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.
Diabetes Risk Factors:
High blood pressure
Heart or blood vessel disease
Family member with diabetes
African American, Latino/Hispanic, Native American, Asian, Native Hawaiian, Pacific Islander
Polycystic ovary syndrome
Acanthosis nigricans (dark, velvety patches of skin on the back of your neck, belly, arms or elsewhere)
Typical Signs and Symptoms:
Unintentional weight loss
Frequent infections: urinary, yeast, skin
Fasting Blood Glucose Level (Eight hours without food or caloric drinks):
Normal = less than 100 mg/dl
Pre-diabetes = 100 to 125 mg/dl
Diabetes = 126 mg/dl or higher on two occasions
Scope of Services Provided
Inpatient Diabetes Care
The Hackensack University Medical Center Diabetes Service provides treatment to patients of all ages. Physician consultation from a member of the endocrine/diabetes section is available 24 hours a day, seven days a week. Our hospital has achieved Joint Commission Disease Specific Certification in Advanced Diabetes Management.
Our dedicated team assists healthcare providers and other hospital staff to coordinate the special needs of patients with diabetes. This is done through education and performance improvement initiatives that focus on processes and systems that directly impact the care for patients with diabetes.
Consultative services are available to assist the healthcare provider with the blood glucose management of the patient with diabetes throughout their hospitalization.
Education needs of the patient with diabetes are identified and addressed to provide a safe and effective discharge plan. Referral to the MOLLY Diabetes Education/Management Center for Adults and Children is encouraged before discharge to provide follow up and ongoing education and management.
Outpatient Diabetes Care
At the MOLLY Diabetes Education/Management Center for Adults and Children, our goal is to help individuals become educated, motivated leaders in managing their diabetes. The continuity in the education services starting from childhood through and including adulthood will assist in a positive transition to adult diabetes care services. The professional support provided by the MOLLY Diabetes Education/Management Center for Adults and Children 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 Education/Management Center for Adults and Children adhere to the American Diabetes Association's Standards of Care guidelines. This education program has been certified and maintained recognition from the American Diabetes Association since 1996. The comprehensive diabetes educational program consists of five sessions over a six month period with continual review sessions every six months. The classes are held during the daytime (mornings or afternoons) and evenings and are two hours in length in group or individual sessions. These classes are designed to provide patients with a better understanding of diabetes mellitus and how best to manage it.
Program overview adheres to the American Association of Diabetes Educators Seven Self-Care Behaviors:
Individualized meal planning/weight management
Food nutrients-carbohydrates, proteins, fats
Carbohydrate counting and label reading
Exercise overview and benefits
Strategies to increase activity
Target goals – heart rate, frequency, duration, type
Hemoglobin A1c testing
Instructions on home glucose monitoring
Ketone testing – urine and blood
Insulin – injection with syringe and/or pen device
Insulin pump – training and adjustments
Analyzing blood glucose patterns and trends
Medication dose adjustments
Hypoglycemia treatment and prevention
Hyperglycemia treatment and prevention
Sick Day Management
Workshop – keeping diabetes in balance
Behavioral change strategies
Health maintenance schedule
Chronic complications – eyes, kidneys, nerves
Foot care review
Skin care review
Dental care review
Individualized Diabetes Counseling
A certified diabetes nurse educator and a certified diabetes 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.
Gestational Diabetes Program
Gestational diabetes is a relatively common disorder associated with large babies, Caesarean delivery, and birth trauma, among other problems. The MOLLY Diabetes Education/Management Center for Adults and Children 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
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 maintain. 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. ** (This is a complimentary service if you are enrolled in the education program).
** Programs are not covered by insurance.
** Please call for upcoming dates and cost.
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 Education/Management Center for Adults and Children, 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
A support group is open to all people with diabetes and significant others to share common concerns and challenges in living with the impact of having diabetes. Meetings are held monthly and each month there will be group discussion on a specific topic chosen or a planned speaker. Call center for dates and times.
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.
Support groups are offered for both parents and children.
For more information, call 551-996-5329.
Our registration staff will assist you with the necessary insurance referrals and authorization requirements. The Diabetes Self-Management Outpatient Education Program recognized by the American Diabetes Association is covered by Medicare and most insurance providers with a referral or prescription from the primary care physician. Information regarding insurance coverage and financial counseling will be provided prior to your visit. The registration team will assist you in meeting your scheduling needs.