Sodexo Distance Dietetic Internship Lesson Plan Template Fill in all of the following information. Email to the appropriate internship faculty for approval at least one week prior to giving the presentation. Name: Dawn Ortiz Title of Presentation: Diabetes Education Target Audience: Older adults (65+ years) living in a retirement community, class setting is a bright activities room with plenty of tables and chairs set up in a horseshoe pattern with me in the middle, this presentation was requested by my grandmother and her friends to better understand how to manage a very common disease in their community. (describe the group, including age, setting of the class, and any other pertinent information) Date, Location, and Time: Living Apartments August 28, 2014 at 10:00am at Arbor Ridge at Brookmeade Senior Independent 1. Learning Objectives (These should be from the learners’ standpoint, be measurable and active do not use words similar to know, learn or understand): 1) Participants will be able to explain what happens in people with diabetes to cause high blood sugar. 2) Participants will be able to state the range for fasting blood glucose, after eating and 2 hours after eating for normal, impaired and diabetic conditions. 3) Participants will give examples of meal planning using carbohydrate counting. 2. Ice Breaker: Ask the participants to raise their hands if they know anyone that has diabetes. Then ask if they think trying to manage blood sugar is confusing. Let the group know that I will be teaching how to manage blood sugar through food! 3. Presentation Outline Content outline List your major points related to each objective here—that is, this is the content outline of the class. Include details, not just your major topic—this can be a resource for future classes Explain that you are not alone if you have Type 2 Diabetes by giving surprising statistics about the prevalence of the disease Ways to reduce complications from diabetes, healthy eating, losing weight, stop smoking, lower blood pressure, increase physical activity and Lower blood sugar levels Learning Activities List any activities or learning experiences related to each objective and content here— describe, don’t just name Materials Needed List any materials you will need for your presentation or learning activities Slide with statistics and upbeat twist that diabetes can be managed through simple lifestyle changes! The emphasis of this slide is on lowering blood sugar which sets me up for the focus of the rest of my presentation. PPT slide PPT slide Show how glucose is absorbed into the cell in people without diabetes Show diagram and slide and then give an example using plastic Easter eggs. The largest pink egg represents the cell, the blue egg is the glucose and the yellow egg is the insulin. PPT slide and 3 plastic Easter eggs. During my demonstration I show the insulin and glucose joining together and then the cell opening up to allow the energy inside. PPT slide and 3 plastic Easter eggs. This time during my demonstration I show the cell rejecting the insulin and glucose and by the cell remaining closed and not able to receive the energy. I then explain that the sugar remains in the blood, hence the term “high blood glucose (sugar)” PPT slide Show how glucose is absorbed into the cell in people with diabetes Show diagram and slide and then give on example using plastic Easter eggs. The largest pink egg represents the cell, the blue egg is the glucose and the yellow egg is the insulin. Explain the range for fasting blood glucose, after eating and 2 hours after eating for normal, impaired and diabetic conditions Show the colored diagram and ask for audience participation to ask if they recognize these numbers, and if the numbers seem high or low. Explain that HgA1c is an average of blood sugar values over a 3 month period and is therefore used to diagnose diabetes Show the colored diagram demonstrating what HgA1c values refer to and how they correlate with blood sugar. Recommend that the audience asks the doctor for this value at their next visit. Explain carbohydrate counting by explaining how many grams of carbs they should eat per meal, how many grams are in 1 serving and give examples of foods that are one serving so they can count at meal time. Show actual plastic foods to PPT slide and plastic fruit, give accurate portion sizes. Ask bread and rice portion props. for participation to give me more examples of carbohydrate foods and appropriate serving sizes. PPT slide Explain MyPlate method and provide hand out Ask participants to write down foods that they would eat in each category and then see me after the presentation if they have questions about their MyPlate meal ideas. PPT slide and hand out. I gave each person 3 handouts so they could fill one out for breakfast, lunch and dinner. Explain why it is better to control diabetes with lifestyle changes instead of relying on medication Provide a long list of medication side effects and ask if anyone knows someone or has experienced these themselves. Ask the audience if they think it would be worth it to manage blood sugar to avoid some of the listed diabetes complications This is the opportunity for me to review with the audience the important take away messages and make sure they have a good understanding about managing blood sugar with type 2 diabetes. PPT slide Explain benefits of managing blood sugar levels with diabetes Review slide with questions regarding key points from my presentation PPT slide PPT slide. I had 2 kinds of sugar-free hard candies to give away for the correct answers. After the presentation I gave everyone the candies for attending. 4. Evaluation Method/ Activity: I had three evaluation activities during my presentation. Asking the audience to give me more examples of carbohydrates and appropriate portion sizes for carb counting, asking them to fill out the MyPlate diagram with appropriate meal choices to effectively manage blood sugar, and asking questions at the end to review key points and providing a small prize for participation. Another activity that I believe was effective was using props to demonstrate insulin resistance, which leads to high blood sugar. Plastic food props was also effective at demonstrating portion sizes. 5. Call to Action (Ask your audience what they will do/change as a result of the presentation. Can be oral or written, shared or not. The point is to get them to commit to some behavior change as a result of your class): I ended the presentation with a call to action of asking what they will do different to make sure they are managing blood sugar. Many people gave me examples from my presentation, especially since I had done just finished the review slide with prizes for correct answers. The other call to action was filling out their MyPlate handouts. Almost every participant wanted help to make sure they were filling it out correctly. 6. Ending/Conclusion: My conclusion to the presentation was the review slide and then asking for questions. I was there for over an hour after the presentation concluded answering questions. The questions were in regards to everything nutrition and food related. 7. References Used: MyPlate.gov and Google Images for the diagrams.