examples of diabetes awareness and prevention education handout

Diabetes Myth Busters

32

ANSWERS 0-3 points – Still looking for magical cures? Maybe you should take the

quiz again and see if you're ready to demystify these myths.

4-7 points – Not much gets by you, but there's still some information left

to learn. Ask questions, get the right answers, and help make short work of diabetes misinformers!

8-11 points – Nice job, Mythbuster. You know your stuff, and you won't

be duped by any diabetes misinformation. Now help others know more by spreading your knowledge!

Diabetes(Screening(Quiz(!

The!Na'onal!Ins'tutes!of!Health!recommend!that!anyone!age!45!or!older!should!consider!ge:ng!tested!for!diabetes.!!!!If!you!are!45!or!older!and!overweight!or!obese,!it!is!strongly!recommended!that!you!get!tested,!regardless!of!addi'onal!risk!factors.!!!!If!you!are!younger!than!45,!take!the!following!quiz!to!determine!your!risk!for!type!2!diabetes.!!!I!am!overweight!or!obese.!! Yes!! No!!!I!have!a!parent,!brother,!or!sister!with!diabetes!! Yes!! No!!!My!family!background!is,!Asian,!Asian!American,!Pacific!Islander,!or!Hispanic!American/La'no,!African!American.!!! Yes!! No!!!I!have!had!gesta'onal!diabetes,!or!I!gave!birth!to!at!least!one!baby!weighing!more!than!9!pounds!! Yes!! No!!!I!am!fairly!inac've.!!I!exercise!fewer!than!three!'mes!a!week.!! Yes!! No!!!My!cholesterol!levels!are!not!normal.!My!HDL!cholesterol!("good"!cholesterol)!is!35!or!lower,!or!my!triglyceride!level!is!250!or!higher.!! Yes!! No!!!My!blood!pressure!is!140/90!or!higher,!or!I!have!been!told!that!I!have!high!blood!pressure.!! Yes!! No!!!According!to!The!Na'onal!Ins'tutes!of!Health,!one(or(more(yes(answers(indicate(that(you(may(be(at(risk(for(type(2(diabetes.!This!test!cannot!subs'tute!for!a!visit!to!a!qualified!physician!or!healthcare!professional.!Talk!to!your!doctor!about!your!specific!diabetes!tes'ng!needs.!!Reference:!!hWp://www.dlife.com/diabetes/quiz/showQuiz.html?quizId=2!

Examples of Diabetes Awareness And Prevention Education Handout Tip Sheets (Chinese And English Versions)

June 2013

Dr. Lesley G. Shane, B.Sc.Pharm., Pharm.D. Pfizer / GBCHealth Global Health Fellow

Prevention of Diabetes Checklists Preventing Diabetes Complications Important Scheduled Exams and Lab Tests

Exams/ Lab tests Goal / How Often My Result Date

Eye Exam Once a Year

Feet Exam 2-4 Times a Year

Self Check of Feet Check Your Feet Every Day

Dental Cleaning and Dental Exam

2 Times a Year

Average Blood Sugar (also called A1c)

Less than 7%; 2 -4 Times A year

Blood Pressure Less than 130/80 mmHg; 2-4 Times a Year

LDL “Bad Cholesterol”

Less than 100 mg/dl Once a Year

HDL “Good Cholesterol”

Men: Greater than 40 mg/dl; At Least Once a Year Women: Greater than 50 mg/dl; At Least Once a Year

Triglycerides (TG) Less than 150 mg/dl; At Least Once a Year

Weight Short-term Goal: ___ kgs; 2-4 Times a Year

Waist circumference Men: Less than 90 cm; at Every Medical visit Women: Less than 80 cm; at Every Medical Visit

Stress Test Get a stress test if the following apply to you: - Over 35 years old - Have had diabetes for over 10 years - Have type 2 diabetes AND any of the following apply to you*

Urine Protein (also called microalbumin)

Less than 30 mg/g; Once a Year

* Elevated urine protein, overweight, abnormal cholesterol levels, family members with diabetes, high blood pressure, smoke, nerve pain in legs and feet, sexual problems, starting a new exercise program

Source: Joslin’s Asian American Diabetes Initiative www.aadi.joslin.org

Diabetes Prevention Self Management TIPS

Having an action plan is my first step to successful diabetes management

!  Keep my average blood sugar,

cholesterol and blood pressure at a healthy level;

!  Take the right amount of diabetes medications at the right time

!  Follow a healthy eating plan, do not smoke and avoid alcohol

!  Be physically active with exercise I like: Try to do It every day

!  Test my blood sugar regularly and record these test results

!  Visit my diabetes educator and doctor regularly

!  Check my feet every day !  Have an eye exam every year !  Aim to lose 1 - 1.5 kgs per month if I

am overweight !  Seek my family’s support !  Feel happy

Flu vaccine: Once a Year ��Pneumonia Vaccine - Once before age 65; once after age 65 ��65��65��

Adapted from sources: www.aadi.joslin.org; 2010 CDS Guidelines (Pages 23-26) http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html; www.cdschina.org; www.idf.org; Diabetes photos website

TIPS for Eating Healthy Foods Diabetes Prevention

63

63

English Translation: Community health Cabin: step into the cabin, stay away from the chronic disease

In general, fiber-rich carbohydrates have low glycemic index than processed carbohydrates. Select a large number of non-starchy vegetables, such as green leafy vegetables, beans, salad, tomatoes. Eat whole wheat bread, brown rice, oats, barley and other whole grains instead of white bread, white rice, pasta, noodle and other refined food. Limit starchy vegetables, such as potatoes or mixed eating of starchy vegetables with lean protein and fiber, protein and fiber release energy more slowly. Examples of food: High glycemic index food: Potatoes, bananas, white bread, white rice, French fries, refined cereals, flour pastas, soft drinks, sugar, sweets. Low-glycemic index food: Most of the beans, broad beans, peas, raw fruits, raw wheat, oats, wheat bran, barley, whole wheat grain products, brown rice, couscous. Endorsed by China Health Education Association in 2008

��

60 60

http://www.bing.com/images/search?q=BMI+Metric+Chart&Form=IQFRDR#view=detail&id=ED720E568181D3940AD41ADC411F92D4A7B860C7&selectedIndex=16; http://www.hpb.gov.sg/hpb/default.asp?TEMPORARY_DOCUMENT=1769&TEMPORARY_TEMPLATE=2

Adapted from Sources:

The Body Mass Index (BMI)

Weight in Kilograms – in light clothing and bare feet

H

eig

ht

in c

enti

met

ers

- b

are

feet

(BMI) is an index based on weight and height.

In Asian populations, a BMI of between 18.5 and 22 indicates you are within the healthy weight range

58

If You or Family/ Relative members have one or more of these symptoms, it is important to talk to your Medical Doctor

Adapted From sources: http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html; www.cdschina.org; www.idf.org; Diabetes photos website

Know the Symptoms

People With One Or More Risk Factors Can Get Type 2 Diabetes

59

30+ in China

59

In China, people > age 30, overweight, or in well-off urban areas where Western fast food chains are common and more sedentary lifestyle, face a particularly high risk.

Smoking, Excessive Alcohol

Inactivity

Certain Medications

Ethnicity Chinese risk higher, 1.6 x Caucasian risk

Pregnancy

Hypertension

Stress

High Cholesterol

Overweight (Obesity)

Family History

Age

Male waist circumference ≥ 90 cm, Female waist circumference ≥ 85cm;

Adapted From sources: www.aadi.joslin.org; http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html; www.cdschina.org; www.idf.org; Diabetes photos website

Know the Complications

57

More than 20 per cent could not name the types of complications most closely associated with poorly controlled diabetes - blindness, amputations, kidney failure, cardiovascular disease and early death. (Hong Kong Survey 2011

•  the main problem for Type 2 diabetics in the city is the misconception that diabetes is not a serious condition. 'Diabetes can lead to blindness or leg amputation if not well controlled, and is also associated with around 30 per cent increase in risk of different cancers

Stroke

Numbness Reduced Blood

Supply

Kidney Damage

Heart Attack

Eye Damage Blindness

Sexual Problems/ Difficulty Passing Urine

Foot ulcers Foot amputation


!!!  Keep my average blood sugar, cholesterol and blood pressure

at a healthy level; Take my diabetes medications at the right time !  Follow a healthy eating plan, do not smoke and avoid alcohol !  Be physically active with exercise I like: Try to do It every day !  Test my blood sugar regularly and record these test results !  Visit my diabetes educator and doctor regularly !  Check my feet every day !  Have an eye exam every year !  Aim to lose 1 - 1.5 kgs per month if I am overweight !  Seek my family’s support !  Feel balanced and happy

�� - ��!You Are In Charge To Self-Manage Diabetes!

Questions ? Email: [email protected]

Adapted from sources: www.aadi.joslin.org; www.idf.org; www.cdschina.org

Know the Complications

2

More than 20 per cent could not name the types of complications most closely associated with poorly controlled diabetes - blindness, amputations, kidney failure, cardiovascular disease and early death. (Hong Kong Survey 2011

•  the main problem for Type 2 diabetics in the city is the misconception that diabetes is not a serious condition. 'Diabetes can lead to blindness or leg amputation if not well controlled, and is also associated with around 30 per cent increase in risk of different cancers

Stroke

Numbness Reduced Blood

Supply

Kidney Damage

Heart Attack

Eye Damage Blindness

Sexual Problems/ Difficulty Passing Urine

Foot ulcers Foot amputation


3

If You or Family/ Relative members have one or more of these symptoms, it is important to talk to your Medical Doctor


People With One Or More Risk Factors Can Get Type 2 Diabetes

4

30+ in China

4

In China, people > age 30, overweight, or in well-off urban areas where Western fast food chains are common and more sedentary lifestyle, face a particularly high risk.

Smoking, Excessive Alcohol

Inactivity

Certain Medications

Ethnicity Chinese risk higher, 1.6 x Caucasian risk

Pregnancy

Hypertension

Stress

High Cholesterol

Overweight (Obesity)

Family History

Age

Male waist circumference ≥ 90 cm, Female waist circumference ≥ 85cm;

Adapted From sources: www.aadi.joslin.org; http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html; www.cdschina.org; www.idf.org; Diabetes photos website

5 5

The Body Mass Index (BMI)

Weight in Kilograms – in light clothing and bare feet

H

eig

ht

in c

enti

met

ers

- b

are

feet

(BMI) is an index based on weight and height. In Asian populations, a BMI of between 18.5 and 22 indicates you are within the healthy weight range

Adapted from Sources:

: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html;

http://www.bing.com/images/search?q=BMI+Metric+Chart&Form=IQFRDR#view=detail&id=ED720E568181D3940AD41ADC411F92D4A7B860C7&selectedIndex=16; http://www.hpb.gov.sg/hpb/default.asp?TEMPORARY_DOCUMENT=1769&TEMPORARY_TEMPLATE=2

Prevention: You Can Take Charge To Stop Diabetes

6

Avoid Tobacco

6

Better Nutrition, Active Exercise Fitness and Better Lifestyle Can Prevent Diabetes

Diabetes Free Life

Avoid Alcohol

Prevention at the pre-diabetes stage can reduce the risk of getting diabetes by 50%

Adapted From sources: 2010 CDS Guidelines (Pages 23-36) http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html; www.cdschina.org; www.idf.org; Diabetes photos website

diet control: Page 29-30 exercise therapy: Page 31 medication: Page 32-36 blood glucose monitoring and diabetes education: Page 23-25

7

!

CDS Daily Recommended Exercise and Food Pyramid

Source: 2010 CDS Guidelines http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html

Use Sparingly: Oil: 25-30g; Sweets and Salt: 6g 2-3 servings a day from selection: Milk and milk products: 200-400g Soybean classes and nuts:30-50g

2-4 servings a day from selection: Livestock and poultry meat:50-75g Fish and shrimp: 50-100g Egg: 25-50g

3-5 servings/ day Vegetables: 300-500g 2-4 servings a day Fruits:200-400g 6 or more servings a day:

Grains, beans, starchy vegetables, rice, potato and miscellaneous: 250-400g

6,000 steps of physical activity

8 glasses a day: Water: 1200ml

TIPS for Eating Healthy Foods Diabetes Prevention

8

8

English Translation: Community health Cabin: step into the cabin, stay away from the chronic disease

In general, fiber-rich carbohydrates have low glycemic index than processed carbohydrates. Select a large number of non-starchy vegetables, such as green leafy vegetables, beans, salad, tomatoes. Eat whole wheat bread, brown rice, oats, barley and other whole grains instead of white bread, white rice, pasta, noodle and other refined food. Limit starchy vegetables, such as potatoes or mixed eating of starchy vegetables with lean protein and fiber, protein and fiber release energy more slowly. Examples of food: High glycemic index food: Potatoes, bananas, white bread, white rice, French fries, refined cereals, flour pastas, soft drinks, sugar, sweets. Low-glycemic index food: Most of the beans, broad beans, peas, raw fruits, raw wheat, oats, wheat bran, barley, whole wheat grain products, brown rice, couscous. Endorsed by China Health Education Association in 2008

面条

!!!  Keep my average blood sugar, cholesterol and blood pressure

at a healthy level; Take my diabetes medications at the right time !  Follow a healthy eating plan, do not smoke and avoid alcohol !  Be physically active with exercise I like: Try to do It every day !  Test my blood sugar regularly and record these test results !  Visit my diabetes educator and doctor regularly !  Check my feet every day !  Have an eye exam every year !  Aim to lose 1 - 1.5 kgs per month if I am overweight !  Seek my family’s support !  Feel balanced and happy

你是领导者 - 预防糖尿病 You Are In Charge To Self-Manage Diabetes

Questions ? Email: [email protected]

Adapted from sources: www.aadi.joslin.org; www.idf.org; www.cdschina.org

Prevention of Diabetes Checklists Preventing Diabetes Complications Important Scheduled Exams and Lab Tests

Exams/ Lab tests Goal / How Often My Result Date

Eye Exam Once a Year

Feet Exam 2-4 Times a Year

Self Check of Feet Check Your Feet Every Day

Dental Cleaning and Dental Exam

2 Times a Year

Average Blood Sugar (also called A1c)

Less than 7%; 2 -4 Times A year

Blood Pressure Less than 130/80 mmHg; 2-4 Times a Year

LDL “Bad Cholesterol”

Less than 100 mg/dl Once a Year

HDL “Good Cholesterol”

Men: Greater than 40 mg/dl; At Least Once a Year Women: Greater than 50 mg/dl; At Least Once a Year

Triglycerides (TG) Less than 150 mg/dl; At Least Once a Year

Weight Short-term Goal: ___ kgs; 2-4 Times a Year

Waist circumference Men: Less than 90 cm; at Every Medical visit Women: Less than 80 cm; at Every Medical Visit

Stress Test Get a stress test if the following apply to you: - Over 35 years old - Have had diabetes for over 10 years - Have type 2 diabetes AND any of the following apply to you*

Urine Protein (also called microalbumin)

Less than 30 mg/g; Once a Year

* Elevated urine protein, overweight, abnormal cholesterol levels, family members with diabetes, high blood pressure, smoke, nerve pain in legs and feet, sexual problems, starting a new exercise program

Source: Joslin’s Asian American Diabetes Initiative www.aadi.joslin.org

Diabetes Prevention Self Management TIPS

Having an action plan is my first step to successful diabetes management

q  Keep my average blood sugar,

cholesterol and blood pressure at a healthy level;

q  Take the right amount of diabetes medications at the right time

q  Follow a healthy eating plan, do not smoke and avoid alcohol

q  Be physically active with exercise I like: Try to do It every day

q  Test my blood sugar regularly and record these test results

q  Visit my diabetes educator and doctor regularly

q  Check my feet every day q  Have an eye exam every year q  Aim to lose 1 - 1.5 kgs per month if I

am overweight q  Seek my family’s support q  Feel happy

Flu vaccine: Once a Year 流感疫苗：每年一次 Pneumonia Vaccine - Once before age 65; once after age 65 肺炎疫苗：65岁之前一次，65岁之后一次

Adapted from sources: www.aadi.joslin.org; 2010 CDS Guidelines (Pages 23-26) http://wenku.baidu.com/view/bff4fb48e45c3b3567ec8b98.html; www.cdschina.org; www.idf.org; Diabetes photos website

examples of diabetes awareness and prevention education handout

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