PLUGGED INTO PREVENTION
November Issue 2016
American Association of Diabetes Educators
 

National Diabetes Month

November is National Diabetes Month. This is your time to expand the message of diabetes education and all its proven benefits!




Every year d
uring National Diabetes Month, we carve out a week (November 6-12th) to focus on the important work diabetes educators do. AADE was pleased to call attention to the important role diabetes educators play in helping people with diabetes manage their condition. Celebrate with resources that expand the message of diabetes education and highlight all you do for the diabetes community.

Thank you to all our members who shared their stories, contributions, tips and personal successes through social media during this specific week!

Medicare Diabetes Prevention Program Update- Webinar
Earlier this year, the Centers for Medicare & Medicaid Services (CMS) proposed changes to the Physician Fee Schedule to expand the Diabetes Prevention Program (DPP) effective January 1, 2018. Medicine concept  computer keyboard with word Medicare, selected focus on enter button background, 3d render

On November 2, CMS announced the first final rule that defines aspects of the expansion that will enable organizations to be prepared for enrollment into Medicare as Medicare Diabetes Prevention Program (MDPP) suppliers. Policies that were confirmed in the final rule included the definition of the MDPP benefit, beneficiary eligibility criteria, and supplier eligibility and enrollment criteria. In the next round of rulemaking, the following policies will be discussed, including: payment, virtual providers and other program integrity safeguards.

On November 30, 1:30-3:00 pm EST, CMS will host a webinar providing a high-level overview of the final rule. Registration for the webinar is currently open.
The webinar will cover the following:
  • Overview of MDPP policies finalized in the calendar year 2017 Medicare Physician Fee Schedule
  • What you need to know now to prepare your organization for enrollment in Medicare as an MDPP supplier
  • Question and answer session

Spotlight on AADE's Diabetes Preven tion Program Team 
Owensboro Health
Owensboro, KY
 
 
Take a drive down Owensboro's scenic Frederica Street any given weekday and you will likely see employees of Owensboro Health out walking circles around their Business Center.    This is just one example of how Owensboro Health employees have embraced the company's wellness opportunities.

This city's largest employer, Owensboro Health (OH), continued its proactive approach to wellness in 2016 by offering employees who met the criteria the chance to participate in the National Diabetes Prevention Program (National DPP) at no cost to them. The dividends these participants receive are endless.

In March of this year, OH offered its second cohort of the DPP. Eleven employees joined this class and eight of them are still actively participating in the monthly classes. Just this month, their registered dietitians visited the group to demonstrate healthy holiday cooking and to build on the post-core session which highlights food preparation and recipe modification. The crustless crockpot pumpkin pie was a huge hit as the group learned ways to cut fat and calories without losing flavor.  

The third cohort followed in June of this year at one of the OH organizations remote facilities at Muhlenberg Community Hospital. There were initially 14 people in this class. Ten are still involved and are working together through challenges, such as managing social events with food, adhering to new habits, learning to go easy on themselves and realizing that good health is a lifelong journey.

The employees of both cohorts report positive lifestyle and activity changes, such as walking every day (even when it's cold out), preparing healthier dishes for themselves and their families, planning meals in advance, thinking before eating, being conscious while eating, reading labels, practicing portion control, and logging food daily.

The result is personal success and meeting, or even exceeding goals. Participants report wearing clothes they could not wear in the past, feeling better and younger, having a new attitude, improving A1C levels, and of course, losing weight.

One participant lost a total of 29 pounds (14% body weight), saw her A1C drop, and perhaps most importantly, she developed a new lifestyle that she plans to continue as she prepares for retirement. A second participant experienced a significant loss in her family but was able to recommit to the program and to date has lost 7% of her body weight (17 pounds). One participant lost 61 pounds and attributes this to healthier eating and increased physical activity.

The OH Education and Wellness Center includes five health and wellness specialists, three registered dietitians and six diabetes educators. The department offers outpatient nutrition counseling, medical nutrition therapy, DSME/T through an ADA recognized program, employer biometric screenings, wellness programs, and a wealth of other community education services. The organization has 10 DPP Lifestyle coaches with a variety of work experience. This team includes dietitians, nurses, certified diabetes educators, health and wellness specialists and a Licensed Clinical Social Worker (LCSW) . Offering DPP to employee groups has prepared the coaches and they are now looking eagerly toward 2017, as DPP is offered to the public in the seven-county area OH serves.

The OH marketing department is currently developing DPP materials to hand out to the general public, take to local providers, and post on social media to identify and recruit more participants in the future. One Health @Work Department continues to encourage local employer groups such as Kentucky Employee Health Plan (KEHP to recognize the health and financial benefits the DPP program has to offer.

OH is extremely gracious for the grant monies, staff development, DPP resources and ongoing support provided by the AADE DPP.




Healthy Thanksgiving

The holiday season has finally begun and that means delicious Thanksgiving feasts are finally on our horizon! Thanksgiving is a holiday filled with tradition and indulgence. This often brings on overwhelming thoughts on how to stay healthy during such a festive time. To overcome those pressing thoughts, below are a few tips to help us enjoy the holiday without the guilt.

Prior to the day of the feast

Get out and exercise! There is a huge meal coming up and we need to create a calorie deficit, so we can moderately indulge in those yams with brown sugar and other decadent sweets. Start by increasing your minutes of physical activity a week or two before. It will even be helpful to work out or get active on Thanksgiving day. 

The day of the feast

Start by eating a healthy and nutritious breakfast on Thanksgiving day. Eating a light breakfast will help you control urges to want to eat more during your Thanksgiving dinner.

If you are hosting Thanksgiving day or even bringing a dish to share, try options such as using healthier fat, sugar and caloric ingredients for dishes. For example, use fat-free chicken broth to baste the turkey, use fruit puree instead of oil in baked goods and redu ce the amount of butter or use plain yogurt. 

During the meal, as Kathleen Zelman, MPH, RD, LD says, "Survey the buffet table and decide what you are going to choose" (2008). Pick the food gourds-corn.jpg options that are traditional holiday foods rather than increasing calories by eating foods that you typically eat throughout the year. Remember to focus on portion sizes and eating slowly, which can he
lp you feel fuller faster and reduce the temptation for seconds. Don't forget about those dinner drinks as well. Your alcoholic and non-alcoholic beverages are empty calories, so be mindful when you are choosing what to drink.

Finally, get out and move before and/or after the meal. It doesn't have to be strenuous or high-intensity. For example, have the whole family take a walk after the meal, instead of letting the turkey put you to sleep.

Holiday Resolutions

Instead of making weight loss a goal during the holidays, try to maintain your current weight. Maintaining weight is just as hard as losing weight, so don't feel you are settling; you are actually teaching your body to be healthy. This is a very healthy and realistic goal, making the holidays that much more enjoyable!


Selman, K. M., MPH, RD, LD. (2008, November 17). 10 Tips for a Thinner Thanksgiving Enjoy the holiday feast without the guilt -- or the weight gain. Retrieved November 7, 2016, from 10 Tips for a Thinner Thanksgiving Enjoy the holiday feast without the guilt -- or the weight gain. 

How to Get the Most Out when Engaging in Physical Activity 

Have you been reaching your physical activity goal
s, but not seeing results?  This can be a normal problem for most,  which can often discourage individuals from being
consistent in their efforts. To overcome this barrier, Andrea Metcalf, a Health Coach from the American Council on Exercise, has commented on a few reasons w hy you may not be seeing results, even if you are regularly active.

1.       Always remember you have an option to get a second opinion from a professional, such as a personal 
trainer. Sometimes getting an outside opinion will help revamp your workout and they can also provide education on proper workout techniques.

2.       To the Cardio Kings and Queens, remember to switc h it up. Cardio is a great source of exercise but it shouldn't be the only form of exercise you are doing. Adding strength training also helps with preventing muscle loss, weight gain and keeps your bones healthy.

3.       High- Intensity Interval Training or HIIT/Burst  Training are good alternatives to getting the most out of your work out. This type of training brings your body through intervals of high intensity and then back down to a recovery period or an exercise that is low intensity. Alternating intensity levels allows the body to reach new fitness levels and potentially lose more weig ht. HIIT workouts can also be adjusted to all physical activity levels.

4.       Prior to your work out, don't forget to recharge your body with energy by eating healthy snacks. If you prepare your body before the workout, you will be able to endure a higher physical activity level because your muscles have been refueled and can withstand more.

5.       With proper eating comes proper re-hydrating. Drink enough water throughout the day, during and after your workout.

6.       Don't forget to sleep. We need to rest our bodies. If we don't allow this to happen, our bodies will struggle to recover because our internal regulating system will not properly function, making it difficult to build muscle or manage weight.



Recipe  
Roasted Turkey with Rosemary and Sage
Yield   11 servings | Serving Size 2-3 slices (3 ounces)

 
Don't limit turkey to just holidays. Make every day a special occasion with this savory dish!


Canola oil cooking spray
2 tablespoons canola oil
whole_family_at_dinner.jpg
1 ½ teaspoons chopped fresh rosemary leaves
½ teaspoon dried sage, crumbled
¼ cup finely chopped fresh parsley leaves
2 medium cloves garlic, minced
2 tablespoons fresh lemon juice
½ teaspoon coarsely ground black pepper
½ teaspoon salt
5 lbs turkey breast (bone-in), thawed, rinsed, and patted dry
Paprika


1.       Preheat oven to 350° F. Place a roasting rack in a pan, and spray with cooking spray.

2.       Combine all ingredients, except turkey and paprika, in a small bowl. Separate skin from turkey meat by gently sliding fingers between, being careful not to tear the skin if possible. Stuff parsley mixture under skin, pull skin over mixture, and sprinkle lightly with paprika over all. Place on the rack, breast side up, and roast for 1 hour 45 minutes or until a meat thermometer inserted into thickest part of breast reads 165° F. Let stand 15 minutes. Carefully remove skin and discard it, leaving parsley mixture on turkey. Thinly slice turkey and serve. 

Flavorful tip: Adding the canola oil under the skin helps bring out the flavors of the fresh herbs and lemon zest while keeping the turkey moist. So keep the skin on for cooking, but don't forget to discard it before serving. 

Calories
145
Cholesterol
75 mg
Exchanges
 Per Serving
Total Fat
3.0 g
Sodium
155 mg
3 lean meat
Calories from fat
25 
Total carbohydrate
1 g

Saturated fat
0.4 g
Dietary fiber
0 g

Trans fat
0.0 g
Sugars
0 g



Protein
27


 
"The Heart-Smart Diabetes Kitchen: Fresh, Fast and Flavorful Recipes Made with Canola Oil" from the American Diabetes Association and CanolaInfo.org. 
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What would you like to learn about? Send your comments or suggestions to nblum@aadenet.org

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.



     
Annual Reimbursement Update for 2017- Live Webinar
This is AADE's annual update on reimbursement issues and changes for 2017 for diabetes educators. It will include an overview of Medicare's decision to ensure the National Diabetes Prevention Program (National DPP) will be a reimbursable benefit as of January 2018.
Date: December 14, 2016
Time: 1:00-2:30 p.m. Eastern Time



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 nblum@aadenet.org

 

 

 

 

 

 

 



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

dpp@aadenet.org