Frequently Asked Questions

Diabetes

What is prediabetes?

Having prediabetes means your blood sugar is higher than normal but not high enough to be diagnosed as diabetes. One in three American adults has prediabetes, and most do not even know they have it. If you have prediabetes and do not lose weight or do moderate physical activity, you are more likely to develop type 2 diabetes within 5 years.

How do I know if I have prediabetes?

If you think you are at risk for prediabetes based upon the risk test, your healthcare provider can perform a blood test as part of your annual exam. These tests can be run as a part of your annual blood work, and are usually covered by insurance. Pharmacy’s such as Walmart and CVS also perform blood sugar tests. The two most common tests are the A1C test, and the Fasting plasma glucose test. Blood sugar test results in the following ranges indicates prediabetes:

  • A1C: 5.7–6.4%.
  • Fasting plasma glucose: 100–125 mg/dL.

Click HERE to take the risk test.

Does the program work?

Diabetes Prevention Workshops are evidence-based. This means that they have been evaluated in scientific trials, the results have been published in peer-reviewed journals. The programs have all the same materials that make it possible to offer the same evidence based programs from the original trials.

The Diabetes Prevention Program (Prevent Diabetes Central Oregon) was created from a randomized, controlled clinical trial that showed that completing this lifestyle change program reduced program participants’ chances of developing type 2 diabetes by 58% compared to placebo (71% for individuals aged 60 and older).

How much do the workshops cost?

There is currently no cost to the diabetes prevention program participants. In some cases, we can bill Medicare or OHP for your classes. Let us know if you have Medicare or the Oregon Health Plan.

How do I register or ask questions?

For Prevent Diabetes Central Oregon please call (541) 322-7446 or email sarahw@deschutes.org.

Frequently Asked Questions

Chronic Conditions

What will I learn in the workshop?

Topics covered:

  • Managing symptoms
  • Medication “how-to”
  • Working with your health care team
  • Setting weekly goals
  • Effective problem solving
  • Better communication
  • How to relax
  • Handling hard emotions
  • Tips for eating well
  • Safe, easy exercise

How long are the workshops?

Workshops run six-weeks and meet 2½ hours each week.

Who should attend?

Anyone living with chronic health conditions, including diabetes, arthritis, asthma and heart disease. Family members and friends are welcome.

How will the workshop help?

You’ll learn skills to manage your chronic condition, giving you a greater sense of control over your life.

Who leads the workshop?

Two trained leaders. One or both of the leaders have a chronic condition.​

What is the cost?

The Living Well Central Oregon program charges $10 for the entire 6 weeks.

Does the program replace existing programs and treatments?

The Self-Management Program will not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathers, cardiac rehabilitation, or diabetes instruction. In addition, many people have more than one chronic condition. The program is especially helpful for these people, as it gives them the skills to coordinate all the things needed to manage their health, as well as to help them keep active in their lives.

How was the program developed?

The Division of Family and Community Medicine in the School of Medicine at Stanford University received a five year research grant from the federal Agency for Health Care Research and Policy and the State of California Tobacco-Related Diseases office. The purpose of the research was to develop and evaluate, through a randomized controlled trial, a community-based self-management program that assists people with chronic illness. The study was completed in 1996.

The research project had several investigators: Halsted Holman, M.D., Stanford Professor of Medicine; Kate Lorig, Dr.P.H., Stanford Professor of Medicine; David Sobel, M.D., Regional Director of Patient Education for the Northern California Kaiser Permanente Medical Care Program; Albert Bandura, Ph.D., Stanford Professor of Psychology; and Byron Brown, Jr., Ph.D., Stanford Professor of Health Research and Policy. The Program was written by Dr. Lorig, Virginia González, M.P.H., and Diana Laurent, M.P.H., all of the Stanford Patient Education Research Center. Ms González and Ms Laurent also served as integral members of the research team.

The process of the program was based on the experience of the investigators and others with self-efficacy, the confidence one has that he or she can master a new skill or affect one’s own health. The content of the workshop was the result of focus groups with people with chronic disease, in which the participants discussed which content areas were the most important for them.

How was the program evaluated?

Over 1,000 people with heart disease, lung disease, stroke or arthritis participated in an randomized, controlled test of the Program, and were followed for up to three years. We looked for changes in many areas: health status (disability, social/role limitations, pain and physical discomfort, energy/fatigue, shortness of breath, psychological well-being/distress, depression, health distress, self-rated general health), health care utilization (visits to physicians, visits to emergency department, hospital stays, and nights in hospital), self-efficacy (confidence to perform self-management behaviors, confidence to manage disease in general, confidence to achieve outcomes), and self-management behaviors (exercise, cognitive symptom management, mental stress management/relaxation, use of community resources, and communication with physician).**

What were the results?

Subjects who took the Program, when compared to those who did not, demonstrated significant improvements in exercise, cognitive symptom management, communication with physicians, self-reported general health, health distress, fatigue, disability, and social/role activities limitations. They also spent fewer days in the hospital, and there was also a trend toward fewer outpatients visits and hospitalizations. These data yield a cost to savings ratio of approximately 1:4. Many of these results persist for as long as three years.*** Studies by others have reported similar results (see our bibliography).

“The doctor of the future will give no medicine, but will instruct his patients in care of the human frame, in diet, and in the cause and prevention of disease.”

– Thomas Edison
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