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Georgiana Bradshaw R.N., CDE
Program Coordinator

Roberto Gonzalez M.S., R.D., L.D.
Dietitian
Program History
Creation of Program
  DCC
  Food Bank of Corpus Christi

Principles
  Educational principles
  Medical knowledge
Program History
Funding
  Initial: Nueces County Commissioners
   Court
    Tobacco Lawsuit Settlement Funds

  Current: Nueces County Commissioners
   Court and Grants
A1c Test
Pre and Post Class
3 months
6 months
9 months
12 months
Average Pre and Post A1c
 10

 9

 8

 7                          Pre
 6
       7.2                  Post

 5

 4
                     6.8
         All Participants
Average Pre and Post A1c
 10
 9
 8
 7
                                                 Pre
 6       7.8 7.3                                 Post
 5                            5.7 5.6
 4
      Participants with   Participants at Risk
          Diabetes
Participants Initial A1c >10.0
14

12

10

8
                                         PRE A1C
6                                        POST A1C

4

2

0
     1   2   3   4   5   6   7   8   9
Participants Initial A1c 9.0-9.9
10

 9

 8

 7                          PRE A1C
                            POST A1C
 6

 5

 4
     1   2    3    4    5
Participants Initial A1c 8.0-8.9
10


9


8


7                                                       PRE A1C
                                                        POST A1C
6


5


4
     1   2   3   4   5   6   7   8   9   10   11   12
Participants with Follow-up
  7



  6
                                  Pre
                                  Post
  5                               Reunion
                                  Reunion 2


  4
      1   2   3   4   5   6   7
Participants with Follow-up
  7



  6
                                  Pre
                                  Post
  5                               Reunion
                                  Reunion 2


  4
      1   2   3   4   5   6   7
Participants with Follow-up
 9

 8

 7                                      Pre
                                        Post
 6                                      Reunion
                                        Reunion 2
 5

 4
     16   17   18   19   20   21   22
Participants with Follow-up
  8


  7
                                            Pre
  6                                         Post
                                            Reunion
  5                                         Reunion 2


  4
      8   9   10   11   12   13   14   15
Participants with Follow-up
  14
  12
  10
   8                                      Pre
                                          Post
   6
                                          Reunion
   4                                      Reunion 2
   2
   0
       23   24   25   26   27   28   29
Percentage of A1c Grouping
  60%

  50%

  40%

  30%                                      Pre class %
  20%                                      Post class %

  10%

   0%
        <7   7-7.9   8-8.9   9-9.9   >10
Knowledge Test
                         Post
 90%
 80%
 70%
 60%   Pre
 50%
                                Pre
 40%
 30%
                 84%            Post
 20%   56%
 10%
 0%
        Knowledge Test
5
    Weight Loss
4



3



2



1
    At Risk   A1c < 7   A1c 7-7.9 A1c 8-8.9 A1c 9-9.9 A1c > 10
What Makes Diabetes Hands On
Different?
   Class room set-up which encourages participation
   Review of previous week
   Postcards between classes
   Fun and interactive learning
   Encourage participants to envision the Joy of Living
   We give a message of hope
   We welcome the “At Risk” population
   Participants build their notebook
Curriculum
 Week 1   Overview
 Week 2   Nutritional Management
 Week 3   Exercise
 Week 4   Highs, Lows and Sick Days
           & Monitoring
 Week 5   Medications and Insulin
 Week 6   Long Term Complications
 Week 7   Emotional Aspects and
           Stress Management
 Week 8   Review and Goal Setting
Material
Live Your Life!   Viva la Vida!


TDC Tool Kit
Experiential Learning
 Make their own food
choices and measure out
their food
Count carbohydrate
Exercise
Participate in stress
reduction activities
Do self foot exam
Do own finger sticks
Physiological Feedback:
Cause and Effect
Resulting in Self-Efficacy
Fuel for the Body
Blood Stream
Glycosylated Hemoglobin A1c
Red Blood Cell   Glucose




     Normal A1c            High A1c
13   326
      12   298

A1c   11
      10
           269
           240

%     9
      8
           212
           183
                  eAG
      7    154
      6    126   Estimated
      5    97     Average
      4    68
                   Blood
                  Glucose
Skip Intro
End Game



           Highs




                      Sick
                      Days




                   Question
Monthly Newsletter’s
Participants Feedback

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Diabetes hands on the food bank of corpus christi

Editor's Notes

  1. Based on sound learning principles and medical knowledge.The program took shape through a blending of passions for diabetesA person with diabetes who received diabetes self-management training at the Joslin Diabetes Center in Boston. He wanted his community to experience the empowering and life saving benefits of quality diabetes education.A skilled endocrinologist with a teaching degree whose mentor trained in concepts of diabetes self management education at the Mayo Clinic.
  2. Curriculum based on national standards for diabetes self management
  3. California diabetes programbilingual patient education booklet designed to help Medicare beneficiaries in the Latino community, their caregivers, and families take charge of their diabetes and live their lives to the fullest. The booklet contains the latest easy-to-follow instructions for disease management and is fully illustrated with easy-to-read graphics. Available in a reversible Spanish and English booklet (38 pages) or separate Spanish and English versions (20 pages). Developed by La Clinica de la Raza in partnership with Lumetra.
  4. Learners ability to retain Information:10% of what is read26% of what is heard30% of what is seen50% of what is seen and heard90% of what is said as they do something
  5. Infact, reducing your blood sugar levelsto near normal can help reduce yourrisk of eye problems by up to 76%;nerve damage 60%; and severe kidneyproblems 56%.