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Diabetes Self-Management


diabetic SM-1The Diabetes Self-Management Program provides comprehensive individualized and group outpatient diabetes self-management training based on the recognized standards of the American Diabetes Association. The diabetes education services are offered in an outpatient setting primarily to adults with type 1, type 2, or gestational diabetes. All patients are seen initially for an individual visit (1 hour) by diabetes educator and placed in group class. All patients with special needs are seen individually.

The patient’s family and/or significant other are also encouraged to attend the program. Patients who start insulin pump therapy also receive individual instruction. The goal of the program is to provide learning in a supportive atmosphere which promotes opportunities for positive lifestyle changes.

The hours of operation are Monday through Friday beginning at 7:00 - 8:00 a.m. and ending at 4:00 - 7:30 p.m. These hours are flexible based on patient needs. For patients with insulin pumps and or other diabetic problems, educators can be reached by cell phone when the department is closed.

Target population

1. Our target audience is the Upper Cumberland Region with the average age group being above 65 and primarily Caucasian. There continues to be an epidemic of diabetes in this country. We have seen diabetes increase to an all time high of almost 22 million nationwide. In Tennessee, diabetes has steadily increased to 8% of the population. Currently 294,000 Tennesseans have diabetes.

2. Diabetes is a chronic disease with no cure and a silent killer with many persons having had type 2 diabetes for several years before diagnosis. As a result of uncontrolled diabetes, many people develop diabetes complications.

Blindness - Diabetes is the leading cause of blindness in the country resulting in 12,000 - 24,000 persons losing their sight each year.

Kidney Disease - Diabetes is the leading cause of end-stage renal disease accounting for about 40% of all new causes.
diabetic SM-2
Nerve Disease and Amputations - Diabetes is the most frequent cause of non-traumatic amputations in the country. The risk of lower extremity amputations is 15-40 times greater for a person with diabetes. Heart Disease and Stroke. People with diabetes are 2 to 4 times more likely to have heart disease which accounts for approximately 75% of diabetes related deaths. Direct and indirect expenditures related to diabetes are 132 billion annually.

Dedication & Professionalism

The program provides valuable education and training that allows the patient to control his/her disease.

It also provides an effective avenue for primary care providers to educate their patients regarding diabetes. This allows the doctors and their staff more valuable time to focus on medical aspects of the patient visit. Everyday physicians refer their patients with diabetes to our program. .By referring their patients, they see a number of positive results including:

  • Improved blood sugar levels
  • Reduced risk of developing complications
  • Weight loss
  • Overall positive behavior change through lifestyle modification
  • And More!

Diabetes educators are available 24/7 when patients are started on insulin or insulin pumps. (Cell phone records available). This decreases the frequency of diabetic acute complications i.e. hypo or hyper events.

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