Diabetes Self-Management Program

By TeetooMac Latest Reply 2010-01-18 14:50:14 -0600
Started 2009-11-03 00:49:07 -0600

I am in the process of starting a community-based diabetes self-management program and want it to be the best I can make it. It will serve participants from many different clinics and not be connected to any of the them specifically. Since it is going to be serving diabetics and operated by diabetics, what advice would you give me. What would you want this self-management program to include. This is a "dream" program so tell me what you'd really like it to include within reason of not being a club for wealthy diabetics…

17 replies

TeetooMac 2010-01-18 14:47:42 -0600 Report

Some months later: We have now launched A Partnership Of Diabetics (A-POD). We are delighted with the response. If you are interested, you can check us out at: Meet-up.com. At that website, click on Find a Meeting; Type in "Diabetes" and my zipcode which is 55404. There you will see what we've started! We have now scheduled our weekly meetings that complement the bi-monthly POD-Tensive.

John Crowley
John Crowley 2009-11-05 17:12:13 -0600 Report

Absolutely you should have a regularly scheduled cooking night. It might even be great if people who signed up were given a list of ingredients to bring and they learned how to make the dish together in class. Perhaps they could even make several meals—but not cook them. Then they could take them home and freeze them until they needed them.

TeetooMac 2009-11-06 01:09:37 -0600 Report

Thant's a great idea! One of the sites we had looked at was a new food co-op that has a demo kitchen in its classroom space. I will have to find out about their rules and if that adds to our liability insurance issue. If ingredients are shared we could have a problem. But nothing good happens if all we find is problems…

We have a meter manufacturer whom we've interested in giving each participant a meter so we can download the same data for everyone. This too has some complications, but we want to look for ways in which the program is replicable and we might as well address some of these obstacles on the front end.

mamaoak 2009-11-04 20:12:32 -0600 Report

that sounds like a good i dea we need that here some people in this area do not have much in the way of funds so it would be goo here. southern ohio redneck country.

TeetooMac 2009-11-04 22:39:28 -0600 Report

We'll see what happens here, but I do agree that the concept we're talking about should be applicable throughout the country. So the question becomes how to get the $$$ to do the work wherever it's needed. We better figure out how to do it without significant costs, but we do think that many people devalue that which is completely free, so we're thinking of a $5 co-pay per meeting. Hopefully we can get insurance to pay for the rest and possibly grants for very low-income people.

mamaoak 2009-11-05 17:47:54 -0600 Report

well hope you can get this to work out.so many people need help with this they dont understand how to manage and cook cheap and eat well not useing boxed foods.

sweething 2009-11-03 07:42:19 -0600 Report

You need medical professionals from the areas to be on board, or referrals by them won't happen. Perhaps as advisors.

TeetooMac 2009-11-03 10:23:52 -0600 Report

We have seven clinics within a mile of our proposed location. I have been a patient at two of them. I also have support from a wider variety of physicians and health care professionals, so the program will be well vetted. I am also attending several other community-based programs in the metro area. Although they are not my dream programs, they are doing a good job as social interaction sites; they focus more on Diabetes 101 and yet don't ask participants to put together any self-management plans or strategies.

grandmamj 2009-11-03 16:38:27 -0600 Report

as a nurse and a diabetic my only concern of over sharing one's self plan is that every food affects every diabetic differently. Unfortunately it is a long road to work out the correct grouping of foods, excercise and stress. Sharing the ideas on how you get there is great but be sure to express the need for individuality of all ideas as test to try.

TeetooMac 2009-11-04 00:59:42 -0600 Report

Thanks for your thoughts on this. I totally agree that we should never try to push a cookie cutter approach because we all respond differently, especially with food and meds! It is the cheering each other on as we go down that difficult path that provides the best reason to have a face-to-face support system. We are trying to determine whether a weekly meeting is too frequent or just right. Any thoughts?

imsuzie2 2009-11-04 06:49:38 -0600 Report

I would start monthly and see how that goes. If the need is there, you can meet more frequently. Ask if people will sign in and give a contact phone number or email and see if they are ok with sharing with others. I think a support will be the draw and the rest will come from that.

imsuzie2 2009-11-03 05:10:27 -0600 Report

Great idea. If it is going to be a face-to face program, I think support groups would be great. Hopefully age appropriate. Maybe a monthly or quarterly "pot luck" family time…outdoors in spring and fall and maybe indoors in the heat of summer and cold of winter. Maybe areas with table games for kids or families to play. Grandparents can also teach crafts or skills to the kids, teen, and even adults who always wanted to learn to knit, quilt, do repairs, wood-work, paint, etc. Outings are always fun, a walk in the park, a bike ride, a museum, the beach, a lake or mountains…use your imagination. If you are starting it it can be anything you want, and a work in progress. Good luck with it…where will it be?

TeetooMac 2009-11-03 07:02:39 -0600 Report

It would be in the Twin Cities of Minnesota. I am thinking of it being located in a place where we don't have to pay rent, which means a very portable program. We bring our stuff in and take it out at the end of the group meeting. That means a church basement, a YWCA/YMCA or other community center type setting.

I want to make sure that the primary purpose is to focus on supporting each others' personalized efforts at self-management, rather than one prescribed method. That way we can learn good ideas and strategies to use ourselves that have already worked for others. This approach is already successful in a nationally-recognized weight reduction program and some twelve-step programs.

Your suggestions seem to fit into a more social setting and would probably be necessary if we located our dream program in a place where there is an absence of social-based programs. Do you think people would join ours simply on the fact that they're diabetic or because the scheduled social activities are attractive?

TeetooMac 2010-01-18 14:50:14 -0600 Report

We have located two venues which will allow us to provide the food-based components you suggested. We won't be starting there, but once we've gained our sponsors we can proceed in that direction!