Diabetes Free ZoneDiabetes Free Zone™™

Diabetes Wellness Can Help Diabetes Wellness Can Help

Prevent a $35,000 Amputation or Prevent a $35,000 Amputation or

a $100,000 Heart Attack. That’s a $100,000 Heart Attack. That’s

Wellness that Makes Financial Wellness that Makes Financial

Sense.Sense.

The Prevalence of Diabetes in the The Prevalence of Diabetes in the U.S.U.S.In the next 20 minutes...In the next 20 minutes...

•60 Americans will be diagnosed with diabetes. 60 Americans will be diagnosed with diabetes.

•9 Americans will die as a result of diabetes.9 Americans will die as a result of diabetes.

•3 Americans will have their limbs amputated due to 3 Americans will have their limbs amputated due to complications of diabetes.complications of diabetes.

•2 Americans will experience kidney failure due to 2 Americans will experience kidney failure due to diabetes.diabetes.

•1 American will go blind due to diabetes.1 American will go blind due to diabetes.

The Prevalence of Diabetes in the The Prevalence of Diabetes in the U.S.U.S.

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The number of individuals diagnosed with diabetes has more The number of individuals diagnosed with diabetes has more than doubledthan doubled since 1990 and will do so again by 2025. There since 1990 and will do so again by 2025. There are currently 33 million diabetics and 79 million pre-diabetics.are currently 33 million diabetics and 79 million pre-diabetics.

High Blood Sugar: More Dangerous High Blood Sugar: More Dangerous Than You ThinkThan You Think

• According to the American Diabetes According to the American Diabetes Association diabetes causes heart attacks, Association diabetes causes heart attacks, strokes, blindness, kidney failure, non-strokes, blindness, kidney failure, non-traumatic amputations and neuropathy.traumatic amputations and neuropathy.

• An Individual with diabetes loses, on average, An Individual with diabetes loses, on average, 5-10 years of their life.5-10 years of their life.

• The damage to a body caused by high blood The damage to a body caused by high blood sugar begins up to sugar begins up to 10 years10 years before diabetes is before diabetes is diagnosed. diagnosed.

The Cost of Diabetes to U.S. The Cost of Diabetes to U.S. Corporations Corporations Annual Medical expenditures are $13,243 for people with Annual Medical expenditures are $13,243 for people with diabetes compared to $2,560 for people without diabetes.diabetes compared to $2,560 for people without diabetes.

The Cost of Diabetes to U.S. The Cost of Diabetes to U.S. Corporations Corporations

Rise in Drug CostsRise in Drug Costs

•Individuals with diabetes take from three to nine Individuals with diabetes take from three to nine medications per day. medications per day.

•The mean price of a diabetes drug prescription The mean price of a diabetes drug prescription has increased from $56 in 2001 to $76 in 2007.has increased from $56 in 2001 to $76 in 2007.

The Cost of Diabetes to U.S. The Cost of Diabetes to U.S. Corporations Corporations Rise in Hospital CostsRise in Hospital Costs

•Diabetes accounts for 20 percent of all Diabetes accounts for 20 percent of all hospitalizations. hospitalizations.

•Compared with non-diabetes stays, Compared with non-diabetes stays, hospitalizations for diabetes were, on average, hospitalizations for diabetes were, on average, $16,300 more expensive ($48,719 per stay $16,300 more expensive ($48,719 per stay versus $32,419 per stay). versus $32,419 per stay).

•Nearly one-third of diabetes patients require at Nearly one-third of diabetes patients require at least two hospitalizations annually.least two hospitalizations annually.

The Effect of Lifestyle Modification The Effect of Lifestyle Modification on Diabetes on Diabetes

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The Diabetes Prevention Study. Participants reduced The Diabetes Prevention Study. Participants reduced their risk of developing diabetes by 58 percent, their risk of developing diabetes by 58 percent, compared to 31 percent for people on metformin.compared to 31 percent for people on metformin.

The Effect of Lifestyle Modification The Effect of Lifestyle Modification on Diabetes on Diabetes

The Asheville Project. The city of Asheville The Asheville Project. The city of Asheville launched program is designed to reduce the impact launched program is designed to reduce the impact of diabetes on the health of city employees.of diabetes on the health of city employees.

1)1) Average annual medical expenses dropped by 40 Average annual medical expenses dropped by 40 percent.percent.

2)2) The average number of sick days taken dropped 50 The average number of sick days taken dropped 50 percent.percent.

3)3) Catastrophic events and hospitalizations were Catastrophic events and hospitalizations were reduced by 50 percent.reduced by 50 percent.

Return on Investment Using Lifestyle Return on Investment Using Lifestyle Modification Modification The following figures are for a population of 1,000 individuals. The following figures are for a population of 1,000 individuals. The national average for The national average for

individuals 20 years or older with diabetes is 11.3 percent. This would result in 113 individuals individuals 20 years or older with diabetes is 11.3 percent. This would result in 113 individuals

with diabetes. The results from the Asheville Project have been applied to determine with diabetes. The results from the Asheville Project have been applied to determine

projected ROI.projected ROI.

ItemItem Savings estimate Savings estimate

Reduction in sick daysReduction in sick days 50% 50%

Reduction of catastrophic health eventsReduction of catastrophic health events 50% 50%

Per-person, per-year savings of reduced medical costsPer-person, per-year savings of reduced medical costs $5,297 $5,297

Reduction in yearly medical costsReduction in yearly medical costs $598,561 $598,561

Reduction of the Effect of Diabetes. Reduction of the Effect of Diabetes. The annual per-person cost of treating diabetes is The annual per-person cost of treating diabetes is

$13,243. With no action, the 113 individuals with diabetes will have a total healthcare cost of $13,243. With no action, the 113 individuals with diabetes will have a total healthcare cost of

$1,456,730. Studies have found that lifestyle intervention can lead to a 40 percent reduction $1,456,730. Studies have found that lifestyle intervention can lead to a 40 percent reduction

of medical expenses, a 50 percent reduction in sick days and a 50 percent reduction in of medical expenses, a 50 percent reduction in sick days and a 50 percent reduction in

catastrophic health events and related ER visits.catastrophic health events and related ER visits.

Return on Investment Using Lifestyle Return on Investment Using Lifestyle Modification Modification

ItemItem Savings estimate Savings estimate

New diabetes cases per yearNew diabetes cases per year 7 7

Reduction in incidence from lifestyle modification 58% Reduction in incidence from lifestyle modification 58%

Per-person, per-year savings of averted diabetes Per-person, per-year savings of averted diabetes $10,683 $10,683

Reduction in yearly medical costsReduction in yearly medical costs $43,373 $43,373

Reduction of the Incident Rate of Diabetes.Reduction of the Incident Rate of Diabetes. With no action, seven new individuals from this With no action, seven new individuals from this

group will be diagnosed with diabetes each year. Studies have found that lifestyle intervention group will be diagnosed with diabetes each year. Studies have found that lifestyle intervention

can lead to a 58 percent reduction in incidence of diabetes.can lead to a 58 percent reduction in incidence of diabetes.

The annual cost of treating diabetes is $13,243 compared to $2,560 for individuals without The annual cost of treating diabetes is $13,243 compared to $2,560 for individuals without

diabetes: a difference of $10,683.diabetes: a difference of $10,683.

The following figures are for a population of 1,000 individuals. The following figures are for a population of 1,000 individuals. The national average for The national average for

individuals 20 years or older with pre-diabetes is 30 percent. This would result in 300 individuals 20 years or older with pre-diabetes is 30 percent. This would result in 300

individuals with pre-diabetes. The results from the Diabetes Prevention Study have been individuals with pre-diabetes. The results from the Diabetes Prevention Study have been

applied to determine projected ROI.applied to determine projected ROI.

Diabetes Free Zone SystemDiabetes Free Zone System

Physician created, 16 week wellness system specifically Physician created, 16 week wellness system specifically

designed to help those with diabetes and pre-diabetes to designed to help those with diabetes and pre-diabetes to

reverse high blood sugar and regain their health.reverse high blood sugar and regain their health.

Diabetes Free Zone Goals:Diabetes Free Zone Goals:

•Reduce Hemoglobin A1c to 5.6 or lowerReduce Hemoglobin A1c to 5.6 or lower

•Reduce or eliminate the need for diabetic medicationsReduce or eliminate the need for diabetic medications

•Reduce BMI/WeightReduce BMI/Weight

•Establish sustainable healthy habitsEstablish sustainable healthy habits

The Power of HealthThe Power of Health

• Modified Mediterranean dietModified Mediterranean diet

• Fruits and vegetablesFruits and vegetables

• ProteinProtein

• FiberFiber

• Low in fast acting carbsLow in fast acting carbs

• Exercise - 150 minutes per weekExercise - 150 minutes per week

• Stress management techniquesStress management techniques

The Power of StructureThe Power of Structure

Power Hour: Maps out the meals and Power Hour: Maps out the meals and exercise for the next week.exercise for the next week.

Evening Reflection: A short inspirational Evening Reflection: A short inspirational review each evening to reflect on the day’s review each evening to reflect on the day’s successes and to gain encouragement and successes and to gain encouragement and reset for tomorrow.reset for tomorrow.

The Power of SupportThe Power of Support

Weekly Group MeetingsWeekly Group Meetings

•Builds accountabilityBuilds accountability

•Provides support and encouragement Provides support and encouragement

•Provides additional reference materials and tools Provides additional reference materials and tools

•Conducted by trained wellness professionalsConducted by trained wellness professionals

List of Weekly TopicsList of Weekly Topics

1.1. Portion Control Made EasyPortion Control Made Easy

2.2. Understanding Good Carbs/Bad CarbsUnderstanding Good Carbs/Bad Carbs

3.3. Healthy Eating Begins at the SupermarketHealthy Eating Begins at the Supermarket

4.4. Reducing High Blood Sugar with ExerciseReducing High Blood Sugar with Exercise

5.5. Mediterranean Diet BasicsMediterranean Diet Basics

6.6. Reducing Stressful EatingReducing Stressful Eating

7.7. 10 Critical Factors for Lasting Health10 Critical Factors for Lasting Health

8.8. Eating Well When Eating OutEating Well When Eating Out

9.9. Managing Healthy Changes & RelationshipsManaging Healthy Changes & Relationships

10.10.How to Deal With CravingsHow to Deal With Cravings

11.11.Healthy Snack StrategiesHealthy Snack Strategies

12.12.Healthy Kitchen StrategiesHealthy Kitchen Strategies

13.13.Strength Training to Slow AgingStrength Training to Slow Aging

14.14.How to Adopt Healthy Habits That LastHow to Adopt Healthy Habits That Last

15.15.Preparing a Healthy KitchenPreparing a Healthy Kitchen

16.16.Picking Healthy FoodsPicking Healthy Foods

A Results Driven SolutionA Results Driven Solution

This synergy of healthy actions, structure This synergy of healthy actions, structure

and support helps establish new habits that and support helps establish new habits that

allow your employees to achieve lasting allow your employees to achieve lasting

results in decreasing their BMI, reducing results in decreasing their BMI, reducing

their diabetic medications and improving their diabetic medications and improving

their overall wellness.their overall wellness.

A Complete Diabetes Wellness A Complete Diabetes Wellness System System Everything needed to provide a results driven Everything needed to provide a results driven diabetes wellness program:diabetes wellness program:

• 153 page manual 153 page manual

• 16 four-page handouts for each participating 16 four-page handouts for each participating employee.employee.

• 16 weekly group meetings led by a trained 16 weekly group meetings led by a trained wellness professional.wellness professional.

• A resource filled website with over 350 pages A resource filled website with over 350 pages of articles and recipes.of articles and recipes.

Wellness That Makes Financial SenseWellness That Makes Financial Sense

• Focused on your highest-risk employees.Focused on your highest-risk employees.

• Helps reduce the higher monthly maintenance Helps reduce the higher monthly maintenance costs of healthcare associated with employees costs of healthcare associated with employees with high blood sugar.with high blood sugar.

• Helps reduce the catastrophic health events of Helps reduce the catastrophic health events of high-risk employees.high-risk employees.

• Helps reduce absenteeism associated with Helps reduce absenteeism associated with diabetic employees.diabetic employees.

• One low cost per employee.One low cost per employee.

Declare Victory Over Diabetes!Declare Victory Over Diabetes!

• More than any other medical condition high More than any other medical condition high blood sugar is hurting your company’s blood sugar is hurting your company’s bottom line.bottom line.

• More than any other medical condition high More than any other medical condition high blood sugar can be reversed or averted by blood sugar can be reversed or averted by lifestyle modification. lifestyle modification.

• Contact us today and let’s work together to Contact us today and let’s work together to help reduce the cost of diabetes in your help reduce the cost of diabetes in your company!company!