Dedicated to Addressing Diabetes The continuing impact of diabetes on health care in this country is something I’m sure you know by now. We at Sanofi are dedicated to addressing diabetes with key diabetes-care stakeholders, including you and your group. Today, I appreciate the opportunity to introduce our healthFORWARD resources. Dedicated to Addressing Diabetes For the Pharmacist US.NMH.15.01.099

Today’s Presentation Update on the impact of diabetes on patients How to enhance diabetes management Introduce healthFORWARD in terms of its focus, objectives, resources, and benefits Getting started with healthFORWARD In today’s presentation, I’d like to provide you with: • An update on the impact of diabetes on patients • Ways to enhance diabetes management • An introduction to healthFORWARD in terms of its focus, objectives, resources, and benefits • How to get started with healthFORWARD 2

with Diabetes = 29.1 million or 9.3% The Impact of Diabetes US Population with Diabetes = 29.1 million or 9.3% Conditions and Complications Among People Diagnosed Hypoglycemic Crises Hyperglycemic Crises 282,000 ER cases of adults • 175,000 ER visits High Blood Pressure High LDL Cholesterol 71% ≥140/90 • 65% had blood LDL cholesterol ≥100 mg/dL Blindness and Eye Problems 4.2 million (28.5%) of adults ≥40 years had diabetic retinopathy 655,000 (4.4%) of adults ≥40 years had advanced diabetic retinopathy, which can lead to severe vision loss Kidney Disease 49,677 people of all ages began treatment for kidney failure due to diabetes The impact of diabetes is among the most serious health care issues faced today. The National Diabetes Statistics Report compiled from the 2010-2012 National Health Interview Survey indicates the following: 29.1 million or 9.3% of the US population have diabetes: 21.0 million are diagnosed; 8.1 million are undiagnosed Diabetes can affect many parts of the body and is associated with serious complications. Early detection and treatment of complications can prevent progression, so monitoring with eye exams, urine tests, and foot exams is essential. Hypoglycemia Crises: 282,000 ER cases of adults aged 18 or older were admitted with hypoglycemia being the first-listed diagnosis Hyperglycemia Crises: 175,000 ER visits for people of all ages having hyperglycemic crisis (eg, diabetic ketoacidosis and hyperglycemic hyperosmolar state as first-listed diagnosis) High Blood Pressure: 71% ≥140/90 (adults aged 18 or older diagnosed with diabetes or taking blood pressure medication to lower) High LDL Cholesterol: 65% had blood LDL cholesterol ≥100 mg/dL (adults over age 18 diagnosed with diabetes or using cholesterol-lowering medication) Blindness and Eye Problems: 4.2 million (28.5%) of adults 40 years or older had diabetic retinopathy, which may result in loss of vision; 655,000 (4.4%) of adults ≥40 years were diagnosed with severe vision loss from advanced diabetic retionopathy Kidney Disease: 49,677 people of all ages began treatment for kidney failure due to diabetes; 44% new cases since 2011; 228,924 people of all ages with kidney failure due to diabetes were living on chronic dialysis or with a kidney transplant Additional information can be found in the National Diabetes Report, 2014 Source: Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: US Department of Health and Human Services; 2014. Source: CDC. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: US Dept. of Health and Human Services, 2014

Enhancing Diabetes Management Diabetes can be treated and managed Patient education and self-care practices are important Help patients with diabetes by focusing on: Healthy eating Being active Adhering to medications Coping skills Monitoring blood glucose Diabetes can be treated and managed by healthy eating, regular physical activity, and medications to lower blood glucose levels. Diabetes management reduces cardiovascular disease risk factors (high blood pressure, high lipid levels, and tobacco use)   Patient education and self-care practices are important aspects of disease management and assist in helping the patient stay healthy Patient self-management education should focus on self-care behaviors that include healthy eating, being active, adhering to medications, learning to cope with diabetes, and monitoring blood glucose Source: Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: US Department of Health and Human Services; 2014. Source: CDC. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: US Dept. of Health and Human Services, 2014 4

Introducing healthFORWARD Diabetes Resources Addressing needs Raising awareness Encouraging involvement Engaging patients Offering innovative resources Introducing healthFORWARD Diabetes resources — provided for patients, staff, pharmacists, and providers — makes it easy to match appropriate resources as initiatives for various audiences. This program can help meet important communications needs by: • Addressing the roles, responsibilities, and needs of patients, staff, pharmacists, and providers at appropriate communication levels • Raising diabetes awareness • Encouraging involvement and interaction • Engaging patients and families in diabetes recognition and management • Offering a range of innovative, unbranded diabetes resources Remember, a wide range of healthFORWARD program resources are available • You can select, access, reproduce, and distribute any and all resources 5

healthFORWARD Implementation Components Overview Program Overview Resource Index Facilitator’s Handbook In-Service Program Special Event Quality-Improvement Forms Facilitator’s Handbook Let’s now take a look at healthFORWARD Diabetes by key resources. First, Program Overview Resources are for your ongoing planning and reference and include: • A Program Overview A summary of the current health care impact of diabetes A Resource Index that lists all resources and their intended audiences A description of the features and benefits of each program resource A step-by-step plan for starting your own program • A Facilitator Handbook that includes: Implementing a systematic approach to diabetes How a facility’s diabetes-intervention program can be adapted to a quality-improvement initiative How to engage the interdisciplinary team Patient targeting Diabetes-management planning Suggestions for an in-service program and a family event • Quality-Improvement forms for staff use

Taking Care of Your Diabetes Special Event Banner Slide Presentation Invitation Template Certificates Evaluation Form Taking Care of Your Diabetes Special Event Facility events for patients and their families can help build awareness of diabetes and its complications. Information provided at such events can also help promote early recognition of diabetes and engage patients and their families in diabetes management. This healthFORWARD program includes materials that enable you to organize and produce events of any scope: • An informative and colorful slide presentation designed to help patients and families manage diabetes • A facilitator’s guide that provides a complete introduction to the family event materials, with step-by-step instructions on conducting successful family events • Banner templates to promote the event • Invitation/Poster template can be customized to include announcement location, date, and time • A certificate template is included so you can print certificates to help retain attendee interest and ongoing involvement • An evaluation form can be completed by patients and then discussed with their health care providers We also have other resources available for patients and their families.

Patient Resources Blood Sugar Diary Nutrition Know-How Be Active For a Healthier You Living a Healthier Life Self-Management Instructions Oral Medications Myths and Facts About Diabetes Taking Your Medicine So You Need to Take Insulin These include the following: • Blood Sugar Diary helps track blood sugar • Nutrition Know-How helps explain the benefits of healthy eating • Be Active For a Healthier You explains the benefits of exercise and gives tips for being more active • Living a Healthier Life covers a wide range of important topics addressing concerns and providing helpful education on topics such as types of diabetes, diabetes medication, blood sugar levels, healthy eating, exercise, and more • Self-Management Instructions to give to patients and their families for follow-up reminders about checking blood sugar, when to call the doctor, current medications, exams and shots • Oral Medications – Myths and Facts About Diabetes separates myth from fact about diabetes medication – Taking Your Medicine oral medications, injections, or combination therapies may be prescribed to help control blood suger • So You Need to Take Insulin helps explain important things to know about taking insulin, why oral antidiabetic pills may no longer be enough to control your blood sugar, and the benefits and risks associated with taking insulin That’s a look at all the components you’ll find in the healthFORWARD Diabetes Program. Now I’d like to tell you how easy it is to put these components to work for you.

Getting Started Familiarize yourself with the program resources Select the appropriate resources to incorporate into your current program Update your current policies and procedures Distribute template letters to announce the initiative Schedule programs Schedule a family event for patients and their families Plan to audit and review changes to program To get started, familiarize yourself with the program’s resources: Read the Program Overview booklet for highlights of the program and its major resources Review the program resources Then: Select appropriate resources to incorporate into your current diabetes-management program You may also want to update your current policies and procedures to reflect incorporation of selected resources Access selected resources for reproduction and distribution Personalize and distribute the template letters to announce your diabetes-management initiative to attending physicians and staff Schedule a diabetes program Schedule a diabetes family event for patients and their families You may also want to plan to audit and review changes made to your diabetes-management program

healthFORWARD Benefits Improve awareness and recognition of diabetes Engage in day-to-day management of diabetes Motivate patients to adhere to appropriate treatment regimens Help reduce medical costs for appropriate patients Enhance your ongoing quality-management process I hope you now have a fuller understanding of the many features, resources, and benefits available to you through healthFORWARD Diabetes. Using these resources can help: Improve awareness and recognition of diabetes Engage in day-to-day management of diabetes Motivate patients to adhere to appropriate treatment regimens Help reduce medical costs for appropriate patients Enhance your ongoing quality-management process This healthFORWARD program can support and enhance your existing diabetes-management initiatives.

Thank you! I hope we can work together to put healthFORWARD Diabetes to work for you and those involved in diabetes care. Thank you!