April Issue- 2014
American Association of Diabetes Educators



There are only two days in the year that nothing can be done. One is called yesterday and the other is called tomorrow, so today is the right day to love, believe, do and mostly live.

- Dalai Lama







UMA Diabetes/Endocrine Center- Athens, Ohio


The National Diabetes Prevention Program has certainly been in the limelight in the city of Athens, Ohio. This program has caught on like wildfire by employers of the city. With notice of success at UMA Diabetes/Endocrine Center, employers are taking initiative to ensure they offer preventative care that can keep their employees healthy and working. Area employers recognize that the National DPP can be linked to greater productivity, less absenteeism, and eventually reduced long-term health care costs for the company.  Considering the savings, seven employer groups have already signed on to offer DPP to its employees.

UMA Diabetes/Endocrine Center began recruiting participants through employers from the beginning of implementation. Dr. Jay Shubrook, Medical Director, collected program statistics regarding weight loss achievement, retention rates, and increases in physical activity percentage with the intention to make a gripping business case when presenting to employers. He developed a PowerPoint presentation about their program for use in negotiating coverage of employees. This proved to be successful, as UMA Diabetes/Endocrine Center has several employers who have agreed to cover 2 to 20 individuals per year for the program.

In the upcoming months they plan to approach a number of employers in the area and obtain Memorandum of Agreements (MOA), allowing them to recruit participants from these employers. Ultimately, they are looking to be working with a group of about one dozen employers.

UMA is continuing their outreach by distributing fliers to all physician offices in the area, with the request that they be provided to physicians and left in lobby areas for patients. They have also posted fliers in community centers and libraries in the area, promoted the program at health fairs, and advertised in local papers.

However, the continued demand for the program comes from the success of the actual training. UMA approaches their cohorts by splitting participants into teams where they discuss topics and share info with each other. At various sessions and for specific activities in the curriculum, teams compete against one another for points. Points are earned in a variety of ways, such as session attendance on the scheduled day, turning in completed trackers, getting 150 minutes per week of activity, walking a 5K, joining an exercise class, or even checking out an exercise DVD. The team with the most points at the end is rewarded with a small prize. It's the fun of being on a team and being competitive that keeps participants engaged.



UMA Diabetes/Endocrine Center Participants during the 5K Color Run-

Find "The Color Run" near you:


At UMA, many sessions include 30 minutes of some kind of activity at the end of the presentation: examples include chair Zumba, working with UMA provided exercise bands, Pilates, weight training, stretching and walking groups. These activities are enjoyable and allow participants to form bonds with each other. UMA also provides incentive prizes for coming to 80% of core sessions and turning in completed trackers 80% of the time.

Participant success has come in a variety of forms; completing their first 5K ever, succeeding with weight loss for the first time, decreased lipids/blood pressure leading to a reduction in medication, or simply having more energy. One participant shared the following touching success- she is now a grandmother able to sled in snow with her grandchildren! Not having been able to do this before because she was unable to get up if she was on the ground, she is now able to reconnect with her grandchildren and be more involved in their lives.

Much of these successes are attributable to Karen R. Bailey. As a Certified Diabetes Educator and Registered Dietician with a Masters degree in nutrition, she has worked as a clinical dietitian for a psychiatric hospital, hospitals, the dialysis industry, nursing homes, instructors and now for the UMA Diabetes/Endocrine Center. She is part of an educator team that provides diabetes self-management training and does medical nutrition therapy for individuals. Karen provided prediabetes classes in the past but sought to expand that program and recognized that the National DPP would be a perfect fit for the UMA Diabetes/Endocrine Center .

The organization will begin their 5th cohort this September with continued efforts to prevent/delay the onset of type 2 diabetes among people with prediabetes in Ohio and with enthusiasm towards the National Diabetes Prevention Program.








The spring weather is here and it is a great time to take physical activity outdoors. Try getting up close and personal with nature and its greenery by finding a stretch of paved trail to embark on. View the the backdrop of trees, wild birds, amazing views, meandering chains of hills, or even enjoy people-watching.

While diabetes is the seventh most common cause of death in the US (National Vital Statistics Report), exercising for as little as 150 minutes each week can reduce the risk of developing diabetes.

A Walking Group can be a natural support system to help you commit to an activity or fitness routine. The American Heart Association research had revealed that American adults are 76 percent more likely to take a walk if another person is counting on them.

There is definitely a trail suitable for you! So find a walking path, discover new trails, track your progress and get help with your walking plans using the American Heart Association's walking.






Multiple factors are often used as justification for weight gain, but the underlying cause is intake of energy in excess of energy spent. As summer approaches many of our schedules become full of activity due to our demanding professional careers and family lives, at times making us feel overwhelmed. Hectic lives can make the convenience of fast food or take-out an appealing option.

According to the U.S. Department of Health and Human Services frequent fast food consumption has been shown to contribute to weight gain. "During 2007-2010, adults consumed an average 11.3% of their calories from fast food." Fast food is often associated with increased energy and fat intake but lower nutrient intake.

But being busy doesn't necessarily mean having to forgo our healthy eating routines; it just requires some knowledge, organization and sometimes some creativity. One of the most effective ways to maintain those healthy habits you've created is through meal planning.

Shopping from a list you prepare ahead of time and re-stocking your cabinets and fridge with healthy options are an approach to combat the 'need' to stop at the nearest fast food eatery. CDC also suggests stocking your office cabinet and/or car glove box with healthy treats if these are places where you tend to snack. You'll find it's easier to make healthier selections when you have a good assortment of nutritious foods available in the places where you eat.

You can also get tips and support for making healthy choices, including planning ahead at:





Mango-Banana Phyllo Nests

This blossoming sweet is a must as spring is here!


It is a show-stopping dessert that will win you compliments every single time you serve it. It will look as though you went to lot of effort...effortlessly!





YIELD 6 serving / SERVING SIZE 1 phyllo nest



1 tablespoon canola oil

6 sheets frozen phyllo dough, thawed



11/2 teaspoons canola oil

2 tablespoons packed brown sugar substitute blend

1 tablespoon orange juice

1 ripe mango, peeled, quartered lengthwise, and diced

2 tablespoons confectioner's sugar

cup dark rum (optional)


  1. Preheat oven to 350 F. Using 1 tablespoon canola oil, lightly brush one side of each phyllo sheet. Cut each sheet with a sharp knife into four lengthwise strips and then cut each strip in half to make eight squares per sheet.
  2. In six alternating cups of a 12-cup muffin pan, lace eight squares of phylllo per cup, oil side up, corners overlapping the center. (There is not enough room to fill all 12 cups; six is manageable.) Press down gently to allow bottoms to take the shape of the muffin cup. Ruffle edges to create a nest appearance. Repeat with remaining five whole phyllo sheets. Place on a center oven rack and bake 5 minutes or until golden. Remove from oven and place muffin tin on a wire rack to cool completely.
  3. Meanwhile, combine remaining 1 1.2 teaspoons canola oil, brown sugar, and orange juice in a medium bowl. Add mango and banana and toss gently, yet thoroughly, to coat.
  4. To serve, place phyllo nests on individual dessert plates and spoon equal amounts of mango mixture, about 1/3 cup, into each nest. Place confectioner's sugar in a fine-mesh sieve and sprinkle evenly over the edges of each nest. Spoon 2 teaspoons rum over each. Serve immediately.





0 mg


per serving

Calories from fat



95 mg

2 carbohydrate

Total fat

4.5 g

Total carbohydrate

33 g

1 fat

Saturated fat

0.3 g

Dietary fiber

2 g


Trans Fat

0.0 g


15 g





2 g



Fast tip: The nests may be prepared 24 hours in advance. Store them carefully in gallon-size, resealable plastic bags at room temperature. Do not fill the nests with the fruit mixture until the time of serving.


"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



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Prediabetes: What You Need to Know/Prediabetes: Lo que usted debe saber (DM-268)

(available in Spanish) 


Defines prediabetes and its potential consequences.

Lists risk factors and identifies ways to prevent or delay type 2 diabetes.









  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.


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








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