1. Welcome to Class You made a great choice! To decide, to be a t the level of choice, is to take responsibility for your life and to be in control of your life.

2. Cell Phones Shhh…Privacy Please.

3. Outline- Classes 1- 4 Diabetes Overview What is a carbohydrate Exercise Low Blood Sugar Pattern Management Eating for Health and Good taste Eating out and Staying in High Blood Sugar Insulin Goal Setting

4. Diabetes Myth or Fact? A person can have “borderline” Diabetes. If I “feel okay” with a blood sugar over 200, then “it’s okay.” If a person takes insulin, they have “bad” diabetes A person with diabetes cannot eat anything with sugar in it. My physician is in charge of my diabetes, not me. No matter what I do, I will get diabetes complications

5. Criteria for Diagnosing Diabetes Diabetes is diagnosed with either of the following: Fasting plasma glucose of ≥ 126 mg/dl. Fasting is defined as 8 hours without caloric intake. Symptoms (frequent urination, excessive thirst or hunger, unexplained weight loss) plus casual plasma glucose of ≥ 200 mg/dl. 2-hr post-load glucose ≥ 200 mg/dl during a OGTT (oral glucose tolerance test) Should be confirmed with a repeat test on a different day A1C ≥ 6.5% For a diagnosis of pre-diabetes, A1C can range between 5.7% and 6.4%.

6. Type 1 or 2 Diabetes? Juvenile onset Adult onset Insulin Resistance Over Production of sugar from Liver Insulin production deficiency No insulin production

7. Progression of Type 2 Diabetes

8. Apples Vs. Pears 5-7% weight loss Improves blood sugars Lowers triglycerides Lowers cholesterol Reduces blood pressure

9. What Causes Type 2 Diabetes? The following risk factors may increase your risk for developing diabetes: Family history Physical inactivity Being overweight Over age 45 African American, Hispanic American or native American heritage A history of gestational diabetes or having delivered a baby weighting over 8 pounds.

10. Quote of the Day “Don’t allow the fear of tomorrow keep you from exercising faith today” Unknown