Life Skills Series
This is a group series that provides overall instruction in dealing successfully with diabetes. Coordinated and taught by certified diabetes educators, the series includes basic information on diet, exercise and medications along with other aspects of diabetes self-management.
Physician referral is required.
There is a fee only for the participant. There is no fee for the family member/support person attending with the participant. Most insurers cover the cost of this program. Please contact the number on the back of your insurance card, to verify coverage for diabetes education / medical nutritional therapy services and ask what your financial responsibility is, if any.
Nutrition Counseling & Medical Nutrition Therapy
These services provide an individualized meal plan and related nutrition education based on an assessment which includes but is not limited to: height, weight, laboratory parameters, medication regimen and food issues (i.e. allergies/intolerances, shift-work, cultural mores). These services are appropriate for persons with diagnoses of diabetes and glucose abnormalities, chronic kidney disease, obesity and gastrointestinal disorders.
Physician referral is required.
Self Blood Glucose Monitoring
Participants will receive a blood glucose meter appropriate to their needs and insurance coverage. They will be instructed on proper use and recommended blood sugar goals.
Insulin Therapy Initiation
Participant will be taught:
- Manipulation of syringe or insulin pen
- Preparation of insulin
- Storage of insulin
- Peak, onset and duration of action
- Injection sites
- Injection technique
- Hypoglycemia signs and symptoms
- Hypoglycemia treatment
Insulin Dose Refinement
Despite insulin therapy, many people experience poor blood sugar control. With regular self-blood glucose monitoring and the help of the diabetes educator, insulin doses can be adjusted so that you can achieve normal blood sugars.
Insulin Pump Therapy
Referrals for insulin pump therapy are accepted from primary care physician or endocrinologist. Clients will be evaluated for their suitability to perform pumping.
Gestational Diabetes Counseling
Gestational diabetes is a type of diabetes that occurs in 15% of all pregnancies, and is usually detected at 24-28 weeks of pregnancy. Dietary intervention is the hallmark of management. Following a 1 ½ hour nutrition counseling session, the blood work is repeated. Further changes can be made at that time if necessary.
The needs assessment is a physician-ordered intervention with the goal of improving glycemic control. Assessment components include:
- Vital Signs – BP, height and weight
- Current diabetes regimen
- Diabetes self management knowledge and skills (monitoring, meal planning, injections)
- Culture or religious beliefs
- Diabetes Type
- Medical History
- Lab Studies
- Annual parameters, flu shot, dilated eye exam
- Mental health and attitude
A review session is appropriate for clients who have attended the formal Life Skills education program or its equivalent. It may be a one-on-one session or a small group session and will last approximately two hours. The Self Management Plan is reviewed, as well as pertinent lab studies. Healthy eating, exercise, medication and monitoring/sick day management will be the primary focus of the session; however, any aspect of the curricula may be included at the instructor’s discretion based on the need of the individual or the group.
A review session is part of follow-up. Each client will receive notice that they are due to participate at the end of the first year following Life Skills Series completion. A client may attend a session yearly.
Continuous Glucose Monitoring
Continuous glucose monitoring is used to collect several days of continuous glucose data. The sensor, worn under the skin, records blood glucose readings every 5 minutes. This data is used to interpret the effects of food, medicine, and exercise on glucose levels. The data enables the health care provider to alter treatment plans.