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Georgiana Bradshaw R.N., CDEProgram Coordinator
Roberto Gonzalez M.S., R.D., L.D.Dietitian
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Program HistoryCreation of Program
DCC
Food Bank of Corpus Christi
Principles
Educational principles
Medical knowledge
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Program HistoryFunding
Initial: Nueces County Commissioners Court
Tobacco Lawsuit Settlement Funds
Current: Nueces County Commissioners Court and Grants
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A1c Test Pre and Post Class3 months6 months9 months12 months
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Average Pre and Post A1c
All Participants4
5
6
7
8
9
10
PrePost7.2
6.8
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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
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Participants Initial A1c >10.0
1 2 3 4 5 6 7 8 90
2
4
6
8
10
12
14
PRE A1CPOST A1C
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Participants Initial A1c 9.0-9.9
1 2 3 4 54
5
6
7
8
9
10
PRE A1CPOST A1C
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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
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Participants with Follow-up
1 2 3 4 5 6 74
5
6
7
PrePostReunionReunion 2
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Participants with Follow-up
1 2 3 4 5 6 74
5
6
7
PrePostReunionReunion 2
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Participants with Follow-up
16 17 18 19 20 21 224
5
6
7
8
9
PrePostReunionReunion 2
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Participants with Follow-up
8 9 10 11 12 13 14 154
5
6
7
8
PrePostReunionReunion 2
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Participants with Follow-up
23 24 25 26 27 28 290
2
4
6
8
10
12
14
PrePostReunionReunion 2
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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 %
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Knowledge Test
Knowledge Test0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
PrePost
Pre
Post
84%56%
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Weight Loss
At Risk A1c < 7 A1c 7-7.9 A1c 8-8.9 A1c 9-9.9 A1c > 101
2
3
4
5
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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
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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
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Material
Live Your Life! Viva la Vida!
TDC Tool Kit
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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
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Physiological Feedback: Cause and Effect
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Resulting in Self-Efficacy
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Fuel for the Body
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Blood Stream
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Normal A1c
Red Blood Cell Glucose
High A1c
Glycosylated Hemoglobin A1c
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4 68
A1c%
EstimatedAverage
BloodGlucose
7
5
6
9
8
10
13
12
11
183
154
126
240
97
212
326
298
269
eAG
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Skip Intro
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Sick Days Carb
ohydra
te
Serv
ing
siz
e
Body W
orks
Hig
hs
Low
s
Effector
FactorsProtien
Fat
Question
End Game
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Monthly Newsletter’s
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Participants Feedback