1. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Moving for Health: Diabetes Get Moving Kentucky! Moving for Health Lesson Series

2. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Objectives At the end of this lesson you will be able to answer the following questions: What is diabetes? What is pre-diabetes? How do I know if I am at risk for diabetes? How does physical activity affect diabetes? What can I do to reduce my risk of diabetes?

3. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. What Is Diabetes? A disease that occurs when your body cannot produce, or properly use insulin Commonly referred to as “sugar”

4. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. What Is Insulin? A hormone produced by the pancreas that converts sugar, starches, and other foods into energy When the body cannot produce, or use insulin, too much sugar stays in the blood Many problems can arise, such as: Damage to the heart, kidneys, and eyes Damage to the nerves in the hands and feet

5. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Diabetes Diabetes is a common, serious, and costly disease. The good news is most cases of diabetes can be prevented or delayed.

6. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Types of Diabetes Type 1 diabetes –Body does not produce any insulin –Occurs primarily in children and young adults –Accounts for 5-10 percent of all diabetes cases –Persons must take daily insulin injections to stay alive

7. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Types of Diabetes Type 2 diabetes –Body is unable to make enough insulin, or properly use insulin –Most common, accounts for 90-95 percent of all cases –Most cases can be prevented, or delayed with lifestyle changes

8. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Types of Diabetes Gestational diabetes –Detected in some pregnant women during the 24 th to 28 th week of pregnancy –Some cases require insulin injections, others can be controlled by lifestyle changes –5-10 percent are diagnosed with type 2 after pregnancy –20-50 percent develop type 2 within 5-10 years

9. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. What is Pre-diabetes? Blood sugar levels are above normal, but not high enough to be diagnosed as diabetes Many pre-diabetics also have a condition called metabolic syndrome –Characteristics include: Overweight or obese Adipose (fat) tissue collection around the waist High cholesterol Bodies do not use insulin properly

10. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Pre-diabetes Facts Most with pre-diabetes will develop type 2 diabetes within 10 years About 16 million people in the U.S. ages 40 to 74 have pre-diabetes

11. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Prevention Steps can be taken to prevent pre-diabetes from turning into diabetes Increase physical activity Lose weight Manage diet

12. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Diagnosis Pre-diabetes and diabetes can be detected by a simple test performed in a doctor’s office which measures blood sugar levels. If you have pre-diabetes, consult a medical professional about what to do to prevent diabetes. If you have diabetes, consult a medical professional about how to manage the disease.

13. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Diabetes in Kentucky 5 th leading cause of death About 1 in every 10 Kentuckians has diabetes –One third do not know they have it 1 in every 2 adult Kentuckians is at increased risk for developing diabetes Ranked 1 st in the nation for percent of adults who report no physical activity Ranked 4 th in the nation for percent of overweight adults based on reported height and weight

14. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. How Do I Know If I Am At Risk? There are modifiable and non-modifiable risk factors –Modifiable risk factors Those that may be changed through lifestyle and behaviors –Non-modifiable risk factors Those that cannot be changed

15. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Modifiable Risk Factors Weight Low HDL cholesterol, high LDL cholesterol and high triglycerides High blood pressure

16. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Non-modifiable Risk Factors Increasing age Family history Gestational diabetes, or giving birth to a baby weighing 9 pounds or more Belonging to a racial minority group

17. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Symptoms of Type 2 Diabetes –Fatigue or nausea –Frequent urination –Unusual thirst –Unexplained weight loss –Blurred vision –Frequent infection –Slow wound healing –Dry skin –Or no symptoms at all

18. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. How Does Physical Activity Affect Diabetes? Your risk of diabetes can be cut in half by: –Moderate physical activity 30 minutes a day Activities such as walking, gardening, swimming, and bicycling are good examples –If you are overweight, a loss of 5 to 10 percent of your body weight For example, a person weighing 200 pounds can decrease their risk by losing 10 to 20 pounds

19. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. What Can I Do About Diabetes? Maintain a healthy weight, or stop gaining weight Engage in regular physical activity Eat a healthy and balanced diet

20. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. Summary Diabetes is a disease that occurs when your body cannot produce, or properly use insulin There are 3 types: Type 1, Type 2, and Gestational Pre-diabetes is defined as blood sugar levels above normal, but not high enough to be diagnosed as diabetes Diabetes is a prevalent disease in Kentucky There are both modifiable and non-modifiable risk factors for diabetes Physical activity and weight loss can cut your risk of developing diabetes in half

21. This information is provided by the H.E.E.L. Program. Health Education through Extension Leadership (H.E.E.L.) is a partnership among the University of Kentucky College of Agriculture Cooperative Extension Service, Kentucky State University Cooperative Extension Program, the University of Kentucky College of Medicine, and the Kentucky School of Public Health. This presentation was brought to you by the Get Moving Kentucky! Program Manual Lesson written by: Zaida Belendez, N.D., R.N. The development of the HEEL program was made possible by Senator Mitch McConnell with funds earmarked for the University of Kentucky, College of Agriculture, Lexington, KY and budgeted through the CSREES/USDA Federal Administration.