2020 living well with diabetes - bmc healthnet plan/media/e220179453494a56a... · blood sugar...

Member Services DepartmentEnglish: 888-566-0010 QHP: 855-833-8120

Massachusetts Smokers’ Helpline800-QUIT-NOW (800-784-8669)

Behavioral Health Assistance (Beacon Health Strategies)MassHealth: 888-217-3501 QHP: 877-957-5600

Care Management866-853-5241

Visit bmchp.org/diabetes or call us for more information on diabetes.

DISCLAIMER: This health information should not take the place of the care you receive from your healthcare provider. If you need care for an emergency or medical, mental health or substance abuse problems, call 911 or go right to the nearest emergency room.

BMC HealthNet Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender, moral or religious grounds or limited English proficiency. BMC HealthNet Plan does not exclude people or treat them differently because of race, color national origin, age, disability, sex, gender sexual orientation, gender identity, limited English proficiency, moral or religious grounds (including limiting or not providing coverage for counseling or referral services).

ATENCIÓN: Si habla Español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-566-0010 (TTY: 711).

ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-566-0010 (TTY: 711).

FOR ALL YOUR MASSHEALTH HEALTH PLAN OPTIONSCALL: 800-841-2900 M - F, 8 A.M - 5 P.M. (TTY: 800-497-4648)

A CALENDAR TO HELP YOU MANAGE DIABETES AND KEEP IT UNDER CONTROL

2020 LIVING WELL WITH DIABETES2020 LIVING WELL WITH DIABETES

WHAT HOW OFTEN MY GOAL VISIT DATE RESULT VISIT

DATE RESULT

KEEP A1C IN CONTROL

Discuss with provider at every visit

KEEP BLOOD PRESSURE IN CONTROL

every year

HAVE A DILATED EYE EXAM


HAVE A URINE/PROTEIN TEST


negative

GOALS FROM MY HEALTH CARE TEAM

HOW THE CALENDAR WORKSUse this calendar to record your blood sugar levels every day and learn to manage your diabetes to avoid complications. Ask your healthcare team how many times a day you should test your blood sugar.

EASY TIPS TO RECORD YOUR BLOOD SUGARYou can write up to four blood sugar levels every day: B (Breakfast), L (Lunch), D (Dinner), BT (Bed Time). Record if you test before or after a meal by using a “B” for before meals and an “A” for after meals. If you record after a meal, wait two hours for the best reading. Also test any time you have symptoms like feeling very thirsty, sweating for no reason, shaking, or feeling confused.

KNOW THE GOALS:* Blood sugar levels before meals (B) should be between 80-130 mg/dl.

Blood sugar levels measured 1-2 hours after meals (A) should be less than 180 mg/dl.

*Check with your provider to see what goals are right for you.

HERE’S AN EASY EXAMPLE

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CHECK CHOLESTEROL (LDL-C). FIND OUT IF A STATIN IS RIGHT FOR YOU

Discuss risk factors with your provider

MAINTAIN A HEALTHY WEIGHT

every year

HAVE A FOOT EXAM every year

GET A FLU SHOT

Discuss annual flu shots with your provider

bmchp.org

Use this calendar to track your blood sugar, health care appointments and screenings throughout the year to help you meet your diabetes treatment goals.

Write down notes and questions for your healthcare team in each month of this calendar.

Follow the recommendations of your healthcare team.

Check with your pharmacist to see if your glucometer stores your blood sugars. If it does, bring the glucometer to your next healthcare appointment. If you don’t have a glucometer, call Member Services.

KEEP TRACK OF YOUR HEALTHCARE TEAM’S PHONE NUMBERS AND ALL YOUR MEDICINES, APPOINTMENTS AND TEST RESULTS IN THIS CALENDAR.

SHOW THIS CALENDAR TO MEMBERS OF YOUR HEALTHCARE TEAM AT EVERY APPOINTMENT.

YOUR HEALTHCARE TEAM

PRIMARY CAREPROVIDER (PCP)

DIETITIAN / NUTRITIONIST

PHARMACIST

EYE DOCTOR(ophthalmologist or optometrist)

DIABETES DOCTOR(endocrinologist)

FOOT DOCTOR(podiatrist)

JANUARY

A HEALTHY NEW YEAR!

YOU

CONTACT US TO LEARN MORE ABOUT OUR DIABETES CARE MANAGEMENT PROGRAM AND HOW TO KEEP YOUR DIABETES UNDER CONTROL.

BEHAVIORAL HEALTH PROVIDER

(therapist, psychologist, psychiatrist)

Start the year right - What do you plan to accomplish in 2020? Have a dilated eye exam with your eye doctor or optometrist.

Keep your A1c in control and have at least two A1c tests this year.

Keep your blood pressure in a healthy range.

Talk to your healthcare team about your risks for heart disease.

Have a urine test to check your kidney function.

Refill your medicines on time and take them as directed.

Get a flu shot and all other vaccines recommended by your healthcare team.

Discuss recommendations with your healthcare provider to see what’s right for you.

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAYSUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

BE AN ACTIVE MEMBER OF YOUR HEALTHCARE TEAM

JANUARY

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NOTES: QUESTIONS FOR MY HEALTHCARE TEAM:

B = Breakfast L = Lunch D = Dinner BT = Bedtime

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Manage your ABCs to help reduce your risk of heart attack, heart disease, stroke, and damage to your eyes and kidneys. Talk to your healthcare team about exercise, diet, and how often you should have appointments. Ask your healthcare team about your ABCs at every appointment, know your goals, and record the results in this calendar.

THIS PLAN IS THE BEST VALENTINE YOU CAN GIVE YOURSELF.

RECORD ALL TEST RESULTS IN THE “KEEP TRACK” SECTION IN THE BACK OF THIS CALENDAR.

FEBRUARY

A - THE A1c TEST This test shows how well your diabetes is being controlled. It provides an average of your blood sugar levels over a three-month period and is used along with your glucometer. You don’t need to fast or prepare for this test. You should have this test at least twice a year or as recommended by your healthcare team.

B - BLOOD PRESSURE High blood pressure increases your risk for a heart attack, stroke, kidney disease and problems with your eyes. High blood pressure will not get better

without treatment and changes to your diet and lifestyle. Work with your healthcare team to keep your blood pressure under control. Have a yearly urine test to check how your kidneys are working.

C - CHOLESTEROL There are two types of cholesterol: LDL-C (bad cholesterol) and HDL (good cholesterol). A quick way to remember the difference: “L” is for “lousy” and “H” is for “healthy”. In general, a lower LDL-C is better. If your LDL-C is too high, it can build up and clog your arteries. HDL helps remove cholesterol from your body. In general, higher HDL is better. If you are over 40 and not taking any medicines for cholesterol, ask your doctor if taking a statin is right for you.

LOVE YOUR HEART

YOU NEED TO KNOW YOUR ABCs!

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

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FEBRUARYPROTECT YOUR HEART AND KIDNEYS

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QUESTIONS FOR MY HEALTHCARE TEAM:NOTES:

Maintaining good blood sugar levels will help you stay healthy and in control of your diabetes. Check and write down your daily blood sugar results to help your healthcare team review your diabetes treatment plan and make changes if needed.

Use your glucometer to test your blood sugar daily. Ask your healthcare team which glucometer is best for you, how to use it the right way, and how often you should check your blood sugar.

Discuss your blood sugar levels with your healthcare team. Remember to record your blood sugar levels every day on this calendar and bring it with you to your appointments, along with your glucometer (if it records blood sugar).

KEEP TRACK.

SUNDAYMONDAY

TUESDAYWEDNESDAY

THURSDAYFRIDAY

SATURDAY

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MARCH

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KEEP TRACK OF YOUR BLOOD SUGAR LEVELS AND TEST RESULTS IN THIS CALENDAR.

BRING YOUR CALENDAR AND

GLUCOMETER TO YOUR APPOINTMENTS.

TEST AND RECORD YOUR BLOOD SUGAR AS DIRECTED BY YOUR HEALTHCARE TEAM

“”



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MARCHBRING THIS CALENDAR AND YOUR GLUCOMETER TO YOUR APPOINTMENTS

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Diabetes can cause problems with your eyes. Too much sugar in your blood can cause the tiny blood vessels in the back of your eye (your retina) to swell and leak. Your vision might get blurry, cloudy, or you might not have any symptoms at all.

Diabetes also puts you at risk for vision problems and blindness. Your eye doctor can tell if you have damage to your retina (called retinopathy) by doing a dilated eye exam every year. An eye exam done by your PCP is not a substitute for an eye exam done by your optometrist or ophthalmologist (eye doctor). Eye problems can be treated by your eye doctor to help prevent damage or keep it from getting worse.

To find an eye doctor near you go to the website listed on the cover and click on “Find a Provider” link.

WATCH YOUR EYES.

PROTECT YOUR EYESIGHT“ ”

APRIL

Make sure you have a dilated eye exam at least once a year. The eye doctor or optometrist will put drops in your eyes for this test and you may have blurry vision or be sensitive to bright light. This only lasts a short time. It’s a good idea to bring sunglasses for your ride home.

Keep control of your blood sugar levels, cholesterol and blood pressure to help

protect your eyesight. Get regular physical activity, don’t use tobacco or tobacco products, and report any eye problems to your healthcare team right away.


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APRILGET A DILATED EYE EXAM WITH YOUR EYE DOCTOR EVERY YEAR


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There are two major types of diabetes: Type 1 and Type 2. It is important to understand what diabetes is, which type you have and how to manage it. Your healthcare team can tell you which type you have.

When food is digested: A sugar (glucose) enters the bloodstream. Glucose is fuel for the body.

The pancreas makes insulin which moves glucose so it can be used as energy.

Usually diagnosed in children and

young adults but can happen at any age.

The body makes little or no insulin.

Treated with insulin, diet and physical activity.

Most common form of diabetes.

The body does not make enough insulin or use it properly to keep blood glucose levels normal.

You need to manage glucose control with diet, weight control, physical activity and a healthy lifestyle.

Medicines may need to be added to keep your diabetes in control.

If diet, exercise and oral medicines don’t control your Type 2 diabetes, you may need insulin or other injectable medicine.

KNOW YOUR DIABETES TYPE.

TYPE 1 DIABETES TYPE 2 DIABETES

BY WORKING WITH YOUR HEALTHCARE TEAM TO MANAGE YOUR DIABETES, YOU CAN LIVE A LONG, HEALTHY AND HAPPY LIFE.

MAY

STEPS TO HELP MANAGE YOUR DIABETES:

Follow your eating plan.

Be active.

Manage your weight.

Keep your blood sugar and blood pressure in control.

Take all your medicines as directed.

Keep your healthcare appointments.

Follow your diabetes treatment plan.

Don’t smoke or use tobacco products.


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MAKE HEALTHY FOOD CHOICES

MAY

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BEFORE YOU INCREASE YOUR PHYSICAL ACTIVITY, CHECK WITH YOUR HEALTHCARE TEAM TO DECIDE WHICH ACTIVITIES ARE RIGHT FOR YOU.

PHYSICAL ACTIVITY CAN BE FUN.Physical activity is important when trying to manage your diabetes and live a healthy life.

EVERY DAY

3-5 TIMES PER WEEK

Look for ways to turn routines into activity opportunities. Get off the bus a stop earlier, take the stairs instead of the elevator, walk your children or grandchildren to school, get up at least every 30 minutes to stretch or walk around the house.

Get at least 30 minutes or more of moderate activity like a brisk walk, swimming, biking or jogging.

JUNE

Did you know about our fitness reimbursement?

For more information call Member Services at the number listed on the cover.



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TALK TO YOUR HEALTHCARE TEAM BEFORE STARTING A PHYSICAL ACTIVITY PROGRAM

JUNE

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CHECK OUT INTERACTIVE TOOLS, GLUTEN-FREE, AND VEGETARIAN RECIPE IDEAS AT WWW.DIABETES.ORG AND WWW.CHOOSEMYPLATE.GOV

JULY

A healthy diet is very important for everyone. Here are a few tips on making healthy food choices for you and your family.

Choose whole grain foods. Try brown rice with your stir fry or whole wheat pasta with your favorite sauce.

Add dried beans (like kidney or pinto beans) and lentils to your meals. They’re a very healthy source of protein without cholesterol.

Choose lean meats. Try cuts of beef and pork that end in “loin” such as pork loin and sirloin. Remove the skin from chicken and turkey.

Choose non-fat dairy such as skim milk, non-fat yogurt and non-fat cheese.

Eat plenty of fruits and vegetables in a variety of colors. Try picking from the rainbow of colors available to increase the variety like apples, berries, broccoli,

carrots, green beans, spinach or tomatoes.

Drink water and sugar-free “diet” drinks, not sugar-sweetened drinks like regular soda, fruit punch and sweetened tea.

EAT HEALTHY!

Pick liquid oils for cooking instead of solid fats (solid fats can be high in saturated and trans fats). Watch your portion sizes of added fats.

Talk to your dietitian, nutritionist or healthcare team about your eating plan and choices.

Eating too much of even healthy foods can lead to weight gain. So watch your portions!

ProteinGrains/Starchy Foods

Non-Starchy Vegetables

25%25%50%



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CHECK OUT OUR RECIPE CARDS FOR MEAL IDEAS

JULY

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REMEMBER TO:

Check your feet every day for signs of cuts, dry or cracked skin or changes in temperature or color.

Always wear socks and shoes that fit well and protect your feet.

Wiggle your toes and ankles up and down during the day. Don’t cross your legs.

Tell your healthcare team if you’re having problems with your feet.

BE SURE TO:

Talk to your healthcare team about how to check your feet.

Always wear something on your feet, even indoors, because it’s easy to step on something and hurt your feet.

Always protect your feet from hot and cold.

Use lotion to keep the skin on the top and bottom of your feet soft and smooth. Don’t put lotion or cream between your toes. This might cause an infection.

Take your shoes and socks off at every visit so your doctor can check your feet.

FEET NEED SPECIAL CARE AND ATTENTION. High blood sugar can damage the nerves in your feet. If you have nerve damage, you may not feel a cut or sore. Healing can be slower in people who have diabetes, and untreated cuts and sores can lead to infections and amputations.

AUGUST

CHECK YOUR FEET EVERY DAY“ ”

WHEN YOU HAVE DIABETES, EVERY WOUND IS A HEALTH CONCERN. TREAT THEM RIGHT AWAY TO AVOID BIGGER PROBLEMS.


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AVOID SHOES THAT HURT YOUR FEET

AUGUST

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QUESTIONS FOR MY HEALTHCARE TEAM:NOTES:31B

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TAKE CARE OF YOUR TEETH AND GUMS!Diabetes can make dental problems worse. High sugar levels in mouth fluids may help germs to grow and set the stage for gum disease.

If you have diabetes, you have a higher risk of gum problems. If you don’t take care of your teeth and gums, you can get an infection in your gums and the bones that hold in your teeth. Sore, swollen, red and bleeding gums are the first sign of gum disease. Don’t ignore these signs.

DON’T SMOKE OR USE E-CIGARETTES Tooth, gum and mouth disease can get worse if you use tobacco. It is important that you don’t use any tobacco products.

SEPTEMBER

Call your dentist if you think you have problems with your teeth or gums. Be sure to brush, floss and go for a dental check-up at least twice a year.

Call Member Services at the number listed on the cover for a free dental kit.



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TAKE CARE OF YOUR TEETH AND GUMS. BRUSH, FLOSS AND SEE YOUR DENTIST!

SEPTEMBER

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DIABETES: DEPRESSION, ANXIETY, & ALCOHOL.Feeling sad once in a while is normal. But some people feel a sadness that won’t go away.

Ask yourself these two questions: Over the past two weeks, have I had little interest or pleasure in doing things?

Over the past two weeks, have I felt down, depressed or hopeless?

If you answered yes, please talk to your healthcare team.

Getting treatment for depression and anxiety can help you manage your diabetes.

Alcohol can negatively affect your blood sugar.

If you take medicine for depression, make sure you take it as directed, and don’t stop without talking to your healthcare team.

OCTOBER

HELP IS AVAILABLE If you think you might be depressed or anxious, ask for help right away. Don’t be embarrassed. Ask your healthcare provider to recommend someone to help you.

We work with Beacon Health Strategies to provide care coordination and assistance for behavioral health concerns and substance use and alcohol use.

Call Beacon Health Strategies for assistance. The line is open 24 hours a day, seven days a week. Their phone number is listed on the back cover.


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DO YOU FEEL DEPRESSED AND/OR ANXIOUS? TELL YOUR HEALTHCARE TEAM.

OCTOBER

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SOME EASY TIPS TO GET YOU STARTED:

FOR MORE TIPS ON QUITTING, CALL YOUR LOCAL HELPLINE (SEE BACK COVER) OR TALK TO YOUR HEALTHCARE TEAM.

QUIT WHILE YOU’RE AHEAD.

November is American Diabetes Month and November 19 is the American Cancer Society’s Great American Smokeout.

All tobacco products are harmful. Tobacco increases your risk of heart disease, heart attack and stroke. Don’t chew, smoke or dip! E-cigarettes and vapor cigarettes are also not advised.

Talk to your healthcare team about the best way for you to quit! Your healthcare team can help you find ways to get over the urges and cravings when you quit.

Remember: Our members are covered for medicines to stop using tobacco or tobacco products, including patches, nicotine gum and others, as well as counseling.

Set a date to quit and tell your friends and family.

Remove all lighters, matches, and tobacco products from your house.

Tell other people you’ve quit so they can support you.

When you get a craving for nicotine, take a drink of water, go for a walk, chew a piece of gum or call someone on the phone. You can outlast your craving.

Reward yourself after you’ve quit for a set amount of time.

Don’t get discouraged – most former nicotine users had to quit more than once before it worked.

NOVEMBER


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TALK TO YOUR HEALTHCARE TEAM ABOUT HOW TO QUIT USING TOBACCO

NOVEMBER


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LOOK FOR THE 2021 CALENDAR SO YOU CAN CONTINUE TO KEEP YOUR DIABETES UNDER CONTROL

HOW DID YOU DO?Did you self-manage and take control of your diabetes this year? We, along with your healthcare team, family and friends are here to support you, but you are in charge of your success.

If you want more information about our Care Management program for diabetes, call Member Services at the number listed on the back cover.

CHECK THE BOXES FOR EACH THING YOU ACCOMPLISHED IN 2020 Had dilated eye exam. Tracked blood sugar.

Checked feet everyday. Quit using tobacco.

Increased physical activity. Filled medicines on time.

Started eating a healthy diet. Had at least two A1c blood tests.

Had kidneys checked. Had a flu shot and am up to date on vaccines.

Met treatment goals. Talked to doctor about depression/anxiety.

DECEMBER


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STICK TO YOUR MEAL PLAN DURING THE HOLIDAYS

DECEMBER


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Material for this calendar was created from the American Diabetes Association and the National Institutes of Health (NIH).

• CHECK WITH YOUR PHARMACY TO SEE IF THEY PROVIDE REMINDER CALLS OR TEXT MESSAGES TO ALERT YOU FOR MEDICATION REFILLS.

• TALK TO YOUR HEALTHCARE TEAM ABOUT HOW TO ADJUST YOUR MEDICINES WHEN YOU ARE SICK.

CURRENT LIST OF MEDICINES:REMEMBER TO REFILL ON TIME

HEALTHCARE TEAM PHONE NUMBERS:

Primary Care Provider

Dietitian/Nutritionist

Foot Doctor (podiatrist)

Eye Doctor (ophthalmologist/optometrist)

Diabetes Doctor (endocrinologist)

Pharmacist

Behavioral Health Provider (therapist, psychologist, psychiatrist)

2020 living well with diabetes - bmc healthnet plan/media/e220179453494a56a... · blood sugar...

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