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Diabetes is a lifelong disease that can impact a person's physical, social, and psychological well-being. With proper dietary planning, exercise, self blood glucose monitoring, medication, counseling, and education, individuals with diabetes can learn to manage their disease and to live a healthy, productive, and satisfying life.

Diabetes is a chronic disease, in which the body does not process the glucose (sugar) from food because of the absence or ineffective action of the hormone insulin. This results in high blood glucose levels which, if left untreated, can lead to complications, such as heart disease, stroke, high blood pressure, blindness, kidney disease, nerve disease, amputations, dental disease, and complications during pregnancy.

There are several types of diabetes. They include Type 1, formerly known as juvenile onset, usually diagnosed in patients under the age of 30. Patients with Type 1 diabetes have the inability to make insulin. Type 2, formerly known as adult onset diabetes, is usually diagnosed in patients over the age of 40. Patients suffering from Type 2 diabetes either do not make enough insulin or do not have the ability to use insulin. The latter process is known as insulin resistance. Gestational diabetes is caused by hormonal changes in pregnancy when the body demands more insulin than it can produce in these individuals. Gestational diabetes usually dissipates after the child is born. It may however, leave the mother with an increased risk of developing Type 2 diabetes in the future.

At The MOLLY Diabetes Center for Adults, our goal is to help individuals become educated, motivated leaders in managing their diabetes. The professional support provided by the Diabetes Center staff provides patients with the information, skills, and tools they need to live life to the fullest.

PROGRAMS AND SERVICES:
The programs and services offered by The MOLLY Diabetes Center for Adults adhere to the American Diabetes Association's Standards of Care guidelines. Recognition from the American Diabetes Association has been maintained since 1996. Patients of the center can access one or more of these individual and group programs:

Diabetes Management Through Comprehensive Education*
The MOLLY Diabetes Center for Adults at Hackensack University Medical Center conducts a comprehensive diabetes educational program which consists of four sessions over a six month period. The classes are held during the daytime (mornings or afternoons) and are 2 1/2 hours in length. These classes are designed to provide patients with a better understanding of diabetes mellitus and how best to manage it.

COURSE OUTLINE
Class #1
General Overview

• Pathophysiology of Diabetes
• Signs and Symptoms of Hyperglycemia
• Research and Statistical Data
• Chronic Complications
• Introduction to Carbohydrate Counting
• Introduction to Blood Glucose Monitoring
• Exercise

Class #2
• Acute Complications
• Signs and Symptoms of Hypoglycemia
• Treatment of Hypoglycemia
• Medications
• Blood Glucose Monitoring Review
• Meal Planning
• Individual Goal Setting

Class #3
• Diabetic Ketoacidosis
• Hyperglycemic Hyperosmolar NonKetotic Syndrome
• Sick Day Management
• Dining Out
• Foot Care
• Dental Care
• Skin Care
• Psychosocial Issues

Class #4
• Problem Solving
• Health Maintenance Issues:Prevention
• Label Reading Analysis
• Food Shopping Guidelines
• Diabetes Care Review: Management
• Long-Term Goal Setting

*Select services can be provided individually to meet additional needs

Continuous Subcutaneous Insulin Infusion (CSII) Pump Use Education Program
This program consists of four sessions over a two-month period. Each session will be held bi-weekly and will be two to three hours in length. Participants will get a certificate of completion upon completing all four sessions and confirmation will be sent to the primary care physician.

COURSE OUTLINE
Class #1

• Pathophysiology of Diabetes
• Hyperglycemia Treatment and Prevention
• Review of Chronic Complications
• Principles, Benefits, Risks, and Lifestyle Impact
• Blood Glucose Monitoring Review
• Review of Conventional Insulin Therapy
• Meal Planning: Carbohydrate, Protein, and Fat Metabolism
• Introduction to Carbohydrate Counting
• Introduction to Label Reading

Class #2
• Insulin Patterning and Adjustments
• Hypoglycemia: Treatment and Prevention
• Diabetic Ketoacidosis: Treatment and Prevention
• Sick Day Management
• Exercise: Benefit and Effect on Blood Glucose
 • Individualizing Meal Plans
• Carbohydrate Counting and Label Reading

Class #3
• Review Basal and Bolus Insulin Therapy
• Insulin/Carbohydrate Ratio Determination
• Insulin Sensitivity Factor Determination
• Analyzing Blood Sugars in Relation to Meal Composition and Timing of Meals
• Self-Management Routine with CSII Therapy
• Blood Glucose Levels: Analysis and Patterning
• Procedure for Changing Insulin Therapy: Conventional versus Pump

Class #4
• Guidelines for Evaluating Basal Rates
• Determining Bolus Amounts for Meals with High and Low Blood Sugars
• Making Meal Choices and Calculating Carbohydrate Intake
• Psychosocial Issues: Lifestyle Changes and Strategies
• Travel Guidelines
• Health Maintenance Issues: Prevention

Individualized Diabetes Counseling
A certified nurse educator and a registered dietitian, working in conjunction with your physician, evaluates your present diabetes management program and delivers practical information on better ways to help you improve your diabetes control. Our educators assist you with:

  • Recognizing and treating high and low blood glucose
  • Understanding diabetes pills and/or inuslin
  • Self blood glucose monitoring
  • Diabetes management during illness
  • Avoiding and coping with disease complications
  • Planning appropriate dietary intake

Gestational Diabetes Program
Gestational diabetes is a relatively common disorder associated with large babies, Caesarean delivery, and birth trauma, among other problems. The Diabetes Center offers a comprehensive program for gestational diabetes including:


  • Gestational diabetes overview
  • Blood glucose monitoring, targeting, and recording
  • Nutritional counseling with personalized meal planning
  • Insulin instruction if necessary
  • Post-partum follow up

Nutritional Counseling
Proper nutrition is a critical component of diabetes self management. Our nutrition specialists are registered dietitians and certified diabetes educators. They are experts in designing healthy, satisfying, and personalized meal plans that you can live with. The dietitian also provides nutrition education and counseling on:

  • Losing or gaining weight related to diabetes management
  • Adjusting food for exercise or sports
  • Replacing meals when illness affects the appetite
  • Adapting the meal plan for special occasions
  • Improving familiarity with carbohydrate counting to allow the greatest flexibility and enjoyment from eating.

ADDITIONAL NUTRITION COUNSELING, PERSONALIZED TO FIT YOUR HEALTH GOALS

Cooking Demonstrations with Tastings
Participants will learn healthy cooking techniques as they watch the preparation of delicious yet carbohydrate-appropriate meal ideas. Food safety, knife skills, low-fat preparation methods, label reading, measuring, gourmet options for entertaining, delicious desserts, and more are presented. Delicious results are the goal of these courses. **

Supermarket Shopping Tour
A registered dietitian will guide patients with diabetes for two hours through each aisle of the supermarket, focusing on reading and analyzing food labels and making appropriate food choices.
$30 per class**

New Baby…New You
This postpartum weight loss seminar is designed to help women who experienced gestational diabetes lose weight after pregnancy. Any woman who had gestational diabetes during pregnancy and is at least eight weeks post-partum, may participate in this class.

A team of registered dietitians will assist you in developing a healthy and personalized weight loss program. **

** Programs are not covered by insurance.
** Please call for upcoming dates.



Psychosocial Support Services
Research shows a significant connection between an individual's physical health and emotional well-being especially for people diagnosed with diabetes.

At The MOLLY Diabetes Center for Adults, we understand that diabetes can put a strain on many aspects of your life. Our licensed clinical social worker is available to help you address any problems or concerns you may be experiencing. Individual and group support are offered in the following areas:


  • Emotional adjustment to chronic illness
  • Family and relationship issues
  • Loneliness/ depression
  • Familial support
  • Stress management
  • Sexual concerns

Pediatric Diabetes Care:
The MOLLY Center for Children with Diabetes and Endocrine Disorders at Hackensack University Medical Center consists of a multidisciplinary team dedicated to the comprehensive care of children with diabetes.



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