https://www.jumpstartdiabetes.org/home daily 1.0 2021-07-30 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/6067721da77a7213b54df9a2/1627563155687/jeshoots-com--2vD8lIhdnw-unsplash.jpg Home - Survey Please take survey #1 and #2 prior to reviewing the educational material below. Once you review the educational material take survey #3. We ask only adult patients 18 years of age or older with type 2 diabetes take the survey. Please, only take the survey once. Click on the box below. Thank you for participation. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60677707c894556d34d1c311/1627326331695/hush-naidoo-pA0uoltkwao-unsplash.jpg Home - What can I do the get control of my blood sugars? The Association of Diabetes Care and Education Specialists outline 7 ways to help people improve their ability to manage their diabetes. These area include improving mental well-being, healthy dietary habits, exercise, monitoring your diabetes, taking medications, how to reduce risks and how to solve problems related to your diabetes. Please click on the box below to access the information. You may exit each learning page by clicking on “Jumpstart Diabetes”. COPING HEALTHY EATING EXERCISE MEDICATIONS MONITORING YOUR DIABETES REDUCING RISKS SOLVING PROBLEMS https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60746050248bfa7373c8d933/1627322964397/national-cancer-institute-NFvdKIhxYlU-unsplash%281%29.jpg Home - What have I learned? Please complete the final survey on the link. below. This information will help us to improve this educational experience. Please take this survey after completing the educational material. https://www.jumpstartdiabetes.org/general-1 daily 0.75 2021-07-10 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/607465e29012070c033f4ac4/1618241088551/jared-rice-NTyBbu66_SI-unsplash.jpg Coping - How can I improve my stress? Having diabetes does not have to cause you stress. This website covers information about diabetes. It will help people with diabetes have a better understanding of this disease. Keep a positive attitude. The more information you have, the better you can manage your diabetes. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/6074687d807b3809beb09713/1618241768257/kelly-sikkema-5yxPOMHymlw-unsplash.jpg Coping - Stress Stress can come from many different areas. It can be stress from the diagnosis of diabetes. It can be stress of juggling diet, exercise, and testing. It can be stress from lack of funds, lack of support at home, or lack of information to manage your diabetes or fear of complications. Learning about diabetes management is key to reducing stress. https://www.jumpstartdiabetes.org/healthy-eating daily 0.75 2021-07-10 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/607485f9fb8bab2546eb5ab8/1625942828441/i-yunmai-5jctAMjz21A-unsplash.jpg Healthy Eating - Setting Goals Set goals for losing weight. Adapt diets that promote weight loss and include healthy choices to reduce fat and cholesterol. Discuss goals with your primary care provider. Discuss what your hemoglobin A1C (long term blood sugar test) should be. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/6074aa78b7c28a262c3c9ef4/1625943265860/AtE_plate-method-vector_1787742770.jpg Healthy Eating - What should my plate look like? According to the American Diabetes Association, the Healthy Plate Method is an easy way to eat healthy. 1. Half of your plate should be non-starchy vegetables. Examples include broccoli, brussel sprouts, cabbage. cauliflower, cucumber, celery, eggplant carrots, tomatoes, leafy greens, zucchini, eggplant, okra, and salad greens. 2. One quarter of your plate should include a protein sources. Examples include lean beef, chicken, pork, fish, eggs, shellfish, turkey, beans, tofu, or cheese. 3. One quarter of your plate should include carbohydrates . Examples include whole grains, dairy products, starchy vegetables, beans, or fruits. 4. It is recommended to have a non-sugary drink with your meal such as water, diet soda, unsweetened tea, or coffee. https://www.jumpstartdiabetes.org/being-active daily 0.75 2021-07-10 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/6074b66514066a6423c271fa/1618261647212/nigel-cohen--IDRdFyJq1Y-unsplash.jpg Being Active - Exercise Once your primary provider says it’s safe, chose an activity that you like. Incorporate exercise into your daily living such as taking the stairs instead of the elevators or parking farther away. Types of exercise may include resistance training or aerobic activities. Find the best choice for you. The benefits can be very rewarding. Start out small if you need to. In very little time, you will be able to do more. The benefits of exercise include weight loss, improvement in blood sugars, and improve cardiac endurance. Many health systems provide exercise programs that may be covered on your insurance. It’s time to contact your health care provider and get moving. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/609bfa811ce6102a829d6ae4/1620835172007/anupam-mahapatra-Vz0RbclzG_w-unsplash.jpg Being Active - Exercise Tips Schedule time to exercise Set goals for your exercise plan Start slow Get help from your family Make sure you can manage low blood sugar episodes if they occur by keeping sugar with you Have your glucometer available Use an app of your phone to monitor your exercise progress Wear comfortable shoes Exercise safely according to your abilities https://www.jumpstartdiabetes.org/medications daily 0.75 2021-07-10 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/609c04181b72e56fcd658b84/1620837423017/olga-delawrence-b9CaYHNfmho-unsplash.jpg Medications https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/609c049b24c54f4fac62fca2/1620837561780/mykenzie-johnson-5Hib8uDTm6g-unsplash.jpg Medications https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/609c0d4db7cd263ede97af93/1620840256644/yehor-milohrodskyi-vyy5UAoIJ_k-unsplash.jpg Medications - Make it stand out Medication Tips: https://www.jumpstartdiabetes.org/monitoring daily 0.75 2021-07-20 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/609d2e3f40798b215da72d52/1620913823354/kate-GBVRyE4PRLk-unsplash%282%29.jpg Monitoring - Blood Glucose Monitoring You can check your sugar levels by your doctor ordering lab work. You can also monitor them with a home glucose monitor. There are many types of glucose monitors available. Most insurances pay for monitors. There are simple glucose monitors. These check your sugar when you need to. Continuous glucose monitors constantly check sugars. These are covered by most insurances if you use insulin. Otherwise, a simple glucose monitor is adequate. Your doctor may order home monitoring once a day or more often depending on your needs. Fasting blood glucose levels should run less than 125mg/dl. Fasting means you check your sugar after no food or drinks (except water) for 8 hours. Post prandial glucose (2 hours after eating a meal) should be less than 180mg/dl for diabetes control. You and your doctor should discuss your blood sugar numbers and set goals based on your needs. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/609d2f8d1ac4e5376d25bd31/1620914103276/hush-naidoo-Zp7ebyti3MU-unsplash%281%29.jpg Monitoring - Hemoglobin A1C Hemoglobin A1C will be ordered by your doctor to monitor your average blood glucose levels. This test is done by lab work and is ordered every 3-6 months. The A1C measures your average blood glucose levels over a 3-month period of time. A1C goals are determined by you and your doctor. Normal A1C levels should be between 6.5 to 7 percent. This may vary based on your needs. https://www.jumpstartdiabetes.org/reducing-risks daily 0.75 2021-07-21 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a10843923fb71ca3ec4fed/1621166274498/cdc-qIR77o5woJ8-unsplash.jpg Reducing Risks - Ways you can improve your health and prevent complications Keep regularly scheduled appointment with your health care team. Get your eyes checked yearly. A dilated eye exam can detect eye problems early. Monitor your skin for changes Wear appropriate foot wear See a podiatrist annually Keep your weight and blood pressure in check Obtain regular labwork to monitor diabetes control and kidney disease. Avoid high fat foods and monitor your cholesterol. Make sure your immunizations are up to date. It is important to be vaccinated against coronavirus, influenza and pneumonia. Keep regular dental exams. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a10b6f10bcf63b5c02a5ea/1621167911291/possessed-photography-iI6ASO8aACU-unsplash.jpg Reducing Risks - Smoking Smoking can lead to many complications of diabetes. Smokers with diabetes are more likely to suffer from poor blood flow to their legs. This can cause delayed healing, foot ulcers and amputations. Smokers also have and increased risk of heart disease and stroke. If you need help to quit smoking, please visit the link below. https://www.jumpstartdiabetes.org/new-page daily 0.75 2021-07-21 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a132eef44edf2f9fbe7b3e/1623869547410/markus-winkler-aYPtEknQmXE-unsplash.jpg Solving Problems - Problem Solving Managing diabetes problems when they arise can be puzzling. What do I do if my sugars are too high or too low? What do I do when I am sick? What do I do if my diet changes? https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a13914e1fc995b11208f04/1621179777790/mathilde-langevin-ymEgsqhdOXw-unsplash.jpg Solving Problems - Blood sugar highs and lows Low Blood Sugar Low blood sugar is dangerous. It is important to know the symptoms of low blood sugar (hypoglycemia). Low blood sugar can make you feel shaky, hungry, confused, and tired. It can also cause sweaty skin, dizziness, irritability, anxiety, and weakness. You may feel like your heart is beating fast. It is important to fix the problem as soon as you feel symptoms. Low blood sugar can occur when blood sugar levels fall below 70mg/dl. It is important to correct low blood sugar symptoms immediately. This can be done by eating sugary food or drinks. It can also be fixed by taking glucose tablets. It is recommended to take 15grams of simple carbohydrates with low blood sugar symptoms. This can be done by drinking 1/2 cup of fruit juice, 1 cup of sugary soda, eating 1 tablespoon of honey, or by taking 3-4 glucose tablets. Then it is suggested to follow up with a meal. Seek emergency care with severe symptoms of low blood sugar. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a140c87ee41519d11cca9d/1621180664949/dennis-klicker-J4HwEwZtIs8-unsplash.jpg Solving Problems - High Blood Sugar High blood sugars (hyperglycemia) can cause frequent thirst and frequent urination. It can also cause stomach pain, fatigue, confusion, nausea, vomiting and fruity odor to your breath. High blood sugar occurs when blood sugar exceeds 180mg/dl after a meal or 130mg/dl fasting. Most of the time high blood sugar causes few symptoms unless the levels are very high. It is important to call your medical provider or go to the emergency department with severe symptoms. https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a141796779721f5eabc58b/1621180967143/kelly-sikkema-U7WKYPKOyHg-unsplash.jpg Solving Problems - Sickness Illness can be difficult to manage with diabetes. There may be times that medications will need to be adjusted due to illness. Certain medications used to treat illness such as steroids can increase blood sugars. Infections may also increase blood sugars. Being unable to eat can cause low blood sugars. At times insulin or certain diabetes medications may need to be temporarily stopped during illness. It is important to discuss methods to manage illness and diabetes with your doctor. https://www.jumpstartdiabetes.org/our-vision daily 0.75 2021-07-30 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a1169c2da2b156702a60d9/1621169853645/hush-naidoo-yo01Z-9HQAw-unsplash%281%29.jpg Our Vision - Educators are innovators. This website was developed to inquire how health literacy effects patient’s ability to manage their diabetes. It is the goal of the developer to learn how information can be presented to facilitate learning in patients who have low health literacy. https://www.jumpstartdiabetes.org/our-team daily 0.75 2021-06-18 https://static1.squarespace.com/static/605bb61614855349a40bc3b9/t/60a11b8a893d22758a6bf39b/1621171099074/02-2012-BRMC-Judy-Flynn-tnail.jpg Our Team - Judy Hinchman-Flynn MSN, FNP-C Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://www.jumpstartdiabetes.org/donate daily 0.75 2021-05-16