Unlock Diabetes Calendar

8/14/2019 Unlock Diabetes Calendar

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2009

A Diabetes Management Calendar

Living Wellwith Diabetes


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Welcome to 2009!Its a brand new year ull o ways to live a healthier, happier lie. But or

those o us with diabetes, thats not easy.

And youre not alone. The Centers or Disease Control and Prevention (CDC) says that some

21 million Americans or about 7 out o 100 have diabetes. Whats more, it plays no avor-

ites. It doesnt matter how old you are, where you were born, your race, or i you are rich or

poor. You can have it. Even some doctors who treat diabetes have the disease.

To manage diabetes,knowledge really is power. So i you have just been diagnosed with

or have had diabetes or years, this calendar is or you.

For each month, youll nd:

Topics on better diabetes care.Space to record your important numbers such as blood sugar, blood pressure,

weight and cholesterol.

Nutrition inormation

to help you manage your blood sugar better.

Space to record your appointments such as your doctor, eye doctor, oot doctor and

lab tests.

A diabetes Health and Wellness Checklist card.

Quick tips to help you eel your best.

A blank blood sugar graphing chart. (Make 12 copies and youre set or the

whole year!)

Recipes or tasty, diabetes-riendly dishes.

What are the dierent types o diabetes?Type 1 diabetes occurs mostly in children and teens, but it can happen at any age. With

Type 1, the body destroys the cells that make insulin the hormone that controls blood

glucose (sugar). Type 1 diabetes makes up or 5 to10 percent o all diagnosed cases o

diabetes.

Type 2 diabetes makes up about 90 to 95 percent o all diagnosed cases o diabetes. It

oten starts asinsulin resistance, a disorder in which the cells dont use insulin properly.

As the need or insulin rises, the pancreas gradually loses its ability to produce it. Type 2diabetes is linked with age, obesity or amily history. But today, more and more children and

teens are being diagnosed with Type 2 diabetes.

SOURCE: Centers or Disease Control and Prevention, www.cdc.gov

Welcome to a New Yearor Better Health in 2009!


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Ready to Take a Few Tests?Diabetes isnt just a little blood sugar problem. Its a disease that can aect many major body organs

i its not controlled. Thats why you need to make sure you take the time each year or some important tests

and exams.

Ask your doctor which ones are right or you and how oten you need them:

A1C tests (At least two times a year) - This blood test shows how well youve controlled your blood sugar

in the past three months. An A1C goal or people with diabetes is less than 7 percent.

Blood pressure check (Every oce visit) - High blood pressure raises your risk or heart disease, stroke

and kidney disease. Aim or a blood pressure level o less than 130/80.

Cholesterol check (Once a year) - High cholesterol raises your risk or heart disease. Ideal cholesterol

levels should be:Total cholesterol below 200 mg/dL

LDL (bad cholesterol) below 100 mg/dL

HDL (good cholesterol) above 40 mg/dL or men; above 50 mg/dL or women

Triglycerides (tri-glis-e-rides) below 150 mg/dL

Microalbumin (mi-kro-al-byoo-min) Test (Once a year) - This measures the amount o protein in your urine

and checks how well your kidneys work. Also, have your blood tested at least once a year or creatinine

(kree-AT-ih-nin) another kidney unction test.

Flu shot (Once a year) - Get a fu shot every year in October or November. And be sure to also ask your

doctor i a pneumonia shot is right or you.Dilated retinal eye (DRE) exam (Once a year) - See your eye doctor once a year, even i your vision

seems ne. I you have diabetes, the visit to a network eye doctor to check or diabetic eye disease may be

a medical benet. Call your health plans customer service to talk about this coverage and nd a doctor in

your area.

Foot exam (Every oce visit) - Diabetes can damage the ner ves in your body, especially in your eet. Take

o your shoes and socks at each oce visit to make it easy or your doctor to check your eet.

Dental exam (Two times a year) -People with diabetes are at special risk or gum disease. Be sure to tell

your dentist that you have diabetes, get regular dental check-ups, and brush and foss each day.

Pregnancy Work with your health care provider to control your diabetes beore you become pregnant.

SOURCES: Agency or Healthcare Research and Quality, www.ahrq.gov

Centers or Disease Control and Prevention, www.cdc.gov


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Blood Sugar Goals:

Beore meals 70-130 mg/dL

One - two hours ater beginning o the meal Less than 180 mg/dL

Goals recommended by American Diabetes Association, Standards o Medical Care, Clinical Practice Recommendations 2008.Diabetes Care, 31:S12-54. Your health care provider may recommend dierent values or you.

Sample Blood Sugar Graph

Here are some tips:

Make 12 copies o the blank blood sugar graph chart on the next page.Use one blank chart page to record one ull month o blood sugar readings.Each column on the chart is one day o the month (1 through 31).Each time you take your blood sugar, put a dot on the line thats closest to your reading.Ater youve taken your blood sugar a ew times, connect the dots.At the bottom o the graph, write down anything that could have changed your blood sugar in any way. For instance, youmight have eaten more ood than usual, were more active, were stressed or you orgot to take your medicine.

Take your blood sugar graphs to each doctor visit. They show how well your blood sugar is under control.

HINT: When graphing your blood sugar, be sure to track your daily activities. This can show your doctor and you what causes

the most changes in your blood sugar.

Blood Sugar

GraphingEven small changes in ood, activity, stress andmedicines can aect your blood sugar level. And that

can make a big dierence in the way you eel. For instance:

Follow your doctors advice by taking your diabetesmedicine(s) each day. This will help your blood sugar

levels stay within your goal.

Illness, inection, injury, and surgery can impact your blood sugar levels.

Daily chores like carrying groceries, gardening and housecleaning can help you burn calories and control your

blood sugar.

Plan meals and snacks ahead o time to help keep youocused on healthy ood choices.

Thats whyblood sugar graphingcan come in handy. Keep

a daily record o what you eat, when you exercised and other

key actors, so you can keep track o the things that change

your blood sugar levels. Blood sugar graphing can help show

you what to avoid and what you can keep doing.

Friday Saturday Sunday Monday Tuesday Wednesday Thursday Friday

Jan. 23 Jan. 24 Jan. 25 Jan. 26 Jan. 27 Jan. 28 Jan. 29 Jan. 30Greater than 300 mg/dL

260 mg/dL

220 mg/dL

180 mg/dL

140 mg/dL

100 mg/dL

Less than 60 mg/dL

BloodSugar

Ate lunch out,

friends birthday

Paid bills,

called relatives

Rainy day,

read a book

Holiday,

watched movies

Packed lunch,long walk

before dinner

Walked back to

work after lunch

Walked duringJimmys dentistappointment

Stress at work,walked soccer

fields


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less than 60 mg/dL

Personal notes/

todays events

100 mg/dL

140 mg/dL

180 mg/dL

220 mg/dL

260 mg/dL

Day of Week

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month

Greater than 300 mg/dL

Blood

Sugar

Blood Sugar Graphing Chart Make 12 copies of this blank chart so youll havea page for graphing each month of the year.

Blood Sugar Goals: Beore meals 70-130 mg/dL

One - two hours ater beginning o the meal Less than 180 mg/dL

Goals recommended by American Diabetes Association, Standards o Medical Care, Clinical Practice Recommendations 2008. Diabetes Care, 31:S12-54. Your health care provider may recommend dierent values or you.


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When you see the low and high trends on your blood sugar graphs, some important questions

such as the ones below - may come to mind. Your answers to them can help you better know how

to keep your blood sugar in a normal range.

The Foods I Eat

Is my portion size correct? ________________________________________

What do I eat each day?__________________________________________

Do I choose low-at, low-sugar, low-salt and high-ber oods? ___________________

Physical Activity

Do I get enough physical activity?____________________________________

Have I been very active? Or have I stopped any usual activities? _________________

My Medicines

Do I take the dose the doctor ordered? ________________________________

Do I take my medicines at the right times? ______________________________

Do I store my insulin as it should be stored? Is my insulin out-o-date? ______________

Do I take a new prescription or over-the-counter (OTC) medicine? ________________

Does my doctor know about all the medicines I take? ________________________

Illness, Inection and Stress

Do I eel healthy? ______________________________________________

Do I have an inection? __________________________________________

Do I have added stress? __________________________________________

Talk with Your Health Care TeamWhen you have questions about changes in your blood sugar level,

talk with your diabetes care team. They include your doctor, diabetes

educator, dietitian and/or pharmacist.

SOURCE: MayoClinic.com, www.mayoclinic.com

Know YourBlood Sugar Patterns


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A Healthy Mouth isSomething to Smile AboutGood dental health is important to everyone. Its especially true or those with

diabetes. The National Diabetes Education Program reports that those with

diabetes are two to three times more likely than others to have periodontal

disease (per-ee-uh-don-tl), which destroys the tissue and bone that support

the teeth. Periodontal disease can even lead to tooth loss.

Periodontal disease is more common, progresses aster, and oten is more

severe in those with both Type 1 and Type 2 diabetes. Thats important

because diabetes makes you more prone to inection any inection including

periodontal disease. And having an inection may change your bodys ability to

process and/or use insulin. Keeping the inection under control might help the

control o blood sugar.

People with poor blood glucose (sugar) control also get gum disease more oten

and more severely than people whose diabetes is well-controlled. So, what canyou do to help prevent the oral problems o diabetes? Brush and oss daily,

get regular dental checkups and get your blood glucose under control.

SOURCES: National Diabetes Education Program, http://ndep.nih.gov

National Institute o Dental and Cranioacial Research, www.nidcr.nih.gov


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Something to Chew OnMaking good ood choices is a oundation o diabetes treatment. Diabetes experts

suggest meal plans that are fexible and take your liestyle and other health needs into

account. Be sure to talk with your doctor about any religious or cultural belies that

could aect your eating habits. Healthy diabetic eating means you:

Eat at regular times o the day.Are careul about when and how many carbs you eat.Eat lots o whole-grain oods, ruits and veggies.Eat less at and limit alcohol and sweets.

Resolve to Change!January is the month or resolutions. So why not resolve to make some healthy

changes in your liestyle and keep them all year long?

Make small changes that can mean big rewards like a healthier heart, eyes, kidneys,

and nerves. Since having diabetes can lead to uture health problems, its important

to ollow your doctors advice and take charge o your health.

Here are some ways to bettermanage your diabetes:

Always ollow your diabetes health care teams advice.Graph your blood sugar each day.Go or your regular health tests including these:

A1C

Blood pressure

Cholesterol

Dental

Eyes and eet

Microalbumin

Choose healthier oods as part o your daily meal plan.Stay active on most i not all days o the week. Ask your doctor about the righttype o exercise or you.

Check your eet each day or cuts and scrapes.Work with your doctor or diabetes educator to come up with a sick day plan.Take your medicines just as your doctor tells you. Use this calendar to help you knowwhich medicines to take and when.

It might take some time, planning and ollow-through, butbetter health andreedom rom diabetes problems are well-worth the eort!

SOURCES: Centers or Disease Control and Prevention, www.cdc.gov

American Diabetes Association, www.diabetes.org

National Library o Medicine (NLM), www.nlm.nih.gov


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Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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Martin Luther King, Jr.

Day

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25 26 27 28 29 30 31

2009JanuaryMyAppointments

D a te D octors N a me PhoN e N umber



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.Set up your yearly

diabetes tests

Wear a medical IDbracelet.

Keep a source o sugar(glucose), with you or

low blood sugar.

Brush and foss your

teeth daily.

Never stop taking yourmedicines without talking

to your doctor.

Change the batteries inyour glucose meter every

six months.

Make sure you use athermometer that works.

Complete yoursick day plan.

I you take insulin, makesure you have a supply o

ketone strips.


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Be Kind to Your HeartFebruary may be the month or love and kindness. Its also a reminder to be kind to your heart. Ater all, good

diabetes control is vital to heart health. Heres what you can do to help prevent diabetes-related heart issues:

Control your blood sugar. AnA1C test can help you know how well youve controlled your blood sugarwithin the last three months . You may need this test done more than two times a year.

Maintain a healthy blood pressure. Your doctor should check it at each visit. The target or people

with diabetes is below 130/80.

Know your cholesterol numbers. Are you within a healthy range? For most people, the range is:

Total cholesterol: below 200 mg/dL

LDL (bad) cholesterol: below 100 mg/dL

HDL (good) cholesterol: above 40 mg/dL or men; above 50 mg/dL or women

Triglycerides (another type o at in the blood): below 150 mg/dL

Eat heart-healthy oods. Choose resh ruits, veggies, lean meats, whole grains and low-at/non-at

dairy oods. Cut back on oods high in saturated at, trans at, and cholesterol such as atty meats, but-

ter, high-at dairy products, shortening, lard, commercial baked goods and oods with palm or coconut oil.

Limit alcohol and remember to watch portions sizes.

Maintain a healthy weight. A healthy eating plan combined with physical activity can help you reach

and stay at the right weight. Your dietitian can help you make a plan.

Dont smoke. Your doctor can tell you abou t ways to quit smok ing.

Is an aspirin a day right or you? Ask your doctor itaking a low dose o aspirin each day can help

reduce your risk o heart disease and stroke.Take your medicines as directed. Dont stop taking them unless your doctor tells you.

Make time or exercise!Walking 30 minutes a day is great. And three 10-minute walk breaks throughout the day count, too! Walk,

ride a bike, rake leaves or do any other physical activity that you enjoy. Start small and work up to a total

o 30 minutes or most days o the week. Be sure to talk with your doctor beore you start an exercise plan.

Carry water and have a snack handy in case your blood sugar gets low during physical activity.SOURCES: U.S. Department o Health and Human Services, National Institutes o Health, National Institute o Diabetes and Digestive and Kidney

Diseases, www.diabetes.niddk.nih.gov

Aldana, Steven G., Ph.D., 2005, The Culprit & The Cure: How Lifestyle is the Culprit Behind Americas Poor Health and How Transforming that

Lifestyle Can be the Cure, Mapleton, Utah, Maple Mountain Press


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1 2

Groundhog Day

3 4 5 6 7

8 9 10 11 12 13 14

Valentines Day

15 16

Presidents Day

17 18 19 20 21

22 23 24

Mardi Gras

25

Ash Wednesday

26 27 28

February 2009 MyAppointments




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Have you practiced bloodsugar graphing?

See your doctor on aregular basis, even i

you eel ne.

Find out your cholesterollevels and have them

checked at leasteach year.

Make eating healthy unor the whole amily.

Choose to eat a new veg-gie and ruit each week.

Know the warning signso a heart attack or men

and women.

Walk 100 extra stepseach day.

Simple changes in theway you live now may

make all the dierence. Avoid late-night eating.


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DRE to Help You SEECaring or your eyes is important. Its especially true when you have diabetes.

Thats because diabetes can damage blood vessels, including those in the retina.

This damage is calledretinopathy(REH-tih-NOP-uh-thee) and may cause severe

vision loss and/or blindness. People with diabetes also have a higher risk o devel-

oping cataracts (a cloud over the eye) and glaucoma (increased eye pressure).

With so much at stake, be sure to make an appointment with your eye doctor: an

ophthalmologist (OFF-thal-MOL-ah-jist) or optometrist (op-TOM-eh-trist). He or she

can give you a DRE (dilated retinal eye exam), which is medically necessary or

a person with diabetes.

A DRE is more than a vision checkup or glasses. The eye doctor dilates both pupilswith eye drops and then looks through a scope to see the blood vessels in the

back o each eye. A yearly DRE can help you and your doctor track any diabetes-

related vision changes.

Ater the DRE Checkup:Ask your eye doctor to send a copy o the results to your health care provider.Make sure your health care provider receives the report and knows about any

damage to your eyes. He/she can then change your treatment plan as needed tohelp prevent urther damage.

Keep an Eye on This

To Help Prevent Diabetes-related Eye Problems:

Keep your blood sugar and blood pressure as close to normal as you can.Have an eye doctor check your eyes once a year.Ask your eye doctor to check or signs o cataracts and glaucoma.

SOURCES: National Diabetes Inormation Clearinghouse, www.diabetes.niddk.nih.gov



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1 2 3 4 5 6 7

8

Daylight Savings Time

Begins

9 10 11 12 13 14

15 16 17

St. Patricks Day

18 19 20

First Day of Spring

21

22 23 24 25 26 27 28

29 30 31

March 2009 MyAppointments




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Set up a time to visit youreye doctor or your yearlyDRE (dilated eye exam).

Wear the right saetygear when you exercise.

Take a break andgo or a walk.

Ask or low-at saladdressing on the side.

Try a new salt-reeseasoning or herb

to favor ood.

Never take medicineordered or

someone else.

Eat breakast to help youavoid eating too much

later in the day.Pack your lunch to helpcontrol portion sizes.

Look or heart-healthymain dishes.

Try a whole wheat pastaor a noodle dish.


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What is GFR? And why is it important or kidney health?

GFR is short or Glomerular(gloh-MEHR-yoo-ler) Filtration Rate. Its one o the

tests to measure how much kidney unction you have. So have your blood tested at

least once a year or creatinine. The results should be used to estimate your GFR.

And the earlier that kidney disease is ound, the better the chance o slowing or

stopping it. Be sure to talk with your doctor about medicines that can help protect

your kidneys.

SOURCES: National Kidney and Urologic Diseases Inormation Clearinghouse, www.kidney.niddk.nih.gov

National Kidney Foundation, www.kidney.org

Centers or Disease Control and Prevention, www.cdc.gov

The Kidneys - DiabetesConnectionDid you know that your kidneys process about 200 quarts o blood each day and lter

about two quarts o waste products and extra water rom your body? Keeping your

kidneys healthy and in working order is essential.

High blood sugar and high blood pressure are the two main causes o kidney

disease.Andwhen kidneys are damaged, they lose their ability to lter. So what does

diabetes do to kidneys?

I glucose (the orm o sugar in your blood) stays in your blood instead o breaking

down, it can act like a poison. Damage to the kidneys rom too much glucose in theblood is calleddiabetic nephropathy(ne-ROP-uh-thee). But i you keep your blood

glucose and blood pressure at normal levels, you can help prevent or delay diabetic

nephropathy.

How can your doctor tell i you might get kidney disease? They can do amicroalbumin

(my-krow-al-BYOO-min) test to look or early stages o albumin -- microalbuminuria

(my-krow-al-byoo-min-yur-ee-ah) -- in your urine. People with diabetes also should get a

yearly blood test or creatinine (kree-at-in-nin). This test helps the doctor know how

much blood your kidneys lter each minute.

Most people dont have severe symptoms rom kidney disease until the disease gets

worse. Be sure to tell your doctor i you have any warning signs:

FatigueMuscle cramping at nightSwollen eet and anklesPuness around the eyes, especially in the morningTrouble sleeping

NauseaPoor appetiteDry, itchy skinUrinating more oten, especially at night

s


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1

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Easter

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Earth Day

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Have your urine albuminlevel checked each year.

Know your target A1C.

Have your blood pressurechecked at each

doctor visit.

Write down questionsbeore you see

the doctor.

Record your blood sugartest results.

Use a cooking spray tobrown or ry oods.

Walk ater meals to aiddigestion and lower blood

glucose.

Check to see i your eetare red, sore or numb.

Canned veggies are otenhigh in salt.


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Getting the Most romYour Health Care VisitsBeing at the doctors oce or hospital can be overwhelming. Its easy to orget to tell your doctor about a specic issue or ask certain questions. And when you do ask questions, sometimes its

hard to understand all the medical talk in the answers.

Knowing the right questions to ask can help you stay inormed about your condition, prepare or medical tests or surgery and take your medicines the right way.

This chart lists some questions you may want to ask your diabetes health care team. It also has tips to help you get the most rom your health care visits:

Doctor Diabetes Educator Dietitian Pharmacist Health Insurance Representative

n What is my main problem?

What do I need to do? Why?

n Can I bring a amily member

or riend to my learningsession?

n What is my body mass

index (BMI)?

n What are the side eects o

the medicines I take?

n Does my insurance pay or diabetes

education?

n Can I bring a amily memberor riend with me to myvisits?

n What do my blood sugarresults mean? When shouldI call the doctor?

n How many calories do Ineed to eat each day?

n Are there any medicines that Ishouldnt take together?

n Do I need a reerral to see the doctor ordiabetes educator?

n Make a list o your healthconcerns and/or questions.

n Can you help me make asick day plan?

n What is the best meal planor me?

n Are there any over-the-countermedicines that I should avoid?

n Does my insurance pay or a dilated retinaleye exam (DRE)?

n Take your medicines withyou to your oce visits.

Include any vitamins, herbsor over-the-counter drugs.

n What oods can I eat whenI am sick? How and when

should I take my medicine?

n How can I ollow my mealplan when I eat out?

n Which medicines should I takewith meals? Which ones should

I take on an empty stomach?

n Does my insurance pay or my medicines?

n Ask your doctor to repeatanything you dont under-stand.

n How do I check my eetevery day?

n What changes can I maketo my avorite recipes tomake them healthier?

n What do I do i I miss a dose oany o my medicines?

n Does my insurance pay or test strips,lancets and a meter? How many strips orlancets can I get at one time?

n Tell your doctor about anyissues that will NOT allowyou to ollow his/her advice.

n How do I plan physicalactivity or each day?

n What should I do when Itravel?

n How should I store mymedicines?

n Do I need a prescription rom my doctor ortest strips or lancets?

SOURCES: Agency or Healthcare Research and Quality, www.ahrq.gov

National Diabetes Education Program, http://ndep.nih.gov

ts


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1 2

3 4 5

Cinco de Mayo

6 7 8 9

10

Mothers Day

11 12 13 14 15 16

Armed Forces Day

17 18 19 20 21 22 23

24 25

Memorial Day

26 27 28 29 30

31

May 2009 MyAppointment




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Take the stairsmore oten.

Check the expiration dateon your insulin.

Sign up or a diabetesmanagement class.

Wash your hands regularly.

Know your blood pressurenumber.

Post your health goalswhere you can see them.

Walking bareoot mayinjure your eet.

Add a serving o reshveggies or ruit to

each meal.


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Ready to get in the game?

Beore starting your activity, remember to:

Talk to your doctor about activities that are right or you. I you have certain diabetes problems, someexercises can make these problems worse.

Test your blood sugar beore and ater activity. I you have Type 1 diabetes, dont exercise i your astingblood glucose is above 250 and your urine hasketones - chemicals that your body makes when theres not

enough insulin in your blood. Your doctor can tell you the sae levels to work within.

Carry glucose tablets or emergency ood or low blood sugar symptoms.Keep water on-hand and drink it during your activity, even i you dont eel thirsty.

Wear clean, lightly-padded socks, loose-tting clothes and comortable shoes that t. Check your eet eachday or irritation, redness or sores.

Wear medical identication and needed saety equipment.

SOURCES: Centers or Disease Control and Prevention, www.cdc.govNational Diabetes Inormation Clearinghouse, www.diabetes.niddk.nih.gov

Keep it Moving!Dont let diabetes keep you on the sidelines. Staying

active can help you control your blood glucose, weight,

and blood pressure, as well as raise your goodcholesterol. Physical activity also can help reduce your

risk o heart disease and nerve damage, which are

oten problems or people with diabetes.

And you dont have to join a gym to be active. First,

talk with your doctor about exercising. Then do some-

thing you enjoy. You can:

Walk

HikeClimb stairsSwimAerobicsDanceBicycleSkiPlay tennisPlay basketball

No ftness center nearby?You dont need ancy

equipment to exercise. Use cans o ood or weights.

Move the coee table out o the way and ollow along

with a un exercise tape or DVD at home. Try to exercise

during TV commercial breaks. Walking is also great. A

special counter called apedometercan tell you how

ar you walk each day (you might be surprised!). Ask

your health care team where to get one.


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Taking Your Medicines SaelyKeeping up with your medicines can be tough. I you take them the wrong way or in the wrong combination,

they may not be as eective. And it can even be dangerous.

Your doctor, pharmacist or nurse can help you take your medicines the right way. Here are some questions to

ask them:

What is the name o my medicine? Why am I taking it?How long will I have to take this medicine? What time o day should I take it? How many times a day should Itake it? Should I take it with or without ood?

What should I do i I miss a dose?What are the possible side eects? When should I call my doctor?Will this medicine interact with any o my other prescriptions and over-the-counter (OTC) medicines, herbals,

vitamins and supplements?How should I store this medicine? Does it need to be rerigerated?I I have a hard time swallowing a pill, can I break it or chew it? Can I get it in a liquid orm?

Dont orget to ollow these saety tips:

Wear or carry medical and personal identication.Take all your medicines with you to each doctors visit. Include all over-the-counter medicines, herbal remedies,vitamins and nutritional supplements.

Tell your health care provider about any drug or ood allergies you have.I you smoke, quit. Smoking cigarettes can change the way your medicines work.Dont take your medicines with alcohol.Keep taking your medicines as directed unless your doctor tells you to stop.

To help prevent medication errors:

Use a checklist or pill box to help organize your medicines each day.Keep your medicines separate rom other peoples medicines in the home.Fill your medicines at the same pharmacy. Also tell your pharmacist about any sample medicines youre taking.

Read the label beore using any medicine, and take it as directed.Turn on a light and wear your glasses when taking or giving medicines at night.

SOURCES: U.S. Food and Drug Administration, www.da.gov

Institute or Sae Medicine Practices, www.ismp.org

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1 2 3 4

Independence Day

5 6 7 8 9 10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30 31

July 2009 MyAppointmen oc o s o u



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Too hot to walk? Try anindoor mall or museum.

Are you up to date withyour yearly diabetes

tests?

Schedule at leasttwo hemoglobin A1C tests

this year.Learn a new recipe usinga no-calorie sweetener.

Yard work can be greatexercise.

Walking the dog is oneway to exercise.

Keep your medicinebottles tightly closed.

Carry glucose tablets totreat low blood sugar.

Change the batteries inyour glucose meter every

six months.Do you need a screening

or breast cancer?


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ents



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1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 29

30 31

August 2009 MyAppointme



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Whole grain oods are agood source o ber.

Eat only when sittingdown at the table. Cook with skim milk.

Try favored ice teas withno-calorie sweetener.

Do you know yourcholesterol level?

Have your amily help youplan and prepare meals. Enjoy a new veggie.

Water is your best betwhen thirsty.

Control the size o yourood portions.

Avoid late-night snacking.

Talk with your health careprovider about drinking

alcohol.Trim at rom meat

beore cooking.

Medication


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Illness can cause your blood sugar to r ise. So, to manage diabetes when youre sick ,

you and your doctor or diabetes educator should make asick day action plan.

Be sure to share your action plan with someone close to you and let him or her know when

you dont eel well.

Keep this inormation with the action plan your doctor makes or you:

Action plan or nausea, vomiting or diarrhea:

fuid and ood guideDrink 4 to 8 ounces o water or sugar-ree, caeine-ree liquid every hour.Eat 10 grams o carbs every hour or 50 grams every 3 to 4 hours .

The ollowing have 10 to 15 grams o carbs:

1 double stick Popsicle

1 cup milk

cup ruit juice

cup regular (not diet) sot drink

6 saltine crackers3 graham crackers

1 slice dry toast

cup regular (not sugar-ree) gelatin

cup sherbet

Blood sugar testing

I you have Type 1 diabetes, you may need to measure blood sugar and ur ine ketones

every our hours.I you have Type 2 diabetes, checking blood sugar our times a day may be enough. Youmight only need to measure ketones i your blood sugar is higher than 300 mg/dL. Write

down the results.

What to Do WhenYoure Sick

Medication

Take your insulin and/or oral medicines as prescribed, but ask your doctor about anydosage changes.

Talk with your doctor i you are scheduled or medical tests or surgery that requirethat you dont eat, or change your schedule or taking your medicines.

Keep supplies on hand beore you get sick

Write down your plan and keep necessary ketone strips, ood and other supplies on-hand. Make sure that your ketone test strips havent expired.

When to call your doctor

Call your doctor any time you arent sure how to care or yoursel. Always call your

doctor i:

Youve been sick or had a ever or a couple o days and arent getting better.You vomit or have diarrhea or more than six (6) hours.You have moderate to large amounts o ketones in your urine.Your glucose levels are higher than 240 even though youve taken the extra insulinyour sick day calls or.

You take pills or your diabetes and your blood sugar level climbs to more than 240beore meals and stays there or more than 24 hours.

Your chest hurts, you have trouble breathing, your breath smells ruity or your lipsor tongue are dry and cracked (this might signal ketoacidosis, dehydration or some

other serious condition).

Youre not sure how to take care o yoursel.

Medicines can also aect your blood sugar

Its not just cookies and soda that can throw your blood sugar levels out o whack. Even

some medicines can do it:

Check the label o OTC medicines to see i they have sugar.Decongestants and cold medicines may raise blood sugar levels.Some antibiotics lower blood sugar levels in people with Type 2 diabetes who takediabetes pills.

SOURCES: American Diabetes Association, www.diabetes.org

Mayo Clinic, www.mayoclinic.com

National Diabetes Inormation Clearinghouse (NDIC), www.diabetes.niddk.nih.gov

ents



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Have youscheduled your

fu shot yet?

1 2 3 4 5

6 7

Labor Day

8 9 10 11 12

13 14 15 16 17 18 19

20 21 22

First Day of Autumn

23 24 25 26

27 28 29 30

September 2009 MyAppointme



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Do you need a bonedensity test? Keep a positive attitude.

Ask your doctor i youneed any updates to yourimmunizations (vaccines).

Buy the oods you needor your sick day plan.

Do you need a screeningor colorectal cancer?

Set up an appointment ora well-care visit.

Discuss fu andpneumonia vaccines with

your doctor.

Dont take antibiotics totreat a virus.

Whole grain oods makeyou eel uller thanprocessed oods.


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It can happen any timePeople with diabetes may get nerve problems at any time, but risk rises

with age and how long theyve had diabetes. Diabetic neuropathies alsoappear to be more common in people who are overweight and/or have

problems with their blood glucose, blood at and blood pressure levels.

Protecting Your NervesDid you know that one out o two people with diabetes has nerve damage called diabetic

neuropathy(ne-ROP-uh-thee)? This serious condition may lead to oot injuries, inection and

eventually amputation. Avoiding diabetic neuropathy is another important reason to keep yourblood sugar levels under control. Symptoms depend on which nerves are aected, but may include:

Numbness, tingling, burning or prickling sensationProblems having sexLoss o balance or coordinationDiarrhea or constipationProblems with urinationNot able to eel hot or coldIndigestion, nausea or vomitingLeg cramps or spasms

Whats your plan?I you already have diabetic neuropathy, these steps may prevent or delay urther damage, and

may lessen your symptoms:

Keep your blood sugar levels as close to normal as you can.

Care or your eet. The nerves in your eet and toes are at higher risk or nerve damage. Loss

o eeling in your eet can make you not eel a sore or injury, which can lead to more damage

and/or inection. Good oot care includes doing these:

Clean your eet daily with warm water and soap. Dry them thoroughly.

Check your eet and toes every day or cuts, blisters, redness, swelling, calluses or other

problems.

Put lotion on your eet but not in between your toes.

Wear shoes or slippers to protect your eet.

Have your oot doctor trim your nails and le your corns and calluses.

Get your doctor to check your eet at each oce visit. Take o your shoes and socks in

the exam room so youll remember to have your eet checked.Choose the right activities or you. Some activities are not sae or people with neuropathy.

SOURCES: National Diabetes Inormation Clearinghouse, www.diabetes.niddk.nih.gov


ments



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Have you hadyour fu shot

this year?

1 2 3

4 5 6 7 8 9 10

11 12

Columbus Day

13 14 15 16 17

18 19 20 21 22 23 24

United Nations Day

25 26 27 28 29 30 31

Halloween

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Get enough rest.

Do you need a screeningor prostate cancer?

Talk to your doctor i youare eeling depressed.

How you eel may have aphysical cause.

Read the label onthe bottle beore you

take a pill.

Check your eet andbetween your toes

each day.

Read ood labels toknow portions.

Remind your amilymembers to be checked

or diabetes.

I you use tobacco, set adate to quit and talk with

your doctor.


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Healthy Ways toDeal with StressLie can be ull o stress. And taking care o your diabetes is a big part o daily living. Check out these tipsthat can help you deal with the stress:

Stay active Being as active as you can helps your body use insulin and glucose better. It also helps

reduce stress and control weight.

Plan healthy meals Sometimes stress can drive you to choose unhealthy oods. That means its

important to stick with oods on your meal plan that give your body more nutrients with le ss at and salt .

Relax - Take a 15 or 20-minute break each day to sit quietly, breathe deeply, relax, and think o pleasant

things or nothing at all. Read a pleasant poem, prayer, or quote to replace negative thoughts.

Be realistic- I you eel overwhelmed, its OK to say no. Stop any activities that are not needed.

Ask others to help when you need it.

Laugh - Laughter can relax you and even help you to see stressul changes in a dierent light.

When Its More than StressYour emotional health is as important as your bodys

health. And just about everyone has low moods or eels

sad sometimes. I youve elt down, sad, hopeless or

had little interest or pleasure in doing things or two (2)

weeks straight, talk with your doctor. Ask i you should

be screened or depression.

Depression is a serious medical condition that can make

managing your diabetes more dicult. Many studies

have shown that patients with diabetes are twice as

likely to have depression as people without diabetes.

The good news is that depression can be treated

with medicine and counseling. Dont be araid to talk with your doctor i you think youre depressed.

SOURCES: American Diabetes Association, www.diabetes.org

Agency or Healthcare Research and Quality, www.ahrq.gov

Signs o depression includethese:

Sad moodLoss o energy or eeling tired

Trouble paying attention, rememberingor making decisions

Restlessness and irritabilityUnintended weight gain or lossLoss o interest or pleasure inmost things

ments



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1

Daylight Savings Time

Ends

2 3 4 5 6 7

8 9 10 11

Veterans Day

12 13 14

15 16 17 18 19 20 21

22 23 24 25 26

Thanksgiving

27 28

29 30


this year?

November 2009 MyAppointm



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Take your blood pressuremedication to help prevent

or slow kidney disease.

Are you up to date withyour yearly diabetes

tests?Be active or

30 minutes most days.

Ask your doctor or amicroalbumin test

every year.

Check your blood glucoseevery day, or as oten as

your doctor suggests.

A home blood pressure kitcan help you keep tracko your blood pressure.

Set up a dilated eye examor next year.


30/36

Happier, Healthier HolidaysWinter is a season o holiday celebrations, ootball play-os, and other times when amily and

riends get together over meals and snacks. For people with diabetes, sticking to a meal plancan be very hard.

But you dont need to give up all o your avorite oods. The key is to make a variety o

healthy ood choices and limit portion sizes. Here are some tips to help you eat healthy:

Snack ahead -- Eat a healthy snack beore you leave home to help prevent eating too much

at the party.

Plan ahead -- Check out the party oods beore you start to eat and make a mental note o

what and how much youll eat . Your ood choices should t into your meal plan.

Bring a dish -- Try one o the healthy, tasty recipes ound at the back o this calendar.Move away rom the buet -- Fix your plate, and stay away rom the nger oods. This will

help you avoid eating while chatting.

Savor the favor -- Eat slowly to help reduce your chances o eating too much.

Drink water -- Water is a healthy, no-calorie beverage. Drink plenty o it.

Trim it down -- Eat smaller portions o ood. Trim o extra skin and at rom meat.

Party hard!

Focus on amily, riends and activities rather than ood. And i youre the cook and your goal isto serve a healthy east to your guests, ollow these tips:

Bake it. Broil it. Grill it -- Consider healthy options or meats. Choose skinless meat or

poultry and avoid ried dishes.

Increase ber -- Serve whole grain breads, peas and beans as part o your meal.

Go easy on the toppings -- Lighten your recipes by using reduced-at or at-ree mayo,

butter, sour cream or salad dressing.

Focus on ruits -- Serve resh ruit instead o ice cream, cake or pie.

Thin is in -- Change high-at, high-calorie desserts by replacing whole milk or whipped cream

with 1 percent or nonat milk.Serve low-calorie beverages -- Oer your guests sparkling water or diet drinks.

SOURCE: National Diabetes Education Program, http://ndep.nih.gov

The git that keeps on givingThis holiday season and all year, give yoursel a priceless git better health.

Taking care o yoursel may help improve your quality o lie. And more daysspent with ewer diabetes problems can mean more time spent doing the things

you want to do.

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this year?

1 2 3 4 5

6 7

Pearl Harbor Day

8 9 10 11 12

13 14 15 16 17 18 19

20 21

First Day of Winter

22 23 24 25

Christmas

26

Kwanzaa Begins

27 28 29 30 31

December 2009 MyAppoint



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P.M. ______

A.M.______

P.M. ______

A.M.______

P.M. ______

A.M.______

P.M. ______

A.M.______

P.M. ______

Take your diabetesmedicines at the same

times each day.

Stop eating when youare ull.

Check your blood glucoseeach day or as oten asyour doctor suggests.

Enjoy the simplepleasures.

Avoid candy or snacks.

Try a whole grain cereal.


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ResourcesIts important to learn as much as you can about diabetes.

The more you know about the condition, the better you can

manage it and live a uller lie.

For more inormation about diabetes,

check out these resources:

American Diabetes Association

800-342-2383

www.diabetes.org

Centers or Disease Control and Prevention

800-311-3435

www.cdc.gov

National Diabetes Education Program

www.ndep.nih.gov

301-496-3583

National Diabetes Inormation Clearinghouse

800-8608747

www.diabetes.niddk.nih.gov


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!


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2009 Diabetes Health Checks

Test Name Goal Frequency Dates Results

Hemoglobin A1C Less than 7% At least two times eachyear (more oten irecommended by yourdoctor)

___/___

___/___

___/___

___/___

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Blood Pressure Les s than 130/80 mm/Hg Each doctor visit ___/___ _______________________________________________

_______________________________________________

______________________________________________________________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Lipid (Cholesterol) Panel LDL less than 100 mg/dLHDL greater than 40 mg/dL (Males)HDL greater than 50 mg/dL (Females)

Triglycerides less than 150 mg/dL

At least once each year ___/___ _______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Dilated Retinal Eye Exam Once each year by aneye care proessional

___/___ _______________________________________________

Microalbumin Test Less than 30 mg Once each year ___/___ _______________________________________________

Creatinine Once each year ___/___ _______________________________________________

Foot Exam Each doctor visit ___/___ _______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

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Test Name Frequency Dates Results

ColorectalCancer Screening

Check with your doctor* ___/___

___/___

___/___

___/___

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Mammogram Every year or women age 40+ ___/___ __________________________________________________________________

Bone Density As needed** ___/___

___/___

___/___

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Prostate/Rectal Exam Yearly or men age 50+ ___/___ __________________________________________________________________

Pap Test/Pelvic Exam Every 1 to 3 years*** ___/___ __________________________________________________________________

Flu Vaccine Every year ___/___ __________________________________________________________________

Tetanus Diphtheria Vaccine Every 10 years ___/___ __________________________________________________________________

Pneumonia Vaccine Once (lietime)**** ___/___ __________________________________________________________________

**** Colorectal Cancer Screening Frequency o testing varies depending on the type o test, the person, and amily history.**** Bone Density Usually begins at age 65 or women. Frequency o test varies depending on personal and amily history.

**** Screening recommendations vary based on age, the person and past results. Check with your doctor or what is right or you.

**** Pneumonia Vaccine At least one lietime vaccination at age 65+. Adults should be re-vaccinated i the initial dose was received beore age 65 and was at least fve (5) years ago, or with

certain medical conditions. Check with your doctor.

2009 Wellness Checks

IA_M0013_09H_004 07/2008

The inormation contained in this calendar is or educational purposes only. Please consult your physician or specifc advice regarding recommendations or your individual circumstances.

Trade names o commonly used medicines and devices are provided or ease o education, but are not intended as particular endorsement. Your physician may choose to use items not

represented here. Some recommended treatments may not be covered under your health plan.

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