Self-Management Education* Program Components

Diabetes Outpatient Self-Management Education

The Diabetes Outpatient Self-Management Program offered by the Diabetes Management Program at WakeMed provides diabetes education designed for individuals who have recently been diagnosed with diabetes, had a change in their treatment regimen, or are have difficulty maintaining glycemic control. Participants are encouraged to have a spouse or other support person attend classes with them.  The charge for the instruction is covered all, or in part, by most insurance companies, including Medicare and Medicaid.  There is no charge for the follow-up sessions.

Diabetes Self-Management Education includes up to10 hours of class for the adult person with diabetes that addresses the knowledge and skills required for appropriate diabetes self-management.  This program is appropriate for recently diagnosed individuals and persons who have received limited or no educational tools for managing their diabetes.

Class participants return at 3, 6, and 12 months after class completion for a 1½-hour follow-up (at no charge) to review progress towards self-identified behavior change goals and additional educational programming.

The components of the program include:

• Individual assessment
• Diabetes overview
• Acute complications of diabetes and prevention strategies
• Sick day guidelines
• Introduction to behavior change
• Goals for healthy eating
• Portions, servings and classification of food groups
• The effect of carbohydrate on blood glucose levels
• Basics of control:  meal planning, exercise, medication and standards of care
• Review of chronic complications resulting from uncontrolled diabetes
• Foot care including self examination (in class)
• ADA standards of care and the meaning of an A1c.
• Action and impact of medication
• Benefits of exercise and how to exercise safely
• Healthy eating guidelines for fat, cholesterol, and sodium
• Goal setting for behavior change
• Meal planning using the exchange system
• Meal planning includes emphasis on consistent carbohydrate grams distributed between meals, snacks, as well as recommended portions for protein and fat.
• How to read and interpret food labels
• How to estimate portions sizes of unlabeled foods
• Importance of blood glucose monitoring.  Discuss blood glucose targets, testing schedule, record keeping, self-blood glucose monitoring instruction and BG monitor maintenance

3, 6 and 12 month Follow-Up Session  (1½-hour)

• Review goals and progress to date
• Address questions and concerns
• Problem solving and goal setting
• Continuing education on a variety of diabetes topics

Adult Classes - Diabetes Self-Management Education

Diabetes Self-Management Education classes are scheduled with the following options:

• All Day Class - can attend all day session or split class into two half-day sessions.
  An individual consult with the nurse or dietitian is required prior to attending the all day
  Class.  All Day Classes are available at the Raleigh Campus, Cary Hospital and North
  Healthplex.
• Early Evening – early evening classes are offered at Raleigh campus and are 2.5 hours of class each Tuesday evening for four consecutive weeks.  Evening classes are offered every other month.
• Saturday Class – an All Day Class scheduled on Saturday.  Requires an individual consult with the nurse or dietitian prior to attending.  Saturday classes are offered every other month at the Raleigh Campus.

Follow-up Sessions
Follow-up classes are offered at 3, 6, and 12 months for participants who have completed the full 10 hours of education.  Follow-up Sessions are free of charge.

Consults
Individual consults are available at WakeMed Raleigh Campus and Cary Hospital to address specific topics such as carbohydrate counting and insulin starts. They are also available for participants in need of one-on-one instruction.

Location of Outpatient Classes:
 
WakeMed Raleigh Campus    
3000 New Bern Avenue    
Raleigh, NC, 27610     
(919) 350-7292 Phone
(919) 350-7400 Fax     

WakeMed Cary Hospital
1900 Kildaire Farm Road
Cary, NC, 27518
(919) 350-7292 Phone
(919) 350-7400 Fax

WakeMed North Healthplex
10000 Falls of Neuse Road
Raleigh, NC 27614
(919) 350-7292 Phone
(919) 350-7400 Fax