1. Preventing Diabetes What is Pre-diabetes?

2. Topics What is diabetes and pre- diabetes? What are the risk factors for diabetes? How can you delay or prevent type 2 diabetes?

3. Diabetes What is Diabetes? Blood glucose (sugar) levels higher than normal Not enough insulin to allow glucose to enter cells to be used for energy

4. Types of Diabetes Type 1 diabetes Usually diagnosed in children and young adults Type 2 diabetes Most common form Most often diagnosed in adults Gestational diabetes Can appear during pregnancy High risk for type 2 diabetes later in life

5. What is Diabetes? - Video Clip

6. Insulin – Video Clip

7. Type 2 Diabetes – Video Clip

8. Type 2 Diabetes

9. Pre-Diabetes What is Pre-Diabetes? Comes before type 2 diabetes Blood glucose higher than normal, but not yet diabetes You can have pre-diabetes and not know it

10. Diagnosing How are diabetes and pre- diabetes diagnosed? Diabetes –Fasting blood glucose of 126 mg/dl or higher Pre-diabetes –Fasting blood glucose of 100 - 125 mg/dl

11. Preventing Diabetes What is your fasting blood glucose? When was your glucose last checked?

12. Get Checked Get your blood glucose checked for pre-diabetes if you are Age 45 or older and overweight Age 45 or older and not overweight – ask your doctor if you need to be tested Under age 45, but overweight and at increased risk for diabetes

13. Risk Factors A parent, brother or sister has diabetes You are African American, Hispanic/Latino, Native American, Asian American or Pacific Islander You had a baby weighing more than 9 pounds or had gestational diabetes You have high blood pressure (over 140/90) You have low HDL (good) cholesterol (40 or lower) You have high triglycerides (150 or higher)

14. Pre-diabetes If you have pre-diabetes, what does it mean? You might get type 2 diabetes soon or sometime in the future You are more likely to get heart disease or have a stroke

15. Preventing Diabetes Diabetes is serious You will be healthier if you delay or prevent diabetes Diabetes is common But you can reduce your risk by losing weight

16. Preventing Diabetes Delay or prevent type 2 diabetes with Regular physical activity, such as walking almost every day Weight loss

17. Preventing Diabetes The Diabetes Prevention Program study showed 30 minutes a day of moderate physical activity along with a 5 to 10% weight loss produced a 58% reduction in diabetes

18. Losing 5 to 10%

19. How much do you weigh? How much is 5 to 10%?

20. Strategies for Losing Weight Cut back on calories and fat Be active most days of the week Eat breakfast daily Keep records of: –What you eat and drink –Daily physical activity –Your weight

21. Strategies for Losing Weight Implementing a weight-loss program –On your own or –Through an organized weight loss program (e.g., Weight Watchers) A combination of meal planning and physical activity is most successful

22. Keeping a Record Records helps keep you on target Write down Everything you eat and drink including serving sizes Your physical activity – what kind and how long Your weekly weight

23. Keeping a Record Use A small notebook or ADA’s “My Game Plan: Food and Activity Tracker” or Anything that works for you!

24. Keeping a Record

25. Review You can delay or prevent type 2 diabetes with regular physical activity, such as walking almost every day, and weight loss.

26. Review Learn all you can to help:  lose weight  be more active  eat healthy

27. Learn More Other Preventing Diabetes Programs:  Cutting Calories and Fat  Being Active

28. More Help A new powerful risk assessment tool Enter your personal health information. Receive a personalized “Results Overview” showing your current risk for diabetes, heart attack, and other health problems. Change items in your profile (such as walking more or losing weight) to see how making these changes would impact your future.

29. Diabetes PHD Online at diabetes.org/phd

30. For More Information For more information about preventing diabetes please call 1-800-DIABETES or visit diabetes.org

31. For More Information Contact your local ADA at 1-888-DIABETES to learn about activities and volunteer opportunities in your community