PLUGGED INTO PREVENTION
March Issue 2016
American Association of Diabetes Educators
 
National Diabetes Prevention Program Now One Step Closer to Medicare Coverage for Prediabetes
The U.S. Department of Health and Human Services (HHS) proposed on March 23rd moving towards coverage for the National Diabetes Prevention Program (National DPP) to Medicare beneficiaries at high risk of developing type 2 diabetes.
The Actuary Committee stated that the National DPP has been proven to meet the department's criteria for a services that both improves patient care while decreasing healthcare costs. The expansion of a preventative service into Medicare is the first of its kind from the CMS Innovation Center.
The American Association of Diabetes Educators (AADE) is one of the leading participants in the NDPP. AADE has been on the frontlines of prevention for many years, as one of six organizations to receive funding by the Centers for Disease Control and Prevention (CDC) to scale the National DPP. Over the past 3 years, AADE's 45 DPP sites have reported an average weight loss of more than 5%, demonstrating that our model is also a successful approach to delivering the National DPP. The results achieved by AADE's programs are in large part one of the reasons reimbursement for prediabetes is now being seen as critical to stemming the tide of new diabetes cases.


New CDC-Approved Curriculum Available- PreventT2
CDC's National Diabetes Prevention Program (National DPP) recently released another approved curriculum, available in both English and Spanish. PreventT2 is based on the original Diabetes Prevention Program (DPP) research trial for the prevention of type 2 diabetes. The new curriculum promotes modest weight loss and increased physical activity through a year-long lifestyle change program.
NOTE: Organizations may still use the original National Diabetes Prevention Program curriculum which continues to be available on the CDC website.



Spotlight on AADE's Diabetes Prevention Program Team 
Choctaw Nation of Oklahoma
Talihina, OK  
Choctaw Nation of Oklahoma seeks to enhance their community by providing opportunities to engage in healthy and productive lifestyles. Various programs and services are provided for not only the treatment of diabetes and related illnesses, but also for prevention.
Choctaw Nation started the National DPP back in 2013. Lee Ann Sherrill, RN, CDE and Mandy Grammar were the first trained lifestyle coaches, developing the necessary skills to build relationships and ensure participants are taking steps to prevent or delay the onset of type 2 diabetes. Other lifestyle coaches include Annette Choate, RN, CDE; Cayla Mitchell, RN; Crystal Hensley, RN; and Tammy Cannady, all of whom assist with the program in various locations throughout the region.
The first cohort was implemented in June 2013 and since then over 80 participants have enrolled and 6 cohorts have been implemented. Recruitment has primarily been through the community and through word-of-mouth. The Oklahoma State Department of Health and the local health departments in Pittsburg and McCurtain counties have supported the organization with the recruitment of eligible participants.
Continued interest and commitment to the program has come from the interactive and informative sessions provided. Lifestyle coaches have helped participants learn new skills, encouraged them to set and meet goals, and to keep them driven. The coaches have made the program both fun and engaging for those enrolled. Potluck dinners have been provided at three of the sites and participants have had the opportunity bring in low-fat foods and share recipes with the group.
The CDC lifestyle change program is adaptable, and lifestyle coaches have had the ability to adjust sessions to meet the group's background, culture and interests. Wellness and activity is promoted not only to those enrolled in the program but the entire community through activities such as the Trail of Tears walk, which is held each year, as well as many other Choctaw Nation 5Ks and walks. Stickball and Choctaw dancing are taught to males and females to promote physical activity which brings families together and creates communities. A new "Yappalli" program incorporates stories to tell of the dreams and hopes of ancestors to promote personal health and to pass those dreams and hopes to future generations.
Choctaw Nation is strongly committed to the communities' well-being and to sustaining the National DPP. They have held three cohorts at worksites within Choctaw Nation and have future plans to hold others throughout Choctaw Nation worksites. The Oklahoma State Department of Health will continue to partner with Choctaw Nation in future cohorts with payment for participants in Pittsburg, McCurtain and Leflore counties. The State Department of Health is currently working with Oklahoma State legislators to have diabetes management prevention as a covered service to all state employees and assisting tribes across the state of Oklahoma to establish prevention programs.
Choctaw Nation leaders recognize the high incidence of diabetes and are focused on motivating those community members at high risk for type 2 diabetes, to make lifestyle changes that could help with avoiding future complications.
 
Participant Success Story
"I am writing this letter to give some insight as to why I needed this class and why I feel it has made a drastic, much-needed change in my life. Over a year ago while on a visit to my primary care provider after having lab work done, I was informed that if I did not make some life changes I would be a stage II diabetic in the next three years. At the age of 43 this was a huge shock to me!
I am a middle age male who has a family history of diabetes. My mother died with complications that included being a full blown diabetic at the age of 53. My father at the age of 72 has been diagnosed with type 2 diabetes and now takes medication and attempts to control his food intake. I myself had a beginning weight of 244 pounds, as well as taking two medications for high blood pressure and another for high cholesterol. I was very inactive with exercise and just day to day activities.

For approximately four years my eldest daughter and spouse both made an attempt at pushing me to get to a healthier state in my life. I would fail miserably at those attempts time and again. I actually gained more weight, eating worse and just laying around in a state of fatigue constantly.

Choctaw Diabetes Prevention Class has turned all of this around for me. A little explanation as to how and what degree: Through the weekly meetings I was held accountable to a group of peers as well as myself and the Lifestyle Coaches. I was educated on the importance of the effect of not only eating healthy and making the right choices for myself, but exercise and activity. During the weekly meetings I had actually lost 30+ pounds and have been taken off of one of my high blood pressure medications.

I am in the gym at least three days a week and actually participate in 5K runs with my wife and son at every chance we get. I have maintained a weight of 220 pounds currently and attribute this to reading labels, watching my intake of fat and "healthier" foods. This was all made possible through information and sharing with the class during the 16 sessions and continues on with the post core sessions.

To my two "life coaches": Leeann Sherrill and Mandy Grammar, thank you for all that you have been willing and able to pass on through your instruction. To the "Choctaw Nation": Thank you for the opportunity to participate in such a "life changing" class, my family and I cannot thank you enough."

WARRIOR ALUMNI
George D. Stilltner, SMSgt, USAF (ret.)



Coping with Sore Muscles

Whenever I push my running time a bit further than normal, why do my legs hurt so much the next day? According to the American College of Sports Medicine, the pain that develops within 1-3 days after engaging in physical activity is known as Delayed Onset Muscle Soreness (DOMS). This is believed to be the cause of miniature tears that occur in muscles during physical activity. DOMS can cause swelling, stiffness, tenderness, and some weakness for its duration. The tears healing are the cause of soreness which in fact creates stronger muscles over time!
fitness_woman.jpg
It is recommended to work gradually towards one's physical activity goals while keeping safety in mind. It is important to engage in activity that is appropriate for one's age group, fitness level and pace. Start slow and easy and use proper progression techniques when increasing the duration, intensity and resistance of your training.

Research has shown that engaging in just 30 minutes of physical activity a day can significantly contribute to longevity, improve cardiovascular health, blood pressure, cholesterol, and other related illnesses.

The severity of DOMS can be lessened with some tips provided by the ACSM. Warming up before a workout is crucial. According to ACSM, "[e]very workout must begin with a warm-up and end with a cool-down." It is recommended that you engage in 5-10 minutes of activity meant to raise your heart rate and engage the muscle group you will be targeting that day. After the workout, individuals should have a cool-down period of 5-10 minutes of cardio followed by stretching. Allow for adequate recovery time when experiencing soreness. While muscle soreness is normal, some individuals may experience pain reduction by applying ice, heat, using OTC pain medication, or massage.

If sharp pain occurs during an activity, the activity should be stopped and a doctor consulted immediately.

Learn more about Delayed Onset Muscle Soreness

Recipe
 
GARLIC CAULIFLOWER MASH
 
Yield  4 Servings
 
This easy recipe makes an old comfort food healthy and delicious! It is also easy to make ahead for no-fuss entertaining options.
 
 
1 head, medium (5-6" dia), Cauliflower - Raw
1/4 cup Greek yogurt or sour cream or cream cheese
4 garlic cloves
1 tablespoon butter
Salt and pepper (to taste, if diet safe)
 

1. Bring cauliflower florets and enough water to cover to a boil over high heat for 10-15 minutes or until fork tender.
2.  Strain cauliflower and return to pot.
3. Stir in garlic, salt, and pepper.
4.  Add sour cream and mash with a potato masher or a fork until smooth.
 
 
 
Calories
87
Cholesterol
3 mg
Total fat
2 g
Sodium
90 mg
Saturated fat
0 g
Total carbohydrate
10 g
Trans fat
0.0 g
Dietary fiber
3 g

0.0 g
Sugars
5 g
 
 
Protein
8 g
 
Lynch, K. (2012, November, 10) Garlic Mashed Cauliflower [Web log post]. Retrieved from http://www.closetcooking.com/2012/11/garlic-mashed-cauliflower.html

  
________________________________________________________________________________
 
 
What would you like to learn about? Send your comments or suggestions to [email protected]

NATIONAL DIABETES PREVENTION PROGRAM

 

 

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:
www.diabeteseducator.org

 

______________________________________________________

 

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

 

AADE DPP Website: www.diabeteseducator.org/prevention

 

  CDC Website: www.cdc.gov/diabetes/prevention/about.htm

_____________________________________________________

 

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



  
AADE16 is taking over San Diego Friday, August 12 through Monday, August 15, 2016. We are hard at work planning every detail to make sure this is the best meeting yet.
Here are some of the big changes you will notice at AADE16:
  
  • Registration rates will NOT be increased. Register by Friday, April 22 to receive the lowest, early bird rate.
  • We shifted the meeting's date to Friday, August 12 - Monday, August 15
  • We put together a variety of travel resources to help you plan your trip. Check out the travel discounts available for AADE members.
  • Do you have a chance to get reimbursed for attending AADE16? Start the discussion with your employer now. Use this  resource to help you build your case.
  • Find a roommate and split your Hotel costs with a fellow diabetes educator through the Annual Meeting Room Share Request page on MY AADE NETWORK.  
  • Check out the various scholarships available for complimentary registration at AADE16.
  

Check out the AADE16 homepage for the latest updates. Registration will open on 

Tuesday, March 1.

  
  
Connect with Communities of Interest
One of the many ways AADE helps you enhance your patient care is by connecting you with more than 14,000 of your peers. Are you taking advantage of access to this network of professionals who share the same passion and face the same challenges as you?
Among the collaborative activities and tools provided by AADE are Communities of Interest. This exclusive member benefit is the perfect resource for sharing information with and learning from colleagues with similar interests.
Available through MY AADE NETWORK, check out the Diabetes Prevention Community of Interest and get involved today!
  
SharePoint:
  
Don't forget to check out AADE DPP SharePoint!
  
SharePoint is used as a secure place to store, organize, share, and access information from almost any device. All you need is a web browser, such as Internet Explorer, Chrome, or Firefox. It is a cloud-based service, where AADE hosts an online learning community for AADE DPP Lifestyle Coaches from recognized DSME organizations.
There is information and resources to support Master Trainers, Lifestyle Coaches, and recognized organizations
                              
                   
What can AADE DPP SharePoint Offer:
* Interactive opportunity to share stories, ideas, challenges, and ask questions among lifestyle coaches
  
* Access to information through Master Trainers and other experts
  
*Q & A
  
* Webinars/Recordings
  
* Scholarly articles related to prediabetes and the National DPP
  
* DPP in the News
  
* AADE DPP resources/tools
  
* Calendar of upcoming events
  
  
  
  

 

 

 

 

 

 

AADE DPP LINKEDIN

 

 

We encourage all involved in DPP to join our new AADE DPP LinkedIn group. Please click the link to read more:
 

 

 

 http://www.linkedin.com/pub/aade-dpp-staff/a1/686/7b� 

 

 

 

 

 

 

 

 

 

Has your organization had any success stories recently??

 

 

 

AADE DPP would like to highlight your participant next month. Please send your stories to [email protected]

 

 

 

 

 

 

 



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

[email protected]