Table 1.
Diabetes Literacy and Numeracy Education Toolkit Table of Contents
| Module (Module Number) | Description |
|---|---|
| Introduction (1 and 2) | Basics of self care, complications, hypoglycemia (adapted from Hypoglycemia by NovoNordisk (Novo Nordisk Inc. 100 College Road West Princeton,NJ, USA)), and rationale for good control |
| Testing Blood Sugar (2) | Rationale for testing, color-coded chart to interpret blood glucose numbers, steps required to test blood glucose |
| Exercise Plan (3) | Benefits of exercise, prescription for type, frequency and how to prevent hypoglycemia |
| Foot Care (4) | Instructions for prevention of foot ulcers (Foot Care Dos and Don’ts © by BD Medical (1 Becton Drive, Franklin Lakes, NJ USA ) |
| Nutrition Introduction (5) | Basic food groups, definition of carbohydrates and effect on blood sugar |
| Carbohydrates: Plate Method (6) | Instructions for portion size and carbohydrate content for meals. |
| Carbohydrates: Scoop Method (7) | Carbohydrate foods are listed alphabetically with each food assigned a specific color scoop. Scoops are color-coded measuring cups and each scoop of food contains approximately 15 grams of carb. |
| Carbohydrates: Scoops with Insulin (8) | For patients using a fixed insulin dose and the scoop meal planning method. |
| Carbohydrates: Carb Counting (9) | Specific instructions for how to calculate carbohydrate grams from food labels. Practice exercises using labels to assess patient’s ability. |
| Carbohydrates: Recipe (9) | Step by step guidelines on how to determine grams of carb from a recipe. |
| Carbohydrates: Carb Counting (Fixed) (9) | A fixed number of grams of carb is negotiated with each patient for each meal and snack. |
| Oral Medication (10) | Instructions for name of pill(s), number to take and time of day prescribed. |
| Drawing Up Insulin (11) | Instructions on insulin administration using a syringe (Eli Lilly Corporate Center Indianapolis, Indiana 46285 USA) |
| How To Use an Insulin Pen (12) | Instructions on how to use an insulin pen (generic instructions) |
| Insulin for Fixed Dose (13) | Instructions for how much “long lasting” and “short lasting” insulin to take and when to take it. |
| Insulin Fixed Dose + Correction (14) | Instructions for set dose of basal insulin (1–2 times daily) and varying dose of meal insulin based on blood sugar level. |
| Insulin Flexible Dose + Correction (15) | Instructions for set dose of basal insulin (1–2 times daily) and varying dose of meal insulin based on blood sugar level. |
| Flexible Insulin Dosing InsuCalc Wheel (16) | Use of InsuCalc Wheel ® (InsuCalc 174 F Street Salt Lake City, UT, USA )to calculate meal dose based on carb grams and blood sugar level |
| Titration of Basal Insulin (17) | Instructions in titrating basal insulin dose every 3 days based on fasting blood sugar level. |
| Blood Glucose Log Sheets (18–21) | Log sheets suitable for testing before and 2-hours after meals, treatment with pills or insulin |
| Insulin for Snacks (22) | Instructions for taking a set dose of meal insulin with snacks before each meal and bedtime. |
| How to use Symlin: Type 1 or Type 2 DM (23) | Instructions for how to lower meal insulin and titrate Symlin dose at Type 1 and Type 2 DM dose ranges. |
| How to use Byetta (24) | Instruction in use of Byetta pen. |