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Live well with diabetes is an educational initiative by BC Endocrine Research Foundation with a group of diabetes specialists, diabetes nurse educators, and patients who realized the need for effective diabetes education tools that can be used by patients and healthcare providers directly or as an integrated component of the conventional diabetes education programs.

It is a comprehensive video based educational program, addresses the key information that patients need to know to effectively manage their type 2 diabetes. It is structured in a module format to allow patients access to specific information as required.

Live Well with Diabetes is in eight languages; English, French, Farsi, Arabic, Spanish, Tagalog, Mandarin, Cantonese, and Vietnamese. It is available in DVD format, Kiosk application, iPod downloads, and accessible by iPad, iPod, iPhone, Android, Windows Phone, Windows Mobile, Pocket PC, and Blackberry smart phones; it is also accessible by regular mobile phones (Java based with Internet access).

  • Live Well with Diabetes contents
    • What is Diabetes?
      • What is type 2 diabetes?
      • What are the symptoms diabetes?
      • How is diabetes defined and diagnosed?
      • Why do I have type 2 diabetes?
      • What are the causes of diabetes?
      • What is blood glucose?
        • What is blood sugar (glucose)?
        • Symptoms of high blood sugar
        • Symptoms of low blood sugar
        • Testing Blood Glucose
        • Why should I test it?
        • How do I test it?
        • When do I test it?
        • How can I use the results?
        • Controlling blood sugar
      • How does insulin work in our body?
      • Is there a cure for diabetes?
    • Managing Diabetes
      • How can I manage Type 2 diabetes?
      • Healthy Eating
      • Physical Activities
      • Managing Stress
      • Medications
      • Lab tests and targets
      • Does it work?
    • Health Complications
      • Heart Disease and Stroke
      • Retinopathy (eye disease)
      • Hypertension (High Blood Pressure)
      • Renal disease (kidney disease)
      • Neuropathy (nerve disease)
      • Neuropathy and Foot Care
      • Cholesterol Problems
      • Erectile Dysfunction
    • Healthcare Team
    • Sources of Information
    • Diabetes Medication
      • When do we start medications?
      • Medication Groups
      • Group 1 – Biguanide
      • Group 2 – Sulfonylurea
      • Group 3 – Meglitinides
      • Group 4 – Thiazolidinediones
      • Group 5 - Alph-glucosidase inhibitors
      • Group 6 – Incretins
      • Group 7- Insulin
      • Group 8 – Monitoring Blood Sugar
    • Starting Insulin
      • What is insulin?
      • Why do I need to take insulin?
      • Required knowledge
      • Blood Sugar
        • Blood sugar goals
        • Blood sugar monitoring
        • Hypoglycemia
      • Types of insulin and doses
        • Standard doses
        • Rapid and short acting
          • Rapid-acting analogue
            • Humalog®
            • Apidra®
            • NovoRapid®
          • Short-acting
            • Humulin® R
            • Novolin®ge Toronto
        • Intermediate-acting
          • Humulin®-N
          • Novolin®ge NPH
        • Long acting analogue
          • Levemir®
          • Lantus®
        • Premixed
          • Premixed insulin analogues
            • Humalog® Mix25 and Mix50
            • NovoMix® 30
          • Premixed regular insulin - NPH
            • Humulin® (30/70)
            • Novolin®ge (30/70)
      • How to take insulin
        • Insulin injection areas
        • Insulin syringes
        • HumaPen® LUXURA
        • Novolin-Pen® 4
        • Novolin-Pen® Junior
        • Autopen 24®
        • Lamtus® Solostar®
        • Disposal of needles & syringes
        • Frequently asked questions
    • Foot care
      • Checking your feet at home
      • Potential complications
      • Foot examination by a podiatrist
      • Wound treatment
      • Shoe selection
    • Diabetes Prevention
    • Diabetes Myths and Misconceptions


  • How to use Live Well with Diabetes
  • Patients
  • Doctors
  • Diabetes Education Centres
  • Support Groups
  • Hospitals

lwwd

Diabetes is a lifelong disease, as a chronic disease it requires constant modification to lifestyle and treatment. Live Well with Diabetes is a resource that you can use when you have been diagnosed with type 2 diabetes to learn about the disease and how to manage it; also to share the information with your family members so they understand and appreciate the modification in lifestyle that you have to do. If you are taking medication or insulin; it is a comprehensive resource on how to take these medications, their potential side effects and how to monitor their impact on your management program. No matter how much you know about diabetes, continues learning is valuable and will help you to better manage diabetes.

Live Well with Diabetes is not a substitute to the information you will receive from your doctor or at the diabetes education centre.

Learn how to understand your blood sugar monitoring results and lab results. Prepare yourself before visiting your doctor with specific questions to make best use of the visit time.

It has been well documented that patients look to family physicians for advice and counselling in the areas of medical therapy, physical activity, and diet. However, diabetes requires long term and extensive education; a number of factors could affect the education provided by the physician such as time restriction, languages and cultural. Live Well with Diabetes can assist you in providing education to your patients before, during, and after their visit to your practice.

Time of diagnoses:
When the patient has already been diagnosed with type 2 diabetes, you can refer her/him to Live Well with Diabetes website to start their learning process. As you know in Canada only 30% of people with type 2 diabetes attend Diabetes Education Centres, and the average waiting period is three month. This could lead to misconceptions and to patient’s ignoring the value of informed self-management and compliance with a treatment plan. The delay in receiving appropriate education could have a serious impact on the long-term health of people with diabetes.

During the visit
The waiting time is most practices ranges from 15 to 60 minutes, this valuable time could be utilized by using iPad or Touch Screen computers to education the patient on diabetes in general or on a specific topic that you are planning to discuss with the patient; this will make the visit more interactive and efficient.

After the visit
You can refer the patient to most of Live Well with Diabetes educational modules; however there are a number of modules that could be of high value these are starting insulin and how to use insulin injection devices, diabetes medication, physical activity, foot care, and healthy diet. For example, if you prescript insulin; the patient can learn how to using the insulin injection device from Live Well with Diabetes right away, this will help to reduce anxiety, also the patient can share this information with their family members. Even if the patient receives the information at your practice or from the pharmacy; they can always refresh their knowledge by accessing Live Well with Diabetes which is available from most of the mobile devices in addition to personal computers.

The majority of patients who attend classes at Diabetes Education Centres are newly diagnosed and have little to no knowledge about diabetes and how to manage. Most of the classes are structured in the form teacher student format, as well as the difference in age, level of education, cultural and language backgrounds of the patients could prevent many of the patients from receiving the maximum benefit of the class.

Two pilot studies were carried out in association with the Vancouver Hospital Diabetes Education Centre to evaluate the viability of ‘Live Well with Diabetes’ as a Preparation Tool for diabetes education classes. This involved providing the diabetes education course’s attendees with “Live Well with Diabetes” materials (DVD/CD-ROM/Video Tape/Website access) prior to attending their course.

In this small group of individuals there are several conclusions regarding the use of the ‘Live Well with Diabetes’ program.

  • The majority of individuals involved agreed it was useful to review the program before attending the class
  • The majority of individuals agreed that the program was easy to understand, increased their understanding of diabetes and motivated them to better manage their diabetes
  • All agreed they would recommend the program to others with diabetes
  • A roughly 50/50 split between DVD and VHS suggests equal demand for both formats in this demographic. Public libraries are currently phasing out VHS which could dramatically reduce the availability of this program to some individuals
Chart

As a diabetes support group, you can build a structured educational program utilizing Live Well with Diabetes materials. Each month members of the group can chose a topic, for example insulin, each member can view that module alone; invite a local healthcare professional with expertise in this particular field to interact with members of the group and answer and additional questions they may have. Also members can share their experience and how they were able to meet any challenge they have faced. If you can’t find an expert to join your meeting; the group can watch the model together and then share their experience.



A large percentage of hospital visitors (long/short term) are diagnosed with type 2; Live Well with Diabetes can be integrated as part of the hospital closed TV circuit or used as DVDs to provide these patients with valuable education while they are staying at the hospital. The program could also be used as Continued Medical Education to hospital staffs that are not trained on managing diabetes.


Benefits to people with diabetes

  • Quick and easy access to information after being diagnosed with diabetes
  • Learning about topics that may not be covered by the traditional diabetes education sources
  • Learning from other people with diabetes’ experiences
  • Sharing knowledge with family and friends for building a better support system and promote prevention
  • Motivation and taking ownership of their diabetes

Benefits to health care providers and diabetes education centres

  • Compliance with treatment plans
  • Improve communication between patients and healthcare providers
  • Reduce visitation time while maintaining job satisfaction by providing patients with education
  • Broaden scope of education
  • Improve efficiency
  • Reduce waiting period

Benefits to health care system

  • Deliver efficient health education in rural and remote areas
  • Informed patients will learn more from the diabetes clinics and will increase the return on investment in clinics
  • Reduce the overload and waiting periods
  • Reduce potential hospital stay
  • Assist in diabetes prevention efforts by educating the diabetic families about diabetes and the importance of a healthy lifestyle

Benefits to sponsors

  • Demonstrate leadership by introducing an effective innovative diabetes education tool
  • Develop customer loyalty
  • Integrate with other marketing initiatives
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