Introductory Lesson

WelcomeAs you arrive, please add your name to the Sign-In Sheet

and fill out the Participant Survey

Collect InformationAt this time, we will:

1. Sign in

2. Fill out the Participant Survey

3. Work one-on-one to complete the Stages of Change Staging Tool

IntroductionsIcebreaker – Let’s meet each other!

What Will the Program Be Like?There are 12 sessions in this program

We will cover four main topics about diabetes:Understanding DiabetesThe ABCs of DiabetesNutrition for DiabetesGetting Routine Care

How Will the Program Help You?• Make important daily changes

• Manage your diabetes for six months or more

How Will the Program Help You?

Recognize that you are in control of your diabetes

Provide information about diabetes

Provide opportunities for you to make decisions that are in your best interest

The Stages of Change• Explains how people change their behavior

• There are five stages of behavior change:1. Pre-contemplation

2. Contemplation

3. Preparation

4. Action

5. Maintenance

The Stages of Change1. Pre-contemplation: You are not interested in making

changes to manage your diabetes

2. Contemplation: You are thinking about making changes to manage your diabetes but not soon

3. Preparation: You have decided to make changes and you are making plans to manage your diabetes

The Stages of Change4. Action: You are making many lifestyle changes to

manage your diabetes

5. Maintenance: You have been maintaining behavior to manage your diabetes for six months or longer

What Should Be Your Goal?• As you attend these classes, you should move from:

– Preparation: making plans to manage your diabetes

– Action: taking steps to manage your diabetes

– Maintenance: managing your diabetes for six months or longer

Let’s Look at the Staging ToolWhere are you in terms of your readiness to make

changes to manage your diabetes?

The goal is to move to the Action stage and then to the Maintenance stage

How Will the Program Help You?

You will learn to manage your diabetes by doing the following:

• Make healthy food choices

• Follow a diabetes meal plan

• Take part in physical activity

• Monitor blood glucose

How will the program help you?

You will learn to manage your diabetes by doing the following:

• Stay in contact with your doctor or health care team

• Follow your doctor’s recommendations

• Solve problems related to diabetes

• Set goals for yourself and work toward accomplishing these goals

How Will the Program Help You?

You will learn to manage your diabetes by doing the following:

• Make healthy food choices

• Follow a diabetes meal plan

• Take part in physical activity

• Monitor blood glucose

Goal Setting• Set and accomplish goals that relate to managing

diabetes

• Goals should be SMART:• S-pecific

• M-easurable

• A-ction Oriented

• R-ealistic

• T-ime Framed

S-pecific• No: I will exercise more each day

• Yes: On three days of the week, I will walk for 15 minutes in the morning before work and 15 minutes in the evening after work

• TIP: Think about what you are ready, willing, and able to change and what will work for you

M-easurable

• I will exercise for 30 minutes on three days each week

• I will eat whole wheat bread instead of white bread

• I will check my blood sugar once a day

A-ction Oriented

• Think about what you need to do to achieve your goal

• If your goal is to exercise for 30 minutes on three daysof the week, you may want to take the following actions:

• Get clearance from your doctor

• Find someone who is willing to walk with you

• Buy a comfortable pair of shoes

• Decide where you will walk

• Walk for 15 minutes in the morningand 15 minutes in the evening

R-ealisticChoose a goal where you will be successful

Can you live with this goal?

Choose a goal that you know you can achieve

Can you live with big goals or small goals?

Use what works for you

T-ime FramedUse a reasonable time frame:

In the next week I will buy comfortable walking shoes

In the next month I want to walk for 30 minuteson five days of the week

Support

How Are Classes Organized?• L-esson

• E-mpowerment

• A-ction or setting a small goal

• R-eal-life problem solving

• N-utrition or food preparation

Diabetes Volunteer Peer Mentor (DVPM)

Questions?

See you next week!

Date:

References:

Margaret E. Cook-Newell, Ph.D., R.D., L.D., CDE Irene Hong-McAtee, MD, MCR

Hazel Forsythe, Ph.D., R.D., L.D., CFCS Laura Hieronymus, MSEd, APRN, BC-ADM, CDE Cheryl Case, M.S., Harrison County Ann Hollon, M.A., Wolfe County 

Adrienne Glodt, B.S., Graduate Student

Stephen D. Perry, M.S., R.D., L.D. Lynn Blankenship, M.S., Metcalfe County Theresa Scott, M.A., Floyd County Tamara Thomas, M.S., Franklin County

Jennifer Allen, M.S., Graphic Artist

Author: Ingrid Adams, Ph.D., Assistant Professor , Nutrition and Food Science, University of Kentucky

Other Contributors