diabetes hands on the food bank of corpus christi

Georgiana Bradshaw R.N., CDEProgram Coordinator

Roberto Gonzalez M.S., R.D., L.D.Dietitian

Program HistoryCreation of Program

DCC

Food Bank of Corpus Christi

Principles

Educational principles

Medical knowledge

Program HistoryFunding

Initial: Nueces County Commissioners Court

Tobacco Lawsuit Settlement Funds

Current: Nueces County Commissioners Court and Grants

A1c Test Pre and Post Class3 months6 months9 months12 months

Average Pre and Post A1c

All Participants4

5

6

7

8

9

10

PrePost7.2

6.8

Average Pre and Post A1c

Participants with Diabetes

Participants at Risk4

5

6

7

8

9

10

PrePost

7.8

5.7 5.67.3

Participants Initial A1c >10.0

1 2 3 4 5 6 7 8 90

2

4

6

8

10

12

14

PRE A1CPOST A1C

Participants Initial A1c 9.0-9.9

1 2 3 4 54

5

6

7

8

9

10

PRE A1CPOST A1C

Participants Initial A1c 8.0-8.9

1 2 3 4 5 6 7 8 9 10 11 124

5

6

7

8

9

10

PRE A1CPOST A1C

Participants with Follow-up

1 2 3 4 5 6 74

5

6

7

PrePostReunionReunion 2

Participants with Follow-up

1 2 3 4 5 6 74

5

6

7

PrePostReunionReunion 2

Participants with Follow-up

16 17 18 19 20 21 224

5

6

7

8

9

PrePostReunionReunion 2

Participants with Follow-up

8 9 10 11 12 13 14 154

5

6

7

8

PrePostReunionReunion 2

Participants with Follow-up

23 24 25 26 27 28 290

2

4

6

8

10

12

14

PrePostReunionReunion 2

Percentage of A1c Grouping

< 7 7-7.9 8-8.9 9-9.9 >100%

10%

20%

30%

40%

50%

60%

Pre class %Post class %

Knowledge Test

Knowledge Test0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

PrePost

Pre

Post

84%56%

Weight Loss

At Risk A1c < 7 A1c 7-7.9 A1c 8-8.9 A1c 9-9.9 A1c > 101

2

3

4

5

What Makes Diabetes Hands On Different?

Class room set-up which encourages participation

Review of previous week

Postcards between classes

Fun and interactive learning

Encourage participants to envision the Joy of Living

We give a message of hope

We welcome the “At Risk” population

Participants build their notebook

Curriculum Week 1 Overview

Week 2 Nutritional Management

Week 3 Exercise

Week 4 Highs, Lows and Sick Days & Monitoring

Week 5 Medications and Insulin

Week 6 Long Term Complications

Week 7 Emotional Aspects and Stress Management

Week 8 Review and Goal Setting

Material

Live Your Life! Viva la Vida!

TDC Tool Kit

Make their own food choices and measure out their food

Count carbohydrate

Exercise

Participate in stress reduction activities

Do self foot exam

Do own finger sticks

Experiential Learning

Physiological Feedback: Cause and Effect

Resulting in Self-Efficacy

Fuel for the Body

Blood Stream

Normal A1c

Red Blood Cell Glucose

High A1c

Glycosylated Hemoglobin A1c

4 68

A1c%

EstimatedAverage

BloodGlucose

7

5

6

9

8

10

13

12

11

183

154

126

240

97

212

326

298

269

eAG

Skip Intro

Sick Days Carb

ohydra

te

Serv

ing

siz

e

Body W

orks

Hig

hs

Low

s

Effector

FactorsProtien

Fat

Question

End Game

Monthly Newsletter’s

Participants Feedback