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WEBSITE OF THE STATE OF SOUTH DAKOTA DEPARTMENT OF HEALTH
Kim Malsam-Rysdon, Secretary of Health

Diabetes Management

The ABCs of Diabetes.
A- A1C Test (blood glucose test) Less than 7%.
B - Blood Pressure - Less than 140/90.
C - Cholesterol Levels for LDL - Less than 100 mg/dl.
S - Stop Smoking. SD Quitline offers free tools and services to help you become tobacco-free. sdquitline.com or 1-866-7378487.Diabetes can affect almost every part of your body. Therefore, learning about your diabetes and care takes time. Try to work a little each day to improve your care for your diabetes, and don’t be afraid to ask for help and support from your diabetes care team. Knowing your ABCs will help you manage your blood glucose, blood pressure, and cholesterol as well. Stopping smoking will also help you manage your diabetes. Working toward your ABC goals can help lower your chances of having a heart attack, stroke, or other diabetes problems.

A is for A1C test

The A1C test shows your average blood glucose level over the past 3 months. The A1C goal for many people with diabetes is below 7 percent. Ask your health care team what your goal should be.

B is for Blood Pressure

The blood pressure goal for most people with diabetes is below 140-90 mm Hg. Ask what your goal should be. Click here for more information on High Blood Pressure.

C is for Cholesterol

You have two kinds of cholesterol in your blood: LDL and HDL. LDL or "Bad" cholesterol can build up and clog your blood vessels. Too much bad cholesterol can cause a heart attack or stroke. HDL or "good" cholesterol helps remove the "bad" cholesterol from your blood vessels. Ask your health care team what your cholesterol numbers should be. Click here for more information on Cholesterol.

S is for Stop Smoking

People with diabetes who smoke are more likely than nonsmokers to have trouble with insulin dosing and with controlling their disease.1 The more cigarettes you smoke, the higher your risk for type 2 diabetes.1 No matter what type of diabetes you have, smoking makes your diabetes harder to control. If you have diabetes and you smoke, you are more likely to have serious health problems from diabetes. Smokers with diabetes have higher risks for serious complications, including:2

  • Heart and kidney disease
  • Poor blood flow in the legs and feet that can lead to infections, ulcers, and possible amputation (removal of a body part by surgery, such as toes or feet)
  • Retinopathy (an eye disease that can cause blindness)
  • Peripheral neuropathy (damaged nerves to the arms and legs that causes numbness, pain, weakness, and poor coordination)

If you are a smoker with diabetes, quitting smoking will benefit your health right away. People with diabetes who quit have better control of their blood sugar levels.3 For free help to quit, call 1-866-SD Quits or visit www.sdquitline.com.

  1. U.S. Department of Health and Human Services. The Health Consequences of Smoking - 50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2018 Mar 22].
  2. U.S. Department of Health and Human Services. A Report of the Surgeon General. How Tobacco Smoke Causes Disease: What It Means to You. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010 [accessed 2018 Mar 22].
  3. U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease. A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010 [accessed 2018 Mar 22].
Living with Diabetes

Controlling diabetes means keeping blood sugar levels and blood pressure levels near normal – every day over a lifetime. This is no easy task.

Diabetes is complicated, yet most people with type 2 diabetes – the most common form of the disease – have not gotten the training they need to manage it well for their everyday life. There isn't a cure yet for diabetes, but healthy lifestyle habits, taking medicine as needed, getting diabetes self-management education and working with your health care team can greatly reduce diabetes’ impact on your life.

Talking with Your Doctor

Being prepared with your questions and goals in mind will help you and your care team or doctor make treatment decisions and a diabetes care plan that works for you.

Find resources to help prepare for a doctor visit:

NIDDK | Getting Ready for Your Diabetes Care Visit – You are the person in charge of your diabetes. Being prepared for your health care visit can help you get the information you need to manage your disease.

Your Health Care Team – Information on the members of your diabetes care team and what they do, from the American Diabetes Association.

Diabetes Self-Management

For those who have diabetes, Diabetes Self-Management Education (DSME) is a key step in improving health and quality of life. DSME focuses on healthy eating, physical activity, and monitoring blood sugar. It is a "teamwork" approach between the diabetes educators and the person with diabetes. The program will help participants gain the knowledge, problem-solving and coping skills needed to successfully self-manage the diabetes and its related conditions. DSME prevents complications and hospitalizations. Ask your primary care doctor for a referral to a DSMES program or to meet with a Certified Diabetes Care and Education Specialist. DSMES is covered by Medicare, Medicaid and most insurance plans (copays and deductibles may apply - contact your insurance company for details).

To locate a Diabetes Self-Management Program near you, ask your healthcare provider or click here.

If you are interested in starting a Diabetes Self-Management Education program at your facility or would like information on how to get your program recognized or accredited for reimbursement, contact Liz Marso at 605-773-6607 or liz.marso@state.sd.us

DSMES Reimbursement with Medicaid

In accordance with Administrative Rule of South Dakota 67:16:46:02 diabetes education programs must be recognized by the American Diabetes Association or the South Dakota Department of Health in order to enroll as a Medicaid provider. Programs recognized by the South Dakota Department of Health Include: Association of Diabetes Care & Education Specialists (ADCES)

*Additionally, diabetes self-management education is a Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) service. Please contact the South Dakota Department of Social Services for further questions regarding reimbursement for FQHC and RHC or for more information on enrolling as a Medicaid provider.

Insurance

In South Dakota, most health insurance plans, Medicaid and Medicare will cover your prescription medications, diabetes supplies and equipment, and diabetes self-management education. Some people may have copays or deductibles.

Understanding your diabetes care and coverage can help you feel your best and live a healthy life with diabetes. Your primary care provider will work with you and other experts to create or revise your care plan. Your insurance company can inform you of essential and covered services to best manage your diabetes care plan, to contact your insurance provider call the number on your insurance card or visit https://knowyourplansd.com/ to learn more.

Help with Prescription Medications

The cost of diabetes prescription medications and insulin has risen sharply in recent years. If you are finding it hard to pay for your medications or insulin, talk to your doctor. Never cut back or stop taking your medication. There may be less expensive options, and there are now many discount programs.

Help for caregivers

Caregivers are family members and friends who provide help and support to a person with diabetes. Too often, caregivers are not given the information, education, and tools they need to provide the right support.

8 Tips for Caregivers – Information from the American Diabetes Association

How to Help a Loved One Cope with Diabetes (PDF) – A helpful tip sheet from the Centers for Disease Control & Prevention (CDC)

Diabetes Support

It’s hard to manage diabetes on your own. Support can come from family members, friends, support groups and even online communities who care about you. Tap into their support for encouragement, understanding, and assistance.

South Dakota’s Better Choices Better Health offers chronic disease self-management education workshops that are designed to help adults living with ongoing physical and/or mental health conditions and caregivers understand how healthier choices can improve quality of life, boost self-confidence, and inspire positive lifestyle changes.

The program consists of 4 different self-management workshops: chronic disease, diabetes, chronic pain, and worksite chronic disease. Workshop participants will find a supportive community to help them get through their daily activities and manage physical and mental health wellness. When they have the support and tools to make healthier choices, they can improve their health and lead fuller lives.

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