Diabetes Management Program

Magnitude of the Disease

Diabetes currently is not only one of the fastest growing diseases in America, but also one of the largest drains on our health care system dollars. It is estimated that there are about 26 million persons in this country who have diabetes and another 7 million with undiagnosed diabetes, and 89 million over the age of 20 with pre-diabetes. Diabetes is found in 20.9% of all persons over the age of 60.

Diabetes affects every organ in the body, increasing the risk of a multitude of other health problems. Diabetes is the number one cause of blindness, renal disease, and non-traumatic amputations in the United States. Persons with diabetes have 4 to 5 times increased risk over the average population for heart attack and stroke. Hypertension and hyperlipidemia are commonly associated with the diagnosis of diabetes. 

Due to the magnitude of the disease, it is essential that diabetes and pre-diabetes be diagnosed and treated in a timely and appropriate manner. While we typically think of type II diabetes as a disease that predominately affects adults or older adults, we are now seeing an epidemic growth in the number of children with diabetes. If the current trend continues, 1 of every 3 children born in the year 2000 will develop type II diabetes.

So how can we reverse this?

  • Place more emphasis on preventative management of diabetes
  • Advocate earlier intervention to prevent the expense of dollars and human suffering
  • Foster self management skills in persons who have diabetes
  • Increase awareness of the seriousness of diabetes and prediabetes to patients, community members, insurance companies, and the health care community

Our Diabetes Management Program
Cascade West Primary Care Clinic offers a comprehensive Diabetes Management Program which incorporates a team of health care providers specializing in the care of patients with diabetes. The program utilizes a multidisciplinary approach to maximize the treatment of diabetes, prevention of complications and hospitalizations associated with diabetes. This includes facilitating patients in learning the appropriate self-management skills necessary to gain and maintain control of their disease.

The program consists of group visits that focus on all aspects of diabetes management. While education and counseling on the management of diabetes will play a significant role in these group visits, this is not entirely an educational program.

So what is a diabetes group visit?
Diabetes group visits are a medical management and intervention program to:

  • Maximize preventative management of diabetes
  • Foster self management skills in persons who have diabetes
  • Advocate earlier intervention to prevent hospitalizations and complications
  • Increase awareness of the seriousness of diabetes and prediabetes to patients, and their family or support system
  • Focus on the current and evidence-based treatment of diabetes

Each group visit includes a complete review of the participant’s medical records, medications, and diagnostic testing. Prior to the group visit, weight and blood pressure will be obtained as well as the completion of a brief questionnaire. Each visit will include an educational/counseling session. The initial group visit will incorporate information on basic knowledge needed by the patient to increase self management skills including meal plan, introduction to exercise, home glucose monitoring, medications, risk, prevalence, and diagnostic testing used in the diagnosis and management of diabetes.

The initial group visit is followed by a series of visits, each focusing on a different aspect of diabetes management and self care. Additionally, there will be a foot clinic offered once yearly (see handout on Diabetes Foot Clinic).

Who should attend the diabetes group visits?
Anyone with pre-diabetes or diabetes, persons newly diagnosed with diabetes, persons who need help in managing their diabetes, and family members or support persons.

Do I need to be scheduled to attend the group visits?
Yes, space is limited, therefore you must be scheduled. You are welcome to bring one other person with you. If you are unable to keep your appointment, it is important that you cancel at least 24 to 48 hours in advance.

Is there a charge to attend the group visits?
Yes and no. The diabetes group visits are billed just like an office visit. However, no one is turned away if they can’t afford to pay for the class.

Who will be conducting the diabetes group visits?
Our comprehensive Diabetes Management Program offers a full scope of diabetes care provided by a dedicated, knowledgeable staff.

Linda Picker-Johnson, ANP is Board Certified in Advanced Diabetes Management and is a professional member of the American Diabetes Association and the American Association of Diabetes Educators. She has over 28 years experience in the management and care of persons with diabetes.  

Putting It All Together
The components of our comprehensive program are:

Monthly Classes:
Group visits are geared towards patients with diabetes and pre-diabetes. Persons attending the group may be newly diagnosed with diabetes or pre-diabetes, have uncontrolled diabetes, or simply in need of increased knowledge and self management skills. Spouses or family members are encouraged to attend. All participants are provided with a packet of educational materials.

Introduction to Diabetes:
Discussion of the definition of diabetes, types of diabetes, signs and symptoms of diabetes, prevalence, risk factors, and seriousness of the disease. 

Meal Plan:
Discussion of food groups, rationale for a meal plan, glycemic indices, how to read food labels, carbohydrate counting, shopping, dinning out, travel, saturated fats and cholesterol, artificial sweeteners, alcohol consumption, utilization of the meal plan to control blood glucose levels, maintenance of or facilitate weight loss, and lower cholesterol/triglyceride levels. 

Exercise:
An introduction into exercise and the goals, benefits, and types of exercise. 

Medications:
A brief introduction to the types of medications used in the management of diabetes. 

Home Glucose Monitoring
Appropriate use and care of monitor, proper finger stick technique, and times to monitor are addressed as well as the goals of HGM, target blood glucose control, and record keeping. 

Diagnostic Testing Related to the Management of Diabetes:

Participants are education on the following diagnostic tests,goals,normal values,abnormal values, management of abnormal values, and risks associated with abnormal values:

  • Hemoglobin A1c
  • Urine for microalbumuria
  • Blood pressure values
  • Blood pressure values with renal disease or proteinuria less than 125/75
  • Lipids (total cholesterol, triglycerides, HDL, LDL)

Dining Out:
A brief introduction into dining out is discussed, including changes in schedule and how to handle, effects on blood sugar control, eating out including restaurants, foods, and snacks. 

Long Term Complications of Diabetes:
The risk and prevalence of retinopathy, neuropathy, coronary artery disease, stroke, impotence, and amputation are discussed.

Contact Us

201 NE Savage St

Grants Pass, OR 97526
(541) 787-4360

Office Hours
Monday:8:30 AM - 5:00 PM
Tuesday:8:30 AM - 5:00 PM
Wednesday:Closed
Thursday:8:30 AM - 5:00 PM
Friday:8:30 AM - 5:00 PM
Saturday:Closed
Sunday:Closed