1. Nutrition Education for Type 1 Diabetes NTR 302 Jennifer Morgan

2. Overview Defining and understanding type 1 diabetes Importance to nutrition and health educators Diabetes education programs Strengths and weaknesses

3. Understanding Type 1 Diabetes Insulin-Dependent, Juvenile-Onset Diabetes Often begins in late childhood (8-12 years) Genetic Link Most cases begin as an autoimmune disorder that destroys the insulin producing cells in the pancreas ▫Body does not produce insulin. ▫Decreased release of insulin -> Increased blood glucose

4. Treatment and Dietary Therapy Type 1 Diabetes is treated by insulin therapy, either with injections or with an insulin pump Dietary therapy includes 3 regular meals and 1 or more snacks Include fiber, low in saturated fats and cholesterol, and meet nutritional requirements

5. Importance to Nutrition Educators Medical nutrition therapy Understanding carbohydrate counting ▫A useful tool for balancing carbohydrate intake and improving blood glucose control while eating a wide selection of foods

6. Diabetes Education Programs American Diabetes Association JDRF North Carolina Diabetes Prevention and Control Branch Children’s National Medical Center Diabetes Program Endocrinologists

7. Funds research to prevent, cure, and manage diabetes Deliver services to hundreds of communities Provides objective and creditable information Advocacy Food and Fitness Counseling Much More

8. Juvenile Diabetes Research Foundation Type 1 diabetes research Connects families, provides family support More than 80% of JDRF’s expenditures directly support research and research related education

11. Strengths Weaknesses Multiple programs available at the national, regional, and community level Internet resources allow easy navigation, availability, convenience 50/50 Pharmacies Insurance coverage

12. References Berning J, Beshgetoor D, Byrd-Bredbenner C, Moe G. Wardlaw’s Perspectives in Nutrition. 9 th ed. New York, NY: McGraw Hill; 2010. American Diabetes Association. About Us. Available at: http:// www.diabetes.org/about-us/?loc=rednav. Accessibility verified March 21, 2013. www.diabetes.org/about-us/?loc=rednav JDRF. About JDRF. Available at: http://jdrf.org/about-jdrf/ Accessibility verified March 21, 2013.http://jdrf.org/about-jdrf/ NC Diabetes Prevention and Control Branch. Available at: http://www.ncdiabetes.org/programs/ index.aspx Accessibility verified March 21, 2013.http://www.ncdiabetes.org/programs/ Children’s National Medical Center. Diabetes Program (Childhood and Adolescent). Available at: https://www.childrensnational.org/DepartmentsandPrograms/default.aspx? Id=6066&Type=Program&Name=Diabetes%20Program%20(Childhood%20and %20Adolescent). Accessibility verified March 26, 2013. https://www.childrensnational.org/DepartmentsandPrograms/default.aspx National Conference of State Legislature. Providing diabetes health coverage: state laws and programs. Available at: http://www.ncsl.org/issues-research/health/diabetes-health-coverage-state-laws-and- programs.aspx Accessibility verified March 26, 2013. http://www.ncsl.org/issues-research/health/diabetes-health-coverage-state-laws-and- programs.aspx