1. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Dedicated to Addressing Diabetes In Skilled Nursing Facilities © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045

2. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Today’s Presentation Update on the impact of diabetes on residents How to enhance diabetes management Introduce healthFORWARD in terms of its focus, objectives, resources, and benefit for you Getting started with healthFORWARD 2

3. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. The Impact of Diabetes More than 1 out of every 5 people aged 60 and older has type 2 diabetes. 1 Diabetes is solely responsible for over half of nursing home admissions among adults with diabetes 45 to 74 years old. 1 Residents with diabetes in long-term care are likely to need to stay longer than 90 days and have additional comorbidities such as cardiovascular issues, depression, and pain. 1 3 1.American Medical Directors Association. Diabetes Management in the Long-Term Care Setting Clinical Practice Guideline. Columbia, MD: AMDA 2008, revised 2010

4. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Enhancing Diabetes Management AMDA recommends a systematic approach that addresses the entire interdisciplinary team: – Medical director– Nursing staff– Dietitians – Director of nursing– Nursing assistants – Consultant pharmacist – Physicians– Therapists Includes an interdisciplinary care model 1 Involves patients, families, and caregivers in diabetes awareness and self-management 1 Reviews glycemic control on an ongoing basis and intervenes when necessary 1 Individualizes long-term care diabetes therapy by accounting for factors such as mental and physical abilities, disease severity, and coexisting conditions 1 1.American Medical Directors Association. Diabetes Management in the Long-Term Care Setting Clinical Practice Guideline. Columbia, MD: AMDA 2008, revised 2010. 4

5. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Introducing healthFORWARD Diabetes Addressing needs Raising awareness Encouraging involvement Engaging residents Offering innovative resources 5

6. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. healthFORWARD Implementation Components Overview Program Overview –Resource Index Facilitator Handbook –In-Service Program –Special Event Quality-Improvement Forms 6 Facilitator Guide

7. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Staff In-Service Program Staff In-Service Program includes: –Facilitator’s Handbook –Slide Presentation with Assessment Quiz –Certificate 7

8. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Provider Resources Announcement Letter Template Provider Information Fact Sheets Connections in Care Fact Sheets Blood Glucose Monitoring Equipment Diabetes and Associated Complications Articles Looking After Your Residents Poster When to Contact a Physician Tip Sheet Discharge Instructions 8

9. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Taking Care of Your Diabetes Special Event Taking Care of Your Diabetes Special Family Event –Facilitator’s Guide –Banner –Slide Presentation –Invitation/Poster Template –Certificates –Evaluation Form 9

10. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Patient Resources Blood Sugar Diary Nutrition Know-How Be Active For a Healthier You Living a Healthier Life Self-Management Instructions So You Need to Take Insulin 10

11. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Getting Started Familiarize yourself with the program resources. Confer with your physicians and nursing managers to select the appropriate resources to incorporate into your current program. Update your current policies and procedures. Distribute template letters to announce the initiative. Schedule an in-service program for staff. Schedule a family event for residents, families, and caregivers. Plan to audit and review changes to program. 11

12. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. healthFORWARD Benefits Improve awareness and recognition of diabetes among your staff and residents. Engage staff and residents in day-to-day management of diabetes. Motivate residents to adhere to appropriate treatment regimens. Help reduce medical costs for appropriate patients in your facility. Increase cooperation between staff and residents. Enhance your ongoing quality-management process. 12

13. © 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind. Thank you! 13