Diabetes Management

• Advanced Insulin Management: Teaches you to safely make changes in insulin doses, using protocols established by our endocrinologists. You will work closely with diabetes educators to improve your diabetes control.
• Gestational Diabetes Management Education: Provides education to maintain blood glucose control during pregnancy. Most women with well-controlled blood sugar deliver healthy babies without any complications.
• Insulin Injections: How to use insulin tools, such as insulin pens.
• Insulin Pump Management: Teaches skills necessary for insulin pump use, technical training on the pump, outpatient pump starts, recommended dosage rates, and making minor changes in insulin doses.
• Medical Nutrition Therapy: Involves a consultation with a Registered Dietitian; topics may include carbohydrate counting, understanding nutrition labels, meal planning, nutritional management of weight, lipids, high blood pressure, and celiac disease.
• Pre-conception and Pregnancy Management: Designed for women with diabetes who are planning to have children.
• Continuous Glucose Monitoring System: This test is for those with uncontrolled blood sugar levels. A monitor collects data on blood sugar levels every few minutes and the process requires wearing the monitor for at least three days.

• Work with a trained coach to make realistic, lasting lifestyle changes.
• Discover how to eat healthy and add more physical activity.
• Learn skills to manage stress, stay motivated, and solve problems that can slow progress.
• Be supported by people with similar goals and challenges.

• • Have Medicare Part B
  • Have prediabetes with at least 1 abnormal glucose value in the past year:

• A1c 5.7-6.4%

• Fasting Plasma 110-125 mg/dL

• Two-hour Oral Glucose Tolerance Test of 140-199 mg/dL

• Have a Body Mass Index of 25 or more (23 or more if Asian).
• Do not have a past diagnosis of type 1 diabetes or type 2 diabetes. (A history of gestational diabetes is ok.)
• Do not have end-stage kidney disease, i.e., you are not on long-term dialysis.
• Have not gone thru a Medicare Diabetes Prevention Program before.

Cost:

• 100% covered by Medicare Part B

How to Join:

• You may ask your primary care provider to refer you to the MDPP.
• You may self-refer by calling 605-755-3495.
• Labs showing you have prediabetes will be needed prior to the first session.

When:

• Call Diabetes Education 605-755-3495 for the next available start date.

Notes:

• Limited in-person spots available up to 12 people.
• Virtual option available.
• Minimum of 7 registered to hold class.
• You must be able to attend the first session to join.
• The MDPP is a once per lifetime benefit under Medicare Part B.

• You desire weight loss (A BMI of 25 or more is required to participate; check your BMI at www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm)

You have:

• • Insulin resistance
  • Prediabetes/glucose intolerance
  • Metabolic syndrome
  • Fatty liver
  • Waist measurement:

• Over 35 inches for women

• Over 40 inches for men

• Problems with cholesterol, LDL, HDL, triglycerides
• High blood pressure

Program Details:

• Cost: $79.00