Diabetes Education Program

Diabetes Management
Diabetes In Pregnancy
Gestational Diabetes
Controlling Diabetes

If you or someone you love has been diagnosed with diabetes, you might be wondering where to go to learn more about managing the condition. The answer is Mercer Health Diabetes Education Program.

At Mercer Health Home Care we take diabetes very seriously. That is why we offer a special Education Program that emphasizes Diabetes Management, Diet Counseling, and Carbohydrate Counting in a one on one setting or in Diabetic Education Classes and Support Groups for both Patients and their Families.

About 1 in 12 Americans have diabetes. Many do not know they have it! The more you know about diabetes, the more power you have to live your life the way you want to with good diabetes control. Mercer Health Diabetes program offer education and support to people with diabetes, enabling you to be
able to control your blood sugar and disease process so that you can live a full quality life.

Mercer Health Diabetes Education Services offers a series of education classes covering all aspects of your diabetes care, including:
• Treatment plans for diabetes
• Nutrition management: individualized meal   plans, grocery   shopping guidelines, restaurant   dining plans, etc..
• Managing diabetes during illness
• Blood sugar testing
• Exercise
• Medications

Our Staff includes:
• A registered nurses
• A registered dietitian, certified in
  diabetes education
• A registered pharmacist, available as needed
• A social worker, available as needed

Classes are offered at various times through the day to accommodate your busy schedule. Individual sessions on meal planning, blood sugar testing and insulin injection are also available.

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Diabetes Management

Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. There are 18.2 million people in the United States, or 6.3% of the population, who have diabetes. While an estimated 13 million have been diagnosed with diabetes, unfortunately, 5.2 million people (or nearly one-third) are unaware that they have the disease.

Types of Diabetes

Type 1 Diabetes

Type 1 Diabetes results from the body's failure to produce insulin, the hormone that "unlocks" the cells of the body, allowing glucose to enter and fuel them. It is estimated that 5-10% of Americans who are diagnosed with diabetes have type 1 diabetes. These patients will require insulin to treat their diabetes.

Type 2 Diabetes
Type 2 Diabetes results from insulin resistance (a condition in which the body fails to properly use insulin), combined with relative insulin deficiency. Approximately 90-95% (17 million) of Americans who are diagnosed with diabetes have type 2 diabetes. These patients may not require insulin to treat their diabetes.

Other Specific types of diabetes include people with specific genetic abnormalities of the enzymes involved in carbohydrate metabolism and people with extensive destruction of the pancreas by disease or following pancreatic surgery. People on certain medications including high dose steroids and people with certain other endocrine disorders may also develop diabetes. These specific causes of diabetes are however very rare.

Pre Diabetes

Pre-diabetes is a condition that occurs when a person's blood glucose levels are higher than normal but not high enough for a diagnosis of type 2 diabetes. There are 41 million Americans who have pre-diabetes, in addition to the 18.2 million with diabetes. In order to determine whether or not a patient has pre-diabetes or diabetes, health care providers conduct a Fasting Plasma Glucose Test (FPG) or an Oral Glucose Tolerance Test (OGTT). Either test can be used to diagnose pre-diabetes or diabetes. Poorly treated diabetes may lead to long term diabetic complications, which include kidney damage, diabetic eye disease, nerve damage and
foot disease. In addition, Diabetes is a major risk factor for Heart Attack.

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Diabetes in Pregnancy


Most Pregnant women with diabetes already had diabetes before they became pregnant. For these patients is very important that their diabetes is well controlled before they get pregnant, to reduce the risk of abnormal birth defects.

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Gestational Diabetes

Pregnant women who have never had diabetes before but who have high blood sugar (glucose) levels during pregnancy are said to have gestational diabetes. Gestational diabetes affects about 4% of all pregnant women - about 135,000 cases of gestational diabetes in the United States each year.
When poorly treated, Gestational Diabetes can lead to macrosomia, or a "fat" baby. Babies with macrosomia face health problems of their own, including damage to their shoulders during birth. Because of the extra insulin made by the baby's pancreas, newborns may have very low blood glucose levels at birth and are also at higher risk for breathing problems. Babies with excess insulin become children who are at risk for obesity and adults who are at risk for type 2 diabetes.

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Controlling Diabetes


You can take control of your diabetes and enjoy a good healthy lifestyle if you pay special attention to:
• Nutrition: What you eat
• Exercise: Excess weight makes diabetes harder to manage
• Monitoring: Frequent monitoring of blood glucose can help you keep diabetes under control
• Attitude: Your feelings affect your health

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