May Issue- 2014
American Association of Diabetes Educators





The secret of change is to focus all of your energy, not on fighting the old,

but on building the new.

- Socrates





Norman Regional Health System- Norman, Oklahoma

Diabetes Prevention Program



After the initial year of implementation of the National Diabetes Prevention Program (DPP) in Norman, Oklahoma, the Diabetes Education Center at Norman Regional Health System (NRHS) has seen the early signs of long-term positive effects in both the program participants and in the community as a whole.


One of the Certified Diabetes Educators (or CDE's) helping lead the way for the Diabetes Center at NRHS is Christie Bruehl, who received her Bachelor's Degree in Dietetics from the University Of Oklahoma Health Sciences Center in 1998 and has been working in Diabetes Education since 2002. Christie was trained as a Lifestyle Coach in May of 2013. She along with the team of four other CDE's/ trained lifestyle coaches make up the Diabetes Center at NRHS have wholeheartedly jumped into the DPP and are proud of the men and women whose lives are being changed for the better by it.


In fact, this month marks the completion of their first cohort started in June of 2013. Lifestyle coaches and participants alike are thrilled about the results of this initial group. Of the 14 participants that signed up for the program, 11 ( 79%) completed it with a combined weight-loss of 229 lbs. The success of this group can be attributed to many factors including the enthusiasm of their coach, commitment and encouragement of their peers, personal perseverance, and the program's design.


One participant from this group had this to say about the program: "By addressing the lifestyle factors behind poor eating choices it helped me to put a new perspective on my choices and why I was choosing them; and, better yet, how to successfully manage and change them into more healthy options while still feeling satisfied.  It also gave me a real understanding of the health benefits of eating better and moving more, rather than just placing the entire emphasis on the number on the scale.  By learning to appropriately approach and deal with slips, stress, and the emotional side eating, I was given a new tool with which to face the world and a new understanding of how to approach weight loss and diabetes prevention with lifestyle change."


While initial participants were recruited through physician referrals, mass media exposure including local newspapers, websites, and internal communication efforts such as mass faxes to area physicians, participant success stories from those in the DPP spreads word about the program to more individuals and employers and serves as a motivator to get people engaged.   In point of fact, NRHS now has data from three cohorts. While over 75% of the referrals for the first two cohorts were from physician or employer referrals, more than half of cohort three en enrolled based on word of mouth referrals from other DPP participants. The center expects to see similar enrollment in its fourth cohort, which scheduled to begin in July 2014.


Additionally, momentum of the DPP program is growing among employers and other community entities. Norman Regional Health System has clearly recognized the value of the DPP to its own employees and has recently added the program as a covered wellness benefit to its insurance plan. This initial employer support has paid dividends modeling action and creating inroads with local employers in the area.


The Diabetes Prevention Program is finding its footing in Norman and the nearby communities and it is the personal stories and collective program outcomes that spur the team at the Diabetes Education Center at NRHS to expand the program and seek additional employer support. The Diabetes Center at NRHS is enthusiastically embracing the philosophies set forth by the DPP and looks forward to seeing even more lives transformed by it in the future.










According to the 2008 Physical Activity Guidelines for Americans, we need to do two basic types of physical activity each week to gain real health benefits-aerobic and muscle-strengthening.


This includes 150 minutes of moderate-intensity aerobic activity every week and muscle-strengthening activities on 2 or more days a week. "If it doesn't take additional time, people are more likely to do it," says Joel Press, MD, a physiatrist with the Center for Spine, Sports, and Occupational Rehabilitation of the Rehabilitation Institute of Chicago.


What easier way to burn calories, stretch, and tone muscles without taking additional time by increasing the intensity of our everyday activates around the house. Make "spring cleaning" a workout with the below tips:


  • Put on some fast music to get moving!
  • Whenever you're doing chores, tighten your abs.
  • Stretch extra-high to knock down cobwebs or prune limbs
  • Strive for large up-and-down movements.
  • Carry heavy baskets of laundry or supplies up from the basement, if your conditioning allows.
  • Climb on a stepladder every chance you get.
  • Scrub floors on your hands and knees.
  • Do lunges while vacuuming (keep toes pointed straight ahead, and don't bend your knees further than 90 degrees).
  • When putting away dishes, face forward and twist to reach the cabinets.
  • In the garden, lunge toward weeds. -Pruning requires forearm strength (and helps develop it).
  • Pouring mulch or fertilizer from a heavy bag requires a squat.
  • If you have area rugs, beat them using a clean broom rather than vacuuming.


For more details on how to properly perform these activities to avoid injury and how they increase strength visit WebMD's: Shape up while you clean up.







Healthy eating has a tendency to come easier when the warm weather and spring is upon us. With fresh fruits and vegetables blossoming, not much preparation is needed for deliciously low-calorie meals and snacks for the go.


To see caloric and nutritional information and find foods with the highest or lowest concentrations of specific nutrients u sethe Self Nutrition Data Tool: Know what you eat. Using nutritional facts and comparing foods, gives you a system to help make healthier choices.





Jambalaya with smoked turkey sausage and chicken

YIELD 4 servings            /              SERVING SIZE 1 1/3 cups




Jambalaya is a creole dish of Spanish and French influence. Turmeric gives this version a brilliant yellow hue.


2 tablespoons canola oil, divided

1 1/2 cups smoked turkey sausage, thinly sliced

lb boneless, skinless chicken breast, cut into bite-size pieces

1 cup chopped red bell pepper

1 cup chopped

 green bell pepper

cup chopped onion

1 medium celery stalk, thinly sliced

1 cups water

cup quick-cooking brown rice

lb peeled, deveined raw shrimp

2 dried bay leaves

teaspoon dried thyme leaves

1/8 teaspoon ground turmeric (optional)

2-3 teaspoons Louisiana-style hot sauce

teaspoon salt


  1. Heat 1 teaspoon canola oil in a large nonstick skillet over medium-high heat. Add sausage and cook 3 minutes. Remove from skillet and set aside.
  2. In the same skillet, heat another 1 teaspoon canola oil, add chicken, and cook 2 minutes, stirring frequently, until pieces are no longer pink. Add another 1 teaspoon canola oil; cook peppers, onion, and celery 4 minutes or until onions are translucent. Add water and bring to a boil over medium-high heat. Stir in rice, shrimp, bay leaves, thyme, and turmeric. Return to a boil, reduce heat, cover tightly, and simmer 10 minutes.
  3. Remove from heat. Add sausage, remaining 1 tablespoon canola oi, hot sauce, and salt. Cook uncovered 2 minutes to thicken slightly but retain moist, sauce texture. Remove bay leaves, Serve with additional hot sauce, if desired.






130 mg


Calories from fat



805 mg

1 starch

Total fat

12.0 g

Total Carbohydrate

23 g

1 vegetable

Saturated fat

2.4 g

Dietary fiber

2 g

3 lean meat

Trans fat

0.0 g


4 g

1 fat




23 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



Still haven't signed up for access to AADE's SharePoint site?


to receive an invitation to this online community for AADE Lifestyle Coaches.










  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