The Diabetes Education Curriculum Codes (DMC) are a. VERY specific set of codes that follow the riculum, “Balancing Your Life and Diabetes.” These IHS dia …
Diabetes Curriculum Education Codes
DOCUMENTING DIABETES EDUCATION CURRICULUM
Disease DM Know Your Numbers ABC Education Topic Number Taught REQUIRED 1–5 Level of Understanding Good/Fair/Poor/Refused/ Group Time XX Min Provider Initials Initials Behavior Goal REQUIRED GS GM GNM 1–5 Good/Fair/Poor/Refused/ Group XX Min Initials GS GM GNM GS Goal Set GM Goal Met GNM Goal Not Met
DM
Foot Care FTC
To view the complete Patient Education Protocols and Codes Manual, visit: wwwihsgov Click on Nationwide Programs and Initiatives, look in the upper righthand corner, and then click on the link to the Patient Education Protocols and Code Manual You may down-load this pamphlet from the link
LEVEL OF UNDERSTANDING
GOOD G Verbalizes understanding Verbalizes decision or desire to change plan of action Able to return demonstration correctly
FAIR F Verbalizes need for more education Undecided about making a decision or a change Return demonstration indicates a need for further teaching
POORP
REFUSE R Does not verbalize understanding Refuses or declines patient eduRefuses to make a decision or cation need change Unable to return demonstration
GROUP GP Education provided in group Unable
to evaluate individual responses
For additional information, contact: Mary Wachacha at mwachach@hqeihsgov, Drs Michale Ratzlaff or Kelton Oliver at mdratzlaff@southcentralfoundationorg, or Juan Torrez at JuanTorrez@ihsgov
Elko Service Unit Phoenix Area Indian Health Service
Patricia B Price, ITS
This was created by:
Patient Family Education Codes
11th Edition January 2005 PEPC
What are the Diabetes Curriculum Education Codes?
The Diabetes Education Curriculum Codes DMC are a VERY specific set of codes that follow the IHS Diabetes Curriculum, Balancing Your Life and Diabetes These IHS diabetes education codes are meant to be used by persons who are familiar with the IHS Diabetes Curriculum, Balancing Your Life and Diabetes If you are providing Diabetes Education and your site is not using the IHS Balancing Your Life and Diabetes curric ulum, use the DM codes found in the main set of patient education codes Only sites using the IHS Balancing Your Life and Diabetes should use the DMC Diabetes Mellitus Curriculum codes If you are not sure which codes or curric ulum your site should document with, check with your local Diabetes Coordinator
DMC-ABC DMC-AC DMC-BG DMC-BGM DMC-CC
Knowing Your Numbers ABC Acute Complications Behavioral Goals Making Healthy Changes Blood Sugar Monitoring, Home Chronic Complications Preventing and treating diabetes complication DMC-DP Disease Process What Is Diabetes DMC- EX Exercise Moving to Stay Healthy DMC-FTC Foot Care Taking Care of Your Feet DMC-M Diabetes Medicine- Overview and Diabetes Pills DMC-IN Diabetes Medicine - Insulin DMC-MSE Mind, Spirit And Emotion DMC-N Nutrition Basics Of Healthy Eating DMC-N-FL Nutrition Session 1: Introduction to Food Labels DMC-N-CC Nutrition Session 2: Introduction to Carbohydrate Counting DMC-N-EL Nutrition Session 3: Introduction to Exchange Lists DMC-N-FS Nutrition Session 4: Introduction to Food Shopping DMC-N-HC Nutrition Session 5: Introduction to Health Cooking DMC-N-EA Nutrition Session 6: Introduction for Eating Away from Home DMC-N-AL Nutrition Session 7: Introduction for the Use of Alcohol DMC-N-D Nutrition Session 8: Introduction for the Evaluating Diets DMC-PG-DM Session 1: Pregnancy, Diabetes and You: First Step to a Healthy DMC-PG-N Session 2: Healthy Eating During Pregnancy DMC-PG-PA Session 3: Moving to Stay Healthy During Pregnancy DMC-PG-M Session 4: Medicine During
Pregnancy DMC-PG-BGM Session 5: Home Blood Sugar Monitoring During Pregnancy DMC-PG-C Session 6: Staying Healthy During Pregnancy DMC-PG-PP Session 7: Staying Health After Delivery DMC-PG-PPC Pre-Pregnancy Counseling GDM GDM-BG GDM-BGM GDM-C GDM-DP GDM-EX GDM-FU GDM-L GDM-N GESTATIONAL DIABETES Behavioral Goals Making Healthy Changes Blood Sugar Monitoring, Home Complications Disease Process Exercise Physical Activity and Pregnancy Follow-up Patient Information Literature Nutrition Meal Planning in Pregnancy
GDM-FU
FOLLOW-UP
OUTCOME: The individual/family will understand the importance of routine follow-up in diabetes treatment and management STANDARDS: FU1 Discuss the importance of regular medical appointments and education to prevent or delay the complications of diabetes FU2 States at least 3 standards of diabetes care FU3 States the local process to use to make appointments for clinical, education and other services for people with diabetes FU50 Writes or states a personal plan for follow-up visits FU51 Behavior goal met follow-up FU52 Behavior goal unmet follow-up GDM-L PATIENT INFORMATION LITERATURE
OUTCOME: The individual/family receives information about diabetes
self-care management STANDARDS: L1 Provided with diabetes self- care management information L2 Provided information about local resources to promote health GDM-N NUTRITION MEAL PLANNING IN PREGNANCY
OUTCOME: The woman with gestational diabetes and her significant other/family will be able to make a personal plan for nutritional needs during pregnancy STANDARDS: N1 Discuss in simple terms carbohydrate foods N2 Discuss 2 or more healthy eating changes to control blood sugar during pregnancy N3 Discuss importance of consistent timing of meals and snacks N50 Write a personal plan for making nutrition changes during pregnancy N51 Behavior goal met follow-up N52 Behavior goal unmet follow-up
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BGM7 BGM8 BGM9 BGM10 BGM50 BGM51 BGM52 GDM-C
Demonstrate how to record results correctly Discuss benefits of bringing meter and logbooks to clinic visits State proper disposal of insulin syringes and other sharps States how to get blood sugar testing supplies Writes a plan to test blood sugar Behavior goal met follow-up Behavior goal unmet follow-up COMPLICATIONS
DMC-ABC KNOWING YOUR NUMBERS ABC OUTCOME: The individual/family will be able to identify target goals for A1c, blood
pressure and blood fat levels STANDARDS: ABC-1 Verbalize one reason for measuring A1c ABC-2 State the target A1c goal for blood sugar control ABC-3 Identify current A1c ABC-4 State two ways to reach or maintain their A1c goal ABC-5 Verbalize one reason for measuring blood pressure ABC-6 State the target for blood pressure control ABC-7 Identify current blood pressure ABC-8 State two ways to reach or maintain a target blood pressure ABC-9 Verbalize one reason for measuring blood fats ABC-10 State the target goals for target blood fats ABC-11 Identify at least one current blood fat level ABC-12 List two or more ways to reach or maintain target blood fat goals ABC-13 State where to get help to improve their ABC numbers ABC-GS State or write a plan to reach or maintain at least one of the ABC numbers ABC-GM Behavior goal met follow-up ABC-GNM Behavior goal unmet follow-up DMC-AC ACUTE COMPLICATIONS
OUTCOME: The woman with gestational diabetes and her significant other/family will understand the relationship between high blood sugars and adverse outcomes of pregnancy STANDARDS: C1 Discuss 2 complications for mom if blood sugars are high during pregnancy C2 Discuss 2 complications for
baby if blood sugars are high during pregnancy C3 Describe the how to monitor fetal movement kick counts C4 Discuss how to control blood sugar during pregnancy C5 Discuss 2 things she can do to help prevent or control diabetes after delivery C50 Write a personal plan to control blood sugar during pregnancy C51 Behavior goal met follow-up C52 Behavior goal unmet follow-up GDM-DP DISEASE PROCESS
OUTCOME: The individual/family will understand acute complications and self- care actions to take to prevent or treat acute complications STANDARDS: LOW BLOOD SUGAR AC-1 Define low blood sugar AC-2 Discuss two or more causes of low blood sugar AC-3 List two or more symptoms of low blood sugar AC-4 State two or more actions to take when feeling symptoms of low blood sugar AC-5 State two or more actions to prevent low blood sugar HIGH BLOOD SUGAR AC-6 Define high blood sugar AC-7 State two or more causes of high blood sugar AC-8 List two or more symptoms of high blood sugar AC-9 Discuss two or more actions to take when the blood sugar is high AC-10 State two or more actions to prevent high blood sugar SICK DAY MANAGEMEN T AC-11 Explain how blood sugar is affected during illness AC-12 State two
or more things to do to manage blood sugar when sick AC-13 Identify two or more food and drink choices to use when sick AC-GS State or write a plan to use for low blood sugar, high blood sugar, and sick day management AC-GM Behavior goal met follow-up AC-GNM Behavior goal unmet follow-up
OUTCOME: The woman with gestational diabetes and her significant other/family will understand diabetes self care management during pregnancy STANDARDS: DP1 Define in simple terms gestational diabetes DP2 State blood sugar goals for pregnancy DP3 Describe feelings about diabetes and pregnancy DP4 Describe self- care management during pregnancy DP50 Write a personal plan for self care management during pregnancy DP51 Behavior goal met follow-up DP52 Behavior goal unmet follow-up GDM-EX EXERCISE PHYSICAL ACTIVITY AND PREGNANCY
OUTCOME: The woman with gestational diabetes and her significant other/family will have a safe physical activity plan to follow during pregnancy STANDARDS: EX1 Describe a safe physical activity plan for pregnancy EX2 List 3 guidelines to follow for a safe exercise program EX50 Write a physical activity plan to use during pregnancy EX51 Behavior goal met follow-up EX52 Behavior
goal unmet follow-up
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DMC-BG
BEHAVIORAL GOALS MAKING HEALTHY CHANGES
DMC-PPC
PRE-PREGNANCY COUNSELING
OUTCOME: The individual/family will have a basic knowledge of the process of behavior change and goal setting STANDARDS: BG-1 State in simple terms what a goal is BG-2 Discuss personal habits BG-3 Identify desirable behavioral changes BG-4 Describe the process for making personal change BG-GS State or write a plan to change one or more behaviors BG-GM Behavior goal met follow-up BG-GNM Behavior goal unmet follow-up DMC-BGM BLOOD SUGAR MONITORING, HOME OUTCOME: The individual/family will understand the importance of blood sugar monitoring, know how to use the meter, and make personal blood sugar monitoring plan STANDARDS: BGM-1 Explain that people with diabetes use a meter to learn how much sugar is in the blood BGM-2 List benefits of checking blood sugar BGM-3 State target blood sugar ranges to decrease risk for complications BGM-4 Discuss personal blood sugar goals BGM-5 State when to check blood sugar BGM-6 Discuss proper technique for checking blood sugar To include maintenance, support services BGM-7 Demonstrate how to record results correctly BGM-8 Discuss
benefits of bringing meter and logbooks to clinic visits BGM-9 State proper disposal of sharps BGM-10 State how to get supplies to check blood sugar BGM-GS State or writes a plan to check blood sugar BGM-GM Behavior goal met follow-up BGM-GNM Behavior goal unmet follow-up DMC-CC CHRONIC COMPLICATIONS PREVENTING AND TREATING DIABETES COMPLICATION STAYING HEALTHY WITH DIABETES
OUTCOME: The woman with diabetes and her significant other/ family will understand the need for blood sugar control prior to pregnancy STANDARDS: PPC-1 Describe the need to reach target blood sugar goals before becoming pregnant PPC-2 Identify two or more ways to reach target blood sugar goal before becoming pregnant PPC-3 State that insulin injections may be needed to reach target blood sugar goal before becoming pregnant PPC-4 State two potential problems for baby if pregnancy occurs while the mothers blood sugar is high PPC-5 State two potential problems for mother during pregnancy PPC-6 State the need to use birth control until ready to become pregnant PPC-7 State the need to seek early prenatal care PPC-8 State the need to avoid tobacco, alcohol, and drugs before and during pregnancy PPC-9 Identify
community resources to support families before, during, and after pregnancy PPC-GS State or write a personal plan to prepare for pregnancy PPC-GM Behavior goal met follow-up PPC-GNM Behavior goal unmet follow-up
GDM - GESTATIONAL DIABETES
GDM-BG BEHAVIORAL GOALS MAKING HEALTHY CHANGES
OUTCOME: The individual/family will have a basic knowledge of the process of behavior change and goal setting STANDARDS: BG1 State in simple terms what a goal is BG2 Discuss personal habits BG3 Identify what the patient may want to change BG4 Describe the process for making personal change BG50 Write one behavior change plan BG51 Behavior goal met follow-up BG52 Behavior goal unmet follow-up GDM-BGM BLOOD SUGAR MONITORING, HOME OUTCOME: The individual/family will understand the importance of blood sugar monitoring, know how to use the monitor and make personal blood sugar monitoring plan STANDARDS: BGM1 Explain that blood is tested to learn how much sugar is in the blood BGM2 List benefits of testing blood sugar BGM3 State blood sugar ranges to decrease risk for complications BGM4 State personal blood sugar goals BGM5 State when to test blood sugar BGM6 Demonstrate proper testing of blood sugar To
include maintenance, support services - 13 -
OUTCOME: The individual/family will understand the prevention and treatment of long-term complications of diabetes STANDARDS: CC-1 State that controlling blood sugar lowers the chance of getting diabetes complications CC-2 Identify two or more factors that increase the risk of complications CC-3 State two or more long- term complications of diabetes RETINOPATHY CC-4 Describe retinopathy in their own words CC-5 List at least two or more ways to prevent or delay eye disease CC-6 Discuss how eye disease is treated HEART DISEASE CC-7 Define heart disease in their own words CC-8 List at least two or more ways to prevent or delay heart disease -4-
M-GS
State or write a personal plan for the use of medicine during pregnancy
CC-9
Discuss how heart disease is treated
DMC-PG-BGM SESSION 5: HOME BLOOD SUGAR MONITORING DURING PREGNANCY OUTCOME: The individual/family will understand the importance of blood sugar monitoring to reach and stay at target blood sugar goals
NEPHROPATHY CC-10 Define nephropathy in their own words CC-11 List at least two or more ways to prevent or delay kidney disease CC-12 Discuss how kidney disease is treated
NEUROPATHY CC-13 Define neuropathy in their own words CC-14 List two or more to prevent or delay nerve damage CC-15 Discuss how nerve damage is treated To include pain management SEXUAL HEALTH AND DIABETES CC-16 Discuss in simple terms how diabetes and high blood sugars may impact intimacy/sexuality CC-17 List two or more ways to prevent or delay sexual health problems CC-18 Discuss how sexual health problems are treated CC-19 Discuss ways to talk about sexual concerns with significant others and members of the health care team PERIODONTAL CC-20 Describe periodontal disease in their own words CC-21 List at least two or more ways to prevent or delay gum/teeth problems CC-22 Discuss how periodontal disease is treated SUMMARY CC-23 Describe the need for all people with d 
iabetes to get yearly tests, exams, and immunizations CC-24 Identify their risk factors for diabetes complications CC-GS State or write at least one behavior change that will help lower their risk for diabetes comp lications CC-GM Behavior goal met follow-up CC-GNM Behavior goal unmet follow-up DMC-DP DISEASE PROCESS WHAT IS DIABETES BALANCING YOUR LIFE AND DIABETES
STANDARDS BGM-1 State target blood sugar goals to
decrease the chance for problems for the mother and baby BGM-2 State when to check blood sugar during pregnancy BGM-3 Demonstrate how to use a logbook during pregnancy BGM-GS State or write a personal plan to check blood sugar at home during pregnancy DMC-PG-C SESSION 6: STAYING HEALTHY DURING PREGNANCY OUTCOME: The individual/family will understand the care needed to prevent potential problems for mother and baby STANDARDS C-1 Describe 2 or more things the mother can do for selfcare to reach target blood sugar goals during pregnancy C-2 State 2 or more potential problems for the mother during pregnancy C-3 Describe 2 or more potential problems for the baby if the mothers blood sugar is high during pregnancy C-4 Describe 2 or more tests, procedures, or examinations needed during pregnancy C-5 State 2 or more guidelines for when to talk with a health care provider during pregnancy C-GS State or write a personal plan to reach target blood sugar goals during pregnancy DMC-PG-PP SESSION 7: STAYING HEALTHY AFTER DELIVERY OUTCOME: The individual/family will understand the continued self-care needs after delivery STANDARDS PP-1 Identify 2 or more self- care needs after delivery of mothers
with diabetes during pregnancy PP-2 Describe 2 or more things women with pre-gestational diabetes can do to manage diabetes after delivery PP-3 Describe 2 or more things women with gestational diabetes can do to prevent or delay diabetes after delivery PP-4 State 2 or more benefits of breastfeeding PP-5 State or write a personal plan for diabetes self- care after delivery
OUTCOME: The individual/family will have a basic understanding of the definition, pathophysiology, and treatment of Type 2 diabetes STANDARDS: DP-1 Provide a simple definition for diabetes in their own words DP-2 Discuss th e differences between Type 1 and Type 2 diabetes DP-3 Explain how the body normally uses food DP-4 List two or more risk factors for developing diabetes DP-5 Describe the impact of insulin resistance in diabetes DP-6 List two or more signs or symptoms of high blood sugar DP-7 State the range for normal fasting blood sugar DP-8 State a normal blood sugar range one to two hours after a meal DP-9 Explain that high blood sugar can cause damage to the nerves and blood vessels in the eyes, heart, kidneys, and feet DP-10 List two or more diabetes self- care actions necessary to reach target blood
sugar goals
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DP-GS DP-GM DP-GNM DMC- EX
State or write one change to make for diabetes selfcare Behavior goal met follow-up Behavior goal unmet follow-up EXERCISE MOVING TO STAY HEALTHY
DMC-PG-N SESSION 2: HEALTHY EATING DURING PREGNANCY OUTCOME: The individual/family will understand the basics of healthy eating during pregnancy
OUTCOME: The individual/family will understand the relationship of physical activity in achieving and maintaining blood sugar control by making a personal physical activity plan STANDARDS EX-1 List two or more benefits of regular physical activity EX-2 State effects of physical activity on blood sugar EX-3 Discuss kinds of physical activity EX-4 Discuss time and frequency for physical activity EX-5 Discuss simple ways to measure intensity of physical activity EX-6 Discuss medical clearance issues for physical activity EX-7 List one or more ways to stay safe during physical activity EX-GS State or write a personal plan for physical activity EX-GM Behavior goal met follow-up EX-GNM Behavior goal unmet follow-up DMC-FTC FOOT CARE TAKING CARE OF YOUR FEET
STANDARDS SECTION 1: BASICS OF HEALTHY EATING DURING PREGNANCY N-1 Identify the effect of
carbohydrate foods on blood sugar during pregnancy N-2 Identify 2 or more healthy food choices to reach target blood sugar goals during pregnancy N-3 Describe a healthy eating pattern during pregnancy which includes several small meals and snacks throughout the day N-GS State or write a personal plan for using food choices to reach target blood sugar goals and/or manage common nutritional concerns of pregnancy SECTION 2: HEALTHY EATING FOR COMMON CONCERNS DURING PREGNANCY N-4 Describe 1 or more ways to check for healthy weight gain during pregnancy N-5 Describe 2 or more ways to relieve nausea, constipation, and heartburn during pregnancy N-6 Describe 1 or more ways to manage milk intolerance during pregnancy N-7 Describe the use of sugar-free sweeteners during pregnancy N-8 Describe the proper use of vitamins and supplements during pregnancy N-GS State or write a personal plan for using food choices to reach target blood sugar goals and/or manage common nutritional concerns of pregnancy DMC-PG-PA SESSION 3: MOVING TO STAY HEALTHY DURING PREGNANCY OUTCOME: The individual/family will understand the impact of physical activity on blood sugar during pregnancy
OUTCOME: The
individual/family will understand the importance of foot care for people with diabetes STANDARDS: FTC-1 State one or more reasons to check feet every day FTC-2 Identify two or more risk factors for foot problems FTC-3 List two or more daily self- care action to prevent foot problems FTC-4 Describe how to cut toenails correctly FTC-5 Describe two or more things to look for when choosing proper footwear FTC-6 State two or more signs and symptoms of foot and skin infections FTC-7 State the reason for routine foot exams at each clinic visit and yearly foot screening FTC-GS Demonstrate a personal foot exam and state a personal foot care plan FTC-GM Behavior goal met follow-up FTC-GNM Behavior goal unmet follow-up DMC-M DMC-IN DIABETES MEDICINE- OVERVIEW AND DIABETES PILLS DIABETES MEDICINE - INSULIN
STANDARDS PA-1 List 2 or more benefits of physical activity during pregnancy PA-2 Identify 2 or more kinds of physical activity safe for prenancy PA-3 Identify 2 or more things to do to keep physical activity safe during pregnancy PA-GS State or write a personal plan for physical activity during pregnancy DMC-PG-M SESSION 4: MEDICINE DURING PREGNANCY OUTCOME: The individual/family will
understand their medicine regimen STANDARDS M-1 Describe the use of insulin during pregnancy M-2 Describe the use of diabetes pills during pregnancy M-3 Discuss the use of prescription, over-the-counter, and herbal medicines, as well as traditional practices, during pregnancy
OUTCOME: The individual/family will understand their medicine regiment SECTION 1: OVERVIEW M-1 Discuss the role of diabetes medicines in the overall diabetes treatment plan M-2 State two or more reasons for adding or changing diabetes medicines M-3 State the importance of checking blood sugar more often when medicines are changed -6-
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EA-2 EA-3 EA-GS
food choices when eating away from home Identify 2 or more ways to plan ahead for healthy food choices when eating away from home Identify 2 or more ways to make healthy food choices when eating away from home State or write a personal plan for eating away from home
M-4 M-5 M-6
State the importance of taking medicines as prescribed State two or more guidelines for when to contact a health care provider for medicine Discuss the role of alternative treatments for diabetes and how they affect blood sugar including herbal, traditional healing methods, and
over-the-counter medicines
DMC-N-AL NUTRITION SESSION 7: GUIDELINES FOR THE USE OF ALCOHOL OUTCOME: The individual/family will understand the basics of using alcohol with diabetes STANDARDS AL-1 State 2 or more ways alcohol can affect a person with diabetes AL-2 State 2 or more guidelines for the use of alcohol AL-3 State 2 or more situations when it is important not to drink alcohol AL-GS State or write a personal plan for the use of alcohol DMC-N-D NUTRITION SESSION 8: GUIDELINES FOR EVALUATING DIETS OUTCOME: The individual/family will understand the basics of evaluating diets STANDARDS D-1 Describe dieting in simple terms D-2 Describe how to know if a diet is healthy D-3 Identify 2 or more problems that may happen with an unhealthy diet D-4 Discuss how to find reliable resources for nutrition facts and answers to questions about dieting D-GS State or write a personal plan for choosing a healthy diet
SECTION 2: DIABETES PILLS M7 State the name of their diabetes pills, how much to take, when to take them, how they work, and possible side effects M-GS State or write a personal plan for taking their diabetes pills M-GM Behavior goal met follow-up M-GNM Behavior goal unmet
follow-up SECTION 3: INSULIN IN-1 Discuss how insulin works to control blood sugar in persons with Type 2 diabetes IN-2 Describe the type of insulin they use, the name of the insulin, how it works, how much to take, and when to take it IN-3 Identify insulin injection sites IN-4 Demonstrate proper technique for withdrawing and injecting insulin IN-5 Discuss proper storage of insulin IN-6 Discuss proper disposal of insulin syringes and other sharps IN-7 Discuss the major side effect of taking insulin IN-GS State or write a personal plan for taking insulin IN-GM Behavior goal met follow-up IN-GNM Behavior goal unmet follow-up DMC-MSE MIND, SPIRIT AND EMOTION OUTCOME: The individual/family will understand the emotional impact of diabetes on their personal lives STANDARDS: MSE-1 Express feelings about having diabetes MSE-2 Discuss one or more ways diabetes has affected his/ her life and/or the lives of their family members and significant others MSE-3 Identify their support persons MSE-4 Share past experiences in dealing with health or other kinds of problems MSE-5 Explain the bodys response to stress MSE-6 Discuss ways to handle stress MSE-GS State or write one way to handle a
stressful situation MSE-GM Behavior goal met follow-up MSE-GNM Behavior goal unmet follow-up DMC-N NUTRITION BASICS OF HEALTHY EATING
DMC-PG
PREGNANCY
DMC-PG-DM SESSION 1: PREGNANCY, DIABETES AND YOU: FIRST STEPS TO A HEALTHY OUTCOME: The individual/family will understand the definition of pre-gestational and gestational diabetes
STANDARDS: DM-1 Describe personal feelings about pregnancy and diabetes DM-2 State in own words the difference between pregestational and gestational diabetes DM-3 State the target blood sugar goals for pregnancy DM-4 Describe the need for frequent care and follow-up during pregnancy DM-5 Identify 2 or more resources for support during pregnancy DM-GS State or write a personal plan for care during pregnancy
OUTCOME: The individual/family will understand the basics of healthy eating STANDARDS: SECTION 1: INTRODUCTION TO HEALTHY EATING N-1 Describe the effect of food on diabetes
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N-2 N-3 N-4 N-5 N-6
State that healthy food choices are good for the person with diabetes and their whole family Describe how timing and consistency of food can help people with diabetes reach their target blood sugar goals Describe the effect of portion sizes on
blood sugar State that eating less sugar and fat can help lower blood sugar State how keeping a record of food eaten can help people with diabetes reach their target blood sugar goals
CC-3 CC-4 CC-5 CC-GS
more foods in each group Define a serving size of carbohydrate food State 2 or more benefits of using carbohydrate counting to reach and stay at target blood sugar goals Identify the number of carbohydrate serving needed at each meal State or write a personal plan for carbohydrate counting
DMC-N-EL NUTRITION SESSION 3: INTRODUCTION TO EXCHANGE LISTS OUTCOME: The individual/family will understand the basics of exchange lists STANDARDS EL-1 Describe exchange lists in simple terms EL-2 Identify the exchange lists EL-3 Identify 2 or more foods in each exchange list EL-4 Define one exchange EL-5 Describe 2 or more benefits of using exchange lists to make healthy food choices EL-GS State or write a personal plan for using exchange lists DMC-N-FS NUTRITION SESSION 4: INTRODUCTION TO FOOD SHOPPING OUTCOME: The individual/family will understand the basics of food shopping STANDARDS FS-1 Identify 2 or more sources of food FS-2 Identify 2 or more ways to choose healthy food when shopping
FS-3 Make a shopping list that includes healthy food choices FS-4 Identify 2 or more ways to save money when buying healthy food FS-GS State or write a personal plan for food shopping DMC-N-HC NUTRITION SESSION 5: INTRODUCTION TO HEALTHY COOKING OUTCOME: The individual/family will understand the basics of healthy food preparation STANDARDS HC-1 Describe 2 or more ways to use less sugar in cooking HC-2 Describe the use of sugar substitutes in cooking HC-3 Describe 2 or more ways to use less fat in cooking HC-4 Describe 2 or more ways to use less sodium in cooking HC-5 State 2 or more ways to safely handle food during preparation and storage HC-GS State or write a personal plan for cooking DMC-N-EA NUTRITION SESSION 6: GUIDELINES FOR EATING AWAY FROM HOME OUTCOME: The individual/family will understand the basics of healthy eating away from home STANDARDS EA-1 Identify 2 or more things that can affect a persons -9-
SECTION 2: BASICS OF HEALTH EATING N-7 State two or more benefits of healthy food choices for the person with diabetes N-8 Record a days meal onto a food record N-9 Discuss the basic food groups N-10 Identify the food groups high in carbohydrates and recognize their
efforts on blood sugar N-11 State that weight loss can help people with diabetes reach their target blood sugar goals N-12 Discuss how to find reliable resources for nutrition facts and answers to questions N-GS State or write a personal plan for making healthy food choices N-GM Behavior goal met follow-up N-GNM Behavior goal not met follow-up SECTION 3: HEART HEALTHY EATING N-13 State that hearth healthy food choices are good for the person with diabetes and their whole family N-14 Identify foods that increase the risk for heart disease N-15 Identify foods that can decrease risk for heart disease N-16 Identify two or more ways to choose foods to lower the risk of heart disease DMC-N-FL NUTRITION SESSION 1: INTRODUCTION TO FOOD LABELS OUTCOME: The individual/family will understand the basics of food labels STANDARDS FL-1 Identify at least 4 items of information on a food label, including serving size, total calories, and amounts of carbohydrate and fat FL-2 State that ingredients on the food label are listed in the order of the amount from greatest to least FL-3 Define the words free, low, reduced/less and light/lite on the food label FL-4 Describe how to use the food label to make
healthy food choices FL-GS State or write a person plan for using food labels DMC-N-CC NUTRITION SESSION 2: INTRODUCTION TO CARBOHYDRATE COUNTING OUTCOME: The individual/family will understand the basics of carbohydrate counting STANDARDS CC-1 Describe carbohydrate counting in simple terms CC-2 I Identify the carbohydrate food groups and list 2 or -8-
