Georgiana Bradshaw R.N., CDEProgram Coordinator
Roberto Gonzalez M.S., R.D., L.D.Dietitian
Program HistoryCreation of Program
DCC
Food Bank of Corpus Christi
Principles
Educational principles
Medical knowledge
Program HistoryFunding
Initial: Nueces County Commissioners Court
Tobacco Lawsuit Settlement Funds
Current: Nueces County Commissioners Court and Grants
A1c Test Pre and Post Class3 months6 months9 months12 months
Average Pre and Post A1c
All Participants4
5
6
7
8
9
10
PrePost7.2
6.8
Average Pre and Post A1c
Participants with Diabetes
Participants at Risk4
5
6
7
8
9
10
PrePost
7.8
5.7 5.67.3
Participants Initial A1c >10.0
1 2 3 4 5 6 7 8 90
2
4
6
8
10
12
14
PRE A1CPOST A1C
Participants Initial A1c 9.0-9.9
1 2 3 4 54
5
6
7
8
9
10
PRE A1CPOST A1C
Participants Initial A1c 8.0-8.9
1 2 3 4 5 6 7 8 9 10 11 124
5
6
7
8
9
10
PRE A1CPOST A1C
Participants with Follow-up
1 2 3 4 5 6 74
5
6
7
PrePostReunionReunion 2
Participants with Follow-up
1 2 3 4 5 6 74
5
6
7
PrePostReunionReunion 2
Participants with Follow-up
16 17 18 19 20 21 224
5
6
7
8
9
PrePostReunionReunion 2
Participants with Follow-up
8 9 10 11 12 13 14 154
5
6
7
8
PrePostReunionReunion 2
Participants with Follow-up
23 24 25 26 27 28 290
2
4
6
8
10
12
14
PrePostReunionReunion 2
Percentage of A1c Grouping
< 7 7-7.9 8-8.9 9-9.9 >100%
10%
20%
30%
40%
50%
60%
Pre class %Post class %
Knowledge Test
Knowledge Test0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
PrePost
Pre
Post
84%56%
Weight Loss
At Risk A1c < 7 A1c 7-7.9 A1c 8-8.9 A1c 9-9.9 A1c > 101
2
3
4
5
What Makes Diabetes Hands On Different?
Class room set-up which encourages participation
Review of previous week
Postcards between classes
Fun and interactive learning
Encourage participants to envision the Joy of Living
We give a message of hope
We welcome the “At Risk” population
Participants build their notebook
Curriculum Week 1 Overview
Week 2 Nutritional Management
Week 3 Exercise
Week 4 Highs, Lows and Sick Days & Monitoring
Week 5 Medications and Insulin
Week 6 Long Term Complications
Week 7 Emotional Aspects and Stress Management
Week 8 Review and Goal Setting
Material
Live Your Life! Viva la Vida!
TDC Tool Kit
Make their own food choices and measure out their food
Count carbohydrate
Exercise
Participate in stress reduction activities
Do self foot exam
Do own finger sticks
Experiential Learning
Physiological Feedback: Cause and Effect
Resulting in Self-Efficacy
Fuel for the Body
Blood Stream
Normal A1c
Red Blood Cell Glucose
High A1c
Glycosylated Hemoglobin A1c
4 68
A1c%
EstimatedAverage
BloodGlucose
7
5
6
9
8
10
13
12
11
183
154
126
240
97
212
326
298
269
eAG
Skip Intro
Sick Days Carb
ohydra
te
Serv
ing
siz
e
Body W
orks
Hig
hs
Low
s
Effector
FactorsProtien
Fat
Question
End Game
Monthly Newsletter’s
Participants Feedback