1 in every 10, or 38 million Americans, have diabetes and 1 in 5 do not know they have it. 1 in every 3, or 88 million Americans, have prediabetes, and 90% do not know they have it. If pre-diabetes is treated with healthy behaviors, it can greatly reduce the risk of becoming diabetes. People with diabetes are at greater risk for life-altering complications such as blindness, kidney failure, heart disease, stroke, and loss of toes, feet, or legs. They also have a 60% increased risk of an early death. Diabetes not only affects one’s physical health but their social, relational, mental, financial, and occupational health as well.
WakeMed Diabetes Management
An ADA recognized quality diabetes education program led by certified diabetes care and education specialist and registered dietitians.
https://www.wakemed.org/care-and-services/diabetes-management/
Call (919) 350-7292
WakeMed Diabetes Support Group
Fee virtual meetings the 1st Wednesday of each month from 6-8pm
A supportive space for those living with diabetes, along with their family members, caregivers and loved ones,
Call (919) 350-2198
Email: wmdiabetessupport@wakemed.org
WKCC Portal and Care Management
Resources and evidence-based support for patients in between appointments to address barriers and to optimize health and diabetes management.
Call (919) 235-6488
Diabetes Prevention Program
Provider- and self-referrals to help at-risk people avoid diabetes. Risk test, education, tool kits, and resources.
https://www.diabetesfreenc.com/
Call (844) 328-0021
YMCA Medical Membership
Participants explore how healthy eating, physical activity and behavior changes can reduce the risk for developing diabetes. Many programs are available at no cost.
https://www.ymcatriangle.org/membership/y-health-memberships
Call (919) 582-9396
CDC Diabetes
Statistics, prevention and awareness campaigns, diabetes basics, living with diabetes, videos, podcasts, infographics, and research projects.
https://www.cdc.gov/diabetes/index.html
National Institute of Diabetes and Digestive and Kidney Diseases
4 Steps to Manage your Diabetes for Life
https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes/4-steps
Additional Evidence-Based Education:
- American Association of Clinical Endocrinology
- American Diabetes Association
- Association of Diabetes Care & Education Specialists
- NovoCare Diabetes Education and Resources
- American Heart Association & Diabetes
- Nutrition.gov
- Diabetes Information for non-clinicians: Diabetes | 1440
Sample Conversations to Increase Patient’s Internal Motivation for Behavior Change
| Approach | Example | Rationale |
|---|---|---|
| Open-ended questions | Tell me what it’s like to have diabetes. What do you think might be causing a rise in your A1c? | Learn about their knowledge. Promotes open communication. |
| Reflection | Let me see if I have this right… On the one hand you are worried about your A1c but on the other hand you really love sweet tea? | Checks for accuracy. Validates their perception, feelings. |
| Build on existing strengths | You drink less sweet tea than you used to – how did you do that? | This is their motivation to change. |
| Ask Permission | Would you mind if I share some thoughts or information with you and then have you tell me what you think? | Affirms their independence to make their own decision. |
| Ask about readiness to change | Given this information, what are your thoughts about drinking sweet tea? | Hear how they are interpreting the new/correct information. |