallowing, severe rash or itching, fainting or feeling dizzy, or very rapid heartbeat.

Acute kidney injury. In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration). This may cause kidney problems to get worse.

Severe stomach problems. Trulicity may cause stomach problems, which could be severe.

The most common side effects of Trulicity include nausea, diarrhea, vomiting, abdominal pain and decreased appetite.

These are not all the possible side effects of Trulicity.

Tell your doctor if you have any side effects. You can report side effects at 1-800-FDA-1088 or www.fda.gov/medwatch.

  • Your healthcare provider should show you how to use Trulicity before you use it for the first time.
  • Before you use Trulicity, talk to your doctor about low blood sugar and how to manage it.
  • Do you have other medical conditions, including problems with your pancreas, kidneys, liver, or stomach, or have a history of diabetic retinopathy?
  • Do you take other diabetes medicines, such as insulin or sulfonylureas?
  • Do you take any other prescription medicines or over-the-counter drugs, vitamins or herbs?
  • You are pregnant or plan to become pregnant or breastfeeding or plan to breastfeed.
  • You have type 1 diabetes or diabetic ketoacidosis.
  • You have or have had an inflamed pancreas (pancreatitis).
  • You have severe intestinal or stomach problems, such as slowed emptying or problems with digesting food.
  • You are a child under 18 years old.
  • Read the Instructions for Use that come with Trulicity.
  • Use Trulicity exactly as your doctor says.
  • Do not share your Trulicity pen, syringe or needles with another person.
  • Do not give Trulicity to other people.
  • If you take too much Trulicity, call your healthcare provider or seek medical advice promptly.

For more information, call 1-844-TRU-INFO (1-844-878-4636) or go towww.TRULICITY.com.

This summary provides basic information about Trulicity but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled.

This information does not take the place of talking with your doctor. Be sure to talk to your doctor or other healthcare provider about Trulicity and how to take it.

Your doctor is the best person to help you decide if Trulicity is right for you.

Trulicity® is a registered trademark owned or licensed by Eli Lilly and Company, its subsidiaries, or affiliates.

Source: https://www.trulicity.com/

Lilly Insulin, Diabetes Products & Information

Video: Diabetes Week

At Lilly Diabetes, we recognize that every person with type 1 diabetes is on a unique and challenging lifelong journey. But they’re not alone—and while we work hard to equip people with the resources they need to help overcome challenges, we’re also here to celebrate the successes.

The Lilly Diabetes Journey Awards program has recognized thousands of individuals who have successfully managed their diabetes for 10, 25, 50, even 75 years. The awards are meant to honor those who have long been successful, but also to inspire others to believe they can do it, too.

Healthcare professionals can also support and honor patients in their community with a live presentation Journey Awards ceremony.

Those who receive Lilly Diabetes Journey Awards are a testament to all people with diabetes that learning how to manage their health and adapting to the ever-changing technology of diabetes care can lead to a long and successful diabetes journey.

Medals are presented to people with diabetes in the United States throughout the year. Applicants must have type 1 diabetes and must have been taking any brand of insulin continuously for 10, 25, 50, or 75 years to qualify. Each recipient receives an elegant award, beautifully engraved with their name, along with a signed letter from our CEO, Dave Ricks, encouraging their continued success.

We also invite 75-year award recipients to have their names engraved on a special monument on our Indianapolis campus. This monument is a tribute to lives well-lived with type 1 diabetes and reminds us of the long history we share with those who are able to live long, healthy lives by managing their diabetes successfully with insulin therapy.

Healthcare professionals, caregivers, and people with type 1 diabetes in the United States can complete and submit the Lilly Diabetes Journey Awards application by clicking the links below. If you are outside the United States and are interested in learning more about recognition programs in your country, please contact your local Lilly affiliate for more information.

Once your application is received, your medal will be sent in 4 to 6 weeks.

For additional information about the Lilly Diabetes Journey Awards Program, please contact the Journey Awards Administrator at 1-888-545-5115. Contact Lilly with general questions or for more information.

Lilly Diabetes Journey AwardsSM is a service mark of Eli Lilly and Company.

Patient Online Application Healthcare Professional Online Application

The Lilly Camp Care Package provides scholarships, diabetes educational kits, inspirational speakers, insulin, and other supplies to camps for children with diabetes.

American Diabetes Association Survey Shows Summer Camp Can Positively Impact Children’s Disease Management Skills, Confidence And Stress. Read more.

Lilly Diabetes provides a user-friendly diabetes educational kit — in a durable, high-quality Lilly Camp Care backpack that can be personalized with an emergency contact tag sewn inside — to each camper attending a camp that participates in the Lilly Camp Care Package program. Items in the kit are thoughtfully created to help kids learn how to manage diabetes in a fun-filled, friendly way.

The kit is designed for parents/caregivers to provide useful information about diabetes and inform them of other resources offered through the Lilly Camp Care Package program.

Diabetes Education and Camping Association (DECA)

American Diabetes Association®

American Diabetes Association® is a registered trademark of American Diabetes Association

College is an important point in the lives of young adults – when they take on full responsibility for their diabetes care. Lilly Diabetes supports programs to help with this transition.

College Diabetes Network: for the highs and lows of college

The College Diabetes Network (CDN) creates a community of young adults with diabetes through its national network of campus-based chapters and empowers all students through the hub of resources available on their website. Campus life and independence are complicated enough without diabetes. CDN helps to make this transition a little easier. Lilly Diabetes is proud to be the organization’s first Founding Level Corporate Member.

Originally founded in 2009 by a college student, CDN started out as a small student group on one campus but quickly grew into a national organization with chapters throughout the country. CDN’s mission is to empower and improve the lives of students living with diabetes through peer support and access to information and resources.

“CDN’s partnership with Lilly Diabetes began when Lilly Diabetes became our first Founding Level Corporate Partner.

Lilly’s commitment to our mission from the very beginning has been an integral part of our community’s growth.

But even more important and impactful is their continued commitment to collaboration- helping us to transform the experience of all young adults with diabetes” said Christina Roth, CDN’s CEO and Founder.

Find out about the College Diabetes Network and check to see if there is a chapter on your campus.

Source: https://www.lillydiabetes.com/type-1-diabetes

Gestational diabetes – Treatment

Video: Diabetes Week
Skip to main content

Back to Gestational diabetes

If you have gestational diabetes, the chances of having problems with the pregnancy can be reduced by controlling your blood sugar (glucose) levels.

You'll also need to be more closely monitored during pregnancy and labour to check if treatment is working and for any problems.

You can find apps and tools to help you manage your diabetes in the NHS Apps Library.

You'll be given a testing kit that you can use to check your blood sugar level.

This involves using a finger-pricking device and putting a drop of blood on a testing strip.

You'll be advised:

  • how to test your blood sugar level correctly
  • when and how often to test your blood sugar – most women with gestational diabetes are advised to test before breakfast and one hour after each meal
  • what level you should be aiming for – this will be a measurement given in millimoles of glucose per litre of blood (mmol/l)

Diabetes UK has more information about monitoring your glucose levels.

Making changes to your diet can help control your blood sugar levels.

You should be referred to a dietitian, who can give you advice about your diet and how to plan healthy meals.

You may be advised to:

  • eat regularly – usually three meals a day – and avoid skipping meals
  • eat starchy and low glycaemic index (GI) foods that release sugar slowly – such as wholewheat pasta, brown rice, granary bread, all-bran cereals, pulses, beans, lentils, muesli and plain porridge
  • eat plenty of fruit and vegetables – aim for at least 5 portions a day
  • avoid sugary foods – you do not need a completely sugar-free diet, but swap snacks such as cakes and biscuits for healthier alternatives such as fruit, nuts and seeds
  • avoid sugary drinks – diet or sugar-free drinks are better than sugary versions. Fruit juices and smoothies can also be high in sugar, and so can some “no added sugar” drinks, so check the nutrition label or ask your health care team
  • eat lean sources of protein, such as fish

It's also important to be aware of foods to avoid during pregnancy, such as certain types of fish and cheese.

Diabetes UK has more information about diet and lifestyle with gestational diabetes.

Physical activity lowers your blood glucose level, so regular exercise can be an effective way to manage gestational diabetes.

You'll be advised about safe ways to exercise during pregnancy. Find out more about exercise in pregnancy.

A common recommendation is to aim for at least 150 minutes (2 hours and 30 minutes) of moderate-intensity activity a week, plus strength exercises on 2 or more days a week.

You may be given medicine if your blood sugar levels are still not well controlled 1 to 2 weeks after changing your diet and exercising regularly, or if your blood sugar level is very high. This may be tablets – usually metformin – or insulin injections.

Your blood sugar levels can increase as your pregnancy progresses, so even if they are well controlled at first, you may need to take medicine later in pregnancy.

You can usually stop taking these medicines after you give birth.

Tablets

Metformin is taken as a tablet up to 3 times a day, usually with or after meals.

Side effects of metformin can include:

  • feeling sick
  • being sick
  • stomach cramps
  • diarrhoea
  • loss of appetite

Occasionally a different tablet called glibenclamide may be prescribed.

Insulin injections

Insulin may be recommended if:

  • you cannot take metformin or it causes side effects
  • your blood sugar levels aren't controlled with metformin
  • you have very high blood sugar
  • your baby is very large or you have too much fluid in your womb (polyhydramnios)

Insulin is taken as an injection, which you'll be shown how to do yourself. Depending on the type of insulin you're prescribed, you may need to inject yourself before meals, at bedtime, or on waking.

You will be told how much insulin to take. Blood sugar levels usually increase as pregnancy progresses, so your insulin dose may need to be increased over time.

Insulin can cause your blood sugar to fall too low (hypoglycaemia). Symptoms of low blood sugar include feeling shaky, sweaty, hungry, turning pale, or finding it difficult to concentrate.

If this happens, you should test your blood sugar – treat it straight away if it's low. Find out how to treat low blood sugar.

You'll be given information about hypoglycaemia if you're prescribed insulin.

Gestational diabetes can increase the risk of your baby developing problems, such as growing larger than usual.

Because of this, you'll be offered extra antenatal appointments so your baby can be monitored.

Appointments you should be offered include:

  • an ultrasound scan at around week 18 to 20 of your pregnancy to check your baby for abnormalities
  • ultrasound scans at week 28, 32 and 36 – to monitor your baby's growth and the amount of amniotic fluid, plus regular checks from week 38 onwards

The ideal time to give birth if you have gestational diabetes is usually around weeks 38 to 40.

If your blood sugar is within normal levels and there are no concerns about your or your baby's health, you may be able to wait for labour to start naturally.

However, you'll usually be offered induction of labour or a caesarean section if you have not given birth by 40 weeks and 6 days.

Earlier delivery may be recommended if there are concerns about your or your baby's health, or if your blood sugar levels have not been well controlled. 

You should give birth at a hospital where specially trained health care professionals are available to provide appropriate care for your baby.

When you go into hospital to give birth, take your blood sugar testing kit with you, plus any medicines you're taking. 

Usually you should keep testing your blood sugar and taking your medicines until you're in established labour or you're told to stop eating before a caesarean section.

During labour and delivery, your blood sugar will be monitored and kept under control. You may need to have insulin given to you through a drip, to control your blood sugar levels.

You can usually see, hold and feed your baby soon after you've given birth. It's important to feed your baby as soon as possible after birth (within 30 minutes) and then at frequent intervals (every 2-3 hours) until your baby's blood sugar levels are stable.

Your baby's blood sugar level will be tested starting 2 to 4 hours after birth. If it's low, your baby may need to be temporarily fed through a tube or a drip.

If your baby is unwell or needs close monitoring, they may be looked after in a specialist neonatal unit.

Any medicines you were taking to control your blood sugar will usually be stopped after you give birth. You'll usually be advised to keep checking your blood sugar for 1 or 2 days after you give birth.

If you're both well, you and your baby will normally be able to go home after 24 hours.

You should have a blood test to check for diabetes 6 to 13 weeks after giving birth. This is because a small number of women with gestational diabetes continue to have raised blood sugar after pregnancy.

If the result is normal, you'll usually be advised to have an annual test for diabetes. This is because you're at an increased risk of developing type 2 diabetes – a lifelong type of diabetes – if you've had gestational diabetes.

Source: https://www.nhs.uk/conditions/gestational-diabetes/treatment/

Diabetes

Video: Diabetes Week

New research has found that the order in which parts of the meal are eaten can change how the body releases glucose into the bloodstream

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Researchers identify factors increasing the risk of diabetics being re-admitted to hospital within 30 days of discharge.

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Adding to the growing research, more evidence has emerged linking choices for how a food is cooked to a lowering in the risk of developing type 2 diabetes.

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Researchers address the inconsistencies around the cut off point for the diagnosis of impaired fasting glucose, this is what they found.

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Researchers investigate the effects of maternal type 1 diabetes on adverse pregnancy outcomes.

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The convenience of eating at a restaurant, picking up fast food or having pre-prepared meals delivered to your doorstep is tempting however is it bad for your health?

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Changing the diet of people with type 2 diabetes to include more high-fibre foods has been found to promote the growth of beneficial gut bacteria that are linked to a direct effect on improved blood glucose control and greater weight loss.

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Type 2 diabetes usually begins with insulin resistance and often goes hand in hand with obesity, high blood pressure and high cholesterol.

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Hyperglycaemia means too much sugar (glucose) in the bloodstream. For someone with diabetes it means their diabetes is not well controlled.

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The HbA1c (glycated haemoglobin) test is a useful, simple and inexpensive blood test that can be used to diagnose diabetes and also to monitor blood glucose control in people with known diabetes.

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Tablets used to treat type 2 diabetes are known as oral hypoglycaemics or antihyperglycaemics. They may be used on their own and some can be used in conjunction with each other, or with insulin.

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New research suggests type 2 diabetes is actually 5 different forms of disease, each with its own need for different treatment.

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There are a variety of types of insulin and ways to give it, including injections, pens and pumps. Your doctor and diabetes educator can recommend the most suitable type of insulin and delivery device for you.

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Diabetic retinopathy is one of the most common complications of diabetes. People with retinopathy have damaged blood vessels in the retina.

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Working shifts or overnight can increase your risk of type 2 diabetes, a new study of more than a quarter of a million workers has found.

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Up to half a million Australians have type 2 diabetes and don't know it. In most people, it starts silently, but it's important to be aware of early warning signs. Diabetes Week is about early detection, so if you have any symptoms, see your doctor.

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A diet high in carbohydrate and fibre and low in fat helps weight loss in people at high risk of type 2 diabetes.

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Source: https://www.mydr.com.au/diabetes

National DPP Retention Tool User Guide

Video: Diabetes Week

The evidence is in: People who regularly come to lifestyle change group sessions and stay committed to a CDC-recognized National Diabetes Prevention lifestyle change program (LCP) from start to finish are more ly to be successful in losing weight and lowering their risk of type 2 diabetes.

Your coaching skills and enthusiasm keep participants coming back for weekly sessions and encourage them to stick with the LCP, even when it shifts to monthly meetings.

Still, some drop off when “life gets in the way.

” The National DPP Retention Tool, a new web-based resource, is designed to be there for participants when you can’t be—to help them renew their commitments and feel encouraged.

What is the Retention Tool?

This tool is a web-based resource for LCP coaches to use with their participants. Each of the eight modules reinforces LCP content in a tailored and timely way. You’ll send your participants links to the modules, one at a time, to match your lesson implementation.

You and your participants can access this web-based tool on smartphones (iPhone and Android), tablets, or computers. Participants will find encouraging messages, responses tailored for them, quizzes, games, and pledges they can create for themselves.

They can personalize the pledges and print a copy of each to sign and keep as a reminder of their commitments.

When to Use the Retention Tool

The retention tool is designed to follow the order of the PreventT2 curriculum, but you can use this tool with any curriculum you use for a CDC-recognized LCP.

If you use the PreventT2 curriculum, the schedule below shows the weeks you should send each of the tool modules and the module topics.

 If you prefer to teach the PreventT2 curriculum in a different order or are using a curriculum other than PreventT2, make sure to use the module that corresponds to the session topic and ignore the week number.

You do not need to follow the order listed below—just make sure to send the link to the module with the corresponding session topic. Use the Schedule and Planning Worksheet Cdc-pdf[PDF – 2 MB] (separate document) to help you plan when to send each link and what messages to include.

Please send the link to each tool moduleafter the related session.

As a lifestyle coach, you recognize the value of encouraging words, interactive exercises, timely prompts, and materials tailored to the individual. This tool is designed to offer participants a positive experience, supporting the ideas you have conveyed in your sessions.

You can be confident this tool is evidence and behavioral science principles. Participants yours helped test and refine the modules. We expect that participants who use the tool may overcome the challenges that cause some participants to drop out.

Using the tool with your participants will take only a few minutes each time you use a module. We suggest you complete these four steps, described in more detail below:

  1. Try the tool yourself.
  2. Introduce the tool during session 1.
  3. Tailor and send text or email prompts with links to new modules, as scheduled.
  4. Be ready to help participants who use the tool.

4 Easy Steps to Help Participants Use the Tool

  1. Try the tool yourself. Before the first session, play around with the tool. Review each module, try the games or quizzes, make sure you can view the videos (in the Week 1 module), and familiarize yourself with the customizable pledges.

    Consider how LCP participants may respond to the tool, what questions they may have, and what obstacles you can help them overcome. They have signed up for the LCP because they want to succeed. This tool is one more way to help participants reach their goals.

    Your comfort with the tool will make it easier for them to use it.

  2. Introduce the tool during session 1. You may want to mention:
    • The retention tool is a web-based tool to help you stick with the program.
    • It’s easy to access on a smartphone, tablet, laptop, or desktop computer, and it offers only encouragement. Use it to watch videos of program participants you or create and print a pledge.
    • Over the next few weeks, I will email or text you a link to a new module that supports you in putting into practice what you’ve learned in the sessions.

    If there is a screen in the room, you can show the link and what the access point looks .

  3. Tailor and send text or email prompts with links to new modules, as scheduled. Use the Schedule and Planning Worksheet (separate document) to help you plan when to send each link and what messages to send. You may want to set up reminders to yourself to send out each module. Tailor one or more of the messages below—or create your own—to accompany the modules you send. You may want to create a special message for the Week 18 link, telling participants that this is the last module.

    Optional message to send Week 1: Congrats on making it through Week 1 of the lifestyle change program! Check out the Week 1 module [insert link] with videos, a personalized pledge, and other resources to help you commit to a healthier lifestyle. At next week’s session [insert date if you ], you can let us know how it worked for you.

    Optional messages to send for Weeks 2–5:

    • Is life getting in the way of your new healthy habits? Try this week’s module to help you stay committed [insert link].
    • Don’t forget to check out this week’s online module to learn more about the topics we discussed [insert link].
    • Here is this week’s module that supports our group discussion [insert link]. Have fun with it!

    Optional message to send Week 14: I’m glad many of you have tried the online tool. We all need support to help us stick to our goals. Try this week’s module that can help you develop a Support Action Plan [insert link]. Need help? Call or text me.

    You can create a group for sending out a mass email. To protect privacy, put participants’ email addresses in the BCC line. For texting, send a separate text to each participant—and not to a group.

  4. Be ready to help participants who use the tool. Listen for participants’ experiences with the tool. You may stay a few minutes after the early sessions to help them with it and engage other participants to lend a hand. You can help increase everyone’s confidence if you encourage the “early adopters” to help with problem-solving for group members who may have found the tool challenging.

Thank you for taking the time and effort to make this tool available and helping participants see its value in reaching their goals!

Source: https://www.cdc.gov/diabetes/prevention/lifestyle-program/retention-tool-user-guide.html

Minnesota GOP legislator touts $25 insulin at Walmart; diabetics say it has drawbacks

Video: Diabetes Week

The video shows state Rep. Jeremy Munson walking into Walmart without an insulin prescription and picking up a vial for $24.88.

“I hear testimony about people rationing their insulin,” Munson, a Republican from Lake Crystal, tells the camera in a video that’s been viewed more than 6,600 times. “That shouldn’t need to happen when there’s affordable options out there.”

Democrats quickly condemned Munson’s advice as irresponsible and dangerous, warning that different types of insulin cannot be treated the same way.

But as state lawmakers remain locked in a fierce debate over how to help Minnesotans shelling out $300 for a couple weeks of insulin — and who face deadly consequences if they cannot pay — Munson is not the only person suggesting the cheaper option.

The debate over the video comes as Republican and DFL lawmakers are holding hearings this week on competing programs to provide insulin to those who can’t afford it.

That has left policymakers confronting the difference between the expensive medication diabetics travel to Canada to procure and the $25 vials that can be bought over the counter. The cheaper “regular” insulin sold at Walmart became widely available in the early 1980s.

Newer analog insulin products emerged in 1996 and grew in popularity, but their price has skyrocketed in recent years.

The analog insulin kicks in faster than the traditional version and is more predictable, helping people avoid potentially dangerous peaks that lead to low blood sugar, said Matt Petersen, a vice president at the American Diabetes Association.

“I’m strongly in favor of insulin analogs, just not so that the conversation goes so far to say, ‘You’re going to kill people if you make them use those inferior insulins,’ ” Petersen said. “It is far better to use the older insulins with care than it is to either withhold or even to reduce the analog insulin.”

But Petersen, doctors and diabetes advocates emphasized that “with care” is a key part of that phrase.

The older, cheaper version requires diabetics to be regimented about when they eat and can increase the lihood that they have to wake up in the night with low blood sugar, doctors said. For people who are used to the analog versions, switching to the cheaper option requires careful assistance from a health care provider.

Rep. Laurie Halverson, DFL-Eagan, who has Type 1 diabetes and uses a pump for her analog insulin, is one of the lawmakers who has criticized Munson’s video.

“To approach it somehow somebody without diabetes has the answer and it’s lower-quality, outdated technology with this insulin — it’s just wrong,” Halverson said.

She said people have much better blood glucose control with the newer drug, and poor control of those blood sugar levels over a long period of time can result in kidney failure, blindness or heart disease.

Michelle Cmela, of Fergus Falls, Minn., offered legislators a firsthand account at an August roundtable of how the cheaper medication has damaged her health in the short term. Six months ago she switched to the regular option and said she has almost daily side effects.

It affects her mind and her muscles, Cmela told legislators. The week before, she woke up shaking and her blood sugar was so low “I should have been gone, and by the grace of God I wasn’t,” she said.

Symptoms muscle aches, fatigue, headaches and nausea are not unusual for someone with low blood sugar, said Allyson Schlichte, a medication therapy management pharmacist at Fairview Health Services.

While the newer version of insulin is usually taken with an injection pen or insulin pump, the older version typically requires a vial and syringe, Schlichte said.

It’s more challenging to measure the exact dosage, she said.

Halverson warned that someone’s dosage would change if they switched from analog to regular insulin and they would need to carefully work through the math with their doctor.

Walmart spokeswoman Marilee McInnis echoed that caution in a statement.

“Human insulin can be a less expensive alternative, but it may not be right for everyone, which is why it is very important patients work with their doctor on the best way to treat their diabetes,” she said.

Munson noted that he wrote at the end of a caption below his video: “Diabetics should talk to their pharmacist and doctor to understand if the traditional insulin could be used to treat their diabetes if the newer style of insulin is not available.”

He said he got the idea for the video post after talking to a woman in her 60s who grew up using the older version of insulin and switched back because it was more affordable. The $25 drug is not a permanent fix, Munson said, but he wanted to people to know about the option that could save a life, adding, “I’m not giving medical advice, that’s pretty clear.”

But some diabetes advocates said even with his disclaimer, the video is still problematic.

“If you’re not a medical professional, you probably should not be dispensing medical advice online,” said Allison Bailey, the U.S. advocacy manager for Type 1 diabetes organization T1International.

What’s more, the $25 option is not a broader solution to the rising cost of insulin, Bailey said. She said if lower-income people are forced to rely on a less desirable version of the drug, it creates a split between “the have and have-nots.”

Source: http://www.startribune.com/minnesota-gop-legislator-touts-insulin-at-walmart-diabetics-say-it-has-drawbacks/561171992/

Diabetes Week 2020

Video: Diabetes Week

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Diabetes Week 2019

In 2019, Diabetes Week took place from 10 to 16 June and we increased the public's understanding of diabetes. We helped tackle the stigma many people with all types of diabetes feel.

We know diabetes is complicated and hard to understand so we want to help people know more about diabetes. Not just as a condition, but about how it feels to live with it.

We want people to see diabetes differently.

You helped us celebrate Diabetes Week 2019 by sharing our facts about diabetes.

1. One in 15 of us live with diabetes

One in 15 of us live with diabetes. That’s 4.8 million people in the UK – more than cancer and dementia combined. That includes one million people who don’t even know they have diabetes.

Chances are, lots of people you know are living with diabetes.

2. There are different types

Type 1 and Type 2 are the two main types of diabetes. There are rarer types too. What they all have in common is they raise sugar levels in the blood. And that can seriously damage the body.

But there are differences in why they happen and how they’re treated.

3. Anyone can get it

Why people get diabetes is complicated. Some things increase your risk of developing it, from genetics and ethnic background to gender, age and lifestyle factors. But sometimes it isn’t clear why people get it.

Anyone can get diabetes, at anytime. It doesn’t discriminate.

4. It’s not just tablets or injections

It’s so much more than that. Every day involves a thousand little questions, decisions and things to remember. It’s appointments, checks, calculations,what to eat. It’s your care on your shoulders. It’s knowing things won’t always go to plan.

It’s day in, day out. It never stops. It’s relentless.

5. It never stops, but you don’t have to either

When you’ve got diabetes, just getting through the day can be a monumental achievement. But it doesn’t mean life stops. People have become professional athletes, topped the charts and ruled the country with diabetes.

It might make life harder but it doesn’t have to change your ambitions or adventures.

Everyone's story is different

“Throwing around grown men or flipping 100 kg tyres comes easily to me as a wrestler, but the fact that my diabetes can make me vulnerable at any time is infuriating.”
 

Read Charlotte's story

“Diabetes has been a challenge to me, but I don’t suffer. It’s about educating myself and overcoming the challenges the condition presents.”

Read Ali's story

“It can still be annoying when someone says, ‘Oh, but Charlotte can’t eat that, can she?’ But I was just as clueless beforehand.”

Read Charlotte and Katrina's story

“There’s judgment from other people. I already feel judged. There are lots of reasons why someone could get Type 2 diabetes, and lifestyle is just one of them.”

Read Emma's story

“There's a stigma to Type 2 diabetes because it’s all happening internally with no visible change. People are unwilling to accept that diabetes is dangerous.”

Read Sandeep's story

Events near you

In 2019, you held hundreds of Diabetes Week events right across the UK.

Source: https://www.diabetes.org.uk/get_involved/diabetes-week

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