February Issue- 2014
American Association of Diabetes Educators





According to the American Heart Association about 600,000 people die from heart disease in the United States each year-that's 1 out of every 4 deaths and 2 out of 3 people with diabetes die from heart disease or stroke. High blood glucose in adults with diabetes increases the risk for heart attack, stroke, angina, and coronary artery disease. Those with type 2 diabetes have high rates of high blood pressure, lipid problems, and obesity, which can contribute to the high rates of cardiovascular disease.


Heart disease may be the leading cause of death for both men and women, but it is preventable and controllable. Take it one step at a time and follow

CDC's plan for prevention to help prevent heart disease.




 Keyhabits Diabetes Management & Supplies- Hazlehurst, Mississippi


Keyhabits Diabetes Management and Supplies has been instrumental in facilitating the National Diabetes Prevention Program in their Crystal Springs and Vicksburg, Mississippi locations. Classes are held in a fitness center (overlooking a well-equipped workout area) and in a local church.


One participant noted as she enrolled into the program, "I have pre-existing health issues- my doctor readily endorsed my participation in this program because she knew that with diabetes educators facilitating this, I was in good hands!"


Amy Keywood, RD, CDE, and Mickey Stuart, BS, MPH, MS, CDE, have extensive health backgrounds in dietetics, certified diabetes education, health education, and exercise physiology. With a myriad of experiences, their background has a strong impact on the success of the program and ensured confidence in those enrolling into the DPP at Keyhabits.


The organization's first cohort was implemented in Crystal Springs, MS and was comprised of patients largely referred by healthcare providers in the Mississippi area. Cohort participants from this group began to post their success on Facebook, and in turn, the majority of cohort 3 came from those inspired by Facebook posts.


The Vicksburg, MS DPP participants were recruited primarily from healthcare providers. Brochures and pharmaceutical rep tag-a-longs raised awareness of the program in their communities. But, the Vicksburg Lions' Club International generated the biggest push of the DPP program by locating a site to offer their classes. The Vicksburg Lions' Club is an organization focused on preventing blindness, and provide screening programs for glaucoma, glasses to those in need, sight and hearing screenings, and diabetes awareness (including diabetes prevention). The Lions' Club also began driving participants to the program. Keyhabits looks to continue its collaboration with this organization and support the effort of the DPP.


In addition to the Vicksburg Lions' Club, Amy and Mickey are in communications with the Chamber of Commerce, Mississippi State Health Department, pharmaceutical companies, church groups, local race directors, fitness centers, and others.

Much of the program begins with making connections in the community and finding attracted/eligible bodies to enter the program. However, it's finding innovative and creative ways to keep participants committed to the year-long program that can be a challenge.


Amy and Mickey focus on providing participants with unique activities such as taking a closer look at food content. Mickey suggests, "It is helpful to do a little homework before you go to the restaurant rather than be surprised when you're there!" Many of their participants enjoy eating at a local restaurant. Participants started replacing their normal meal there with a salad and began to feel good about eating healthy! But with a closer examination and breakdown using a nutrition calculator, participants were astonished by the high source of fat grams including the restaurants top salad:


1.8 grams from grilled chicken

9.0 grams from Gorgonzola cheese

9.4 grams from Artichokes

4.5 grams from Croutons

12.6 grams from Pecans

37.5 grams from 4 ounces of Sherry vinaigrette dressing


Awestruck by the high content of fat grams in this salad, participants were applauded for taking the steps towards choosing healthier options but also given suggestions such as ordering dressing gym-treadmill-people.jpgon the side or asking to leave off the cheese or artichokes to continue to move towards those healthier alternatives.


Other activities include stir fry tastings, providing holiday fitness tips, demonstrations of exercise equipment by an exercise physiologist, and email/text message blasts notifying participants of new health products. These variations of hands-on activities, instrumental teaching and informative techniques have been beneficial, as many participants are reaching their 5-7% weight loss goals.


Both coaches routinely remind their participants they are their support and the opportunity for change happens through their choices!







Gestational diabetes is a condition described by high glucose levels that are first diagnosed in pregnant women. A significant number of women have some degree of impaired glucose intolerance as a result of hormonal changes taking place during pregnancy.

baby-blocks-blue.jpgAccording to the Centers for Disease Control and Prevention, 2% to 10% of pregnancies reported women having gestational diabetes. It can increase the risk of miscarriage. And left unchecked, it can result in larger than expected newborns.


If diagnosed with gestational diabetes one can manage it by monitoring blood sugar level up to four times per day, following specific dietary guidelines provided by your doctor, distributing calories evenly throughout the day, exercise, monitoring weight gain, controlling high blood pressure, and taking insulin if necessary.


Take a sneak peak at the National Diabetes Education Programs- Did You Have Diabetes When You Were Pregnant? What You Need To Know.


Having gestational diabetes raises one's risk of developing type 2 diabetes after delivery and so women with gestational diabetes are considered to be at increased for developing type 2 diabetes. An additional consequence of gestational diabetes is that baby may also be at increased risk of developing type 2 diabetes in the future.


Some women diagnosed as having gestational diabetes may actually have type 2 diabetes that was not diagnosed prior to their being pregnant. And for some women with gestational diabetes, it does not resolve postpartum. Because it is important to catch diabetes early, women with a diagnosis of gestational diabetes are well advised to have a postpartum evaluation of their blood glucose level. You can read more about this in the 2013 AADE Practice Advisory 






Healthy Baking and Cooking Substitutes

Working in the kitchen can create a level of harmony and good health that a whole family can share. Take time when preparing foods by finding healthier alternatives and realizing it is a win-win situation for everyone's health!

You can make many of your beloved recipes healthier by using lower-fat or no-fat ingredients. When using healthy substitutions you can cut down on fats and reduce calories without losing taste and your favorite palates of flavor.

Cut the fat and sugar in your meals by using these substitutes provided by National Institute of Health- Healthy Cooking and Snacking.

Instead of:


1 cup cream

1 cup evaporated fat-free milk

1 cup butter, margarine, or oil

1/2 cup apple butter or applesauce

1 egg

2 egg whites or 1/4 cup egg substitute

Pastry dough

Graham cracker crumb crust

Butter, margarine, or vegetable oil for sautéing

Cooking spray, chicken broth, or a small amount of olive oil


Lean turkey bacon

Ground beef

Extra lean ground beef or ground turkey breast

Sour cream

Fat-free sour cream

1 cup chocolate chips

1/4 - 1/2 cup mini chocolate chips

1 cup sugar

3/4 cup sugar (this works with nearly everything except yeast breads)

1 cup mayonnaise

1 cup fat-free or reduced-fat mayonnaise

1 cup whole milk

1 cup fat-free milk

1 cup cream cheese

1/2 cup ricotta cheese pureed with 1/2 cup fat-free cream cheese

Oil and vinegar dressing with 3 parts oil to 1 part vinegar

1 part olive oil + 1 part vinegar (preferably a flavored vinegar, such as balsamic) + 1 part orange juice

Unsweetened baking chocolate (1 ounce)

3 tablespoons unsweetened cocoa powder + 1 tablespoon vegetable oil or margarine


Note: Substitute the ingredients in your own favorite recipes to lower the amounts of fat, added sugar, and calories.



Cupcakes, brownies, and cookies can still have a place in a healthy diet. The secret is sneak twists that bring your baked goods into a whole new light! Aspire to be the worlds "healthiest chef!" 


Adding diced pear and a generous amount of fresh lemon zest gives a true freshness to this extraordinary fruit cobbler.

YIELD 8 servings I SERVING SIZE ½ cup

Canola oil cooking spray


3 tablespoons sugar

1 tablespoon cornstarch

¼ cup water

1 lb fresh (or partially thawed frozen) blueberries

1 ripe medium pear, peeled, halved, cored, and diced

1 tablespoon lemon zest



¾ cup white whole-wheat flour, spooned into measuring cup and leveled

2 ½ tablespoons sugar

1 teaspoon baking powder

½ cup fat-free buttermilk

2 tablespoons canola oil

1 egg white

1 teaspoon lemon zest

¼ teaspoon ground cinnamon



  1. Preheat oven to 400° F.
  2. Coat an 11 x 7-inch baking pan with cooking spray.
  3. Combine sugar, cornstarch, and water in a large nonreactive saucepan. Stir until cornstarch is completely dissolved, then stir in berries and pears. Bring to a boil over medium-high heat and boil 1 full minute. Remove from heat and stir in 1 tablespoon zest. Place fruit mixture in the baking pan.
  4. Combine flour, 2 tablespoons sugar, and baking powder in a medium bowl. Combine buttermilk, canola oil, egg white, and remaining 1 teaspoon zest in a small bowl. Add buttermilk mixture to flour mixture and stir until just blended. Spoon batter into eight small mounds on top of the filling. Mix remaining sugar with cinnamon and sprinkle on top of cobbler. Bake 20- 25 minutes or until filling is bubbly and a wooden pick inserted into the topping comes out clean. Let stand 20 minutes to absorb flavors.


Fresh tip: The canola oil make the topping spread, creating a rustic cobbler appearance. Blueberries may be substituted with raspberries or mixed berries.




0 mg


Calories from fat



70 mg

2 carbohydrate

Total fat

4.0 g

Total carbohydrate

31 g

1 fat

Saturated fat

0.3 g

Dietary fiber

4 g


Trans fat

0.0 g


17 g





3 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 DPP SharePoint Site for Lifestyle Coaches


This space will allow our AADE DPP Lifestyle Coaches to learn, communicate, and ask questions to other fellow AADE Lifestyle Coaches delivering the National Diabetes Prevention Program.


 We will provide Lifestyle Coaches with  tips for delivering the program, resources, informative articles,  and opportunities to ask questions of other Lifestyle Coaches. 


Stay tuned for more details!






AADE Publications proud to announce the publication of 


 AADE Quick Guide to Medications 5th Edition.




Diabetes educators must keep current with accurate information on drugs and dosing. With the new edition of AADE Quick Guide to Medications, you have this information at your fingertips.


The Guide provides with accurate and current information in a concise, easy-to-use format.


New to this edition:

  •  New class of diabetes drugs-SGLT2
  • Using statins with complex patient populations
  • Common Agents for Obesity Management in Patients with Diabetes 










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.



See more at:









Has your organization had any success stories recently??


AADE DPP would like to highlight your participant next month. Please send your stories to









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For more information or questions regarding the Diabetes Prevention Program,  please contact AADE at