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Kovler Diabetes Center

Adult Program Guide The University of Chicago Medicine Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism


Contents

Use this guide to learn more about University of Chicago Medicine Kovler Diabetes Center programs, important information about how to prepare for your appointment and as a quick reference for diabetes care for you and your family.

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4 About Us

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Welcome Kovler History and Mission

12 Programs 13 16 18 19 22

Program Guide Overview InTransit Program Overview Family Health and Wellness Program Diabetes Clinical Research Studies James C. Tyree Diabetes Education Library

23 Important Information 24 25 26 30 32 34 36 38

Our Locations Clinic Information For Your Appointment “Sick Day” Guidelines Eating Your Way to Good Health Exercise and Diabetes Diabetes Technology Important Diabetes Community Resources

40 How You Can Help 42 Resources For Your Visit 44 55 59

Kovler Diabetes Center Team Amenities For Your Visits Key Phone Numbers

60 Final Remarks 61 Notes


ABOUT US

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Welcome! Welcome to the University Chicago Medicine Kovler Diabetes Center! We are honored you have chosen the Kovler Diabetes Center. At Kovler, our mission is to support children, teens and adults with diabetes and focus on the needs of individuals, families and communities facing the challenges of diabetes every day. With more than 100 years of rich history in diabetes care and discovery, 150 scientists and clinicians and nearly 30,000 diabetes visits per year for children, teens and adults, kovler remains the premiere destination in Chicago and the Midwest, and ranks nationally among the finest diabetes and endocrinology programs in the United States. In addition to our extensive history and vision, we remain committed to customer service and family support. We offer customized care, excellent service and access to the world’s leaders in diabetes, endocrinology and a variety of other conditions that may affect you and/or your family. At Kovler, we recognize the unique impact of diabetes. We are here for you 24 hours a day, 7 days a week. We are proud of who we are and what we do, but we are most proud of you – as you lead a life full of hope and inspiration while facing diabetes each day. Thank you for trusting us with your care. This is the beginning of an important journey together. We welcome you and your loved ones to the Kovler family. Warmest Regards, Louis H. Philipson, MD, PhD, FACP Professor of Medicine and Pediatrics, Pritzker School of Medicine Director, University of Chicago Medicine Kovler Diabetes Center

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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The Kovler Diabetes Center is unique because we offer:

A lifespan model of care. Once you begin your journey with us, we will support and care for you as needed for a lifetime… no matter where you are in the world.

Expertise in diabetes clinical research, including clinical trials and the latest in pump and sensor technology.

The support of psychologists and therapists at no added cost during your visit.

InTransit, a unique, innovative teen transition program designed specifically for teens and young adults with diabetes with opportunities for individuals and families to connect online, in person and by phone. We want to help unite you with others so you can grow and learn together!

A robust diabetes and genetics program – one of the best in the world – designed to understand the unique difference in genetic forms of diabetes and how they may affect you. . Integrated, coordinated care with our friends and colleagues throughout the University of Chicago Medical Center, including the Transplant Center, Celiac Disease Center and Cystic Fibrosis Program. Expertise in diabetes education as a nationally recognized “Center of Excellence” from the American Diabetes Association.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism The team at the Section of Adult and Pediatric Endocrinology, Diabetes and Metabolism at the University of Chicago is proud of their constant pursuit of their 3-fold mission: 1. To provide excellence in patient care. 2. To perform cutting edge basic, clinical and translational research in endocrine diseases, diabetes, obesity and hypertension. 3. To provide outstanding educational opportunities for medical students, house staff and fellows. Many of our research programs provide training in basic and clinical investigation for visiting scientists from around the world, which includes special summer programs for college students. Our unique combination of adults and pediatric subspecialties poises us to be at the forefront for discovery and treatment of endocrine disorders that span a lifetime from birth to old age. Many of the diseases we treat and investigate begin in childhood and transitions through adulthood, requiring physicians and scientists with knowledge of these conditions to interact. The uniqueness of the University of Chicago, both geographically and philosophically, allows for partnerships by scientists in biological, physical and social scientists to address the most pressing problems in society today as they relate to endocrine disorders. A former faculty member, Charles B. Huggins (Nobel Prize winner for the role of hormones and cancer) best summed it up when he said “Discovery is our business.� Indeed, we are pleased that we have the resources to allow for investigation and translation of those discoveries to improve the health of society at the bedside and in the greater community. Our section has maintained a position of prominence by virtue of the quality of faculty and their ability to remain at the forefront of new developments.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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Pictured: Sally and Jonathan Kovler

Kovler History and Mission 100 Years of Diabetes Care and Research Founded in 2006 with seed funding from Jonathan and Sally Kovler, the Kovler Diabetes Center builds off 100 years of diabetes research and care at the University of Chicago Medicine in the Section of Endocrinology, Diabetes, and Metabolism, a center for innovative diabetes research and unparalleled patient care.

Our mission at the Kovler Diabetes Center is to provide holistic treatment, care and education that empowers our patients to effectively manage their diabetes for a lifetime.

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We pursue our mission through the following: •

Research Our researchers make breakthrough discoveries that help physicians and scientists around the world better understand diabetes, its causes and its genetic foundation. These discoveries can be applied to measurably improve the quality of life for diabetes patients.

Clinical Care Each diabetes patient is different. This shapes our approach to patient care at Kovler. Accurate and complete diagnosis, including genetic testing, is the foundation for our highly individualized treatment plans. Our multidisciplinary team of physicians, nurses, educators and staff works to address the many ways that diabetes can affect each patient’s physical and emotional well-being.

Education At Kovler, we provide diabetes education for both professionals and patients. The best and brightest graduate students, fellows and doctors from around the globe come to collaborate with our researchers and clinicians. Research experiences include a strong clinical care component to connect lab discoveries to enhanced patient care. Our diabetes educators equip patients with the knowledge and understanding they need to most effectively manage their condition.

Community Our faculty, staff and active Leadership Board help Kovler stay connected to the greater Chicago community. Our partnerships with local organizations aim to enhance the health of the overall community and improve patient health outcomes.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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PROGRAMS

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Program Overview General Information The University of Chicago Medicine Kovler Diabetes Center is one of the world’s most respected providers of diabetes care. Our experienced specialists offer the most comprehensive level of diabetes care and education for children, teens and adults. Our Staff Includes: • • • • • • • • •

Board Certified Pediatric and Adult Endocrinologists Certified Diabetes Educators Registered Nurses Podiatrists Registered and Licensed Dietitians Psychologists and Family Therapists Social Workers Child Life Specialists Nephrologists

Kovler physicians and staff are committed to providing high-quality, comprehensive health care to our patients. With compassion and diligence we will work with you to promote wellness in a sensitive and professional environment. You can expect: • To be able to reach a physician with questions or concerns in a timely manner • To be treated with respect and kindness by all staff and physicians • To be able to schedule an appointment within an appropriate and reasonable time frame • To receive excellent and complete treatment for complex health needs and preventative care

We encourage you to join our mailing list to stay informed on upcoming events for you and your family. Simply visit www.kovlerdiabetescenter.org and click on “Sign Up” on the top right side.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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Diabetes Education Learning as much as you can about diabetes is so important for your health. Our diabetes classes are designed for people who have type 2 diabetes, whether they are recently diagnosed, are in need of a review or have never had diabetes education.

If you were recently diagnosed with diabetes or just want to learn much more about living with diabetes, this program may be for you.

We offer classes where people with diabetes can share ideas, concerns and feelings about living with this chronic disease. Kovler’s Diabetes Education Program, which is recognized by the American Diabetes Association, includes resources to guide you through any other decisions and challenges you may face because of diabetes.

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Classes Offered: Diabetes Class: Our diabetes education class is a group discussion about the basics of diabetes, the benefits and importance of blood glucose monitoring, the A1c test and what it means, diabetes medicines, general meal planning and preventing long-term complications. AFTER ATTENDING THE DIABETES CLASS, THOSE WHO ARE INTERESTED IN LEARNING MORE ABOUT MEAL PLANNING CAN REGISTER FOR THE NUTRITION CLASS.

Nutrition Class: Our nutrition class is a group class to help you develop the skills to choose well balanced meals and snacks to manage diabetes. The discussion includes identifying foods that raise blood sugars, how to use the plate method to plan meals, understanding portion sizes, reading food labels, and discussing healthy methods of preparing meals.

How to Register: • Pre-registration is required so we can bill your insurance for the classes. To register, you will need an “order” from your University of Chicago healthcare provider. • Classes are billed directly to your insurance. This program is covered by most insurance plans, including Medicare. (If you have questions about whether your insurance will cover this class, please call your insurance provider. The phone number is usually found on your insurance card.) • Classes are held at the University of Chicago Duchoissois Center for Advanced Medicine (DCAM), located at: 5758 S. Maryland Avenue in Chicago.

For information and class times please call the diabetes educators at 773.702.2371 or 773.702.3542.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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InTransit Program The Kovler Diabetes Center’s InTransit program is a clinical care and education program for adolescents, teens and young adults with diabetes. Our main goal is to empower teens and young adults to manage their diabetes and create a healthy future. The InTransit program establishes a partnership between the patient, their family, pediatric and adult endocrinologists, Certified Diabetes Educators and psychologists who work side-by-side to help the patient “transition” to self-management of their disease. At the core of this program is a sensitivity to the unique physical, social, emotional and intellectual stages of development distinctive to this group as they move from pre-adolescence and puberty through their teens and into adulthood. Our experts are here to address the tough stuff, from driving to relationships to going off to college.

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What can your teen learn in InTransit? • • • • • • •

How to stay healthy amidst social pressures to “fit in” How to participate in sports, activities and social outings and still balance blood sugar How to manage blood sugar when in classes, at work, or traveling How alcohol, smoking and other choices may complicate management How to make the best food choices, including the healthiest options for fast food, snacks and other foods How to properly use glucose monitors, sensors and insulin to control blood sugar levels How to use new technology to make it easier to manage diabetes

We guide adolescents, teens and young adults with type 1 and type 2 diabetes towards a healthy future

We encourage you to join our mailing list to stay informed on upcoming events for you and your family. Simply visit www.kovlerdiabetescenter.org and click on “Sign Up” on the top right side.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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Family Health and Wellness Program Life’s stresses can be especially difficult for individuals with diabetes and their families. Our Family Health and Wellness Program is a unique service to help patients and their families live healthier lives by addressing the social, emotional and psychological challenges of living with diabetes. Starting from your family’s very first visit, we offer free meetings with trained psychologists who understand the challenges of living with diabetes. The Health and Wellness Team works with patients, families, nurses, educators and doctors to help you integrate diabetes management into everyday family life — because your family can enjoy a long, active and healthy life with diabetes. Our Health and Wellness program is an innovative feature of care here at Kovler — we are the only comprehensive diabetes program in the Midwest to use a family-focused model of care. We build on your family’s strengths and resources to address the ongoing challenges that children, adults and families face over a lifetime with diabetes.

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Diabetes Clinical Research Studies Current clinical research studies at the University of Chicago Medicine Kovler Diabetes Center include: Type 1 Diabetes Research Studies •

T1D (Type 1 Diabetes) Registry. The goal of this natural history registry is to help physicians and researchers better understand the progression of type 1 diabetes. Participants complete a 1015 minute survey on an iPad asking about their diagnosis, family history, and treatment. The study team will then have access to the patient’s EPIC chart and will update information about their treatment and medical history annually. Participants must be patients at the University of Chicago Medicine Endocrinology Clinic. Participants will be reimbursed for their time. For more information, please contact Gail Gannon at ggannon@uchicago.edu or call 773.702.3853.

Type 1 Diabetes TrialNet (TrialNet). TrialNet is an international network of researchers exploring ways to prevent, delay, and reverse the progression of type 1 diabetes. We recommend that all first degree relatives of an individual with type 1 diabetes get screened to establish their risk of developing type 1 diabetes themselves. For more information on TrialNet or to schedule a free screening, please contact Gail Gannon at ggannon@uchicago.edu or call 773.702.3853.

WISDM. This study looks at the effectiveness of using a continuous glucose monitor (CGM) in older adults with long-standing type 1 diabetes. Participants will use a study-provided CGM for 26 weeks and attend intermittent visits at the University of Chicago Medicine. If you are age 60 or older, were diagnosed with type 1 diabetes between the age of 6 months – 10 years, and have not used a CGM in the last three months you may be eligible to participate. For more information, please contact Gail Gannon at ggannon@ uchicago.edu or call 773.702.3853.

For a full list of clinical research opportunites, please visit: www.kovlerdiabetescenter.org/research/research-studies

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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Diabetes Clinical Research Studies Type 1 Diabetes Research Studies

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Closed-Loop Insulin Delivery System/Artificial Pancreas. We are looking for volunteers for a closed-loop insulin delivery system study that looks at how blood sugar levels, physical activity, and insulin doses are related. If you have type 1 diabetes, are between the age of 18-25, and are currently being treated with insulin pump therapy, you may be eligible to participate. For more information, please contact Dr. Elizabeth Littlejohn at 773.702.4616 or elittlej@peds.bsd.uchicago.edu.

Islet Transplantation in People with “Brittle” Type 1 Diabetes. Islet transplants are intended to help control blood glucose without insulin injections in advanced type 1 diabetes by replacing destroyed islets with new ones. No surgery is needed. The islet cells from a deceased donor’s pancreas are taken and injected into a major blood vessel in the subject’s body. The islet cells then begin making insulin. Islet transplant is experimental and Dr. Witkowski, the Principal Investigator at the University of Chicago Medicine is conducting clinical trials to evaluate the long-term benefits and risks of the procedure. If you would like information regarding this trial, please contact Lindsay Schenck, RN, BSN at 773.702.2504 or Lindsay.Schenck@uchospitals.edu.

773.702.2371 • kovlerdiabetescenter.org


Type 2 Diabetes Research Studies •

Research Study About Type 2 Diabetes and Sleep Disturbances. Researchers think that a diabetes medication may improve sleep disturbances, which are very common in patients with type 2 diabetes. If you are 16 years or older and have type 2 diabetes, you may be eligible to participate. To learn more please call 773.795.0141.

SIROCO Clinical Trial. It is common for patients to suffer from more than one condition that makes them more likely to have heart (cardiovascular) disease. Some of the conditions include high blood pressure, diabetes, obesity or dyslipidemia (an unhealthy level of fats or lipids in the bloodstream). Because patients often suffer from more than one of these conditions at the same time, doctors think that these conditions may have similar root causes. If you would like to learn more about participating in this study, please contact Linda Fondren at 773.702.7941 or Rolanda J. Flynn at 773.834.4059.

EFFORT Clinical Trial. This study investigates whether a drug shown to lower the risk of heart failure is also effective in reducing the stiffness of the arteries. This will be compared to another drug that also lowers blood pressure. It is thought that reducing stiffness of arteries may provide an additional benefit in reducing risk of death. Participants will have their blood pressure checked by a machine that measures how fast blood moves through an artery using a microphone-type device that is placed on your skin. Additionally, a microphone-type device will be placed just above the heart to assess the pressure in your aorta (the main artery that comes our of your heart to provide blood to your body). If you are over age 50, have type 2 diabetes and are not being treated with insulin, you may be eligible to participate. If you would like to learn more about participating in this study, please contact Linda Fondren at 773.702.7941 or Rolanda J. Flynn at 773.834.4059.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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James C. Tyree Diabetes Education Library In 2013, The University of Chicago Medicine Kovler Diabetes Center dedicated a new diabetes education library to honor the legacy of the late James C. Tyree, former chairman and CEO of Mesirow Financial Holdings, chairman of Sun-Times Media Group and a board member at the University of Chicago Medical Center. The library provides patients and their families with access to educational materials and provide dedicated space for classes and support groups. Kovler patients can access the internet, printing, health literature, and other educational materials at the library. It is the latest component of the James C. Tyree Program for Diabetes Care and Innovation to promote clinical programs for diabetes, research collaboration and education and outreach for patients and medical professionals.

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IMPORTANT

INFORMATION


Our Locations Main Location The University of Chicago Medicine Kovler Diabetes Center For Children, Teens and Adults Duchossois Center for Advanced Medicine (DCAM) 5758 S Maryland Avenue Suite 5A Chicago, IL 60637 773.702.2371 or 800.989.6740

University of Chicago Medicine Center for Advanced Care at Orland Park 14290 South La Grange Road Orland Park, IL 60462 888.824.0200

University of Chicago Medicine Downtown Chicago 150 E. Huron Street, Suite 900 Chicago, IL 60611 773.834.4150

Ingalls Memorial Hospital Family Care Center 19550 Governors Highway Flossmoor, IL 60422 708.333.2300

For detailed driving directions to our main location at the University of Chicago Medicine, please visit http://www.uchospitals.edu/visitor/directions/

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Clinic Information Kovler Clinic Address Duchossois Center for Advanced Medicine (DCAM) 5758 South Maryland Avenue, Suite 5A, MC 9015 Chicago, IL 60637

Kovler Main Address Knapp Center for Biomedical Discovery 900 East 57th Street, Eighth Floor Chicago, IL 60637

Important Phone Numbers Main Phone Numbers 773.702.2371 or 800.989.6740 Pharmacy Fax Line 773.834.4633

Online and E-Mail Website kovlerdiabetescenter.org monogenicdiabetes.uchicago.edu Main Email Address diabetes@uchospitals.edu Facebook facebook.com/kovler.diabetes.center Twitter twitter.com/kovlerdiabetes

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For Your Appointment Office visits are an important part of diabetes care •

New patients are encouraged to meet with a Kovler endocrinologist, diabetes educator, and health and wellness team provider for a comprehensive experience during their first visit. They may also meet with a clinical research coordinator.

Visits for return patients are customized to the needs of the individual, which could include visits with one or more of the specialists that were a part of the first visit.

In general, we encourage you and your family members to meet with a member of our health and wellness team at least once or twice a year.

As the gold standard in diabetes treatment, please expect to have at least 3 to 4 visits per year with your diabetes educator and/or doctor. At least one of these visits should be made to our main location (see page 28) for the opportunity to meet with the specialists that may or may not be available at our satellite locations.

Laboratory work is an essential measure of progress Once a year, but sometimes more often, we perform laboratory work requiring a blood draw. We perform A1c testing in our own clinic at each visit with use of a finger stick, instead of going to the laboratory. These results are made available during the clinic visit.

At-home care is vitally important Your diabetes team will tell you when to measure your blood glucose levels and ketone levels. These readings will tell you whether your diabetes is under control. A good diet and an exercise program will be important components to managing your diabetes. Your diabetes team will give you guidance in these areas.

Scheduling appointments If you need to see your endocrinologist, diabetes educator or health and wellness team provider, please call 773.702.2371.

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Your appointment You can expect new visits to be 2-3 hours. Follow up visits with your healthcare provider and/or educator will be approximately 60 minutes. Please arrive 15 minutes prior to your appointment so you can park, check in and get into your healthcare provider’s exam room on time.

Please bring the following to your appointment: • • • • •

• • •

Your insurance card A copy of your referral or your referral number Current blood sugar logs All blood sugar meters you are currently using A list of all medications, or bring the medicine bottles and insulin themselves, including types of insulin and sliding scale Emergency supplies, including glucagon kit A list of questions you would like to ask members of our team during your visit Glucose meter(s) or pump download from home if possible and all pump and continuous glucose monitoring supplies as needed We recommend you bring snacks and your diabetes emergency supplies kit as well

If you need to cancel or reschedule your appointment, please call us at least 24 hours before your appointment time. If you are more than 20 minutes late for your appointment, we may need to reschedule.

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How to reach your physician (after 4:30 PM or on a weekend) •

If you feel that you are experiencing a medical emergency, please go to the nearest EMERGENCY ROOM or call 911.

If you have a medical question that cannot wait until the morning, call 773.702.1000. Choose OPTION #1 and ask the operator to page 2180. An endocrinologist or diabetes educator will call you back within 1 hour.

You will not be able to request prescription refills, prescriptions for certain medications, appointments, paperwork, or medical supplies during these hours. Please call back on weekdays between 8 A.M. and 5 P.M.

Financial Information At the University of Chicago Medicine, we understand the complexities of financial planning for your procedure. We have prepared this to assist you in your planning efforts. When you schedule your procedure, our financial office will begin the process of verifying your insurance coverage. Because insurance plan requirements vary, we strongly encourage you to contact your insurance company so that you have a thorough understanding of what they will pay for the specific health care services you plan to receive. This information is also important to help you estimate and plan for the amount of your personal payment responsibility. Based on your insurance plan, it may be necessary for you to have written prior authorization for your procedure. You may discuss this further by calling your insurance company’s customer service line, often located on the back of your insurance card. Should you have questions regarding the University of Chicago Medicine’s payment policies, contact: Office of Managed Care at 773.834.4730, Monday to Friday from 8:30 A.M. – 4:30 P.M. You may also visit www.uchospitals.edu/billing.

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Prescription Refills •

If you are running out of your medications, don’t forget to ask your physician for refills during your appointment

If you need a refill between your appointments, call your pharmacy and ask them to fax a refill request to us at 773.834.4633. This will be sent to your physician to sign and refill. Your pharmacy will let you know if your physician needs to see you before refilling your medication. Please give us 2 business days to complete the process. Medications that require prior authorization by your insurance company may take longer and approval is not guaranteed

Obtaining Referrals: Frequently Asked Questions How to obtain a referral:

1. Call the office of your primary healthcare provider or insurance

company and ask to speak with the person who handles referrals

2. Tell that person the name of the University of Chicago Medicine 3. 4.

Kovler Diabetes Center doctor or provider and when your appointment is scheduled Ask for the “referral number” if needed Ask the primary care office to fax the referral to Kovler Diabetes Center, attention Kristen Allen at 773.834.7205

Patient Satisfaction: Your may receive a comprehensive patient satisfaction survey at your home. Your feedback is greatly appreciated and very important as we strive to consistently provide you with EXCELLENT patient care and service. Please know that all comments are CONFIDENTIAL.

The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism

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Sick Day Care When you are sick you may notice that your blood sugar is higher. This is because being sick is a stress to your body and any type of stress will raise blood sugar levels. You may not feel well enough to eat or drink when you are sick. Try to stick to your meal plan. If you have trouble eating regular food, try applesauce, soup or yogurt. Work with your healthcare provider to create a sick day plan that is right for you. Below is a list of general sick day management tips: • •

• • • • • •

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Continue to take all medications, whether oral and/or insulin If taking insulin, you may need to take extra insulin to bring down high blood sugar levels. Talk to your healthcare team about how much is needed Check blood sugar frequently Stay hydrated with sugar-free, non-caffeinated beverages If eating is an issue, drink fluids containing sugar, but stick to no more than 1 ½ cups every 3-4 hours Beware of over the counter medicines that contain sugar Ask your pharmacist for sugar free recommendations When in doubt, call your healthcare provider

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When to seek medical attention: • • • • • • • • •

Vomiting or diarrhea occurring for more than 6 hours You cannot keep any food or fluids down for more than 4 hours Your blood sugar stays above 250 or under 70 for more than 1 day You have not eaten normally for more than 1 day You have a fever over 100.4 degrees F You have trouble breathing You can not stay awake or think clearly Your chest hurts You are not sure how to take care of yourself

If you need to speak to your physician during normal business hours (8 A.M.-5 P.M.) please call 773.702.1000 and press #1. If you are calling after normal business hours or on the weekend, please press #1 and ask the operator to page the endocrinology fellow on call. Please be sure to indicate that you are an adult patient. You may not speak with your doctor but another doctor from the Kovler team can assist you. These tips are GENERAL guidelines only. Please talk to your healthcare team and/or diabetes educator for more specific instructions.

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Eating Your Way to Good Health It is commonly believed that people with diabetes should follow a “diabetic diet.” This implies that people with diabetes cannot eat the same foods as people without diabetes. The good news is that this is not true. For people with or without diabetes, many diet recommendations remain the same. However, for people with diabetes, it is important to pay special attention to portions of carbohydrates, since these are the foods that impact blood sugar the most. Carbohydrate-containing foods are: • • • • • •

All grains, whether whole grain or refined Dried beans and lentils Fruits Starchy vegetables such as potatoes, corn and peas Diary such as milk and yogurt Simple sugars like table sugar, brown sugar, honey and agave nectar

Your Kovler dietitian can help educate you on what amounts are right for you.

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The basics of a healthy diet include lean proteins, low fat dairy, healthy fats, whole grains, fruits, vegetables, and low sodium foods. Choosing these foods more often will help to lower your risk of heart disease, keep your blood pressure in check and promote a healthy weight. Here are some tips to get you started: •

• • • • • •

• • • • • • • •

Aim to make half of your meal non-starchy vegetables, such as broccoli, carrots, green beans, lettuce, spinach, and tomatoes (to name a few)Add vegetables to sandwiches, soups, and sauces Make fruit part of your meal or choose fruit for a snack Aim to make half of your grains whole grains Pass on the table salt and sea salt Choose foods that are less processed. They have less added sugar and fat Choose low-fat or fat-free dairy Lower saturated fat and cholesterol intake by going lean with your protein: choose skinless chicken and turkey and choose lean cuts of beef and pork Try to include fish 2-3 times per week Incorporate dried beans and lentils into your meals Drink plenty of water Avoid high sugar beverages, such as soda and juice Choose healthy plant fats such as olive oil and canola oil when cooking Incorporate a handful of unsalted nuts for a healthy snack Practice moderation with high-fat and high-sugar foods Remember that all foods fit into a healthy diet but it is the frequency and portions that matter

Be sure to consult with one of the Kovler dietitians to help you to improve your eating habits and to help take into account your special needs.

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Exercise and Diabetes Exercise and physical activity are critical components of managing your diabetes and keeping your body the healthiest it can be. Benefits of exercise include: • • • • • • • • • •

Improved blood sugars Increased sensitivity to insulin Burning extra calories to promote weight loss Lower blood pressure Lower bad cholesterol and boost good cholesterol Improved strength and flexibility Help in reducing anxiety and stress Improved sleep patterns Boost energy levels Lower risk for other health problems such as osteoporosis and some cancers

Before you being an exercise plan, be sure to consult with your doctor about any restrictions.

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Here are some general guidelines to get started: Start slow If you have not exercised for a while, it might take time to build up your stamina and strength. Exercising too hard in the beginning can cause injuries. Choose FUN activities Participating in activities that you find enjoyable will help to keep you exercising regularly. Find an exercise partner Exercising with a family member or friend can not only make the activity more fun but also help to keep you accountable. Incorporate more activity into your day: • • • •

Try taking the stairs instead of the elevator Park in the last spot in the parking lot Do daily household chores at a higher intensity When watching television, walk in place or around your home during commercial breaks

Please keep these safety tips in mind: • • • • • •

Always wear your medical ID Stay hydrated during and after exercise Keep a fast-acting sugar with you at all time Try to exercise during off-peak medication times Always check blood sugars before and after exercise If you experience frequent low blood sugar during or after exercise, please consult your healthcare team

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Diabetes Technology The Kolver Diabetes Center offers patients the newest and best technologies to help manage blood glucose. Our team has experience with nearly every model of insulin pump, glucose sensor and glucose meter. We can fit the right technology and tools to each person’s needs, no matter the patient’s age or the complexity of the condition. Additionally, often, we can offer patients promising new tools through enrollment in clinical trails before they are FDA-approved - months or even years before they’re available through most community physicians or hospitals.

Making the Switch to an Insulin Pump Insulin pumps help to regulate blood glucose levels by enabling the user to more easily administer insulin in response to changes in physical activity, intake of carbohydrates, and other events that impact blood sugar throughout the day. They are among the most promising advances in diabetes management and may be a viable option for those who are on an intensive insulin regime, such as individuals who: • •

Take three or more insulin shots per day Check blood sugars at least four times per day

Our structured, supportive Insulin Pump Program helps individuals transition away from insulin injections to insulin pump therapy.

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Continuous Glucose Monitoring: The Latest in Sensor Technology Continuous Glucose Monitoring devices (CGMs) use a sensor placed just under the skin to measure blood glucose levels automatically every five minutes. At Kovler we have expertise in all three of the latest types of CGM devices: 1. Professional continuous glucose monitoring

These devices are storage tools that record data. They are used as diagnostic tools to uncover trends and patterns in low blood sugars. Worn for a period of 7-14 days, they are then removed and the data is downloaded with special software. The devices do not show “real time” numbers to the user, but are a helpful tool in revealing glucose (sugar) patterns.

2. Personal use continuous glucose monitoring

This tool helps individuals understand trends and patterns in glucose with “real time” blood sugars. With it individuals can actually see “real time” numbers on the face of the device. Users see first-hand how food, exercise, stress and daily life affect glucose levels. Personal continuous glucose monitors are either prescribed by a physician or purchased by the individual with diabetes and the sensors are placed under the skin for 6-7 days.

3. Continuous glucose monitoring compatible with pumps

These devices are used by individuals who are currently using insulin pump therapy. They show trends and patterns that are helpful in making effective decisions using an insulin pump.

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Important Diabetes Community Resources The University of Chicago Medicine Kovler Diabetes Center has affiliations throughout the country to provide support to those diagnosed with all forms of diabetes. Local support and volunteer groups play a vital role in our communities by generating awareness for diabetes and providing critical education on diabetes management and prevention, as well as overall health care, nutrition and exercise.

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Partnering Programs and Community Organizations Academy of Nutrition and Dietetics 800.877.1600 www.eatright.org

Friends United 847.831.5558 www.friends-united.org

Access: Community Health Network 866.882.2237 www.accesscommunityhealth.net

Friends for the Cure www.friendsforthecure.com

American Association of Diabetes Educators 800.338.3633 www.diabeteseducator.org American Diabetes Association (ADA) 1.800.DIABETES www.diabetes.org Building a Healthier Chicago 312.320.6308 www.buildingahealthierchicago.org Chicago Family Health Center 773.768.5000 www.chicagofamilyhealth.org Children with Diabetes www.cwdfoundation.org College Diabetes Network www.collegediabetesnetwork.org Consortium to Lower Obesity in Chicago Children (CLOCC) 312.227.7100 www.clocc.net Endocrine Society 888.363.6274 www.endo-society.org Friend Family Health Center, Inc. 773.702.0660 www.friendfhc.org

Improving Diabetes Care and Outcomes on the South Side of Chicago 773.702.2939 www.southsidediabetes.com Juvenile Diabetes Research Foundation (JDRF) 800.533.CURE (2873) www.jdrf.org Let’s Move www.letsmove.gov National Kidney Foundation of Illinois 312.321.1500 www.nkfi.org University of Chicago Medicine 888.UCH.0200 www.uchospitals.edu www.uchicagokidshospital.org University of Chicago Medicine Celiac Center 773.702.7593 www.cureceliacdisease.org University of Chicago Medicine Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism 773.702.2371 www.medicine.uchicago.edu/ endo/index.html The Urban Health Initiative 773.834.3458 www.uchospitals.edu/about/commmunity/ uhi

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HOW YOU CAN HELP


Get Involved! The University of Chicago Medicine Kovler Diabetes Center depends strongly on the support from individuals in the local community in order to create lasting impact on those with diabetes through our primary services and programs. Here are some ways you can get involved: •

Volunteer - Get involved! Kovler regularly welcomes volunteers to assist with community events and programs. Contact us to learn more about how your skills can help Kovler advance diabetes awareness, education, discovery and care.

Donate In-Kind Services – In-kind services are an easy way to increase Kovler’s impact in Chicago community and around the globe. If you have a company that donates services, contact us to discuss how your services could serve the Kovler mission.

Help Us Fundraise – A lot of the work we do hinges on the generosity of corporations, foundations and individuals like you. Every dollar makes a difference to help fund our research, community based education programs and clinical care. Contact us to discuss how you can help us fundraise to support these efforts.

Introductions – We value our network of community partners. If you work for a charitable corporation or are involved with a foundation, contact us to see how we might work together to advance our impact.

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RESOURCES FOR YOUR VISIT


Pictured: Dr. Tina Drossos (center) and her team

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Kovler Diabetes Team Our team of specialists, led by world-renowned physicians, researchers and educators, is qualified to treat all areas of your diabetes. Endocrine Fellowship Program The University of Chicago Medicine is an academic institution committed to training the next generation of Endocrinologists. The Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism has one of the top endocrine fellowship programs in the country. You may see some of our fellows in the outpatient clinic or on the inpatient consult service.

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Leadership Team Graeme I. Bell, PhD Kovler Family Distinguished Service Professor in Medical and Human Genetics Director, Diabetes Research and Training Center (DRTC) Dr. Bell is a leading authority on the genetics of diabetes mellitus. He cloned the human insulin cDNA and gene and showed that common variation in the human insulin gene contributes to the development of type 1 diabetes. He and his longtime collaborator, Dr. Nancy Cox, showed that mutations in the genes for the glycolytic enzyme, glucokinase, and the transcription factors, HNF1a, HNF-1b and HNF-4a, caused an early-onset form of diabetes called Maturity-Onset Diabetes of the Young or MODY. Dr. Bell’s search for the genetic causes of diabetes continues. Together with Dr. Cox, Dr. Donald Steiner and Dr. Louis Philipson, Dr. Bell recently showed that mutations in the insulin gene were a common cause of diabetes with onset in the first few months of life. Dr. Bell is a professor in the University of Chicago’s Department of Medicine and Department of Medicine and a member of the Committee on Genetics, Genomics, & Systems Biology, Committee on Molecular Pathogenesis & Molecular Medicine, Committee on Molecular Metabolism & Nutrition and Committee on Clinical & Translational Science. He has published more than 400 peerreviewed articles. Ronald Cohen, MD Associate Professor of Medicine Section Chief, Endocrinology, Diabetes and Metabolism A skilled endocrinologist, Ronald Cohen, MD, specializes in the diagnosis and management of thyroid diseases with a particular focus on thyroid cancer. He also has a clinical interest in diabetes, obesity and metabolic disorders. Dr. Cohen’s research explores the relationship between diabetes and adipocyte -- a complex endocrine cell that regulates feeding behavior and insulin sensitivity. Through his research findings, Dr. Cohen is working to develop novel therapies for the treatment of obesity and type 2 diabetes.

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Peggy Hasenauer, MS, RN Executive Director, Kovler Diabetes Center As Executive Director of the Kovler Diabetes Center, Peggy coordinates all aspects of Kovler’s clinical, research, outreach and educational efforts. In addition to many years of experience as a floor nurse, Peggy managed the University of Chicago Medicine kidney and pancreas transplant program and collaborated with Dr. Philipson to establish the first islet cell transplantation program at the University of Chicago Medicine. Peggy also has significant experience as a diabetes technology consultant where she worked with clinicians and individuals with diabetes to manage insulin pump therapy and glucose sensor technology. Louis H. Philipson, MD, PhD, FACP Professor of Medicine and Pediatrics Director, Kovler Diabetes Center Dr. Philipson is an endocrinologist and leading world authority on diabetes mellitus. He is also a renown researcher with interests in clinical research, insulin secretion and the genetics of diabetes. Dr. Philipson is currently president of the Chicago/Northern Illinois board of the American Diabetes Association. In 2011, he was chosen one of America’s Top Doctors by U.S. News & World Report magazine. Dr. Philipson sees patients in the Hyde Park, Chicago clinic location. Cheryl Scott Clinical Practice Administrator Cheryl is the Kovler Diabetes Center clinic manager. Cheryl joined the University of Chicago Medicine (UCM) in 2002 in the department of surgery. During her time at UCM, Cheryl has contributed to various initiatives focused on patient satisfaction and service excellence. She stands as an advocate for patients, promoting pride in support care providers and a commitment to delivering world-class care in the clinic.

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Physicians George Bakris, MD Director, American Society of Hypertension (ASH) Comprehensive Hypertension Center Professor of Medicine Dr. Bakris is a nephrologist and a board-certified hypertension specialist, and specializes in the diagnosis and treatment of the spectrum of disorders affecting blood pressure, particularly in complicated or refractory cases. As director of the American Society of Hypertension (ASH) Comprehensive Hypertension Center, Dr. Bakris and his team develop individualized treatment plans for patients who have high blood pressure that is difficult to manage. Dr. Bakris is an expert in the interpretation of ambulatory blood pressure monitoring, an established technique recommended by some guidelines that gives physicians a more accurate reading of a patient’s blood pressure over 24 hours. He is also skilled in the treatment of kidney disease, with special expertise in diabetes-related kidney disease. Yolanda Becker, MD Professor of Surgery Dr. Becker is a seasoned surgeon specializing in kidney and pancreas transplantation, dialysis access surgery, and living-donor procedures. She is also a well known physician scientist, recognized for her clinical research on reducing transplant rejection rates and her basic research in immunology. She has authored more than 100 scientific articles and abstracts in publications such as the American Journal of Transplantation, Transplantation, and Nephrology Dialysis Transplantation. As a recognized leader in the field of transplantation, Dr. Becker is a featured speaker at medical conferences across the globe. She serves on the boards of directors for the American Society of Transplantation and the United Network for Organ Sharing. Ronald Cohen, MD Associate Professor of Medicine Section Chief, Endocrinology, Diabetes and Metabolism A skilled endocrinologist, Ronald Cohen, MD, specializes in the diagnosis and management of thyroid diseases with a particular focus on thyroid cancer. He also has a clinical interest in diabetes, obesity and metabolic disorders. Dr. Cohen’s research explores the relationship between diabetes and adipocyte -- a complex endocrine cell that regulates feeding behavior and insulin sensitivity. Through his research findings, Dr. Cohen is working to develop novel therapies for the treatment of obesity and type 2 diabetes.

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Tina Drossos, PhD Assistant Professor Assistant Director of Child and Adolescent Consultation/Liaison Service Dr. Drossos directs the Kovler Diabetes Center’s Health and Wellness Program, which provides multidisciplinary psychosocial assessment and intervention for diabetes patients and their families. The program is designed to help improve adherence with diabetes management, improve overall quality of life and reduce mental health concerns in patients with diabetes. Dr. Drossos also provides comprehensive psychological assessments, psychotherapy and supportive services for patients presenting to a variety of University of Chicago Medicine subspecialty clinics. She also provides psychological therapy services as part of the general outpatient child psychology program, assisting patients with coping or adjusting to a chronic health condition, pain management, mood and anxiety disorders, and behavior disorders. Alexandra Dumitrescu, MD, PhD Assistant Professor of Medicine Dr. Dumitrescu is a specialist in adult endocrinology. She is the recipient of numerous research grants, is widely published and has contributed to several leading textbooks on thyroid diseases. She is frequently invited to present her work at national and international conferences. David Ehrmann, MD Professor of Medicine Dr. Ehrmann specializes in the diagnosis and treatment of polycystic ovary syndrome (PCOS) and also is an expert in type 2 diabetes. In 2015, he was named as one of America’s Top Doctors by U.S. News & World Report magazine. Paul Lantz, DPM Clinical Associate of Surgery

Katie O’Sullivan, MD Instructor of Medicine Dr. O’Sullivan’s clinical practice focuses on general adult and pediatric endocrinology, which includes disorders of the thyroid and adrenal glands, diabetes, growth, and obesity.

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Silvana Pannain, MD Assistant Professor of Medicine Dr. Pannain is an endocrinologist and bariatric physician providing advanced endocrinology care for patients with weight problems or endocrine disorders including obesity, diabetes, thyroid disease, pituitary disease, lipid disorders, adrenal disease and metabolic syndrome. Dr. Pannain also serves as director of Chicago Weight, a multidisciplinary weight management program at the University of Chicago. She works closely with teams of specialists – including behavior therapists, dietitians, exercise therapists, bariatric surgeons, cardiologists, lipidologists, hypertension specialists and sleep specialists – to develop comprehensive weight management plans for adult patients. Louis H. Philipson, MD, PhD, FACP Professor of Medicine and Pediatrics Director, Kovler Diabetes Center Dr. Philipson is an endocrinologist and leading world authority on diabetes mellitus. He is also a renowned researcher with interests in clinical research, insulin secretion and the genetics of diabetes. Dr. Philipson is currently president of the Chicago/ Northern Illinois board of the American Diabetes Association. In 2011, he was chosen one of America’s Top Doctors by U.S. News & World Report magazine. Dr. Philipson sees patients in the Hyde Park, Chicago clinic location. Susan Sam, MD Assistant Professor of Medicine Dr. Sam is an adult endocrinologist who specializes in the diagnosis and treatment of polycystic ovary syndrome (PCOS). She also has a clinical interest in other reproductive disorders leading to menstrual irregularity in women, type 2 diabetes and related metabolic disorders. She is also a teacher and mentor to medical students, residents and endocrinology fellows. Celeste Thomas, MD Assistant Professor of Medicine

Christine Yu, MD Assistant Professor of Pediatrics and Medicine Dr. Yu is a specialist in pediatric and adult endocrinology. She has a particular interest in diabetes in pregnancy and endocrine complications in children and young adults related to prior cancer therapy. Dr. Yu sees patients at Kovler’s Hyde Park, Chicago clinic location and at Access Community Health Network’s Grand Boulevard location.

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Meltem Zeytinoglu, MD, MBA Assistant Professor of Medicine Dr. Zeytinoglu’s clinical practice emphasizes management and prevention of endocrine disorders, including diabetes, osteoporosis, and obesity, in older adults. Dr. Zeytinoglu’s research interests are focused on studying methods and treatments for optimizing management of chronic metabolic conditions such as diabetes and osteoporosis in older adults. Ann Zmuda, DPM Assistant Professor Of Medicine Instructor of Podiatry Dr. Zmuda has served as a podiatric physician and surgeon at the University of Chicago Medical Center, an instructor and clinical associate in the section of Endocrinology, and an instructor in the section of Orthopedic Surgery. Dr. Zmuda sees all types of medical and surgical podiatric patients. Her specialty is the diabetic foot, including preventative diabetic foot care, wound treatments including debridements, bioengineered tissue grafting, wound VAC, I&Ds, limb salvage, as well as amputations. She works closely with neurologists in diabetic neuropathy treatment options and with vascular surgeons as part of the limb salvage program at the University of Chicago.

Nurses and Medical Assistants Michele Stewart, LPN Licensed Practical Nurse Michele welcomes patients and families to their visit, assists with diabetes technology downloads and prescription refills and supports families throughout their visit. With over eight years of nursing experience ranging from pediatrics to geriatrics, Michelle enjoys the challenges and rewards of working with endocrinology patients. Michele is based at the Hyde Park, Chicago clinic location. Tyneilya Baskin, LPN Licensed Practical Nurse Tyneilya is a new member of the University of Chicago Medicine team. She started her career as a ventilator nurse in a long term and rehabilitative care facility. In the years since, Tyneilya has pursued further training in long term care and acute care. She looks forward to the challenge of learning more about diabetes care from the diabetes specialists at the Kovler Diabetes Center. Tyneilya sees patients in the Hyde Park, Chicago clinic location.

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Felicia Hernandez, CMA Certified Medical Assistant Felicia is a bilingual (Spanish) medical assistant, who brings experience in both the rheumatology and endocrinology specialties to her role. Felicia sees patients in the Hyde Park, Chicago clinic location. DeShawndra Robinson, CMA Certified Medical Assistant DeShawndra has experience working with pediatric, adult, and geriatric populations. Previously, DeShawndra worked in Primary Care at the University of Illinois at Chicago Mile Square Clinic. She is very excited to now be a part of the Kovler team and its focus on optimal patient care. DeShawndra sees patients in the Hyde Park, Chicago clinic location. Sherri Downs, MS, BSN, RN Registered Nurse Sherri Downs has been a registered nurse for over 30 years and is now a member of the endocrinology clinic team at the Kovler Diabetes Center. Sherri has worked for the University of Chicago Medicine for over 26 years, primarily in nephrology and dialysis where she cared for patients with both chronic and acute kidney disease and patients undergoing kidney transplants. Sherri received her associates degree in nursing and was motivated to further her education by obtaining a bachelors degree in nursing and a masters degree in healthcare administration. Sherri has a vast amount of experience and knowledge that will be an asset to patients in the endocrinology clinic. Bogdana Gryniv, RN Registered Nurse Bogdana Gryniv is a registered nurse in the endocrinology clinic at the Kovler Diabetes Center. Bogdana has experience in a variety of medical settings including with lung and heart transplant patients at Loyola Medical Center, with home health and internal medicine patients at NorthShore University Health System, and at the Long Term Acute Care Hospital at Presence Holy Family Medical Center. Bogdana chose this career because she likes the challenges of nursingand she enjoys making a difference in people’s lives. She is very excited to grow her knowledge and skills by working alongside experts on the University of Chicago Medicine Team and to provide patients with the best care and service.

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Outpatient Diabetes Educators Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE Registered Dietitian Certified Diabetes Educator Program Coordinator, Kovler Teen Transition Program Amy is an advanced practice dietitian, Certified Diabetes Educator and coordinator ofa Kovler’s InTransit program, a unique diabetes program for adolescents and teens with diabetes. In addition to her clinical work, Amy speaks internationally on a variety of diabetes topics and is considered an expert in the fields of diabetes technology and diabetes in adolescents. Amy was named 2009 “Diabetes Educator of the Year” by the Diabetes Care and Education practice group of the American Dietetic Association. Amy sees patients in the Hyde Park, Chicago clinic location. Carlie Paul, RD, LDN, CDE Nutrition Specialist and Diabetes Educator Carlie is a registered dietitian and certified diabetes educator at the University of Chicago Medicine Kovler Diabetes Center. Carlie enjoys working with individuals and groups to help identify their paths towards health and wellness through food. Her approach combines evidenced based nutrition information with individualized goal setting to build sustainable lifestyle changes to improve self management of diabetes. Carlie sees patients in the Hyde Park, Chicago clinic location. Taylor Durkin, RD Registered Dietitian Taylor Durkin is a registered dietitian at the University of Chicago Medicine Kovler Diabetes Center. Taylor educates patients on the importance of integrating a well-balanced eating pattern into their lives to help manage diabetes. She also supports them in developing and attaining their nutrition goals to improve health and diabetes outcomes. Taylor sees patients in the Hyde Park, Chicago clinic location.

Inpatient Diabetes Educators Regina Cox-Brown, RN, BSN, CLC Inpatient Clinical Nurse Educator Regina provides diabetes education to inpatients with diabetes throughout the University of Chicago Medicine (UCM). Regina and her team provide patients of all ages with introductions to diabetes care, one-on-one demonstrations of insulin administration, tips on medication management, and dietary recommendations. Regina has been with UCM since 2002 and has experience working in Gynecology/Oncology and OB/GYN. Regina is a Certified Lactation Counselor and taught diabetes and new parent classes in the OB/ GYN clinic.

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Nancy Jerger, BSN, RN, RD, LDN, CDE Inpatient Clinical Nurse Educator Nancy Jerger is an Inpatient Diabetes Nurse Educator serving the inpatient population with diabetes throughout the University of Chicago Medicine. Nancy and her team provides patients of all ages with introductions to diabetes care, one-on-one demonstrations of insulin administration, tips on medication management and dietary recommendations. Nancy also provides diabetes education to nurses and staff in all areas of the hospital to ensure all staff are providing the best care possible to patients with diabetes.

Clinical Research Staff Nancy Devine, RN Pediatrics Nurse Associate Nancy is a pediatric research nurse for the Section of Endocrinology. In this role Nancy recruits participants for research studies, manages research study logistics, meets with patients in the Clinical Research Center, and upholds University of Chicago Institutional Review Board (IRB) standards for each study. Nancy has prior experience in the neonatal ICU and a float nurse at the University of Chicago. Gail Gannon, APN, FNP-C Manager of Clinical Trials As Kovler’s Clinical Research Manager, Gail coordinates all aspects of the Kovler’s clinical and translational diabetes research. Gail is a family nurse practitioner who brings more than 20 years of clinical, research and education experience to the Kovler team. She has experience in the education and management of patients with sleep disorders, cardiovascular disorders, endocrine disorders and other conditions. With knowledge and expertise in a variety of clinical research and management areas, Gail integrates her experience into her clinical research role, overseeing more than 8 clinical trials for children and adults with diabetes. Lisa Letourneau, MPH, RN, LDN Registered Dietitian Monogenic Diabetes Research Study Coordinator Lisa manages projects and studies that focus on families with monogenic diabetes, rare form of diabetes caused by single gene mutations that may represent as much as 2-3 percent of all diabetes cases. Lisa is passionate about all aspects of diabetes care and has experience working with diabetes registries, type 2 diabetes prevention programs and studies to improve treatment for adolescents with type 1 diabetes.

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Ashley Cohen, BSN, RN Clinical Research Coordinator Ashley is the Kovler Diabetes Center’s Clinical Research Coordinator. In this role, Ashley assists with the execution of Kovler’s various clinical research trials including study outreach, maintenance of registries, management of volunteers, processing of samples, and initiation of new clinical trials. Ashley has over 5 years of experience as an inpatient nurse in the University of Chicago Medicine intensive care unit and the float pool, and still provides patient care at least one day a week. Ashley enjoys melding her interests in patient care, biology, and research to give hope to patients fighting for a cure to T1D and other endocrine diseases.

Patient Care Specialists Cheryl Scott Clinical Practice Administrator, Endocrinology and Endocrine Surgery Cheryl joined the University of Chicago Medicine in 2002. As Practice Administrator, Cheryl focuses on clinic operations, process improvement, patient satisfaction and service excellence. Scott stands as an advocate promoting pride in the role of supporting the providers that deliver world class care to the patients at the University of Chicago Medicine. Kristen Allen Diabetes Support Specialist Kristen is one of the first faces you’ll see in the Hyde Park, Chicago clinic. Kristen helps individuals and families check in for appointments, schedules follow-up visits and fields general questions about the Kovler Diabetes Center and our clinical research initiatives. Shannon Hunt, LCSW Clinical Social Worker Shannon is a multi-specialty social worker for the Comer Children’s Hospital. In addition to her work with Endocrinology patients, Shannon also serves nine other sub-specialties at Comer. Shannon brings over 15 years of experience to her role here at the University of Chicago Medicine with previous experience in pediatric specialties that include the Infectious Diseases/HIV program, the NICU follow-up clinic and Developmental and Behavioral Pediatrics.

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Sophie Gadomski Patient Services Representative Sophie brings over 25 years of experience of working as a Patient Services Representative in the Endocrinology Clinic. Sophie welcomes and coordinates appointments for patients. She enjoys the meaningful relationships she has formed with many patients during her long career. Valeria Jones Patient Services Representative Valeria is responsible for checking patients in and out for their appointments and coordinating follow up care with their providers. Valeria has been with the University of Chicago since 1989 and has a background in business. LaToya Bradford, BSH Clinic Liaison Support Latoya Bradford has served in several functions and leadership roles throughout theambulatory outpatient clinics at the University of Chicago Medicine since joining the team 5 years ago. In her current role, Latoya is a liaison betweenendocrine clinic providers, staff, patients, and insurance companies. She ensures that authorizations for medications and supplies are successful, a critical component toproviding positive patient treatment outcomes.

Learn more about our team: http://kovlerdiabetescenter.org/about-us/our-team/

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Key Amenities ATMs There are ATM machines located in the Bernard A. Mitchell Hospital lobby (second floor), the Goldblatt Pavilion lobby, the Duchossois Center for Advanced Medicine (DCAM) lobby and the Chicago Comer Children’s Hospital lobby.

Bill Pay You may pay both your University of Chicago Medical Center and Physicians Group bills by credit card online at www.uchospitals.edu/paybill, in person at the Outpatient Registration Office on the first floor of the Duchossois Center for Advanced Medicine (DCAM), Monday through Friday from 8:00 A.M. to 4:30 P.M., or by mail. For more information about bill pay, please visit http://www.uchospitals.edu/billing.

Chaplaincy and Spiritual Care Chaplains offer spiritual, emotional and religious support 24 hours a day, seven days a week for patients and family members. Our clinically trained chaplains from a variety of perspectives are available to support both inpatients and outpatients. Devotional material, sacraments, rosaries, electrical Sabbath candles, meditation cushions and prayer rugs are available upon request. Resources in the local community can be called on to meet further special needs. Call 773.702.6246 for more information. A chapel is located in Bernard A. Mitchell Hospital (second floor) for patients and visitors. There are two chapels available for families in both areas of the hospital, one is located in Bernard Mitchell and there is another one located in the Comer Children’s Hospital.

Food Services in the Medical Center There are a number of dining options on the University of Chicago Medicine campus, including: Au Bon Pain® (2 locations) Mitchell Hospital Lobby Daily 24 hours

Chicago Comer Children’s Hospital Lobby Daily 6:30 A.M. to 8:00 P.M.

Cafeteria Basement of Bernard A. Mitchell Hospital, near the “D” elevators Monday – Friday 6:30 A.M. to 6:30 P.M. Saturday – Sunday 7:00 A.M. to 2:30 P.M.

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Food Court 2nd floor of the Duchossois Center for Advanced Medicine (DCAM) Monday – Friday 7:00 A.M. to 4:30 P.M. Patient Meals (inpatient only) Most patients receive At Your Request Room Service Dining®, a special food service program that allows patients to order meals from an extensive menu at times when they want to eat. Qdoba Mexican Grill® East Lobby, 1st floor of the Center for Care and Discovery (CCD) Monday through Friday, 11 a.m. to 7 p.m. Sky Lobby Food Court Sky Lobby, 7th floor of the CCD Daily 24 hours Starbucks® East Lobby, 1st Floor of the CCD Daily, 7 a.m. to 9 p.m. Vending Locations Basement of Billings Hospital in the “S” corridor just east of the “C” elevator and in the basement

Gift Shop A wide selection of notions (including newspapers), snacks and gift items is available in our gift shop in the Bernard A. Mitchell Hospital lobby. It is open: Monday – Friday 7:00 A.M. to 9:00 P.M. Saturday – Sunday 8:00 A.M. to 9:00 P.M. Delivery to patient rooms is available for minimum dollar purchases. If you would like to send a gift from the Mitchell lobby gift shop, please call 773.834.1360, Monday through Friday 7:00 A.M. to 9:00 P.M., Saturday and Sunday 8:00 A.M. to 9:00 P.M. The gift shop accepts MasterCard, Visa and American Express for phone transactions. Callers must have all patient information, including first and last name and room number, before an order can be placed. Patients in the Intensive Care Unit (ICU) and those with conditions that increase their risk of infection may not receive live flowers or plants.

Information Desks Our staff can provide wheelchairs, directions to clinical areas and other assistance in each of the medical center lobbies. .

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Interpreters The University of Chicago Medical Center is committed to providing interpreters at no charge for any patients who are not fluent in English or need American Sign Language translation services. To arrange for an interpreter in advance, please call Interpreter Services at 773.702.6330 or Social Services at 773.702.1807. Or when you arrive, let a member of your healthcare team know you need an interpreter.

Mail Mail or gifts to adult patients should be addressed to:

Patient’s first and last name MC1070 (Patient Room Number) University of Chicago Medicine 5841 S. Maryland Avenue Chicago, IL 60637-1470

Telephones Calls within Chicago and nearby suburbs are free. For details on making an outside phone call, see the information on the patient’s bedside telephone. For all other calls, please purchase a debit card from machines located in the second floor lobby of Bernard A. Mitchell Hospital or in the first floor lobby of the University of Chicago Medicine Comer Children’s Hospital.

Notary Public A notary public is available on a limited basis. Contact Admitting at 773.702.6233 for information.

Patient Garden The Patient Garden is an open air space located in the Wyler Courtyard and is open to patients and visitors, weather permitting.

Pharmacy The pharmacy is located in the Duchossois Center for Advanced Medicine (DCAM) on the first floor near the gift shop. Hours are 9:00 A.M. to 5:30 P.M., Monday through Friday. The phone number is 773.834.7002. There is also a Walgreens pharmacy on Lake Park Avenue at 55th Street that is open 24 hours. The phone number is 773.667.1177.

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Recreation/Fitness Ratner Athletic Center, 5530 S. Ellis Avenue. Daily guest passes are available for $10. Please contact the On-Site Recreational Manager to arrange at 773.702.7684 or visit the website at www.athletics.uchicago.edu.

Social Work Services Our social workers provide support for you and your family, helping you to access information and resources during your hospital stay and outpatient treatment. On-Site Licensed Clinical Professional Social Workers are also available to assist with family needs and can be reached at 773.702.1807, or call the Hospital Operator at 773.702.1000, select option ‘0’, and ask to page the social worker on call if you need immediate assistance.

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University of Chicago Medicine Key Phone Numbers Billing: Clinic and Hospital Bills 773.702.6664 Billing: University of Chicago Medicine Physicians Group Bills 773.702.1150 General and Patient Information 773.702.1000 Parking Office 773.702.4381

For more information about billing, please go to: www.uchospitals.edu/billing

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Thank you for trusting us with your family’s care. We are grateful that you choose the University of Chicago Medicine Kovler Diabetes Center in the Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism. As Section Chief, I am proud of our accomplishments and commitment to the Section’s three-fold mission: (1) to provide excellence in patient care; (2) to perform cutting-edge basic, clinical and translational research in endocrine diseases, diabetes, obesity and hypertension; and (3) to provide outstanding educational opportunities for our medical professionals, medical students and fellows. The Kovler Diabetes Center is an outstanding example of our team’s commitment to this mission. Thank you for allowing us to serve you and your family. Ronald Cohen, MD Associate Professor of Medicine Chief, Section of Adult and Pediatric Endocrinology, Diabetes & Metabolism

TheThe University University of Chicago of Chicago Medicine Medicine Section Section of Endocrinology, of Endocrinology, Diabetes, Diabetes, and and Metabolism Metabolism

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NOTES Use this space to record questions for your doctor, notes from your visit and the date(s) of your next appointment(s).

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The University of Chicago Medicine Section of Endocrinology, Diabetes, and Metabolism


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