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PREVENTING

DIABETES: A FAMILY AFFAIR

NOVEMBER 14, 2019

Welcome!

ModeratorCatherine Yeadon, MPA

Assistant Director

WorkWell NYC

PresenterMarie Frazzitta, DNP, FNP-c, CDE

Assistant VP of Medical Management

EmblemHealth

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WorkWell NYC

WorkWell NYC seeks to create workplaces that help our

employees live healthy, active lifestyles, and to provide

health and well-being services, programs, and resources at

the worksite and beyond.

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Today is…

Placeholder – presenter slides

Do You Know Your Risk?

Take the Prediabetes Risk Test to

assess your risk for developing

diabetes:

cdc.gov/prediabetes/takethetest

EmblemHealthPreventing and Caring for Diabetes

Marie Frazzitta DNP, FNP-c, CDE

ABOUT DIABETES:

• 1 in 10 adult New Yorkers has

diabetes.

• 1 in 3 adults has prediabetes.

• Nearly 90% of adults living with

prediabetes don’t know they have it.

• Many adults will go 5-10 years

before being diagnosed

• Type 2 diabetes is on the rise in

children

HT T P S : / /W W W 1.NYC.GOV /S IT E / O LR /W E LLNE S S /W E LLNE S S -D IA B E T E S .P A GE 7

WHAT ARE THE DIFFERENT TYPES OF DIABETES?

• Type 1 Diabetes (formerly Juvenile Diabetes)

– Body does not make any insulin

• Type 2 Diabetes (formerly Adult Onset Diabetes)

– Disease in which the body either does not

make enough insulin or does not use

insulin properly

• Gestational

– The body does not use insulin properly

during pregnancy

• Pre-Diabetes

– Blood sugars are high but not high enough

to have diabetes

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HOW A BODY WITHOUT DIABETES WORKS

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Blood Sugar returns to

normal

Body makes insulin - a

hormone that puts the sugar

in the cells

Food breaks down to

glucose or “Sugar”-

Energy for your cells

Person eats

WHAT HAPPENS WHEN YOU HAVE DIABETES

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Blood sugars go high

Body can’t make any or

enough insulin or use

it the right way

Food breaks down to Glucose

Person eats

There are no symptoms to prediabetes

1. Fact

2. Myth

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SIGNS AND SYMPTOMS

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• Feeling very thirsty

• Urinating more often

• Feeling very hungry

• Weight loss/gain

• Feeling tired

• Bad moods

• Blurred vision

• Slow-healing sores

• Frequent infections

• Dry skin

COMPLICATIONS

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High blood pressure

Heart disease

Stroke

Vision issues and blindness

Nerve damage

Kidney disease

IF A PERSON WITH DIABETES FEELS OK, HE OR SHE IS OK

1. Myth

2. Fact

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KNOW YOUR RISK

WHO IS AT RISK?

• Weight

• Activity Level

• High blood pressure

• High cholesterol and triglycerides

• Family history

• Race

• Age

• Gestational diabetes – diabetes while

pregnant

• Smoking

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CA US E S /S YC -20371 4 44

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KNOW YOUR FAMILY HISTORY

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November 28th is Family Health History Day – take advantage of the

upcoming Thanksgiving holiday to find out more about your family’s

health!

3 important questions to ask:

1. Does anyone in the family have type 2 diabetes?

2. Has anyone in the family been told they might get diabetes?

3. Did your mother get diabetes when she was pregnant?

WHICH RISK FACTOR FOR DIABETES CAN YOU DO

SOMETHING ABOUT?

1. Age

2. Race

3. Not being active

4. History of Gestational Diabetes

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HOW DO I GET TESTED FOR DIABETES?

• See your doctor for blood tests

– Fasting Plasma Glucose

• 126 mg/dL or higher– A1C

• 3 month average

• Normal 5.6% or less

• Prediabetes 5.7-6.4%

• Diabetes 6.5%

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A1C

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WHY IS IT IMPORTANT TO CONTROL AND OR PREVENT

DIABETES?

Uncontrolled Diabetes can cause

• Blindness (retinopathy)

• Kidney Disease (nephropathy)

• Nerve Disease (neuropathy)

• Heart Disease

• Skin Conditions

• Alzheimer

People with HbA1c levels at target range

reduce the risk of

• Eye Disease by 76%

• Kidney Disease by 50%

• Nerve Disease 60%

• Diabetes related deaths by 21%

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* Talk to your doctor about the best target range for you

LOWERING A1C BY 1% HAS GREAT BENEFITS

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How Families Can Prevent and Manage Diabetes, Together

Diabetes- It’s a

family Affair

• 40% of children are over weight

• On average, children aged eight to 11 spent 3.6

hours a day in front of a screen, nearly double the

suggested limit of 2 hours

• Parents that are more active and eat healthier

tend to have children that live healthier life styles

PORTION DISTORTION

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HEALTHY PLATE

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BE A CARBOHYDRATE DETECTIVE- READING FOOD LABELS

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HANDY GUIDE TO PORTION SIZES

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STRATEGIES FOR REDUCING PORTION SIZES

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• Use smaller bowls and plates

• Use measuring cups to pre-measure servings of

grains/starches

• Add non-starchy vegetables to feel full

• Drink plenty of water

What other strategies can we think of to help reduce our portion

sizes?

SOME STRATEGIES TO REDUCE THE CALORIES OF OUR

FAVORITE FOODS

• Cauliflower rice

• Add large salad

• Swap refried beans for black

beans or kidney beans

• Mix in tomatoes, peppers, or

any colorful vegetables

• Zucchini and cauliflower can

replace pasta, potatoes or

rice

• Use less oil

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HOW TO GET KIDS TO EAT HEALTHIER

• Get them involved in the

shopping and cooking

• Make plates colorful

• Disguise healthier foods like

vegetables to soups and

stews

• Have healthier snacks around

• Focus on overall diet rather

than a specific food

• Never use food as a reward

or bribe

• Be a role model

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TREATING DIABETES

TREATMENT VARIETY

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GOAL SETTING

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EXAMPLE OF A SMART GOAL

• I will walk 20 minutes Monday, Wednesday and Friday during my lunch

break.

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TAKE HOME TIPS

• Follow a healthy diet and eat

regularly

• Stay active!

• Follow up regularly with your

provider

• Take medication if it’s prescribed

to you

• Check your blood sugar regularly

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THE NEIGHBORHOOD CARE DIFFERENCE

Neighborhood Care sites are community spaces across NYC offering health and

wellness services and in-person support to EmblemHealth members, ACPNY patients

and the community at large at no cost

Neighborhood Care meets people where they are in their individual health and

wellness journeys through the services and support we offer.

• Onsite health and wellness classes and programming

• Social Work navigation

• Connections to community partners

• Coordination with EmblemHealth internal programs, ACPNY and other providers

• Sales staff co-located in most sites

• Face-to-face EmblemHealth Customer Service

.

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WHERE WE ARE LOCATED

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8 co-located with AdvantageCare Physicians

• Cambria Heights, Southeast Queens

• Harlem (west), Upper Manhattan

• Duane Street, Lower Manhattan

• Flushing, Northeast Queens (‘19 expansion)

• Crown Heights, Central Brooklyn

• Brooklyn Heights, Northwest Brooklyn (‘19

expansion)

• East New York, Eastern Brooklyn

• Staten Island (Richmond Avenue at the Mall)

2 stand-alone sites

• Chinatown, Lower Manhattan

• Bensonhurst, Southwest Brooklyn

2 Planned Openings in Dec/Jan (Final dates TBA)

• Staten Island (Clove Road, Annadale in

ACPNY co-located offices)

Resources for City Employees

• Stay on top of your health – and your family’s health – with regular visits to your primary care provider

• Your primary care provider is your partner in wellness – they can track your health history and help detect health issues early

• Need to find a new primary care provider?• Ask family or friends for a recommendation

• Call the phone number on the back of your health insurance card

• Visit nyc.gov/hbp to learn how to find a doctor in your network

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Visit Your Primary Care Provider Regularly

WW (formerly known as Weight Watchers)

• City employees have access to a subsidy that reduces the cost of WW membership by more than 50%

• Dependents, spouses, and retirees are also eligible for discounted pricing

• At-work meetings at 60+ worksites

• To enroll: nyc.gov/ww

Digital + Workshops

(formerly meetings)

Digital

(formerly OnlinePlus)

Employee Cost: $15.00/mo.*

Spouse/Dependent/Retiree Cost: $30.00/mo.**

Employee Cost: $7.00/mo.*

Spouse/Dependent/Retiree Cost: $14.00/mo.**

ESCAPE – Quit Smoking Support

• ESCAPE offers FREE quit-smoking support forCity employees and their families, including:

• Medications

• Confidential counseling in-person or by phone

• To enroll: nyc.gov/escape | 347-396-4403

Diabetes Prevention Program

• A yearlong group-based program that empowersparticipants to improve their diet, increasephysical activity, and manage stress to loseweight and reduce their risk for diabetes

• To learn more, email workwell@olr.nyc.gov

Don’t let the flu catch you!

Free flu shot clinics are available from through November 27th!

#3:

AT AN IN-NETWORK

MEDICAL OFFICE

#1:

AT THE WORKPLACE#2:

AT THE PHARMACY

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Chat Box Questions

Questions? Use the Q&A box on the bottom of your screen.

Thanks for Attending!

We want to hear from you!

Please fill out the brief

survey emailed to you

following today’s

presentation.

nyc.gov/workwellnyc | workwell@olr.nyc.gov