March Issue- 2014
American Association of Diabetes Educators


Diabetes Alert Day - Tuesday, March 25th


American Diabetes Association Alert Day® is a one-day "wake-up call" asking all community members to take the Diabetes Risk Test and find out if you are at risk for developing type 2 diabetes.




"Without continual growth and progress, such words as improvement, achievement, and success have no meaning."

 - Benjamin Franklin






Prevention is now a nationwide priority, and as the public health system evolves, there are more options than ever when it comes to preventive health measures. Public health and clinical health professionals must work collaboratively to help individuals identify and pursue the best preventative health options.

Wednesday, April 9th is marked as National "Get Out Ahead" day. Don't forget to promote your National Diabetes Prevention Program!

Use this as an opportunity to spread awareness about prediabetes and that people should "know their numbers" by getting their blood levels checked or by screening their risk for prediabetes and diabetes through the Diabetes Risk Test.

Tip: If lifestyle coaches could get current participants to suggest the Risk Test to 3 people (considering the statistic is that 1 in 3 people may be prediabetes) and remind participants that THEY have the power to help someone they care about by spreading this message.









Dana Graves RN, MSN, CDE, CPT has been in diabetes care and education for more than 15 years, after spending 15 years and then some in other areas of nursing. Similarly, Barbara Baumgardner MS, RD, LD, CDE is an Outreach Dietitian for Saint Joseph Hospital who has worked in other areas of dietetics but has been focused on diabetes care and education over the last 12 years. Both are now trained Lifestyle Coaches for the National Diabetes Prevention Program at Saint Joseph Hospital in Lexington, Kentucky.


St. Joseph Diabetes and Nutrition Care Center started in 1999. At that time, Dana was hired as the Diabetes Clinical Nurse Specialist; Barbara joining just a few years later. With several other CDEs hired, the clinic started an ADA recognized diabetes self-management education program. Though the program, they offered a wide array of services including a 4 class series, individual education sessions for carb counting, medical nutrition therapy, gestational diabetes education, insulin pump training, blood glucose monitoring, insulin administration, and medication management. Within a few short years they became an AADE recognized program, serving central and eastern Kentucky at five different site locations.


St. Joseph Hospital sought to increase programming on diabetes prevention and were pleased when they applied and received the AADE/CDC grant last year.


Starting a program from a blank canvas is an undertaking for any organization, allowing for opportunities of creativity, innovation, and design but also encompassing many challenges. Two challenges faced by this organization were how to market and recruit participants. They were fortunate in finding generous colleagues in their Physician Recruiter and Public Relations Department to work with. These individuals helped the program place newspaper ads, produce a newspaper health calendar, draft letters about the National DPP to send to physicians employed by the hospital, letters to physician office managers in the surrounding counties, as well as letters and emails for former patients. Even emailing an announcement about availability of the program and posted flyers to make all employees aware of this new offering.


Their first three cohorts started in the summer of 2013. Each group having its own personality. Lifestyle coaches soon realizing that their rural based classes greatly differed from those in the urban setting. Dana Graves noted, "It seems that participants in the urban based classes were more computer literate, more up to date on health care, and exposed to more varieties of food whereas rural based classes overall were a bit lower socioeconomically, self-image lower, and had less local resources to help them. However, all 3 groups were very cohesive and fun to teach!"


Holding participants interests and providing a mix of educational activities is key to having an effective program. Classes at St. Joseph Hospital have included practicing measuring (each participant was given a clear measuring cup and food scales with nutrient values); walking through office park hallways (learning to use a new pedometer); participating in a pot luck (recipe sharing with nutrition labels); and eating out together after class (assisting each other with reading menus and make healthier choices). The exercise class was particularly entertaining and lighthearted as lifestyle coach, Dana Graves, demonstrated her hula hoop skills, encouraging all to try a 'different' type of exercise.


Each cohort had their own successes; approximately 70% of participants lost 7% of their body weight. All enjoyed the support and camaraderie the group gave, so much so that they wanted to continue meeting and walking together. The biggest difficulty over time was attrition due to personal & health issues, weather, and work in spite of weekly reminder emails, letters, and/or calls. Nonetheless, the participants reported success as demonstrated by their increased activity, improved labs/A1C, and heightened awareness of food selections leading to better choices made when shopping and dining out.


Determining future program fees remains St. Joseph's biggest challenge. Through support from their hospital's Foundation and new grant monies, they look forward to providing two more cohorts this spring and focusing on obtaining payer support.







A body in motion, stays in motion! jogging-women.jpgLet's take a closer look at the components of warming-up and cool-downing when engaging in physical activity.

Warming up before increased activity dilates blood vessels, safeguarding and ensuring muscles are well supplied with oxygen. In turn, raising one's muscle temperatures with activity optimizes flexibility and efficiency.

Warming up prepares the circulatory and respiratory system to support the increased heart rate during exercise. In addition - it mentally prepares and motivates the individual for the workout to come!

Cooling down is also a great complement to physical activity.. It can be helpful to stretch when cooling down because limbs, muscles and joints are still warm and thus more pliable. Stretching may reduce accumulation of lactic acid in muscles which can be a cause of muscle cramping and stiffness.

Stopping abruptly may result in light-headedness. A cool-down after physical activity allows for a gradual decrease at the end of an episode, helping the mind and body with the transition.

Below is a list of recommended tips by the American Heart Association:


Warm-Up Tips:

  • Warm up for 5 to 10 minutes. The more intense the activity, the longer the warm-up. 
  • Do whatever activity you plan on doing (running, walking, cycling, etc.) at a slower pace (jog, walk slowly). 
  • Use your entire body. For many people, walking on a treadmill and doing some modified bent-knee push-ups will suffice.

Cool-Down Tips:

  • Walk for about 5 minutes, or until your heart rate gets below 120 beats per minute. 
  • Stretching:
  1. Hold each stretch 15 to 30 seconds. If you feel you need more, stretch the other side and return for another set of stretching. 
  2. The stretch should be strong, but not painful. 
  3. Do not bounce. 
  4. Breathe while you're stretching. Exhale as you stretch, inhale while  holding the stretch.







"Enjoy the taste of eating right" during March's National Nutrition Month, sponsored by the American Dietetic Association. Learn how to combine taste and nutrition to create healthy meals!


Healthy food choices are key to maintaining a healthy lifestyle. But the last thing you want to do after a long work day, is go to the grocery store. Wouldn't it be lovely if you could just rustle up a quick meal or snack with some basic healthy ingredients? It's shockingly simple if you rethink your weekly shopping list. You can create a kitchen stocked with oodles of delicious options to create healthy meals!

Start by building your pantry and having the right foods on hand. View Stock Your Kitchen for Diabetes Health by WebMD.



Black-Eyed Peas with Jalapeno and Tomatoes (side dish)

Blacked-eyed peas are generally cooked with bacon, but you won't miss it in this recipe because of the seasonings. It's "thyme" to enjoy these peas without bacon.

Yield: 4 servings. Serving size: 1/2 cup (125 mL).



1 Tbsp canola oil 15 mL

1 cup diced onions 250 mL

1 medium jalapeno, cut into thinly sliced rounds (with seeds)

1 cup water 250 mL

1 pkg (10 oz/300g) frozen black-eyed peas

1 Tbsp cider vinegar 15 mL

1/4 tsp dried thyme leaves 1 mL

1/2 cup diced tomato 125 mL

1/2 tsp salt 2 mL



1. Heat canola oil in large saucepan over medium-high heat. Immediately reduce heat to medium, add onions and jalapeno, and cook 3-4 minutes or until beginning to turn golden. Add water; bring to boil over high heat. Add peas, 1 tsp (5 mL) vinegar, and thyme. Return to boil.


2. Reduce heat and simmer, covered, 25 minutes or until peas are tender. Remove from heat and add tomato, remaining 2 tsp (10 mL) vinegar, and salt.


Fresh tip: Wearing gloves when handling jalapenos or other hot peppers protects your hands and eyes from coming into contact with pepper substances that can cause a burning sensation.

Nutritional Analysis:

Per Serving



Total Fat

4 g

Saturated Fat

0.4 g


0 mg


305 mg


24 mg


5 g


7 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.




for Lifestyle Coaches



This SharePoint site is designed for peer-to-peer learning so that AADE DPP Lifestyle Coaches communicate, and pose questions and receive answer from to fellow Lifestyle Coaches delivering the National Diabetes Prevention Program.


AADE will provide Lifestyle Coaches with tips for delivering the program, resources, informative articles, and opportunities for open discussion and questions from others interested in the National DPP and Lifestyle Coach training.









Successes in the Program


Kim James, BS, RD, LDN of Northcrest Medical Center recently had 5 participants walk a 5K (3.1 miles). "I ran it and waited at the finish line for each of them. I'm so very proud of each one of them! One participant (not shown) did her walk and then played 18 holes of golf! Their dedication to making lifelong changes amazes me considering where each started. If you ask me why I stay excited about this program, just look at this photo!"






 "I'm second from the left. The gentleman to my right is 71, and this is the second 5k he's walked since starting the program in September. He did not have to stop at all this time. He was grinning from ear to ear when he finished, and so was I.


Thank you for making the grant funds available to Northcrest for the Lifestyle Change Program.


 I am truly grateful to you and the AADE."








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