Diabetes Handouts

Basic Information About Diabetes - Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes is a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. There are two major types of diabetes:

Could You Have Diabetes and Not Know It - Could you have diabetes and not know it? Take this test to find out. Sixteen million Americans have diabetes - and one out of three doesn't even know it! Take this test to see if you are at risk for having diabetes. Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders. If you are a member of one of these ethnic groups, you need to pay special attention to this test.

Looking After Your Eyes - There are a couple of conditions at the back of the eye which can cause blurring of the vision. One is cataract, which happens to most of us if we live long enough, but can happen at an earlier age if you have diabetes. The more serious cause of blurred vision is diabetic retinopathy.

Looking After Your Feet   - Why are your feet so important? Preventive care of your feet is very important if you have diabetes. Individuals with diabetes are at risk for conditions that could result in an amputation. Diabetes is the primary cause of non-traumatic amputations.

Managing Diabetes When You Are Ill - Can my diabetes be affected by an illness or stress? Maintaining good control of your diabetes is not easy. It requires motivation, discipline, and an understanding of how diabetes affects your body. Sometimes, however, no matter how hard you try, things go wrong. Infection or an illness such as a cold or the flu, for instance, can cause high blood sugars, loss of diabetes control, and and if you have type 1 diabetes may result in a condition known as ketoacidosis. If you have type 2 diabetes, ketoacidosis is rare but you may experience very high blood sugars and you should know how deal with these events. Ask your doctor for sick day rules before you get sick so you are prepared.

Impotence and What You Should Know - Many men with diabetes feel isolated if they develop impotence (or erectile dysfunction, as it is termed by the medical profession). Impotence is certainly not an isolated problem, however, as we now know that approximately one third of diabetic men suffer from this problem. Ten years ago impotence was a taboo subject. Patients and health care professionals were embarrassed to talk about the subject. Health care professionals were uncertain how to treat the problem, and the easiest way out was to reassure the patient that the problem would get better with time. However, if a man with diabetes develops impotence, there is a less than a one in ten chance that the problem will improve spontaneously.

What is Diabetes? - What is diabetes? Diabetes is a defect in the body’s ability to convert glucose (sugar) to energy. Glucose is the main source of fuel for our body. When food is digested it is changed into fats, protein, or carbohydrates. Foods that affect blood sugars are called carbohydrates. Carbohydrates, when digested, change to glucose. Examples of some carbohydrates are: bread, rice, pasta, potatoes, corn, fruit, and milk products. Individuals with diabetes should eat carbohydrates but must do so in moderation. Glucose is then transferred to the blood and is used by the cells for energy. In order for glucose to be transferred from the blood into the cells, the hormone - insulin is needed. Insulin is produced by the beta cells in the pancreas (the organ that produces insulin). In individuals with diabetes, this process is impaired. Diabetes develops when the pancreas fails to produce sufficient quantities of insulin – Type 1 diabetes or the insulin produced is defective and cannot move glucose into the cells – Type 2 diabetes. Either insulin is not produced in sufficient quantities or the insulin produced is defective and cannot move the glucose into the cells.

Control Your Diabetes For Life - There are many good reasons to take action to manage your diabetes. • Each day you are likely to feel good and have more energy. • In the future, you are likely to stay healthy and prevent or delay problems that can involve your heart, blood vessels, eyes, kidneys, and nerves.

You Don't Have to Knock Yourself Out to Prevent Diabetes - Studies show that people at high risk for diabetes can prevent the disease by losing a small amount of weight by getting 30 minutes of physical activity 5 days a week and eating healthier. The key is: Small steps that lead to big rewards. Use these tips for ideas on moving more and eating healthier. Take your first steps today!

It's Never Too Early to Prevent Diabetes - If you had gestational diabetes when you were pregnant, you and your child have a lifelong risk for getting diabetes. Because of this risk, you need to be tested for diabetes after your baby is born, then every one to two years. Reduce your risk by taking small steps for you and your family. If you weigh too much, you can prevent or delay type 2 diabetes if you lose a small amount of weight and become more active.

It's Never Too Early to Prevent Diabetes (Spanish) - If you had gestational diabetes when you were pregnant, you and your child have a lifelong risk for getting diabetes. Because of this risk, you need to be tested for diabetes after your baby is born, then every one to two years. Reduce your risk by taking small steps for you and your family. If you weigh too much, you can prevent or delay type 2 diabetes if you lose a small amount of weight and become more active.

It's Not Too Late to Prevent Diabetes - As you get older, your risk for type 2 diabetes increases. If you are age 60 or more and overweight, you are at risk for type 2 diabetes or pre-diabetes. Take these small steps to prevent or delay the onset of the disease. Lose a modest amount of weight (10 to 14 pounds for a 200-pound person) by moving more and making healthy food choices.

Youth Tips - Lower Your Risk for Type 2 Diabetes - Feelings Many teens like you deal with diabetes everyday. Most of the time, it’s not a problem, you just deal with it. But sometimes, you may just want it to go away. Do you ever… • Ask “why me?” • Think you’re the only one who feels sad, mad, alone, afraid, or different? • Get tired of others teasing you if you are overweight? • Blame yourself or your family for your diabetes? All of these feelings are normal. Lots of teens who have diabetes feel the same way. It’s okay to get angry, feel sad, or think you’re different every now and then. But then you need to take charge and do something to feel better. Everyone feels down sometimes. You are not alone.

Periodontal Disease and Diabetes - What is periodontal disease? Periodontal disease is the scientific name used to describe gum disease. There are two common forms of periodontal disease. The first is called gingivitis, which is mild inflammation of the gums. The other, more serious, form of gum disease is called periodontitis, in which there is more severe inflammation of the gums, and the bone that holds the teeth in place begins to be gradually destroyed.

More Than 50 Ways to Prevent Diabetes - The name pretty well says it all. Enjoy!

Prevent Type 2 Diabetes. Paso a Paso (Spanish) - ¡DE SU PRIMER PASO! El Programa Nacional de Educación sobre la Diabetes (NDEP, por sus siglas en inglés) recomienda que las personas con riesgo de desarrollar diabetes tipo 2, o que tienen una condición llamada pre-diabetes, hagan más actividad física. Perdiendo un poco de peso, comiendo saludablemente y haciendo 30 minutos de actividad física 5 días a la semana, usted puede prevenir o postponer la diabetes. Por ejemplo, si usted pesa 200 libras, perder solamente 10 libras le ayudará a disminuir su riesgo de desarrollar diabetes. Consulte con su proveedor de salud para ver si usted tiene riesgo y qué pasos debe tomar para prevenir...

If You Have Diabetes, Know Your Blood Sugar Numbers (Spanish) - Tomar control de su diabetes puede ayudarlo a sentirse mejor y mantenerse saludable. Las investigaciones indican que al mantener un nivel normal de glucosa sanguínea (azúcar en la sangre), usted reducirá sus posibilidades de tener complicaciones de los ojos, los riñones y los nervios. Para controlar su diabetes, usted tiene que saber cuál es su nivel de glucosa sanguínea y cuáles deberían ser sus metas.

Tips for Helping a Person with Diabetes - Diabetes is tough. When you have diabetes, you need to eat healthy food, stay active, control your weight, take your medicine, and check you blood glucose (sugar) to see how you are doing. And that’s on top of handling all the other things in life! No wonder a person with diabetes can feel stressed out and afraid.

Tips For Kids: Be Active - What’s so important about being physically active? Being active keeps your body healthy and strong and gives you more energy. It can help you think and be more alert in school. It can also help you stay at a healthy weight or help you lose weight slowly. Being active is an important part of a healthy lifestyle. Physical activity can make you feel better if you are in a bad mood or stressed out. It can relax you and help you sleep well. It helps your body use blood glucose (GLOO-kos), also called blood sugar, for energy. Physical activity can help keep your blood glucose in a normal range.

Tips For Kids: Eat Healthy Foods - Why eat healthy foods? Healthy foods give you energy to live, learn, and be active. They help you to: • Grow at a healthy rate and stay active. • Keep your blood glucose (GLOO-kos), also called blood sugar, in balance—not too high and not too low. • Lose weight slowly, if needed, under your doctor’s care.

Tips For Kids: Stay at a Healthy Weight - Why is it good to be at a healthy weight? Staying at a healthy weight as a teen may help you control your weight for life. Being at a healthy weight helps you feel fit, stay well, and feel good about the way you look. It can also help prevent health problems like heart disease and high blood pressure. If you have diabetes and are overweight, weight loss may improve your blood glucose (GLOO-kos), also called blood sugar, and make your diabetes easier to manage.

Tips For Kids: What is Diabetes? - What is diabetes? Diabetes means that your blood glucose (GLOO-kos), also called blood sugar, is too high. Glucose comes from the food you eat and is needed to fuel our bodies. Glucose is also stored in our liver and muscles. Your blood always has some glucose in it because your body needs glucose for energy. But having too much glucose in your blood is not healthy. An organ called the pancreas (PAN-kree-as) makes insulin (IN-suh-lin). Insulin helps glucose get from your blood into your cells. Cells take the glucose and turn it into energy. If you have diabetes, the pancreas makes little or no insulin or your cells cannot use insulin very well. Glucose builds up in your blood and cannot get into your cells. If your blood glucose stays too high, it can damage many parts of the body such as the heart, eyes, kidneys, and nerves.

4 Steps to Control Your Diabetes for Life - Diabetes is a serious disease. It affects almost every part of your body. That is why a health care team may help you take care of your diabetes:

7 Principles for Controlling Your Diabetes for Life - This brochure describes the 7 principles of good diabetes care. These principles, or steps, will help you manage your diabetes and live a long and active life. Every person who has diabetes has different needs. Talk to your health care team about a treatment plan that is best for you. Diabetes affects almost every part of the body and good diabetes care requires a team of health care providers. They include doctors, diabetes educators, nurses, dietitians, pharmacists, mental health workers, eye specialists, foot specialists, dentists, and social workers. Take this brochure with you when you visit your doctor or other members of your team to talk about your treatment plan.

Take care of your Feet for a Lifetime (Spanish) - ¡Usted puede cuidarse los pies! Quiere evitar problemas graves en los pies que pueden resultar en la amputación de un dedo, un pie o una pierna? Este folleto, titulado Cuídese los pies durante toda la vida, le indica cómo hacerlo. Trata del buen cuidado de los pies.

Diabetes Community Partnership Guide - The Good News About Diabetes You might be wondering:What’s the “good” news about diabetes, the sixth leading cause of death that has reached epidemic proportions in the United States in the past 10 years? The good news is that we now have definitive proof that type 2 diabetes can be delayed or prevented in persons at risk for the disease. How— through moderate changes in lifestyle.

Guiding Principles of Diabetes Care - Introduction The goal of the National Diabetes Education Program (NDEP) is to reduce the morbidity and mortality caused by diabetes and its complications through programs that increase awareness of the seriousness of the disease and the value of its treatment and prevention. These Guiding Principles for Diabetes Care for health care providers are evidence-based and describe the essential components of quality diabetes care. People with diabetes and their health care team need to have ongoing discussions about what care is best for each individual and why. Many health care providers make up the team to care for people with diabetes, including physicians, diabetes educators, nurses, dietitians, pharmacists, social and mental health workers, eye specialists, foot specialists, and dentists. Ongoing, comprehensive diabetes care can prevent or control diabetes-related macrovascular complications (heart disease, stroke, and circulatory problems) and microvascular complications (blindness, amputations, and end-stage renal disease). With proper education and self-care, people with diabetes should expect to lead long, active, and productive lives.

Helping the Student with Diabetes Succeed - More than 17 million Americans have diabetes. In your work with children and youth in the school setting, it is likely that you already have, or will have, a student with diabetes in your care. Diabetes is one of the most common chronic diseases in school-aged children, affecting about 151,000 young people in the United States, or about 1 in every 400 to 500 young people under 20 years of age. Each year, more than 13,000 youths are diagnosed with type 1 diabetes. In addition, health care providers are finding more and more children and teens with type 2 diabetes, even though the disease is usually diagnosed in adults over age 40. Diabetes is a serious chronic disease that impairs the body’s ability to use food for energy. It is the sixth-leading cause of death by disease in the United States. Long-term complications include heart disease, stroke, blindness, kidney disease, and amputation of the foot or leg. Although there is no cure, the disease can be managed and complications delayed or prevented.

Making a Difference-The Business Community Takes on Diabetes - Approximately 6% of the American population have diabetes. Thus, it should not be a surprise that employees with diabetes are found at all levels of a company, from the mailroom to the boardroom. These hard-working men and women do not want diabetes to prevent them from doing a good job and, with your company’s and/or labor union’s support for their efforts to manage their disease, they can remain productive and contribute significantly to your organization’s success. The purpose of this paper is to provide a rationale for diabetes action by corporate leaders like you.

Small Steps. Big Rewards. Your GAME PLAN for Preventing Type 2 Diabetes: Information for Patients - Diabetes prevention is proven, possible, and powerful. Studies show that people at high risk for diabetes can prevent or delay the onset of the disease by losing 5 to 7 percent of their weight, if they are overweight—that’s 10 to 14 pounds for a 200- pound person. Two keys to success:

Take Care of Your Feet for a Lifetime - You can take care of your feet! Do you want to avoid serious foot problems that can lead to a toe, foot, or leg amputation? Take Care of Your Feet for a Lifetime tells you how. It’s all about taking good care of your feet.

Team Care: Comprehensive Lifetime Management for Diabetes - Executive Summary This report was created to help organizational leaders in health care systems and purchasers of health care to implement multidisciplinary team care for people with diabetes in all clinical settings. The key function of a multidisciplinary team is to provide continuous, supportive, and aggressive care for people with diabetes throughout the course of their disease. Properly implemented diabetes team care is cost-effective and the preferred method of care delivery, particularly when services include health promotion and disease prevention in addition to intensive clinical management.