Diabetes

Louisiana has the 5th highest diabetes rate in the nation. Diabetes is a complicated disease that requires daily attention - from making smart, healthy food choices and staying active, to checking blood sugar levels and regularly visiting a diabetes care team. Well-Ahead Louisiana aims to make healthy living easy and accessible to people with diabetes. Our team works to increase awareness of and access to Diabetes Prevention Programs and Diabetes Self-Management and Education Programs across the state. To find diabetes resources in your area, visit our Community Resource Guide

Diabetes in Louisiana

     

Do you have prediabetes?  Find out! Take the
test here
     
     Learn more about the types of diabetes
below. 

 

The Diabetes 411

Diabetes is a condition in which one’s body is unable to convert food cells into energy. This causes high blood glucose levels - often called high blood sugar. The pancreas, the organ behind the stomach, produces insulin.  Insulin is the hormone that takes nutrients and sugars from food cells and converts them to energy.  Diabetes occurs when the body is unable to produce or efficiently use insulin.  

Prediabetes: What Is It?

Prediabetes is a condition in which blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes. Having prediabetes increases an individual's risk for developing type 2 diabetes and cardiovascular disease. 

To find out if you are at risk for prediabetes, take the risk tests below! 

   

If you are at risk for type 2 diabetes, or prediabetic, talk to your primary care provider about preventive care. A great way to prevent type 2 diabetes is to adopt healthy eating habits and increase physical activity. For tips, please visit our Healthy Eating and On The Go webpages.

Types of Diabetes

Type 1 Diabetes 

Type 1 Diabetes is an autoimmune disease. It causes your pancreas to not produce enough insulin to use the sugar you eat. Insulin is a hormone that moves sugar (glucose) into cells to provide energy.  

There is no cure for type 1 diabetes. This condition is managed by daily insulin delivery by injection. Type 1 diabetes makes up 5-10% of all diagnosed cases of diabetes. Type 1 diabetes is most commonly diagnosed in young children, but can also be diagnosed in adults. 

Symptoms include: increased thirst and urination, constant hunger, weight loss, blurred vision and extreme fatigue. These symptoms usually develop over a short period of time.

Type 2 Diabetes

Type 2 diabetes can affect people at any age, and more often in people who are overweight and inactive. In type 2 diabetes, the body becomes insulin resistant, which is a condition that occurs when fat, muscle, and liver cells cannot use insulin to move glucose into the body's cells for energy. The pancreas is responsible for making insulin, but over time insulin production decreases and blood sugar levels increase.

Type 2 diabetes is preventable, but not curable. Risk factors for type 2 diabetes include: obesity, family history, race, age, and physical inactivity. Symptoms include: fatigue, frequent urination, increased thirst and hunger, weight loss, blurred vision, and slow healing of wounds or sores. These symptoms develop gradually. Some people with type 2 diabetes may have no symptoms.

For Providers

Providers serve an important role in the referral process of Diabetes Self-Management Education and Support (DSMES) programs and the National Diabetes Prevention Program (National DPP).  In addition, providers are an important partner in Well-Ahead Louisiana’s efforts to increase awareness of prediabetes, the National Diabetes Prevention Program (National DPP) and the importance of DSMES in people with diabetes.  Here are some resources to assist providers in these efforts: 

2018 Standards of Medical Care in Diabetes and Abridged Standards for Primary Care Physicians 
AMA and CDC National Diabetes Prevention Program Toolkit 

AMA's Steps Forward Preventing Type 2 Diabetes Module - One free CME available!
See our advertisement for nurses that was featured in Pelican News here!
See our advertisement for doctors that was featured in the Louisiana Academy of Family Physicians here!

Diabetes Prevention and management

Well-Ahead Louisiana works to increase awareness of and access to Diabetes Prevention Programs and Diabetes Self-Management and Education Programs across the state. Our teams also works to increase healthcare provider referrals to these programs. In addition, Well-Ahead coordinates the Louisiana Diabetes Educators Network and the Louisiana Diabetes Collaborative.

National Diabetes Prevention Programs

National Diabetes Prevention Programs (National DPP) are evidence-based and effective. National DPP last for a year and consist of a core phase (16 weekly classes) followed by six monthly maintenance sessions. Participants need to obtain 150 minutes of physical activity per week and lose approximately 5-7% of their body weight to obtain maximum benefit from the program. The CDC estimates that successfully completing a National DPP can cut one's risk of developing diabetes in half. The CDC has many resources available; check out their prediabetes website. The CDC National DPP curriculum can be found here.  Please also see the resource tab on the right hand column of this webpage for additional resources! 

To find a National Diabetes Prevention Program near you, click here. If you are interested in becoming a CDC recognized National DPP, contact wellahead@la.gov.


Diabetes Self-Management Education and Support

Diabetes Self-Management Education and Support (DSMES) programs are also evidence-based and effective. These programs provide approximately 10-12 hours of diabetes self-management principles. This includes: stress management, eating with diabetes, benefits of physical activity and the importance of medication adherence. Successful completion of DSMES programs can reduce the burden of living with diabetes, greatly improve one’s quality of life, and can reduce overall healthcare costs.

There are over 50 Diabetes Self-Management Education and Support programs Louisiana, check out the map here. Use the links below to find a DSMES program near you!



Diabetes Collaborative

 

The Diabetes Collaborative is a group of stakeholders working on diabetes efforts across the state. The Diabetes Collaborative aims to: 1) gain and increase coverage and reimbursement of DSMES and NDPP, 2) educate providers on DSMES and NDPP and work to increase referrals to both programs, 3) increase awareness among the general population about prediabetes, diabetes, DSMES & NDPP and 4) increase the availability of DSMES and NDPP in the state; especially in high-burdened and underserved areas. The group meets quarterly and workgroups meet in between the quarterly meetings when necessary.  

If you are interested in joining the Diabetes Collaborative, becoming a CDC-recognized NDPP, or becoming a recognized or accredited DSMES, contact wellahead@la.gov.

Louisiana Diabetes Educators Network

The Louisiana Diabetes Educators Network (LaDEN) is comprised of Diabetes Educators and various health care professionals across the state of Louisiana. Well-Ahead Louisiana provides professional support and development to LaDEN by hosting webinar opportunities, online meetings, and in-person trainings. Continuing Education Units (CEU) are provided for dietitians and nurses upon participation.


Date  Topic  Invitation  Handout  Recording
Friday, October 19th

Round Robin Discussion: National Diabetes Month Plans

     
Friday,
September 14th 


Shooting for Success: Motivational Interviewing and Quality Improvement in DSMES and NDPP - an in person training in Baton Rouge

Facilitated by Mary Ann Hodorowicz, RDN MBA CDE 


  N/A 
August 24th 2018

Money Matters in DSMT and DSMES in FQHCs and RHCs: Increase Your Reimbursement Now Click here for visual & click here for audio
July 2018 Professional and Personal Use Continuous Glucose Monitoring and Health Insurance Reimbursement: Getting it Right!


Presentation by Mary Ann Hodorowicz, RDN MBA CDE 

    Click here for audio & visual 
July 2018

Shared Medical Appointments for Patients with Diabetes

Presentation by Mary Ann Hodorowicz, RDN MBA CDE 

    Click here for audio & visual 

July 2018 

Diabetes Medication Update: The Tried, The True and The New

Presentation by Mary Ann Hodorowicz, RDN MBA CDE

    Click here for audio & visual  
June 2018

Hypertension and Diabetes: Nutrition Practice Guidelines and Medication Protocol. 

Presentation by Mary Ann Hodorowicz, RDN MBA CDE

    Click here for audio & visual  
June 2018

Evidence-Based Nutrition Practice Guidelines, Recommendations and Interventions to Control the A-B-C's of Type 1 and Type 2 Diabetes in Adults. 

Presentation by Mary Ann Hodorowicz, RDN MBA CDE

    Click here for audio & visual  

June 2018

Considerations when Pregnant with Diabetes


 

April 2018

Payers' Nutrition and Diabetes Education Benefits and 10 Steps to Optimize Billing, Coding and Reimbursement

   Handout Click here for audio
March 2018

Guide for Giving Dynamite and Powerful Presentations (and How to 'Edu-tain' to Keep Audiences from Zoning Out!)

  Handout  Click here for audio
December 2017

Money Matters in DSMT in FQHCs: Increase Your Reimbursement Now!


  Unavailable 
September
2017

Evidence-Based Nutrition Practice Guidelines for Diabetes, Hypertension and Hyperlipidemia

  Handout
Click here for audio

 

Are you interested in joining LaDEN? LaDEN offers technical assistance, training and networking opportunities for Diabetes Educators. Please contact wellahead@la.gov for more information or to request the slide decks for any of the above presentations. 

LaDEN Prevents!

The Louisiana Diabetes Educators Network Prevents Type 2 Diabetes (LaDEN Prevents!) is comprised of National DPP coordinators and lifestyle coaches.  Well-Ahead Louisiana provides professional support and development to National DPP coordinators and lifestyle coaches through LaDEN Prevents! through calls and webinars.  Well-ahead Louisiana provides individual technical assistance to current National Diabetes Prevention Programs (NDPP).  Examples of call topics are: marketing your NDPP organization, engaging NDPP participants, and building relationships to obtain referrals. 

Are you interested in joining LaDEN Prevents! or do you need individual technical assistance? Please contact  wellahead@la.gov for more information.