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You’re in Control

The Diabetes Self-Management Program offered by St. Luke’s Cornwall Hospital helps patients understand and live with the disease. With proper attention and maintenance, the Diabetes Self-Management Program can reduce their risk of developing diabetes-related complications, including blindness, kidney disease and kidney failure, amputation, coronary heart disease and heart attack, and stroke.


Topics covered during the program include: • • • • • • • • •

Diabetes Overview Blood Glucose Monitoring Medication/Insulin Stress/Social Support Nutrition/Exercise Complications of Diabetes Sick Day/Travel Management Community Resources Setting and Achieving Goals A diabetic lunch will be provided.

The Diabetes Self-Management Program is recognized by the American Diabetes Association and is covered by most health insurance plans. Call, or send in the form inside, to learn when the next session begins.

SLCH #1584 1014

70 Dubois Street Newburgh, NY 12550

Classes are held at both St. Luke’s Cornwall Hospital’s Newburgh campus, 70 Dubois Street, and Cornwall campus, 19 Laurel Avenue. For more information on this program, or the Diabetes Support Group, call (845) 568-2878.

An eight-hour program on maintaining good health


DIABETES SELF-MANAGEMENT FORM We will contact you to determine which program schedule best meets your needs.

Name Address


Find out about various oral diabetes medications and insulin, and how they work.



Learn how stress can alter blood sugars, healthy ways to manage stress, and how to identify and rely on support systems.


An Eight-Hour Educational Program DIABETES OVERVIEW

This introductory session separates fact from fiction, explaining what diabetes is, and its effects on the body. Learn the differences between Type I and Type II Diabetes, and the ways in which they are treated.


Learn the various methods used to monitor blood sugars, the importance of home testing and record keeping, and the role exercise plays in managing blood sugar and improving overall well-being.

(Home) (Work) (Cell)

Proper diet is essential to the management of diabetes. A dietitian discusses a variety of dietary treatment options.

☐ I give my permission for a message to be left at the telephone


Patient Signature

Learn the causes of, and treatment for acute blood sugar reactions, and the possible long-term side effects of unmanaged diabetes.


Many diabetes-related problems of the skin, vision, feet and teeth can be avoided by taking precautions. Learn ways to reduce your risk.


Learn how minor illnesses such as cold or flu can affect diabetes, and how you can manage it. Tips for safe, relaxed travel are also covered, as are community resources for diabetics. Local resources that diabetics may access for further information or follow-up care are also discussed. This comprehensive program, conducted in a small-group setting, is designed to improve the diabetic’s health and quality of life.

numbers listed above.

Doctor I have: ☐ Type 1 Diabetes ☐ Type 2 Diabetes

Type of Insurance

Please send this registration form to: St. Luke’s Cornwall Hospital Diabetes Self-Management Program c/o Dorothea Lever 70 Dubois Street Newburgh, NY 12550 For more information on this program, call (845) 568-2878. Check our community calendar for the Diabetes Support Group.

SLCH Diabetes Self-Management Program