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1 PREVENTING DIABETES: A F AMILY AFFAIR NOVEMBER 14, 2019
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PREVENTING
DIABETES: A FAMILY AFFAIR
NOVEMBER 14, 2019
Welcome!
ModeratorCatherine Yeadon, MPA
Assistant Director
WorkWell NYC
PresenterMarie Frazzitta, DNP, FNP-c, CDE
Assistant VP of Medical Management
EmblemHealth
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WorkWell NYC
WorkWell NYC seeks to create workplaces that help our
employees live healthy, active lifestyles, and to provide
health and well-being services, programs, and resources at
the worksite and beyond.
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Today is…
Placeholder – presenter slides
Do You Know Your Risk?
Take the Prediabetes Risk Test to
assess your risk for developing
diabetes:
cdc.gov/prediabetes/takethetest
EmblemHealthPreventing and Caring for Diabetes
Marie Frazzitta DNP, FNP-c, CDE
ABOUT DIABETES:
• 1 in 10 adult New Yorkers has
diabetes.
• 1 in 3 adults has prediabetes.
• Nearly 90% of adults living with
prediabetes don’t know they have it.
• Many adults will go 5-10 years
before being diagnosed
• Type 2 diabetes is on the rise in
children
HT T P S : / /W W W 1.NYC.GOV /S IT E / O LR /W E LLNE S S /W E LLNE S S -D IA B E T E S .P A GE 7
WHAT ARE THE DIFFERENT TYPES OF DIABETES?
• Type 1 Diabetes (formerly Juvenile Diabetes)
– Body does not make any insulin
• Type 2 Diabetes (formerly Adult Onset Diabetes)
– Disease in which the body either does not
make enough insulin or does not use
insulin properly
• Gestational
– The body does not use insulin properly
during pregnancy
• Pre-Diabetes
– Blood sugars are high but not high enough
to have diabetes
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HOW A BODY WITHOUT DIABETES WORKS
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Blood Sugar returns to
normal
Body makes insulin - a
hormone that puts the sugar
in the cells
Food breaks down to
glucose or “Sugar”-
Energy for your cells
Person eats
WHAT HAPPENS WHEN YOU HAVE DIABETES
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Blood sugars go high
Body can’t make any or
enough insulin or use
it the right way
Food breaks down to Glucose
Person eats
There are no symptoms to prediabetes
1. Fact
2. Myth
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SIGNS AND SYMPTOMS
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• Feeling very thirsty
• Urinating more often
• Feeling very hungry
• Weight loss/gain
• Feeling tired
• Bad moods
• Blurred vision
• Slow-healing sores
• Frequent infections
• Dry skin
COMPLICATIONS
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High blood pressure
Heart disease
Stroke
Vision issues and blindness
Nerve damage
Kidney disease
IF A PERSON WITH DIABETES FEELS OK, HE OR SHE IS OK
1. Myth
2. Fact
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KNOW YOUR RISK
WHO IS AT RISK?
• Weight
• Activity Level
• High blood pressure
• High cholesterol and triglycerides
• Family history
• Race
• Age
• Gestational diabetes – diabetes while
pregnant
• Smoking
HT T P S : / /W W W .MA YOCLIN IC . OR G /D IS E A S E S -C O ND IT IO NS /D IA B E T E S /S Y M P T O M S -
CA US E S /S YC -20371 4 44
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KNOW YOUR FAMILY HISTORY
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November 28th is Family Health History Day – take advantage of the
upcoming Thanksgiving holiday to find out more about your family’s
health!
3 important questions to ask:
1. Does anyone in the family have type 2 diabetes?
2. Has anyone in the family been told they might get diabetes?
3. Did your mother get diabetes when she was pregnant?
WHICH RISK FACTOR FOR DIABETES CAN YOU DO
SOMETHING ABOUT?
1. Age
2. Race
3. Not being active
4. History of Gestational Diabetes
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HOW DO I GET TESTED FOR DIABETES?
• See your doctor for blood tests
– Fasting Plasma Glucose
• 126 mg/dL or higher– A1C
• 3 month average
• Normal 5.6% or less
• Prediabetes 5.7-6.4%
• Diabetes 6.5%
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A1C
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WHY IS IT IMPORTANT TO CONTROL AND OR PREVENT
DIABETES?
Uncontrolled Diabetes can cause
• Blindness (retinopathy)
• Kidney Disease (nephropathy)
• Nerve Disease (neuropathy)
• Heart Disease
• Skin Conditions
• Alzheimer
People with HbA1c levels at target range
reduce the risk of
• Eye Disease by 76%
• Kidney Disease by 50%
• Nerve Disease 60%
• Diabetes related deaths by 21%
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* Talk to your doctor about the best target range for you
LOWERING A1C BY 1% HAS GREAT BENEFITS
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How Families Can Prevent and Manage Diabetes, Together
Diabetes- It’s a
family Affair
• 40% of children are over weight
• On average, children aged eight to 11 spent 3.6
hours a day in front of a screen, nearly double the
suggested limit of 2 hours
• Parents that are more active and eat healthier
tend to have children that live healthier life styles
PORTION DISTORTION
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HEALTHY PLATE
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BE A CARBOHYDRATE DETECTIVE- READING FOOD LABELS
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HANDY GUIDE TO PORTION SIZES
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STRATEGIES FOR REDUCING PORTION SIZES
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• Use smaller bowls and plates
• Use measuring cups to pre-measure servings of
grains/starches
• Add non-starchy vegetables to feel full
• Drink plenty of water
What other strategies can we think of to help reduce our portion
sizes?
SOME STRATEGIES TO REDUCE THE CALORIES OF OUR
FAVORITE FOODS
• Cauliflower rice
• Add large salad
• Swap refried beans for black
beans or kidney beans
• Mix in tomatoes, peppers, or
any colorful vegetables
• Zucchini and cauliflower can
replace pasta, potatoes or
rice
• Use less oil
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HOW TO GET KIDS TO EAT HEALTHIER
• Get them involved in the
shopping and cooking
• Make plates colorful
• Disguise healthier foods like
vegetables to soups and
stews
• Have healthier snacks around
• Focus on overall diet rather
than a specific food
• Never use food as a reward
or bribe
• Be a role model
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TREATING DIABETES
TREATMENT VARIETY
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GOAL SETTING
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EXAMPLE OF A SMART GOAL
• I will walk 20 minutes Monday, Wednesday and Friday during my lunch
break.
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TAKE HOME TIPS
• Follow a healthy diet and eat
regularly
• Stay active!
• Follow up regularly with your
provider
• Take medication if it’s prescribed
to you
• Check your blood sugar regularly
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THE NEIGHBORHOOD CARE DIFFERENCE
Neighborhood Care sites are community spaces across NYC offering health and
wellness services and in-person support to EmblemHealth members, ACPNY patients
and the community at large at no cost
Neighborhood Care meets people where they are in their individual health and
wellness journeys through the services and support we offer.
• Onsite health and wellness classes and programming
• Social Work navigation
• Connections to community partners
• Coordination with EmblemHealth internal programs, ACPNY and other providers
• Sales staff co-located in most sites
• Face-to-face EmblemHealth Customer Service
.
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WHERE WE ARE LOCATED
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8 co-located with AdvantageCare Physicians
• Cambria Heights, Southeast Queens
• Harlem (west), Upper Manhattan
• Duane Street, Lower Manhattan
• Flushing, Northeast Queens (‘19 expansion)
• Crown Heights, Central Brooklyn
• Brooklyn Heights, Northwest Brooklyn (‘19
expansion)
• East New York, Eastern Brooklyn
• Staten Island (Richmond Avenue at the Mall)
2 stand-alone sites
• Chinatown, Lower Manhattan
• Bensonhurst, Southwest Brooklyn
2 Planned Openings in Dec/Jan (Final dates TBA)
• Staten Island (Clove Road, Annadale in
ACPNY co-located offices)
Resources for City Employees
• Stay on top of your health – and your family’s health – with regular visits to your primary care provider
• Your primary care provider is your partner in wellness – they can track your health history and help detect health issues early
• Need to find a new primary care provider?• Ask family or friends for a recommendation
• Call the phone number on the back of your health insurance card
• Visit nyc.gov/hbp to learn how to find a doctor in your network
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Visit Your Primary Care Provider Regularly
WW (formerly known as Weight Watchers)
• City employees have access to a subsidy that reduces the cost of WW membership by more than 50%
• Dependents, spouses, and retirees are also eligible for discounted pricing
• At-work meetings at 60+ worksites
• To enroll: nyc.gov/ww
Digital + Workshops
(formerly meetings)
Digital
(formerly OnlinePlus)
Employee Cost: $15.00/mo.*
Spouse/Dependent/Retiree Cost: $30.00/mo.**
Employee Cost: $7.00/mo.*
Spouse/Dependent/Retiree Cost: $14.00/mo.**
ESCAPE – Quit Smoking Support
• ESCAPE offers FREE quit-smoking support forCity employees and their families, including:
• Medications
• Confidential counseling in-person or by phone
• To enroll: nyc.gov/escape | 347-396-4403
Diabetes Prevention Program
• A yearlong group-based program that empowersparticipants to improve their diet, increasephysical activity, and manage stress to loseweight and reduce their risk for diabetes
• To learn more, email [email protected]
Don’t let the flu catch you!
Free flu shot clinics are available from through November 27th!
#3:
AT AN IN-NETWORK
MEDICAL OFFICE
#1:
AT THE WORKPLACE#2:
AT THE PHARMACY
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survey emailed to you
following today’s
presentation.
nyc.gov/workwellnyc | [email protected]
