Outpatient Diabetes Self-Management Education and Support Services (DSMES)
Abbeville General Hospital offers a comprehensive outpatient diabetes education program, DSMES, provided by a Registered Nurse, who is also a Certified Diabetes Care and Education Specialist (RN, CDCES) and a Registered, Licensed, Dietitian Nutritionist (RDN, LDN).
Our program is appropriate for those with:
- Newly diagnosed Diabetes
- Type 1 Diabetes
- Type 2 Diabetes
- Gestational Diabetes
A physician referral is required before an appointment can be made. DSMES consists of 10 hours initial DSMES in a 12 month period. An additional 2 hours of follow-up DSMES is allowed each year thereafter when ordered by your physician.
- An individual initial assessment from an RN
- Group classes as well as individual instruction as needed
- Follow up visits (which can be in the form of a phone call)
During our education sessions, the following topics are covered:
- Diabetes Disease Process Overview
Definition of diabetes and the patient’s own type of diabetes, along with treatment plans.
- Nutrition Management
Carbohydrate counting, meal planning, menus, and healthy cooking
- Medication Instruction
Insulin administration and medication action and side effects
- Physical Activity
Appropriate types of exercise and relation of exercise to blood glucose
- Blood Glucose Monitoring
Frequency of glucose testing, target levels, HgbA1c goals. We provide instruction on the use of blood glucose monitors.
- Acute Complications
Signs, symptoms, and treatment of hyperglycemia and hypoglycemia; sick day management.
- Chronic Complications and Risk Reduction
Discuss relationship between glucose control and long term complications.
- Preconception Care / Pregnancy Care
Relationship between glucose control and pregnancy outcome; teach glucose monitoring and target levels
To make appointments, contact us Monday-Friday, 8:00 am- 4:30 pm at 892-6855.
Outpatient Medical Nutrition Therapy (MNT)
Katie Landry, RDN, LDN; Christine Andrus, RDN, LDN; Karen Young, RDN, LDN
Registered Dietitian Nutritionists (RDNs) are available by appointment to provide Medical Nutrition Therapy (MNT) for nutrition-related health problems. This outpatient service provides an opportunity to develop an individualized nutrition care plan that considers your wellness goals, your daily routine, and your food preferences. The MNT program requires a referral from your physician.
MNT is an essential component of comprehensive health care. Individuals with a variety of conditions and illnesses can improve their health and quality of life by receiving MNT. During an MNT intervention, RDNs counsel clients on behavioral and lifestyle changes required to impact long-term eating habits and health.
Medical Nutrition Therapy includes:
- Performing a comprehensive nutrition assessment determining the nutrition diagnosis;
- Planning and implementing a nutrition intervention using evidence-based nutrition practice guidelines;
Monitoring and evaluation of the client’s progress over subsequent visits with the RDN.
RDNs provide MNT and other nutrition services for a variety of diseases and conditions including:
- Cardiovascular Diseases: hypertension, dyslipidemia, congestive heart failure
- Diabetes: Type 1, Type 2, Gestational
- Disease Prevention: general wellness
- GI Disorders: celiac disease, cirrhosis, Crohn’s disease
- Immunocompromise: food allergy, HIV/AIDS
- Nutritional Support: oral, enteral, parenteral
- Pediatrics: infant/child feeding, failure-to-thrive
- Pulmonary Disease: COPD
- Renal Disease: insufficiency, chronic failure
- Weight Management: overweight/obesity, underweight, malnutrition
- Women’s Health: pregnancy, osteoporosis, anemia
For more information on how to obtain a physician referral or questions about outpatient MNT — call one of our Registered Dietitian Nutritionists at 337-898-6588.