1. ESTILL COUNTY DIABETES COALITION “Working to improve the health of Estill County, Kentucky”

3. DIABETES SELF-MANAGEMENT EDUCATION  Coalition offers at least one series of classes per year  Previous classes have had inconsistent attendance  New approach – 4 different sites, during lunch  Began with Body Fitness group  Average of 17 people per session

4. Laura Ashley teaching the second class in the series, at the County Extension Office.

5. TRAVELING DIABETES CLINIC  10 month diabetes clinic initiated at Marcum and Wallace Memorial Hospital in 2012  Each month the Registered Dietitian traveled to employees of the hospital and 3 clinics, checking blood sugar and educating on diabetes  Tracked blood sugars and addressed any issues  A variety of topics on prevention and management were offered to employees  A “go to the employee” approach worked well in this setting

6. TRAVELING CLINIC RESULTS…  Two employees were previously unaware they had diabetes  An employee improved their Hemoglobin A1c from 14% to 7.4%  An employee with consistent elevated blood sugars in the afternoon discovered cause and corrected  An insulin dependent employee was found to consistently be having blood sugars greater than 300 and was not taking her insulin as prescribed

7. DIABETES ALERT DAY – LOCAL GROCERY STORE  Coalition members set up a booth in local Sav-A-Lot grocery store to distribute information  Free literature and oral care kits  Information on local resources  Over 100 people collected information

8. Diabetes Alert Day Education booth at local Sav-A-Lot

9. BACK TO SCHOOL NIGHT  Coalition members had booths at Back to School Night at local middle school  Oral care information, toothbrush and toothpaste, healthy eating and snacking information, community resource information  Adults could register for a FREE dental visit with cleaning  Over 125 people visited the booth

10. BACK TO SCHOOL NIGHT

11. COMMUNITY BABY SHOWER  Coalition had previously sponsored community health fairs, and offered flu shots through the health department  Coalition looked for new focus for large community event  First baby shower held in the county in many years  Great response! 15 local agencies and coalitions represented; 65 people in attendance

12. BABY SHOWER CONTINUED…  Open to parents who are expecting or have a child under 2  Provided dinner for families  Lots of great information and giveaways at booths  Great door prizes  2 nd annual shower held last week – grown from first year  3 guest speakers were available to talk about car seat safety; appropriate use of the Emergency Department; what to expect with a newborn

13. Baby Shower 2013

14. WALKING TRAILS  Partnership with local Development Alliance and Chamber of Commerce  1,2 and 3 mile city trails  County is currently partnering with surrounding counties to form a rural trail system for pedestrians, bikes and ATV’s

15. BODY FITNESS CLASS  Interfaith Wellness Ministry  2 class series per year / meet 2 times per week  Target elderly and those with chronic conditions  Improves flexibility, muscle tone, strength and balance  Current health topics discussed at end of class  Based on Body Recall curriculum