1. Diabetes Free Zone ™ Diabetes Wellness Can Help Prevent a $35,000 Amputation or a $100,000 Heart Attack. That’s Wellness that Makes Financial Sense.

2. The Prevalence of Diabetes in the U.S. In the next 20 minutes... 60 Americans will be diagnosed with diabetes. 60 Americans will be diagnosed with diabetes. 9 Americans will die as a result of diabetes. 9 Americans will die as a result of diabetes. 3 Americans will have their limbs amputated due to complications of diabetes. 3 Americans will have their limbs amputated due to complications of diabetes. 2 Americans will experience kidney failure due to diabetes. 2 Americans will experience kidney failure due to diabetes. 1 American will go blind due to diabetes. 1 American will go blind due to diabetes.

3. The Prevalence of Diabetes in the U.S. Number with Diagnosed Diabetes (in Millions) The number of individuals diagnosed with diabetes has more than doubled since 1990 and will do so again by 2025. There are currently 33 million diabetics and 79 million pre-diabetics.

4. High Blood Sugar: More Dangerous Than You Think According to the American Diabetes Association diabetes causes heart attacks, strokes, blindness, kidney failure, non- traumatic amputations and neuropathy. According to the American Diabetes Association diabetes causes heart attacks, strokes, blindness, kidney failure, non- traumatic amputations and neuropathy. An Individual with diabetes loses, on average, 5-10 years of their life. An Individual with diabetes loses, on average, 5-10 years of their life. The damage to a body caused by high blood sugar begins up to 10 years before diabetes is diagnosed. The damage to a body caused by high blood sugar begins up to 10 years before diabetes is diagnosed.

5. The Cost of Diabetes to U.S. Corporations Annual Medical expenditures are $13,243 for people with diabetes compared to $2,560 for people without diabetes.

6. The Cost of Diabetes to U.S. Corporations Rise in Drug Costs Individuals with diabetes take from three to nine medications per day. Individuals with diabetes take from three to nine medications per day. The mean price of a diabetes drug prescription has increased from $56 in 2001 to $76 in 2007. The mean price of a diabetes drug prescription has increased from $56 in 2001 to $76 in 2007.

7. The Cost of Diabetes to U.S. Corporations Rise in Hospital Costs Diabetes accounts for 20 percent of all hospitalizations. Diabetes accounts for 20 percent of all hospitalizations. Compared with non-diabetes stays, hospitalizations for diabetes were, on average, $16,300 more expensive ($48,719 per stay versus $32,419 per stay). Compared with non-diabetes stays, hospitalizations for diabetes were, on average, $16,300 more expensive ($48,719 per stay versus $32,419 per stay). Nearly one-third of diabetes patients require at least two hospitalizations annually. Nearly one-third of diabetes patients require at least two hospitalizations annually.

8. The Effect of Lifestyle Modification on Diabetes Cumulative Incidence of Diabetes (%) The Diabetes Prevention Study. Participants reduced their risk of developing diabetes by 58 percent, compared to 31 percent for people on metformin.

9. The Effect of Lifestyle Modification on Diabetes The Asheville Project. The city of Asheville launched program is designed to reduce the impact of diabetes on the health of city employees. 1)Average annual medical expenses dropped by 40 percent. 2)The average number of sick days taken dropped 50 percent. 3)Catastrophic events and hospitalizations were reduced by 50 percent.

10. Return on Investment Using Lifestyle Modification The following figures are for a population of 1,000 individuals. The national average for individuals 20 years or older with diabetes is 11.3 percent. This would result in 113 individuals with diabetes. The results from the Asheville Project have been applied to determine projected ROI. Item Savings estimate Reduction in sick days 50% Reduction of catastrophic health events 50% Per-person, per-year savings of reduced medical costs $5,297 Reduction in yearly medical costs $598,561 Reduction of the Effect of Diabetes. The annual per-person cost of treating diabetes is $13,243. With no action, the 113 individuals with diabetes will have a total healthcare cost of $1,456,730. Studies have found that lifestyle intervention can lead to a 40 percent reduction of medical expenses, a 50 percent reduction in sick days and a 50 percent reduction in catastrophic health events and related ER visits.

11. Return on Investment Using Lifestyle Modification Item Savings estimate New diabetes cases per year 7 Reduction in incidence from lifestyle modification 58% Per-person, per-year savings of averted diabetes $10,683 Reduction in yearly medical costs $43,373 Reduction of the Incident Rate of Diabetes. With no action, seven new individuals from this group will be diagnosed with diabetes each year. Studies have found that lifestyle intervention can lead to a 58 percent reduction in incidence of diabetes. The annual cost of treating diabetes is $13,243 compared to $2,560 for individuals without diabetes: a difference of $10,683. The following figures are for a population of 1,000 individuals. The national average for individuals 20 years or older with pre-diabetes is 30 percent. This would result in 300 individuals with pre-diabetes. The results from the Diabetes Prevention Study have been applied to determine projected ROI.

12. Diabetes Free Zone System Physician created, 16 week wellness system specifically designed to help those with diabetes and pre-diabetes to reverse high blood sugar and regain their health. Diabetes Free Zone Goals: Reduce Hemoglobin A1c to 5.6 or lower Reduce Hemoglobin A1c to 5.6 or lower Reduce or eliminate the need for diabetic medications Reduce or eliminate the need for diabetic medications Reduce BMI/Weight Reduce BMI/Weight Establish sustainable healthy habits Establish sustainable healthy habits

13. The Power of Health Modified Mediterranean diet Modified Mediterranean diet Fruits and vegetables Fruits and vegetables Protein Protein Fiber Fiber Low in fast acting carbs Low in fast acting carbs Exercise - 150 minutes per week Exercise - 150 minutes per week Stress management techniques Stress management techniques

14. The Power of Structure Power Hour: Maps out the meals and exercise for the next week. Evening Reflection: A short inspirational review each evening to reflect on the day’s successes and to gain encouragement and reset for tomorrow.

15. The Power of Support Weekly Group Meetings Builds accountability Builds accountability Provides support and encouragement Provides support and encouragement Provides additional reference materials and tools Provides additional reference materials and tools Conducted by trained wellness professionals Conducted by trained wellness professionals

16. List of Weekly Topics 1.Portion Control Made Easy 2.Understanding Good Carbs/Bad Carbs 3.Healthy Eating Begins at the Supermarket 4.Reducing High Blood Sugar with Exercise 5.Mediterranean Diet Basics 6.Reducing Stressful Eating 7.10 Critical Factors for Lasting Health 8.Eating Well When Eating Out 9.Managing Healthy Changes & Relationships 10.How to Deal With Cravings 11.Healthy Snack Strategies 12.Healthy Kitchen Strategies 13.Strength Training to Slow Aging 14.How to Adopt Healthy Habits That Last 15.Preparing a Healthy Kitchen 16.Picking Healthy Foods

17. A Results Driven Solution This synergy of healthy actions, structure and support helps establish new habits that allow your employees to achieve lasting results in decreasing their BMI, reducing their diabetic medications and improving their overall wellness.

18. A Complete Diabetes Wellness System Everything needed to provide a results driven diabetes wellness program: 153 page manual 153 page manual 16 four-page handouts for each participating employee. 16 four-page handouts for each participating employee. 16 weekly group meetings led by a trained wellness professional. 16 weekly group meetings led by a trained wellness professional. A resource filled website with over 350 pages of articles and recipes. A resource filled website with over 350 pages of articles and recipes.

19. Wellness That Makes Financial Sense Focused on your highest-risk employees. Focused on your highest-risk employees. Helps reduce the higher monthly maintenance costs of healthcare associated with employees with high blood sugar. Helps reduce the higher monthly maintenance costs of healthcare associated with employees with high blood sugar. Helps reduce the catastrophic health events of high-risk employees. Helps reduce the catastrophic health events of high-risk employees. Helps reduce absenteeism associated with diabetic employees. Helps reduce absenteeism associated with diabetic employees. One low cost per employee. One low cost per employee.

20. Declare Victory Over Diabetes! More than any other medical condition high blood sugar is hurting your company’s bottom line. More than any other medical condition high blood sugar is hurting your company’s bottom line. More than any other medical condition high blood sugar can be reversed or averted by lifestyle modification. More than any other medical condition high blood sugar can be reversed or averted by lifestyle modification. Contact us today and let’s work together to help reduce the cost of diabetes in your company! Contact us today and let’s work together to help reduce the cost of diabetes in your company!