Erie County Diabetes Resource GuideHigher body weight increases diabetes risk for everyone. Asian...

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Erie County Diabetes Resource Guide

Transcript of Erie County Diabetes Resource GuideHigher body weight increases diabetes risk for everyone. Asian...

Page 1: Erie County Diabetes Resource GuideHigher body weight increases diabetes risk for everyone. Asian Americans are at increased diabetes risk at lower body weight than the rest of the

Erie County Diabetes Resource Guide

Page 2: Erie County Diabetes Resource GuideHigher body weight increases diabetes risk for everyone. Asian Americans are at increased diabetes risk at lower body weight than the rest of the

Table of Contents

Are you at Risk for Type 2 Diabetes?..............................................................................................................1-2Prediabetes......................................................................................................................................................3-8Diabetes Prevention and Management Programs...........................................................................................9-11Insurance Contacts.....................................................,.......................................................................................12Healthcare team for people with Diabetes.....................................................................................................13-14What Doctors Do I Need to See?......................................................................................................................15What Medications Do I Need to Take? .............................................................................................................16Medication Cost Chart.......................................................................................................................................17Help Paying for Medication...............................................................................................................................18Independent Pharmacies Directory...................................................................................................................19What to Do With Used Syringes, Insulin Pens and Lancets..............................................................................20Nutrition and Exercise Programs.......................................................................................................................21 Nutrition and Exercise Resources................................................................................................................22-23Diabetes Supprt Programs................................................................................................................................24Diabetes Support Resources.......................................................................................................................25-27General Resources...........................................................................................................................................28

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Are you at risk for

type 2 diabetes?

1. How old are you?Less than 40 years (0 points)40–49 years (1 point)50–59 years (2 points)60 years or older (3 points)

2. Are you a man or a woman?Man (1 point) Woman (0 points)

3. If you are a woman, have you ever beendiagnosed with gestational diabetes?Yes (1 point) No (0 points)

4. Do you have a mother, father, sister orbrother with diabetes?Yes (1 point) No (0 points)

5. Have you ever been diagnosed with highblood pressure?Yes (1 point) No (0 points)

6. Are you physically active?Yes (0 points) No (1 point)

7. What is your weight category?See chart at right.

If you scored 5 or higher:You are at increased risk for having type 2 diabetes. However, only your doctor can tell for sure if you do have type 2 diabetes or prediabetes, a condition in which blood glucose levels are higher than normal but not yet high enough to be diagnosed as diabetes. Talk to your doctor to see if additional testing is needed.

Type 2 diabetes is more common in African Americans, Hispanics/Latinos, Native Americans, Asian Americans, and Native Hawaiians and Pacific Islanders.

Higher body weight increases diabetes risk for everyone. Asian Americans are at increased diabetes risk at lower body weight than the rest of the general public (about 15 pounds lower).

WRITE YOUR SCORE IN THE BOX.

ADD UP YOUR SCORE.

Height Weight (lbs.)

4´ 10˝ 119–142 143–190 191+

4´ 11˝ 124–147 148–197 198+

5´ 0˝ 128–152 153–203 204+

5´ 1˝ 132–157 158–210 211+

5´ 2˝ 136–163 164–217 218+

5´ 3˝ 141–168 169–224 225+

5´ 4˝ 145–173 174–231 232+

5´ 5˝ 150–179 180–239 240+

5´ 6˝ 155–185 186–246 247+

5´ 7˝ 159–190 191–254 255+

5´ 8˝ 164–196 197–261 262+

5´ 9˝ 169–202 203–269 270+

5´ 10˝ 174–208 209–277 278+

5´ 11˝ 179–214 215–285 286+

6´ 0˝ 184–220 221–293 294+

6´ 1˝ 189–226 227–301 302+

6´ 2˝ 194–232 233–310 311+

6´ 3˝ 200–239 240–318 319+

6´ 4˝ 205–245 246–327 328+

1 point 2 points 3 points

If you weigh less than the amount in the left column: 0 points

Adapted from Bang et al., Ann Intern Med 151:775–783, 2009.Original algorithm was validated without gestational diabetes as part of the model.

For more information, visit us at diabetes.org/risktest or call 1-800-DIABETES (800-342-2383).

The good news is you can manage your risk for type 2 diabetes. Small steps make a big difference in helping you live a longer, healthier life.

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¿Está usted en riesgo de padecer

diabetes tipo 2?

1. ¿Qué edad tiene?Menos de 40 años (0 puntos)40-49 años (1 punto)50-59 años (2 puntos)60 años o más (3 puntos)

2. ¿Es usted hombre o mujer?Hombre (1 punto) Mujer (0 puntos)

3. Si es mujer, ¿tuvo alguna vez diabetesgestacional (glucosa/azúcar altadurante el embarazo)?Sí (1 punto) No (0 puntos)

4. ¿Tiene familiares (mamá, papá, hermano,hermana) que padecen diabetes?Sí (1 punto) No (0 puntos)

5. ¿Alguna vez le ha dicho un profesionalde salud que tiene presión arterial alta(o hipertensión)?Sí (1 punto) No (0 puntos)

6. ¿Realiza algún tipo de actividad física?Sí (0 puntos) No (1 punto)

7. ¿Cuál es su peso?Anote el puntaje correspondiente asu peso según la tabla a la derecha.

Si obtuvo 5 o más puntos:Existe un mayor riesgo de que usted tenga diabetes tipo 2. Solo su médico puede determinar si tiene diabetes tipo 2 o prediabetes (estado previo a la enfermedad con nivel de azúcar en la sangre más elevado de lo normal.) Consulte a su médico para ver si necesita hacerse pruebas adicionales.

La diabetes tipo 2 es más común en afroamericanos, hispanos/latinos, nativos americanos, nativos hawaianos, asiáticos americanos e isleños del pacífico.

Tener sobrepeso aumenta el riesgo de tener diabetes en todas las personas. Pero los estadounidenses de origen asiático corren un riesgo más alto con un peso corporal menor que el resto del público en general (alrededor de 15 libras menos).

ANOTE EL PUNTAJE EN EL RECUADRO.

SUME SU PUNTAJE.

Estatura Peso (en libras)

4´ 10˝ 119–142 143–190 191+

4´ 11˝ 124–147 148–197 198+

5´ 0˝ 128–152 153–203 204+

5´ 1˝ 132–157 158–210 211+

5´ 2˝ 136–163 164–217 218+

5´ 3˝ 141–168 169–224 225+

5´ 4˝ 145–173 174–231 232+

5´ 5˝ 150–179 180–239 240+

5´ 6˝ 155–185 186–246 247+

5´ 7˝ 159–190 191–254 255+

5´ 8˝ 164–196 197–261 262+

5´ 9˝ 169–202 203–269 270+

5´ 10˝ 174–208 209–277 278+

5´ 11˝ 179–214 215–285 286+

6´ 0˝ 184–220 221–293 294+

6´ 1˝ 189–226 227–301 302+

6´ 2˝ 194–232 233–310 311+

6´ 3˝ 200–239 240–318 319+

6´ 4˝ 205–245 246–327 328+

1 punto 2 puntos 3 puntos

0 puntos = Si pesa menos que lo indicado en la columna de la izquierda

Adaptado de Bang et al., Ann Intern Med 151: 775—783, 2009.El algoritmo original fue validado sin utilizar la diabetes gestacional como parte del modelo.

La buena noticia es que usted puede controlar su riesgo de padecer diabetes tipo 2. Algunos cambios pequeños hacen una gran diferencia y le ayudarán a vivir una vida más larga y saludable.

Para más información, visite diabetes.org/riesgo o llame al 1-800-DIABETES (800-342-2383).

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Visit diabetes.org or call 800-DIABETES (800-342-2383) for more resources from the American Diabetes Association.

What is prediabetes?

Prediabetes is a condition that comes before diabetes. It means your blood glucose (also called blood sugar) levels are higher than normal but aren’t high enough to be called diabetes.

There are no clear symptoms of prediabetes. You can have it and not know it.

If I have prediabetes, what does it mean?

It means you are at higher risk of developing type 2 diabetes. You are also more likely to get heart disease or have a stroke.

How can I delay or prevent type 2 diabetes?

You may be able to delay or prevent type 2 diabetes with:

� Daily physical activity, such as walking.

� Weight loss, if needed. Losing even a few pounds will help.

� Medication, if your doctor prescribes it.

Regular physical activity can delay or prevent diabetes

Being active is one of the best ways to delay or prevent type 2 diabetes. It can also lower your weight and blood pressure, and improve cholesterol levels.

One way to be more active is to try to walk for half an hour, five days a week. If you don’t have 30 minutes all at once, take shorter walks during the day.

Weight loss can delay or prevent diabetes

Reaching a healthy weight can help you a lot. If you’re overweight, any weight loss, even 7 percent of your weight (for example, losing about 15 pounds if you weigh 200), can lower your risk for diabetes.

Make healthy choices

Here are small steps that can go a long way toward building healthy habits. Small steps add up to big rewards.

� Avoid or cut back on regular soda and juice. Have water or try calorie free drinks.

� Choose lower-calorie snacks, such as popcorn instead of potato chips

� Include at least one vegetable every day for dinner.

� Choose salad toppings wisely–the calories can add up fast.

� Choose fruit instead of cake, pie, or cookies.

� Cut calories by:

• Eating smaller servings of your usual foods.

• When eating out, share your main coursewith a friend or family member. Or take halfof the meal home for lunch the next day.

PrediabetesWhat is it and what can I do?

Continued »

If you don’t have 30 minutes all at once, take shorter walks during the day.

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Visit diabetes.org or call 800-DIABETES (800-342-2383) for more resources from the American Diabetes Association.

� Roast, broil, grill, steam, or bake instead of deep-frying or pan-frying.

� Be mindful of how much fat you use in cooking.

� Use healthy oils, such as canola, olive, and vegetable.

� Start with one meat-free meal each week by trying plant-based proteins such as beans or lentils in place of meat.

� Choose fish at least twice a week.

� Cut back on processed meats that are high in fat and sodium. These include hot dogs, sausage, and bacon.

Track your progress

Write down what and how much you eat and drink for a week. Writing things down makes you more aware of what you’re eating and helps with weight loss. Take note of the easier changes you can make to reduce your calories and start there.

Summing it up

Diabetes is a common, but serious, disease.

� You can delay or even prevent type 2 diabetes by increasing your activity and losing a small amount of weight.

� If you delay or prevent diabetes, you’ll enjoy better health in the long run.

Get Started

� Be physically active.

� Make a plan to lose weight.

� Track your progress.

Get Checked

If you are at increased risk for diabetes ask your doctor about getting tested at your next visit. You can take our risk test at diabetes.org/risktest to find out if you are at risk for type 2 diabetes.

What is a diabetes prevention program (DPP)?A CDC-recognized lifestyle change program is a proven way to delay and even prevent type 2 diabetes.

The program helps you change certain aspects of your lifestyle, like eating healthier, reducing stress, and getting more physical activity.

Learn more and find a program at diabetes.org/prevention.You can

delay or even prevent type

2 diabetes by increasing your activity and losing a

small amount of weight.

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FAST FACTSData and Statistics about Diabetes

For more information and references, go to diabetes.org

KEY FACTS

§ Over 30 million children and adults in the United States have diabetes

§ 84.1 million American adults have prediabetes

§ 1.5 million Americans are diagnosed with diabetes every year

§ Nearly half of American adults have diabetes or prediabetes

DIABETES IN THE UNITED STATES

§ 30.3 million Americans or 9.4% of the population have diabetes; that’s 1 in 11 Americans

§ 23.1 million Americans have diagnosed diabetes

§ 7.2 million Americans have undiagnosed diabetes

§ 1.5 million Americans aged 20 years or older are newly diagnosed with diabetes each year, one every 21 seconds

§ Age 20 years or older: 9.4% of all people in this age group have diabetes

§ 12 million, or 1 in 4 adults age 65 or older, have diabetes

DIABETES IN YOUTH

§ About 193,000 Americans younger than 20 years have diabetes (type 1 or type 2) which represents 0.24% of all people in this age group

§ Nearly 18,000 youth are newly diagnosed with type 1 diabetes annually

§ Over 5,000 youth are newly diagnosed with type 2 diabetes annually

PREDIABETES

§ 1 in 3 U.S. adults aged 20 years or older has prediabetes

§ 84.1 million Americans aged 20 years or older have prediabetes, and 90% of them don’t know they have it

RACIAL DISPARITIES

§ African Americans and Hispanics are over 50% more likely to have diabetes than non-Hispanic whites

§ 12.1% of Hispanic/Latino adults in the United States have diagnosed diabetes 12.7% of non-Hispanic black adults in the United States have diagnosed diabetes

§ Among Hispanic adults, the age-adjusted rate of diagnosed diabetes was 8.5% for Central and South Americans, 9.0% for Cubans, 13.8% for Mexican Americans, and 12.0% for Puerto Ricans

§ Among Asian American adults, the age adjusted rate of diagnosed diabetes was 4.3% for Chinese, 8.9% for Filipinos, 11.2% for Asian Indians, and 8.5% for other Asians

§ Among American Indian and Alaska Native adults, the age-adjusted rate of diagnosed diabetes varies by region from 6% among Alaska Natives to 22.2% among American Indians in certain areas of the Southwest

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FAST FACTSData and Statistics about Diabetes

For more information and references, go to diabetes.org

DIABETES AS CAUSE OF DEATH

§ Diabetes is the primary cause of death for 79,535 Americans each year

§ Diabetes contributes to the death of 252,806 Americans annually (combining death certificates that list diabetes as the primary and a contributing cause of death)

COST OF DIABETES

§ $327 billion is the total economic burden in 2017 in the U.S. of diagnosed diabetes. This includes $237 billion in direct costs and $90 billion in reduced productivity.

§ Individuals with diagnosed diabetes have health care costs 2.3 times higher than someone without diabetes

§ 1 in 7 health care dollars is spent treating diabetes and its complications

§ 1 in 5 health care dollars is spent caring for people with diabetes

§ The average price of insulin nearly tripled between 2002 and 2013

COMPLICATIONS OF DIABETES

§ In 2014, about 245,000 emergency room visits for adults aged 18 years or older had hypoglycemia as the first-listed diagnosis and diabetes as another diagnosis

§ In 2014, about 207,000 emergency room visits for people of all ages had hyperglycemic crisis as the first-listed diagnosis

§ Annually, 50,100 Americans begin treatment for kidney failure due to diabetes

§ Hearing loss is about twice as common in adults with diabetes as those who do not have diabetes

§ More than 60% of nontraumatic lowerlimb amputations occur in people with diabetes

§ About 108,000 nontraumatic lower-limb amputations are performed in people with diabetes annually

OTHER STATISTICS

§ In the United States, approximately 5% of the population with diagnosed diabetes have type 1 diabetes; approximately 90-95% has type 2 diabetes (1-5% have other, rare types)

§ Approximately 1.25 million American children and adults have type 1 diabetes

§ Among adults with diagnosed diabetes, 17.2% take insulin only, 15.1% take both insulin and oral medication, 50.6% take oral medication only, and 17.1% do not take either insulin or oral medication

§ Approximately 7.4 million Americans are treated with insulin

§ 85.2% of people with type 2 diabetes are overweight or obese

§ Diabetes kills more Americans every year than AIDS and breast cancer combined

§ A person with diagnosed diabetes at age 50 dies, on average, six years earlier than a peer without diabetes

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The Diabetes Prevention Program is year-long program that can help you gain skills to lose weight, be more physically active and manage stress. The program meets once a week for 16 weeks, then once a month for the remainder of the year. A year might sound like a long commitment, but learning new habits, gaining new skills, and building confidence takes time. As you begin to eat better and become more active, you’ll notice changes in how you feel. For help with being referred into a Diabetes Prevention Program please contact Pam Fox at (716) 835-0274 ext. 307

YMCA’S DIABETES PREVENTION PROGRAM (YDPP)

This class is offered locally at these 5 area locations, please call (716) 674-9622 to enroll directly

or go to:

http://www.ymcabuffaloniagara.org/wellness/national-diabetes-prevention-program/

Delaware Family YMCA 2564 Delaware Ave, Buffalo NY 14216 (716) 875-1283

Independent Health Family Branch YMCA 150 Tech Dr, Williamsville NY 14221 (716)276-8319

Ken-Ton Family YMCA 535 Belmont Ave, Kenmore NY 14223 (716) 874-5051

Southtowns Family YMCA 1620 Southwestern Blvd, West Seneca NY 14224 (716) 674-9622

William-Emslie Family YMCA 585 William St Buffalo NY 14226 (716)845-5440

Other Locations in Erie County:

Rapha Family Wellness Center 3610 Main St Buffalo NY 14226 Contact Dr. Frances Ilozue at (716)829-7298 or check on-line at: http://www.raphafamilywellnesscenter.com

Jewish Community Center of Greater Buffalo 2640 North Forest Road Getzville, NY 14068 Contact Patricia Simonson at (716) 204-2073 http://www.jccbuffalo.org/

Jocelyn V Guthrie JBS & Wellness Consulting LLC. Contact Jocelyn for dates and locations at (716) 256-3601 or at [email protected] http://www.jbswellness.net/

Diabetes Prevention Program (DPP)

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Diabetes Prevention and Management Programs Diabetes can be prevented, and can be managed so you can enjoy the best of health. If your doctor tells you that you have pre-diabetes, your best strategy to reduce your risk and delay the onset of diabetes is to attend a prevention program. You can go to a group program or see a dietitian or diabetes educator – your doctor will help you determine the best option for you. The following is a list of group and one-on-one education to help people control their diabetes.

Catholic Health Buffalo Mercy Hospital* 565 Abbott Road • Buffalo, NY 14220(716) 826-7000 Catholic Health Kenmore Mercy Hospital* 2950 Elmwood Avenue • Kenmore, NY 14217(716) 447-6100 Catholic Health Sisters of Charity Hospital* 2157 Main Street • Buffalo, NY 14214(716) 891-2400 Catholic Health St. Joseph Campus* 2605 Harlem Road • Cheektowaga, NY 14225(716) 891-2400 Mount St. Mary’s Hospital and Health Center 5300 Military Road • Lewiston, NY 14092 (716) 297-4800To register for Catholic Health programs Call the Health Connection (716) 447-6205 http://www.chsbuffalo.org/ Kaleida Health Buffalo General Medical Center* 100 High St. • Buffalo, NY 14203 (716)580-7333

Kaleida Health DeGraff Memorial Hospital* 445 Tremont Street • North Tonawanda, NY 14120 (716)690-2406

Kaleida Health Diabetes and Endocrinology Center of WNY* 705 Maple Rd., Williamsville NY 14221 (716)580-7300 Kaleida Health Millard Fillmore Suburban Hospital* 1540 Maple Road • Williamsville, NY 14221 (716)568-3600 http://www.kaleidahealth.org/

Living Healthy Diabetes Self-Management Program Living Healthy Chronic Disease Self-Management Program

• Evidence-based programs developed byStanford University – provided by ErieCounty Senior Services

• Held at various Senior Centers and Locationsthroughout Erie County – all ages welcome!

For More Information or to register for a workshop: Call: (716) 858-8526 Email: [email protected] Websites: http://www2.erie.gov/seniorservices/ http://www.ceacw.org/

Olean General Hospital * 515 Main Street • Olean, NY 14760 Contact: Mary Fay RDN, CDE or Barbara Walker RD, CDE (716)375-6271/(716)375-4127 https://www.ogh.org/

UBMD Internal Medicine 1020 Youngs Rd., Williamsville NY 14221 Contact Margaret Mersereau (716)961-9900 http://www.ubmdim.com/

General Physician PC/ AADE accredited program705 Maple Rd • Williamsville, NY 142213980A Sheridan Drive • Amherst NY 142261091 Main St • Buffalo NY 14209

Go to https://www.gppconline.com/ for a list of classes or call 631-8400 for more information

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WNY Diabetes Solutions: Diabetes Self-Management Education Program 4 Pharmacy Locations Middleport Family Health Center 81 Rochester Rd., Middleport, NY 14105 (716)735-3261 http://www.middleportfamilyhealthcenter.com

Summit Park Pharmacy 2578 Niagara Falls Blvd (716)731-3500 http://www.summitparkpharmacy.com/

Transit Hill Pharmacy 344 Transit Rd., Depew, NY 14043 (716)683-9444 http://www.transithillpharmacy.com/

Wurlitzer Family Pharmacy 521 Division St., North Tonawanda, NY 14120 (716)260-1131 http://www.wurlitzerfamilypharmacy.com/index .html

* The American Diabetes Association recognizesthese educational services as meeting the National Standards for Diabetes Self-Management Education.

Helpful Videos and Websites on Diabetes and Pre-Diabetes

http://www.adcouncil.org/Our-Campaigns/Health/Type-2-Diabetes-Prevention

https://www.youtube.com/user/TheDiabetesDownload

WNY Integrated Care Collaborative:CHOOSE HEALTHY with DIABETES Program

Diabetes Self-Management Program and Diabetes Self-Management Training (including individual nutrition counseling with a Registered Dietitian)

Evidence-based group workshop to help individuals with Diabetes (caregivers welcome!) learn self-management tools to help manage their diabetes.

Class size limited.

Workshops held at 13+ locations throughout Erie County. (716) 858-8526https://www.wnyicc.org/

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VA Western New York Health Care System* Diabetes Self-Management Education Program 3495 Bailey Avenue • Buffalo, NY 14215 (716)862-7374 http://www.buffalo.va.gov/

Univera Healthcare Diabetes Self-Management Education Program 205 Park Club Lane • Buffalo, NY 14221 (716)847-1480 https://www.univerahealthcare.com/

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Insurance Contacts

BlueCross BlueShield of Western New York

257 West Genesee Street Buffalo, NY 14202

(716) 887-6717

www.bcbswny.com

Diabetes Coalition Representative

Maribeth Insana | Specialist Health Management Program Development |

[email protected]

Fidelis Care 480 Crosspoint Pkwy, Getzville, NY 14068

(716) 564-3630

https://www.fideliscare.org/

Independent Health

511 Farber Lakes Dr, Buffalo, NY 14221

(716) 631-3001

https://www.independenthealth.com/

United Healthcare

350 Main St, Buffalo, NY 14202

(855) 828-8942

https://www.uhc.com/

Univera Healthcare

205 Park Club Ln, Buffalo, NY 14221

(716) 847-1480

https://www.univerahealthcare.com/

Yourcare 6400 Sheridan Drive Suite 120, Buffalo NY

(716) 565-6727

https://www.yourcarehealthplan.com/

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Healthcare Team for People with Diabetes

*Below is a list of people that can help you live healthy with diabetes.

Primary Care Provider MD, DO*, NP, PA □ Who you see for general check- ups and when you get sickRefers to specialists of other team members listed below

Certified Diabetes Educator, CDE □ Registered Nurse, Pharmacist or Registered Dietitian with special training incaring for people with diabetes □ Can help you learn the day-to-day aspects of diabetes self-care

Help with finding a CDE:http://www.ncbde.org/find-a-cde/

Registered Dietitian, RDN □ The nutrition expert□ Can help you figure out your food needs based on yourdesired weight, lifestyle, medication and health goals; such as lowering your blood sugar, blood pressure and cholesterol □ Can help you learn how the foods you eat affects your blood sugar and bloodfat levels

Help with finding an RD: http://www.eatrightwnyda.org/find-an-rd/

Endocrinologist, MD or DO* □ A doctor who specializes in treating diabetes and other diseases of theendocrine system, which includes the pancreas and the thyroid □ Most people with Type 1 diabetes see an endocrinologist, especially when theyare first diagnosed □ People with Type 2 diabetes may see an endocrinologist if they are newlydiagnosed, having trouble getting their diabetes under control or are developing complications

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Eye Doctor, MD or OD** □ Can be either an ophthalmologist or optometrist and checks forany changes in your eyes □ The American Diabetes Association guidelines say you should seeyour eye doctor at least once a year for a dilated eye exam

* DO = Doctor of Osteopathy**OD = Doctor of Optometry

Podiatrist, DPM □ A doctor trained to treat problems of the feet and lower legs□ Any foot sore or callus needs to be checked by your primary care doctor orpodiatrist, who can also trim your toe nails □ It is important to check your feet daily for signs of trouble or abnormalities

Pharmacist, RPh, or PharmD □ Provides advice on how some medications you are taking can affect your bloodsugar levels □ Lets you know about potential side effects of any drug you are going to takeReviews what you are taking to see if any new medications will interact with ones you are already taking □ Recommends over-the-counter medicines□ Keeps an accurate record of your medications, your medical history and allergies□ Find a pharmacy you like and stick with it

Dentist, DDS, DMD □ People with diabetes are at somewhat greater risk of gum disease□ Excess blood sugar in your mouth makes it a good home for bacteria, which leadsto infections □ See your dentist every six months and be sure to let your dentist know you havediabetes

Exercise Physiologist, MS □ Trained in the scientific basis of exercise□ Your doctor can help you look for and refer you to a certified professionalAlways get your doctor’s approval for any exercise program

Mental Health Professional, LCSW, MSW, PhD, PsyD, MD □ Helps with personal and emotional side of living with diabetes□ May be able to help you find resources to help with your medical or financialneeds, and help you cope with any concerns related to diabetes, including problems with the family and coping with workplace situations

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What Doctors Do I Need to See?

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What Medications Do I Need to Take?

Use this chart to track your medications

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Medication Costs

Cost Comparison Chart - Use this chart to compare costs at different stores

Pharmacy Name >>>>>>>

Medication/Dose Cost Cost Cost

Blood Glucose Meter

Test Strips/# per box

Lancing Device

Lancets

Glucose Tablets

Ketone Strips/Stix

Glucagon

Total Cost

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If You Need Help Paying for Your Medication If you are having trouble affording your medication, these programs may help.

Benefits Check Up- Has information on benefits programs for seniors with limited income and resources. Seniors can search for programs that help them pay for prescription drugs as well as health care, rent, utilities and other needs. benefitscheckup.org

Blink Health- Offers discounted prices for medications. blinkhealth.com/

FamilyWize- Offers discounted prices for many medications and provides information on available assistance programs. https://familywize.org/ 1-800-222-2818 [Call: 1-800-222-2818]

GoodRx- Provides a searchable database of current prices and discounts for medications. goodrx.com

Inside Rx- Offers discounted prices for many medications. insiderx.com

Needy Meds- NeedyMeds.org has information on pharmaceutical and healthcare assistance programs. needymeds.org

Partnership for Prescription Assistance- Helps qualifying patients without prescription drug coverage get the medicines they need for free or nearly free. pparx.org

Rx Assist- Provides a comprehensive database of pharmaceutical assistance programs. rxassist.org

Rx Hope- A web-based resource that acts as a facilitator in helping people get their medications for free or for a small co-payment. rxhope.com

SingleCare- Offers discounted prices for medications. www.singlecare.com

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Independent Pharmacies

Erie County

Akron Pharmacy 58 Main St, Akron, NY 14001 (716) 542-6300

Buffalo Pharmacies, Inc.1479 Kensington Ave, Buffalo, NY 14215 (716) 832-7742

Dexter Pharmacy 1453 Jefferson Ave, Buffalo, NY 14208 (716) 885-7878

Hamburg Pharmacy, Inc. 206 Lake St, Hamburg, NY 14075 (716) 646-3147

Ivylea Prescription & Home Health Care Center 2446 Elmwood Ave, Buffalo, NY 14217 (716) 873-1444

Kenmore Prescription Center Inc 2818 Delaware Ave, Buffalo, NY 14217 (716) 874-6360

Mobile Pharmacy Solutions 644 Ellicott St 104, Buffalo, NY 14203 (716) 247-5300

Niagara Pharmacy 469 Niagara St, Buffalo, NY 14201 (716) 856-0800

Parker Pharmacy 1388 Hertel Ave, Buffalo, NY 14216 (716) 725-0887

The Medicine Shoppe Pharmacy of Buffalo 1979 Seneca St, Buffalo, NY 14210 (716) 827-4900

Niagara County

Summit Park Pharmacy 2578 Niagara Falls Blvd (716)731-3500

www.summitparkpharmacy.com

Transit Hill Pharmacy 344 Transit Rd., Depew, NY 14043 (716)683-9444 www.transithillpharmacy.com

Wurlitzer Family Pharmacy 521 Division St., North Tonawanda, NY 14120 (716)260-1131 www.wurlitzerfamilypharmacy.com/

WNY Diabetes Solutions: Diabetes Self- Management Education Program 4 Pharmacy Locations Middleport Family Health Center 81 Rochester Rd., Middleport, NY 14105 (716)735-3261

www.middleportfamilyhealthcenter.com

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What to Do With Used Syringes, Insulin Pens and Lancets (Sharps)

All used syringes (also called sharps) should be put in a heavy duty plastic container with screw on cap, like an empty laundry detergent container.

When the container is ¾ full, put the cap on it and take it to one of the disposal sites below or on the following pages. You can also call to find a disposal site near you - 1-800-643-1643. (M-F, 9 am-5pm)

ERIE COUNTY DISPOSAL SITES

Bertrand Chaffee Hospital 224 E. Main St., Springville, NY 14141 716-592-2871 Monday to Sunday 8:00 AM - 4:00 PM

Buffalo General Hospital 100 High St Buffalo NY 14203 716-859-5600 Monday to Friday 8:00 AM - 4:00 PM E/R Department

Kenmore Mercy Hospital 2950 Elmwood Ave Kenmore, NY 14217 716-447-6100 Monday to Sunday6:00 AM - 11:00 PM E/R Department

Mercy Hospital 565 Abbott Rd Buffalo, NY 14220 716-826-7000 24/7 Drop Off E/R Department Mercy Hospital-Orchard Park

Division 3669 Southwestern Blvd Orchard Park, NY 14127 716-662-0500 Front Desk

Millard Fillmore Suburban Hospital 1540 Maple Rd. Williamsville, NY 14221 716-568-3605 24/7 drop off E/R Department

Roswell Park Cancer Institute Elm & Carlton St Buffalo NY 14263 100 College Parkway Amherst NY 14221 716-845-5998 for both locations

Sisters of Charity Hospital St JosephCampus 2157 Main St Buffalo, NY 14214 716-862-1451 24/7 Drop Off E/R Department

St Joseph Hospital 2605 Harlem Rd Cheektowaga, NY 14225 716-891-2500 24/7 Drop Off E/R Department

Women and Children’s Hospital 219 Bryant St., Buffalo, NY 14222 716-878-7000 24/7 drop off E/R department

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Nutrition and Exercise Programs

Affordable Healthy Food

Foodlink Curbside and Farmers Markets- Cash, debit, EBT and WIC accepted. Go to the link for information on where these programs are located and the dates and times. http://foodlinkny.org/fight_hunger/programs-initiatives/#tab-3 or call 211.

Farmers Markets- Many local farmers markets accept EBT and WIC. The link below takes you to a map of markets in the community. Once you get to the map, scroll into Erie County, then click on the blue dots to get information about the markets. https://data.ny.gov/Economic-Development/Farmers-Markets-in-New-York-State-Map/ gfni-eg8a

Food Programs for Older Adults

Meals on Wheels – home delivered meals for seniors. For more information: https:// mealsonwheelswny.org/ Phone: 716-822-2002

Ken-Ton Meals on Wheels http://www.kentonmealsonwheels.org/ Phone: 716-874-3598

Food Programs for the Community

Food Bank of WNY-providing food to the hungry throughout WNY at various locations. To find the location closest to you click below on the following link: https://www.foodbankwny.org/pantrymeal-locator/ Phone: 716-852-1305

Program Help Signing up for Food Programs Nutrition Outreach and Education (NOEP), Legal Assistance of Western New York, Inc. – Will prescreen to see if you may be eligible for SNAP (formerly called food stamps) and then will provide help with filling out and handing in the SNAP application. For more information call 716-858-8000 or visit http://www2.erie.gov/socialservices/ To see what benefit you qualify for visit: https://www.mybenefits.ny.gov/mybenefits/begin

Stay Fit Dining - Congregate Lunch Program- Nutritious Lunch for Seniors 60+ at Senior Centers, Community Centers and Senior housing. Reservations recommended.Phone: 716-858-8526

Exercise Programs for Older Adults

Club 99 Senior fitness program-Group classes led by volunteers. Participants exercise at their own pace either standing or in chair. Over 50 locations throughout Erie CountyPhone: 716-858-8526

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Nutrition and Exercise Resources

AMS Nutrition Counseling PLLC

[64 Davison Court Lockport, NY 14094(716) 266-6056 www.AMSNutritioncounseling.comDiabetes Coalition Representative Amy Shults | Owner/Operator | [email protected]

Brook 311 1/2 Occidental Ave S., Seattle, WA 98104 (716) 984-8564 www.brook.health Diabetes Coalition Representative Genevieve Connolly | Partner Development Manager | [email protected]

Elmwood Sheridan Medically Oriented Gym

1491 Sheridan Drive, Kenmore, NY, 14217 (716) 871 1100 http://grandislandphysicaltherapy.com

Grand Island Medically Oriented Gym

1801 Grand Island Boulevard, Grand Island, NY, 14072 (716) 773-1600 http://grandislandphysicaltherapy.com

Holista Foods Buffalo, NY (716)982-1054 www.holistafoods.com Diabetes Coalition Representatives Nadja Piatka | CEO | [email protected] Noelle DeSantis | Registered Dietitian Consultant | [email protected]

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Jewish Community Center of Greater Buffalo 2640 North Forest Road, Getzville NY (716) 204-2254 www.jccbuffalo.org Diabetes Coalition Representatives Patricia Simonson | Associate Executive Director | [email protected] Sam Seiler | General Manager, Health Fitness and Recreation | [email protected]

Lifestyle Nutrition WNY PLLC Multiple locations in Erie County. See website. (716) 222-0297 www.lifestylenutritionwny.com Diabetes Coalition Representative Lindsay Gillon | Registered Dietitian, Certified Diabetes Educator| [email protected]

Southtowns Medically Oriented Gym 100 Union Road, West Seneca, NY 14224 (716)675-4444 http://grandislandphysicaltherapy.com

YMCA Buffalo Niagara 301 Cayuga Rd. Buffalo, NY 14225 (716) 839-2543 www.YmcaBuffaloNiagara.org Diabetes Coalition Representative Kelly Standage | Association Director, Membership & Wellness | [email protected]

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Gestational Diabetes Nutrition Resources

Candi S. Bailey 3685 Southwestern Blvd, Orchard Park, NY 14127

(716) 662-2408

[email protected]

Deb Ritchter at St. Joseph’s Hospital

2605 Harlem Rd, Cheektowaga, NY 14225

(716) 510-0409

[email protected]

Jacquelyn Anderson at Balanced Nutrition

350 Alberta Dr #109, Amherst, NY 14226

(716) 553-7826

Melinda @balancednutritionwny.com

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Diabetes Support Groups

Support groups offer many benefits for both you and your loved ones. Whether it is sharing information about diabetes, attending events, or just being available to talk and listen. Support groups are a great way to meet people and understand a condition that affects so many.

Adult Type 1 Support Group UBMD Internal Medicine 1020 Youngs Rd., Williamsville NY 14221 Contact Margaret Mersereau at (716) 961- 9900

Amputee Support Group of WNY

(Including people with diabetes) Meets the last Wednesday of the month at 6 PM Kenmore Mercy Hospital Community Room 2950 Elmwood Ave., Kenmore NY 14217 Contact Joe Baumgarden at 716-447-6037

* Stroke Support Groups also availablethrough Catholic Health System. Visit chsbuffalo.org/events or call Health Connection at 716- 447-6205

Clarence Support Group

Meets the 3rd Tuesday of the month at

1PM Old Goodrich Rd., Clarence Center 14032 Contact Marion Miano at 585-542-2180

ECMC Diabetes Support Group (Types 1 and 2, including children) Meets the last Wednesday of the month at 5:30 PM 462 Grider St., Buffalo NY 14215 David K Miller Building Rm C202A

Contact Jamie K. Dortch-Lanier at 716-228- 5834 or [email protected]

Parents of Diabetics (PODS) of WNY 900 Maryvale Drive • Cheektowaga, NY 14225 Contact: 716-833-2873 www.podswny.org

Seneca Nation Health Department Native American Support Group 987 R C Hoag Drive • Salamanca, NY 14779 Contact: Diabetes Clinic Kelli Vanini RN, CDE or Jody LaMarca RD, CDE 716-945-5894

Tops Pharmacy Store #213

Meets the 1st Thursday of every month at3 PM in the “Carry Out Café” 1460 South Park Ave., Buffalo NY 14220 Contact Jamie Keller at 716-515-2060

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Type 1 Diabetes Support GroupFall 2019 meeting dates:Tuesday September 10Thursday October 10Thursday November 14at 6:30PM-8 PMJulia Boyer Reinstein Library1030 Losson Rd, Cheektowaga NY 14227Contact:[email protected] and on Facebook at T1D Buffalo

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Support Resources

The Resource Center 200 Dunham Avenue, Jamestown NY, 14701 (716) 661-4795 Agency Website: https://resourcecenter.org STARS Wellness Website: https://trcstarshealthplan.com Diabetes Coalition Representative Donna Trusso | Wellness Program Supervisor | [email protected]

Neighborhood Health Center 300 Niagara Street, Buffalo, NY, 14201 (716) 875-2904 www.neighborhoodhealthcenter.org Diabetes Coalition Representative Maria Ines Aguero de Manunta | Registered Dietitian | [email protected]

Middleport Family Health Center 81 Telegraph Rd Middleport New York 14105 (716) 735-3261 https://www.middleportfamilyhealth.com/ Diabetes Coalition Representative Ryan Lindenau | Clinical Pharmacist | [email protected]

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• .. Campers enjoy traditionalcamp activities,learn about managing their diabetes,and connect with other kids and adults living with diabetes.

wo sessions inJuly at the Rochester Rotary Sunshine Campus,Rush, NY.

For more information: www.diabetes.org/adacampaspire

(585) 458-3040 x3472

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General Resources

American Diabetes Association 4955 North Bailey Avenue - Suite 217 Amherst NY 14226 (716) 835-0274 x3704 www.diabetes.org Diabetes Coalition Representative Stacie Waddell | Development Director | [email protected]

Buffalo Ophthalmology, PLLC 405 International Drive (716) 633-7386 www.buffalo-ophthalmology.com/ Diabetes Coalition Representative Petranella Majewski | Practice Manager | [email protected]

Cornell Cooperative Extension of Niagara County; Eat Smart New York Western Region

1522 Main Street Niagara Falls, NY 14305 (716) 299-0905 x268 www.eatsmartwny.org Diabetes Coalition Representative Jenna Fadale | Registered Dietitian | [email protected]

Erie County Department of Health 95 Franklin St. Buffalo, NY 14202 (716) 858-4752 www.erie.gov/health Diabetes Coalition Representative Kelly Fletcher | Public Health Educator | [email protected]

Kidney Foundation of WNY 4444 Bryant and Stratton Way Williamsville, NY 14221 (716) 529-4390 www.kfwny.org Diabetes Coalition Representative Jeremy Morlock | Manager | [email protected]

Sam’s Club Hearing Center 11580 Military Rd, Niagara Falls, NY 14304 (716) 205-3345 www.lucidhearing.com Diabetes Coalition Representative Michelle Pecze | Hearing Aid Dispenser | [email protected]

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Juvenile Diabetes Foundation JDRF331 Alberta Dr # 106, Buffalo, NY 14226(716) 833-2873https://www.jdrf.org/westernny

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