January Issue- 2014
American Association of Diabetes Educators





 Monongalia General Hospital- Morgantown, West Virginia

As an ADA-recognized DSME program, the Diabetes Learning Center of Monongalia General Hospital already had the resources to help those diagnosed with diabetes. However, the existing resources were not enough for the numerous people referred to the Diabetes Learning Center with prediabetes. The staff began looking for other funding opportunities in order to serve the growing population with prediabetes. Out of this pursuit, Monongalia General Hospital of Morgantown, West Virginia is now implementing the National Diabetes Prevention Program (National DPP) through funding and support from AADE and AADE's partnership with the Center for Disease Control and Prevention (CDC). Last spring, recruitment of participants was in full swing with the hospital engaging referring physicians, placing articles in the newspaper, and participating in a local call-in radio show to speak about the National DPP program they were offering.

Many of the participants had the same sentiment. Prior to the DPP, they had a consistent lack of success with different diets. Through participation in the DPP, they found that understanding the concept of monitoring fat intake and eating in moderation promoted a sense of satisfaction and control, making it easier to stick to the lifestyle change!

One of the coaching tools used to address social cues were conversation cards, which lists possible situations that could make sticking to the program problematic or challenging. Participants worked in groups of two to three to come up with healthier responses and alternatives to the situations on the cards. This method of group problem solving is just one example of how the DPP helped to provide encouragement and bolster accountability among participants. Andrea McCarty and Elizabeth Semmens, two lifestyle coaches at Monongalia General Hospital noted, "We have enjoyed watching not only the miraculous lifestyle changes, weight loss and increases in physical activity, but also the friendships that have developed as they all work together toward a common goal - preventing diabetes!"

To prevent the disinterest or dullness some may associate with physical activity, participants have found that variation in their usual exercise routine is remarkably effective! Several are now using walking poles to enhance their workout. Walking poles increase intensity and add an upper body strength element not normally associated with one's usual walk. Participants have mentioned that listening to podcasts and audiobooks while taking a stroll helps them walking the next day and catching a breath of fresh air.




As of January 2014, Monongalia General Hospital has started four cohorts, in which two of those groups have finished the first 16-week core phase of the program. Participants in all groups have made the commitment to the program and learned how to live through everyday life circumstances in a healthy way. After the first six-months of the program, the average weight loss achieved during the core phase was 6.3%!

The referral form has been revised to include the National DPP as an education option for those with prediabetes. Several provider offices have expressed interest and have been given several copies of the CDC Diabetes Risk Test that they can give to patients to complete at their annual visit. If they score high enough, the provider is encouraged to discuss the availability of the DPP and patients if they are interested. This tool can be a great conversation starter to teach the community about the risk for developing diabetes. It helps to remind people not to forget to ask their provider about the National DPP!




The American Diabetes Association states that there is a correlation between gum disease and diabetes, "Not only are people with diabetes more susceptible to serious gum disease, but serious gum disease may have the potential to affect blood glucose control and contribute to the progression of diabetes." Those with diabetes are at a special risk of toothbrush-girl.jpggingivitis and periodontal (gum) disease, an infection of the gum and bone that holds teeth securely in place. Pockets between the teeth and gums can fill with germs and pus if proper care is not taken. Periodontal disease has serious complications, including painful chewing, dry mouth, or even loss of teeth. Dry mouth may be a symptom of undetected diabetes and can cause soreness, ulcers, infections, and tooth decay.

According to the CDC, the vast majority of Americans with prediabetes are unaware they have it and so recognizing symptoms of poor oral health may be helpful for detecting prediabetes.

Good blood glucose control is key to controlling and preventing oral complications. Those with poor blood glucose control are more likely to have severe gum disease. An oral infection can cause blood sugar to rise making diabetes more difficult to control.

In addition to physicians, dentists may be another source of DPP referrals.

Click the link for a list of tips of tips and preventative measure from United Health Group- "Prevent Diabetes and Improve Oral Health"




Knowing what your body needs is key to weight management and can control the overconsumption and under consumption of food according to the Center of Disease Control and Prevention (CDC). Part of weight management is caloric balance. To remain in balance and retain one's body weight, the calories consumed must be balanced by the calories used, similar to a scale.

Try using the CDC "Caloric Balance Equation":





If you are...

Your caloric balance status is...

Maintaining your weight

"in balance." You are eating roughly the same number of calories that your body is using. Your weight will remain stable.

Gaining weight

"in caloric excess." You are eating more calories than your body is using. You will store these extra calories as fat and you'll gain weight.

Losing weight

"in caloric deficit." You are eating fewer calories than you are using. Your body is pulling from its fat storage cells for energy, so your weight is decreasing.

This hearty, smoky soup is ready to serve in less than 30 minutes.
It's perfect on a cold and rainy day!
1 tablespoons canola oil, divided
1 cups (6 ounces) smoked turkey sausage, diced
1 cups chopped onions
1 cup matchstick carrots
4 medium cloves garlic, minced
1 can (15 ounces) no-salt-added navy beans, rinsed and drained
1 can (14 ounces) reduced-sodium chicken broth
1 cup water
1 teaspoon dried oregano leaves, crumbled
1 teaspoon Worcestershire sauce
teaspoon black pepper
1 tablespoon liquid smoke
  1. Heat 1 teaspoons canola oil in a Dutch oven over medium-high heat. Add sausage and cook until browned, about 2 minutes Remove sausage from Dutch oven; set aside on a separate plate.
  1. Add remaining 1 tablespoon canola oil and reduce to medium heat. Add onions and carrots; cook 3 minutes or until onions are translucent, stirring frequently. Add garlic; cook 15 seconds. Add remaining ingredients, except liquid smoke and sausage. Bring to a boil over high heat, reduce heat, cover, and simmer 20 minutes or until onions are tender.
  1. Remove from heat and add liquid smoke and sausage. Cover and let stand 10 minutes. To serve, spoon equal amounts of soup into four shallow bowls.
Flavorful tip: Allow the soup to stand 10 minutes so its flavors can absorb. It is important to add the sausage at the end of the cooking time; otherwise, the rich, smoky flavors will break down and become lost.
30 mg
Exchanges Per Serving
Calories from fat
665 mg
1 starch
Total fat
10.0 g
Total carbohydrate
30 g
2 vegetable
Saturated fat
1.9 g
Dietary fiber
8 g
1 lean meat
Trans fat
0.0 g
5 g
1 fat
14 g
"The Heart-Smart Diabetes Kitchen: Fresh, Fast and Flavorful Recipes Made with Canola Oil" from the American Diabetes Association and
What would you like to learn about? Send your comments or suggestions to




National Diabetes Prevention Program is designed to bring to communities evidence-based lifestyle change programs for preventing type 2 diabetes.



About the AADE: 

Founded in 1973, AADE is a multi-disciplinary professional membership organization dedicated to improving diabetes care through education.  With more than 14,000 professional members including nurses, dietitians, pharmacists, and others, AADE has a far reaching network of practitioners involved in the daily treatment of diabetes patients. To learn more go to:




Be sure to continually look for updates regarding the National Diabetes Prevention Program on both the AADE and CDC websites:


AADE DPP Website:


  CDC Website:



American Association of Diabetes Educators
200 W. Madison Street, Suite 800 | Chicago, Illinois 60606
Phone: 800/338.3633 | Fax: 312/424.2427
2013 American Association of Diabetes Educators


This newsletter was supported by the Cooperative Agreement number 1U58DP004519-01 from The Centers for Diabetes Control and Prevention. Its contents are solely the responsibility of AADE and do not necessarily represent the official views of the Centers for Disease Control and Prevention.





AADE is specifically seeking sites that are going to assist us in reaching the goals as outlined in the CDC's DPP FOA and that have existing relationships with potential payers.



If your organization is interested in applying to be considered as an Implementation

Cohort Site,

please request a Cohort Assessment and Application Form from 

and submit it to AADE

by email to



February 17th, 2014

















Register Today for AADE14!


Join more than 3,000 of your colleagues

August 6-9, 2014, in Orlando

for the AADE Annual Meeting, the nation's premier event covering all things diabetes education.


Early Bird Rate available until June 6, 2014


SAVE an additional $100 on full program registration rates (excludes students) when you book your hotel through the AADE housing bureau.

If you cancel your hotel reservation at any time, the $100 discount will not apply.

Attendees who live within 100 miles of Orlando and purchase FULL PROGRAM registration will receive the $100 hotel discount. Download the registration form.



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