type 2 diabetes through nutrition and physical activity. Goals: Student will There are an estimated 500,000 to 1 million people with type 1 diabetes in the …


Diabetes
Grade Level: Elementary School Students Subject: Diabetes Duration: 45 minutes Description: Diabetes is a disease without a cure Finding ways to prevent or delay the on-set of type 2 diabetes through nutrition and physical activity Goals: Student will understand how diabetes affects a persons life Objective: Students will be able to explain what diabetes is They will be able to identify diabetes They will be able to explain the causes of diabetes They will be able to understand how to prevent and delay the on-set of type 2 diabetes through nutrition and physical activity Materials: Paper/pen, paper, large board/paper Vocabulary: Diabetes, type 1 diabetes, type 2 diabetes, insulin, family history, research, higher

risk

Lesson Plan:

What is Diabetes? Diabetes is a life-long disease that can be controlled The body has difficulty using food to make energy Does anyone know what insulin is? Ok, this is how insulin works The body changes food we eat into sugar Next, sugar passes into the bloodstream Then, insulin moves the sugar from the bloodstream into the cells, so it can be used for energy People with diabetes have a problem with insulin, a hormone produced by the pancreas
This causes a problem in the way the body uses food, resulting in too much sugar in the blood There are 157 million people 59 of the population in the United States who have diabetes Diabetes is a chronic disease that has no cure There are an estimated 500,000 to 1 million people with type 1 diabetes in the United States today

Type 1 Diabetes

Type 1 diabetes is when the body fails to produce insulin That means when there is too little or no insulin Type 2 Diabetes Type 2 diabetes is when body is not able to make enough or properly use insulin Signs of Diabetes When a person is: Easily Tired Moody Peeing a lot Always thirsty Changes in vision Cuts that dont heal Tingling/numbness in feet Dry, itchy skin Why does Type 2 diabetes happen? The exact cause of diabetes is unknown Research is on-going to find the causes However, the following factors have been linked to you being at a higher risk for diabetes: Family history Poor diet Lack of exercise Native American, African American, Asian American, Latin American What you can do to Reduce the Chance of Developing Type 2 Diabetes: Following the Dietary Guidelines for Americans Eat variety of foods Reduce the amount of simple sugar
foods Increase fruit and vegetable consumption Serve only 1-2 snacks a day at regular times Make snacks low fat and low salt Increase physical activity to up to 60 minutes a day Walk/play with your children Doing family activities Walk to as many places as you can Skip the elevator and take the stairs Run up and down the stairs at home Taken from American Diabetes Association

Activity: 1 Overview Food Guide Pyramid

2

Portion Sizes See Serving Guidelines and Whats Your Serving Size Of Cereal? handouts From leader/Activity Guide on How to Teach Nutrition to Kids: A Hands-on Guide Filled With Delicious Learning By Connie Liakos Evers, MS, RD, page 15-17 Tic-Tac-Toe

3

Websites: American Diabetes Association: wwwdiabetesorg National Diabetes Education: ndepnihgov/ Children with Diabetes Foundation: wwwchildrensdiabetesfdncom/
In the operation of the child feeding programs, no child will be discriminated because of race, sex, color, national origin, age or disability If you believe you have been discriminated against, write immediately to: The secretary of Agriculture Washington, DC 20250

Tic-Tac-Toe
Instructions: Have 2 people sit in front of the group/class These 2 people
will be the contestants in Tic-Tac-Toe, very similar to Hollywood Squares One will be O and one will be X A question will be asked to contestant 1 The teacher/volunteer will choose a different member from the audience to answer the question The teacher/volunteer will also be writing the Xs and Os into the Tic-Tac-Toe on the blackboard or large paper The contestant will say if the audience answered correctly or not If the answer was correct and the contestant answered correct, he/she gets an X or O in the Tic-Tac-Toe If the audience answered wrong and the contestant said it was wrong, the contestant gets an X or O in the Tic-TacToe However if the audience answered wrong and the contestant said the answer was correct and if the audience answered correctly and the contestant said the answer was wrong, the contestant will not be allowed to get an X or O in the Tic-Tac-Toe Questions to Ask: 1 What is Diabetes? 2 What is type 1 diabetes? 3 What is type 2 diabetes? 4 What is insulin? 5 True or False Being always thirsty is a sign of diabetes 6 True or False Walking and playing is a form if physical activity 7 Give one sign of a diabetes indicator? 8 What is one cause of diabetes? 9 Name
one way to reduce the chances of having diabetes 10 Is there a cure for diabetes? 11 True or False Snacks should be low fat and high salt 12 True or False Increase fruit and vegetable consumption 13 Trick question: How many meals should a diabetes have a day? 5-6 small meals 14 Trick question: How many people in the United States have diabetes? 157 million people

59 of the population 15 Can following the Dietary Guidelines for Americans reduce your chances of getting diabetes? 16 How can family activity become a physical activity?

17 18 19 20

True or False: Reduce the amount of simple sugar foods help reduce diabetes True or False: Peeling a lot is a sign of having diabetes True or False Eating a variety of foods help reduce having diabetes How much physical activity should we at least have in a day? 60 minutes

Diabetes
Grade Level: Middle School Students Subject: Diabetes Duration: 45 minutes Description: Diabetes is a disease without a cure Finding ways to prevent or delay the on-set of type 2 diabetes through nutrition and physical activity Goals: Student will understand how diabetes affects a persons life Objective: Students will be able to explain what diabetes is They
will be able to identify diabetes They will be able to explain the causes of diabetes They will be able to understand how to prevent and delay the on-set of type 2 diabetes through nutrition and physical activity Materials: Paper/pen, paper, large board/paper Vocabulary: Diabetes, type 1 diabetes, type 2 diabetes, insulin, family history Lesson Plan:

What is Diabetes? Diabetes is a life-long disease that can be controlled The body has difficulty using food to make energy Does anyone know what insulin is? Ok, this is how insulin works The body changes food we eat into sugar Next, sugar passes into the bloodstream Then, insulin moves the sugar from the bloodstream into the cells, so it can be used for energy People with diabetes have a problem with insulin, a hormone produced by the pancreas This causes a problem in the way the body uses food, resulting in too much sugar in the blood There are 157 million people 59 of the population in the United States who have diabetes Diabetes is a chronic disease that has no cure There are an estimated 500,000 to 1 million people with type 1 diabetes in the United States today

Type 1 Diabetes Type 1 diabetes is when the body fails to produce
insulin That means when there is too little or no insulin

Type 2 Diabetes Type 2 diabetes is when body is not able to make enough or properly use insulin What does diabetes look like? When a person is: Easily Tired Moody Peeing a lot Always thirsty Changes in vision Cuts that dont heal Tingling/numbness in feet Dry, itchy skin Yeast infections Why does Type 2 diabetes happen? The exact cause of diabetes is unknown Research is on-going to find the causes However, the following factors have been linked to you being at a higher risk for diabetes: Family history Poor diet Lack of exercise Native American, African American, Asian American, Latin American What could happen? Diabetes causes serious damage to blood vessels and nerves Complications resulting in: Blindness Heart Attack Kidney failure Infections Gangrene Amputations Stroke Impotence/Sexual dysfunction Death What you can do to Reduce the Chance of Developing Type 2 Diabetes: Following the Dietary Guidelines for Americans Eat variety of foods Reduce the amount of simple sugar foods Increase fruit and vegetable consumption Serve only 1-2 snacks a day at regular times Make snacks low fat and low salt Increase physical
activity to up to 60 minutes a day Walk/play with your children Doing family activities

Walk to as many places as you can Skip the elevator and take the stairs Run up and down the stairs at home

Taken from American Diabetes Association

Activity: 4 Overview Food Guide Pyramid 5 Portion Sizes See Serving Guidelines and Whats Your Serving Size Of Cereal? handouts From leader/Activity Guide on How to Teach Nutrition to Kids: A Hands-on Guide Filled With Delicious Learning By Connie Liakos Evers, MS, RD, page 15-17 6 Tic-Tac-Toe Websites: American Diabetes Association: wwwdiabetesorg National Diabetes Education: ndepnihgov/ Children with Diabetes Foundation: wwwchildrensdiabetesfdncom/
In the operation of the child feeding programs, no child will be discriminated because of race, sex, color, national origin, age or disability If you believe you have been discriminated against, write immediately to: The secretary of Agriculture Washington, DC 20250

Tic-Tac-Toe
Instructions: Have 2 people sit in front of the group/class These 2 people will be the contestants in Tic-Tac-Toe, very similar to Hollywood Squares One will be O and one will be X A question will be asked to contestant 1
The teacher/volunteer will choose a different member from the audience to answer the question The teacher/volunteer will also be writing the Xs and Os into the Tic-Tac-Toe on the blackboard or large paper The contestant will say if the audience answered correctly or not If the answer was correct and the contestant answered correct, he/she gets an X or O in the Tic-Tac-Toe If the audience answered wrong and the contestant said it was wrong, the contestant gets an X or O in the Tic-TacToe However if the audience answered wrong and the contestant said the answer was correct and if the audience answered correctly and the contestant said the answer was wrong, the contestant will not be allowed to get an X or O in the Tic-Tac-Toe Questions to Ask: 21 What is Diabetes? 22 What is type 1 diabetes? 23 What is type 2 diabetes? 24 What is insulin? 25 True or False Being always thirsty is a sign of diabetes 26 True or False Walking and playing is a form if physical activity 27 Give one sign of a diabetes indicator? 28 What is one cause of diabetes? 29 Name one way to reduce the chances of having diabetes 30 Is there a cure for diabetes? 31 True or False Snacks should be low fat and high
salt

32 True or False Increase fruit and vegetable consumption 33 Trick question: How many meals should a diabetes have a day? 5-6 small meals 34 Trick question: How many people in the United States have diabetes? 157 million people

59 of the population 35 Can following the Dietary Guidelines for Americans reduce your chances of getting diabetes? 36 Name one complication caused by diabetes
37 38 39 40 True or False: Reduce the amount of simple sugar foods help reduce diabetes True or False: Peeling a lot is a sign of having diabetes True or False Eating a variety of foods help reduce having diabetes How much physical activity should we at least have in a day? 60 minutes

Diabetes
Grade Level: High School Students Subject: Diabetes Duration: 45 minutes Description: Diabetes is a disease without a cure Finding ways to prevent or delay the on-set of type 2 diabetes through nutrition and physical activity Goals: Student will understand how diabetes affects a persons life Objective: Students will be able to explain what diabetes is They will be able to identify diabetes They will be able to explain the causes of diabetes They will be able to explain the complications of having
diabetes They will be able to understand how to prevent and delay the on-set of type 2 diabetes through nutrition and physical activity Materials: Paper/pen, paper, large board/paper Vocabulary: Diabetes, type 1 diabetes, type 2 diabetes, complications, risk test, pre-diabetes, insulin, hormone, diagnosis, family history, metabolic disorder, overweight, researchers Lesson Plan:

There are 157 million people 59 of the population in the United States who have diabetes Diabetes is actually a general term for a number of separate but related disorders Diabetes is a chronic disease that has no cure It is the seventh-leading cause of death sixth leading cause of death by disease in the United States; this year, more than 190,000 will die from diabetes and its related complications There are an estimated 500,000 to 1 million people with type 1 diabetes in the United States today

What does diabetes look like? When a person is: Easily Tired Moody Peeing a lot Always thirsty

Changes in vision Cuts that dont heal Tingling/numbness in feet Dry, itchy skin Yeast infections Type 1 Diabetes Type 1 diabetes results from the bodys failure to produce insulin — the hormone that unlocks the cells
of the body, allowing glucose to enter and fuel them Type 1 diabetes usually begins during childhood The risk of developing type 1 diabetes is higher than virtually all other severe chronic diseases of childhood Peak incidence occurs during puberty, around 10 to 12 years of age in girls and 12 to 14 years of age in boys The symptoms of type 1 diabetes can mimic the flu in children Type 2 Diabetes Type 2 diabetes is a metabolic disorder resulting from the bodys inability to make enough or properly use insulin A growing number of children and adolescents are developing type 2 diabetes a form of diabetes that is generally diagnosed among adults Type 2 diabetes co mmonly occurs in children who: Are overweight: as many as 80 may be overweight at the time of diagnosis Are older than 10 years of age and are in middle to late puberty; but cases of type 2 diabetes in children as young as four years old have been documented Have a family history of type 2 diabetes Are members of certain racial/ethnic groups African Americans, Hispanic/Latino and Native American descent As the US population becomes increasingly overweight, researchers expect type 2 diabetes to appear more frequently in
younger, pre-pubescent children Since type 2 diabetes in children and adolescents is a relatively new phenomenon, accurate statistics regarding the number of cases have not been generated However, recent reports indicate that 8-45 of children with newly diagnosed diabetes have type 2 diabetes What Are the Complications of Diabetes? Diabetes causes serious damage to blood vessels and nerves Complications resulting in: Blindness Heart Attack Kidney failure Infections Gangrene Amputations Stroke Impotence/Sexual dysfunction Death Here is some other statistics and information:

Cardiovascular disease caused by atherosclerosis excess buildup on the inner wall of a large blood vessel, restricting the flow of blood accounts for approximately 25 percent of deaths among patients with onset of diabetes before 20 years of age Blindness due to diabetic retinopathy, a more important cause of visual impairment in younger-onset people than in older-onset people Kidney disease due to diabetic nephropathy Ten to twenty-one percent of all people with diabetes develop kidney disease Diabetic ketoacidosis DKA is marked by high blood glucose levels along with ketones in the urine DKA is responsible for
about 10 percent of diabetes-related deaths in individuals with diabetes under age 45 What you can do to Reduce the Chance of Their Child Developing Type 2 Diabetes: Following the Dietary Guidelines for Americans Eat variety of foods Reduce the amount of simple sugar foods Increase fruit and vegetable consumption Serve only 1-2 snacks a day at regular times Make snacks low fat and low salt Increase physical activity to up to 60 minutes a day Walk/play with your children Doing family activities Walk to as many places as you can Skip the elevator and take the stairs Run up and down the stairs at home Taken from American Diabetes Association
Activity: 7 Overview Food Guide Pyramid 8 Portion Sizes See Serving Guidelines and Whats Your Serving Size Of Cereal? handouts From leader/Activity Guide on How to Teach Nutrition to Kids: A Hands-on Guide Filled With Delicious Learning By Connie Liakos Evers, MS, RD, page 15-17 9 Diabetes Risk Test 10 Tic-Tac-Toe Websites: American Diabetes Association: wwwdiabetesorg National Diabetes Education: ndepnihgov/ Children with Diabetes Foundation: wwwchildrensdiabetesfdncom/
In the operation of the child feeding programs, no child will be
discriminated because of race, sex, color, national origin, age or disability If you believe you have been discriminated against, write immediately to: The secretary of Agriculture Washington, DC 20250

Diabetes Risk Test
Could you have diabetes and not know it? Seventeen million Americans have diabetes - and one out of three doesnt even know it Take this test to see if you are at risk for having diabetes Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders If you are a member of one of these ethnic groups, you need to pay special attention to this test To find out if you are at risk, write in the points next to each statement that is true for you If a statement is not true, write a zero Then add all the points to get your total score Yes 1 My weight is equal to or above that listed in the chart next page 2 I am under 65 years of age and I get little or no exercise during a usual day? 3 I am between 45 and 64 years of age? 4 I am 65 years old or older? 5 I am a woman who has had a baby weighing more than nine pounds at birth? 6 I have a sister or brother with diabetes? 7 I have a parent with diabetes? No

5pts 0pts 5pts 0pts
5pts 0pts 9pts 0pts 1pts 0pts 1pts 0pts 1pts 0pts

Total Points:

_______

Scoring 3-9 points: You are probably at low risk for having diabetes now But dont just forget about it — especially if you are Hispanic/Latino, African American, American Indian, Asian American, or Pacific Islander You may be at higher risk in the future Scoring 10 or more points: You are at greater risk for having diabetes Only your health care provider can determine if you have diabetes At your next office visit, find out for sure Diabetes Facts You Should Know: Diabetes is a serious disease that can lead to blindness, heart disease, strokes, kidney failure, and amputations It kills almost 210,000 people each year Some people with diabetes exhibit symptoms, some do not If you have any of the following symptoms, contact your doctor: Extreme thirst Frequent urination

Unexplained weight loss

At-Risk Weight Chart Body Mass Index

Height in feet and inches without shoes 410 411 50 51 52 53 54 55 56 57 58 59 510 511 60 61 62 63 64

Weight in pounds without clothing 129 133 138 143 147 152 157 162 167 172 177 182 188 193 199 204 210 216 221

If you weigh the same or more than the amount listed for your
height, you may be at risk for diabetes

Information was taken and edited from the American Diabetes Association website

Tic-Tac-Toe
Instructions: Have 2 people sit in front of the group/class These 2 people will be the contestants in Tic-Tac-Toe, very similar to Hollywood Squares One will be O and one will be X A question will be asked to contestant 1 The teacher/volunteer will choose a different member from the audience to answer the question The teacher/volunteer will also be writing the Xs and Os into the Tic-Tac-Toe on the blackboard or large paper The contestant will say if the audience answered correctly or not If the answer was correct and the contestant answered correct, he/she gets an X or O in the Tic-Tac-Toe If the audience answered wrong and the contestant said it was wrong, the contestant gets an X or O in the Tic-TacToe However if the audience answered wrong and the contestant said the answer was correct and if the audience answered correctly and the contestant said the answer was wrong, the contestant will not be allowed to get an X or O in the Tic-Tac-Toe Questions to Ask: 41 What is Diabetes?

42 43 44 45 46 47 48 49 50 51 52 53 54

59 of the population 55 Can
following the Dietary Guidelines for Americans reduce your chances of getting diabetes? 56 Name one complication caused by diabetes
57 58 59 60 True or False: Reduce the amount of simple sugar foods help reduce diabetes True or False: Peeling a lot is a sign of having diabetes True or False Eating a variety of foods help reduce having diabetes How much physical activity should we at least have in a day? 60 minutes

What is type 1 diabetes? What is type 2 diabetes? What is insulin? True or False Being always thirsty is a sign of diabetes True or False Walking and playing is a form if physical activity Give one sign of a diabetes indicator? What is one cause of diabetes? Name one way to reduce the chances of having diabetes Is there a cure for diabetes? True or False Snacks should be low fat and high salt True or False Increase fruit and vegetable consumption Trick question: How many meals should a diabetes have a day? 5-6 small meals Trick question: How many people in the United States have diabetes? 157 million people

Diabetes In Youth
Grade Level: Adults Subject: Diabetes In Youth Duration: 1 hour Description: Diabetes is a disease without a cure Finding ways to prevent or delay
the on-set of type 2 diabetes through nutrition and physical activity Goals: Adults will understand how diabetes affects a childs life They will understand that students with diabetes have unique concerns and needs They will understand that they can help children with diabetes Objective: Adults will be able to explain how diabetes can effect a childs life They will be able to understand how to prevent and delay the on-set of type 2 diabetes through nutrition and physical activity They will be able to identify resources and prevention methods for children with diabetes Materials: Paper/pen, paper, large board/paper Vocabulary: Diabetes, type 1 diabetes, type 2 diabetes, complications, risk test, pre-diabetes, insulin, hormone, diagnosis, family history, metabolic disorder, overweight, researchers Lesson Plan: Show Team Nutrition Diabetes PowerPoint presentation Activity: 11 Overview Food Guide Pyramid 12 Portion Sizes See Serving Guidelines and Whats Your Serving Size Of Cereal? handouts From leader/Activity Guide on How to Teach Nutrition to Kids: A Hands-on Guide Filled With Delicious Learning By Connie Liakos Evers, MS, RD, page 15-17 13 Diabetes Risk Test 14 Tic-Tac-Toe
Websites: American Diabetes Association: wwwdiabetesorg National Diabetes Education: ndepnihgov/ Children with Diabetes Foundation: wwwchildrensdiabetesfdncom/

In the operation of the child feeding programs, no child will be discriminated because of race, sex, color, national origin, age or disability If you believe you have been discriminated against, write immediately to: The secretary of Agriculture Washington, DC 20250

Diabetes Risk Test
Could you have diabetes and not know it? Seventeen million Americans have diabetes - and one out of three doesnt even know it Take this test to see if you are at risk for having diabetes Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders If you are a member of one of these ethnic groups, you need to pay special attention to this test To find out if you are at risk, write in the points next to each statement that is true for you If a statement is not true, write a zero Then add all the points to get your total score Yes 1 My weight is equal to or above that listed in the chart next page 2 I am under 65 years of age and I get little or no exercise during a usual day? 3 I am between 45
and 64 years of age? 4 I am 65 years old or older? 5 I am a woman who has had a baby weighing more than nine pounds at birth? 6 I have a sister or brother with diabetes? 7 I have a parent with diabetes? No

5pts 0pts 5pts 0pts 5pts 0pts 9pts 0pts 1pts 0pts 1pts 0pts 1pts 0pts

Total Points:

_______

Scoring 3-9 points: You are probably at low risk for having diabetes now But dont just forget about it — especially if you are Hispanic/Latino, African American, American Indian, Asian American, or Pacific Islander You may be at higher risk in the future Scoring 10 or more points: You are at greater risk for having diabetes Only your health care provider can determine if you have diabetes At your next office visit, find out for sure Diabetes Facts You Should Know: Diabetes is a serious disease that can lead to blindness, heart disease, strokes, kidney failure, and amputations It kills almost 210,000 people each year

Some people with diabetes exhibit symptoms, some do not If you have any of the following symptoms, contact your doctor: Extreme thirst Frequent urination Unexplained weight loss

At-Risk Weight Chart Body Mass Index

Height in feet and inches without shoes 410 411 50
51 52 53 54 55 56 57 58 59 510 511 60 61 62 63 64

Weight in pounds without clothing 129 133 138 143 147 152 157 162 167 172 177 182 188 193 199 204 210 216 221

If you weigh the same or more than the amount listed for your height, you may be at risk for diabetes

Information was taken and edited from the American Diabetes Association website

Tic-Tac-Toe
Instructions: Have 2 people sit in front of the group/class These 2 people will be the contestants in Tic-Tac-Toe, very similar to Hollywood Squares One will be O and one will be X A question will be asked to contestant 1 The teacher/volunteer will choose a different member from the audience to answer the question The teacher/volunteer will also be writing the Xs and Os into the Tic-Tac-Toe on the blackboard or large paper The contestant will say if the audience answered correctly or not If the answer was correct and the contestant answered correct, he/she gets an X or O in the Tic-Tac-Toe If the audience answered

wrong and the contestant said it was wrong, the contestant gets an X or O in the Tic-TacToe However if the audience answered wrong and the contestant said the answer was correct and if the audience answered correctly
and the contestant said the answer was wrong, the contestant will not be allowed to get an X or O in the Tic-Tac-Toe Questions to Ask: 61 What is Diabetes? 62 What is type 1 diabetes? 63 What is type 2 diabetes? 64 What is insulin? 65 True or False Being always thirsty is a sign of diabetes 66 True or False Walking and playing is a form if physical activity 67 Give one sign of a diabetes indicator? 68 What is one cause of diabetes? 69 Name one way to reduce the chances of having diabetes 70 Is there a cure for diabetes? 71 True or False Snacks should be low fat and high salt 72 True or False Increase fruit and vegetable consumption 73 Trick question: How many meals should a diabetes have a day? 5-6 small meals 74 Trick question: How many people in the United States have diabetes? 157 million people

59 of the population 75 Can following the Dietary Guidelines for Americans reduce your chances of getting diabetes? 76 Name one complication caused by diabetes
77 78 79 80 True or False: Reduce the amount of simple sugar foods help reduce diabetes True or False: Peeling a lot is a sign of having diabetes True or False Eating a variety of foods help reduce having diabetes How much
physical activity should we at least have in a day? 60 minutes

Source:nul.org

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