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SPOTLIGHT ON AADE's DPP TEAM:
On August 1, 2013, an article was displayed in a section of the Louisville Courier Journal, highlighting one of our very own AADE DPP sites at Baptist Health Louisville in Louisville, KY. After the article was released, over sixty people qualified and have registered for a DPP classes this fall!
Baptist Health Louisville has been  effectively coaching and positively changing the lives of many individuals with pre-diabetes in the Louisville area. With enthusiasm and gold standard coaching by applying to become a subgrantee of AADE and training through the Diabetes Training and Technical Assistance Center (DTTAC), Ronda Merryman-Vailiyi, MSN, RN, CDE, and Denise Gupton, RD, LD, CDE, proudly began implementation of the Diabetes Prevention Program through funding from AADE (in partnership with the CDC) in June 2013. After only a short period, Baptist Health Louisville now offers four DPP cohorts, including one program soon to be open on-site at a local business- called Plumber's Supply. This neighborhood company found (through biometric screenings) that nearly
"50% of their employees identified as having pre-diabetes."
This will be the first employer on-site that DPP will be offered via employer reimbursement by Baptist Health Louisville. The site's Employers Solutions department (contracting Baptist Health Louisville with employers on wellness initiatives) had received word of the triumphs participants had been experiencing and the need for the program in surrounding areas. With hopes to create a partnership with the program, the Employer Solutions department reached out to Ronda to offer the DPP to employers. Establishments such as Plumbers Supply and others have come to the realization that a company who cares about its employees, tends to have employees who care about their work. They want to empower their employees, push them to grow and benefit the company by maintaining a healthy lifestyle.
Participants entering the program have been referred from countless sources. Many coming from physicians and the great referral source already established with Baptist Medical Associates (BMA) physicians. However in June, the Employee Wellness program existing at this organization began offering biometric screening for employees. If employees of Baptist Health Louisville screened positive for pre-diabetes, they were referred to the DPP.
Ronda says the wide-mix of participants have thoroughly enjoyed the sessions and having been able to form a bond in just a few weeks and and lend support to one another. After week six of the program, one participant began to increase her physical activity and remarked that she has more energy now than she's had in years since becoming more active! More and more individuals are recognizing the need for change and making the first step by simply signing up for the program.
Learn more about the DPP Program at Baptist Health Louisville.
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PHYSICAL ACTIVITY:
Are you getting the most out of your workout? Understanding your heart rate zone can get you that much closer to success in weight loss goals and increasing your level of physical fitness. Heart rate allows the body to be mindful of changes in your physical activity and whether someone is working hard enough to get the results they desire or allowing enough recovery time in between workouts. 
Staying within your target heart rate zone for at least 20 minutes or more will allow for the best fitness results.
An individual must determine their Maximum Heart Rate (MHR), which is the maximum number of beats your heart can produce in one minute. The most accurate way to calculate your MHR is by taking an exercise stress test, but we are going to provide you with a simple and easy formula from the American College of Sports Medicine to calculate it yourself.
To determine an individual's MHR, subtract one's age from 220. You will want to keep your heart beating between 60 to 80 percent of you MHR for at least 20 minutes. Next, multiply your MHR by 0.6 (minimum training pace). You will then take you MHR again and multiply it by .8 (maximum train pace).
Example:
Participant's Age: 40
MHR: 220 - 40= 180
You would exercise at a pace that keeps your pulse between:
(180 x .6) = 108 and (180 x .8) = 144 beats per minute.
Depending on one's functional capacity, medical and health status, age, and activity preference/goals they can focus their workout based on conditioning and training type. For endurance training and general aerobic conditioning, calculating 50 to 65 percent of your maximum heart if you are a beginner; 60 to 75 percent for intermediate level exercisers; and 70 to 85 percent for established aerobic exercisers, says Linda Melone, ACSM Certified Personal Trainer.
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HEALTHY EATING:
For Americans, Labor Day is a day to celebrate with friends, family, food, and the last few days of summer. Gear up those grills and enjoy the long weekend without sacrificing your health. Try the recipe below, as it will be a crowd pleaser for all your guests!
Grilled Flank Steak with Balsamic Vinegar and Red Wine
Yield: 4 servings / Serving Size: 3-4 slices (3 ounces) beef
Canola oil in this balsamic-wine marinade maximizes moisture in the meat.
Marinade:
2 tablespoons canola oil
1 teaspoon dried oregano leaves
1/2 cup dry red wine
1/4 cup balsamic vinegar
2 tablespoons Worcestershire sauce
2 medium cloves garlic, minced
1 teaspoon coarsely ground black pepper
1 lb flank steak
canola oil cooking spray
1 1/2 teaspoons sugar
1/4 teaspoon salt
1. Combine all marinade ingredients in a large, resealable bag, seal tightly, and shake back and forth until well blended. Pour 1/4 cup of marinade in the resealable bag. Seal and gently turn back and forth to coat. Refrigerate for 24-48 hours, turning occasionally. Refrigerate reserved marinade as well.
2. Remove meat from bag and discard marinade. Spray a grill pan with cooking spray. Place grill pan over medium-high heat until hot. Add beef and cook 4-5minutes on each side or to desired doneness. Place meat on a cutting board and let stand 5 minutes before thinly slicing diagonally.
3. Meanwhile, place reserved marinade, sugar, and salt in a small saucepan and bring to a boil over medium-high heat. Continue boiling for 1-2 minutes or until liquid is reduced to 2 tablespoons. Spoon over steak to serve.
| Calories | 185 | | Cholesterol | 40 mg | | Calories from fat | 70 | | Sodium | 220 mg | | Total fat | 8.0 g | | Total carbohydrate | 4 g | | Saturated Fat | 2.6 g | | Dietary fiber | 0 g | | Trans fat | 0.0 g | | Sugars | 3 g | | | | Protein | 22 g |
Flavorful tip:
Cutting beef across the grain allows for a more tender serving of meat.
"The Heart-Smart Diabetes Kitchen: Fresh, Fast and Flavorful Recipes Made with Canola Oil" from the American Diabetes Association and CanolaInfo.org
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What would you like to learn about? Send your comments or suggestions to nblum@aadenet.org
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