Notes :

1. Title: Got Diabetes? Scene : Cover Slide Slide number: 1 Concept: Animation: No Graphics: No Audio: No Notes: Got Diabetes? Story Board Yvonne Lewis EDD 545 E-Learning Design September 29, 2014 Instructor: Kathryn Wyatt Text/Audio Narration:

2. Title: Adults at High Risk to Develop Diabetes Scene : Slide number: 2 Concept: Animation: No Graphics: Yes Audio: No Notes: Charts can be aligned center. Can make numbers a little larger and retain bold. Please use Times Romans font throughout the entire presentation. Adults at High Risk to Develop Diabetes Text/Audio Narration:

3. Title: Diabetes Epidemic Scene : Slide number: 4 Concept: Animation: No Graphics: Yes Audio: No Diabetes Epidemic Notes: The dot indicators do not stay with the map so be careful when moving around. If you can make the dots stay within by combining it somehow that would be great. 1994 Prevalence of Diabetes 2000 Prevalence of Diabetes 2010 Prevalence of Diabetes “Diabetes kills more Americans each year than breast cancer and AIDS combined” (Spollett., 2013, pg. 60). Text/Audio Narration:

4. Title: Are you the face of diabetes? Scene : Slide number: 3 Concept: Animation: Yes/No Graphics: Yes/No Audio: Yes/No Notes: The color is fine with the graph line. You may place a border around each picture as depicted. 7.6% 9.0% 12.8% 13.2% 15.9% Native Alaskans Text/Audio Narration:

5. Title: Are you the face of diabetes? Scene : Slide number: 3 Concept: Animation: Yes/No Graphics: Yes/No Audio: Yes/No Notes: The color is fine with the graph line. You may place a border around each picture as depicted. 8.8% Americans 13.0% 11.3% 4.4% Text/Audio Narration:

6. Title: Are you the face of diabetes? Scene : Slide number: 3 Concept: Animation: Yes/No Graphics: Yes/No Audio: Yes/No Notes: The color is fine with the graph line. You may place a border around each picture as depicted. 14.8% 13.9% Americans 9.3% 8.5% South Americans Text/Audio Narration:

7. Title: Adults at High Risk to Develop Diabetes Scene : Slide number: 2 Concept: Animation: No Graphics: Yes Audio: No Notes: Charts can be aligned center. Can make numbers a little larger and retain bold. Please use Times Romans font throughout the entire presentation. Who is at greater risk to develop diabetes? What race of people are at greater risk of developing diabetes type 2? • Caucasians • Asian Americans • Native Indians/Native Alaskans What percentage of Hispanics have diabetes in the U.S.? • 13.9% • 14.8% • 12.9% Among Hispanic adults, who are at greater risk of developing diabetes? • Cubans • Mexican Americans • Puerto Ricans What percentage of African-Americans have diabetes type 2 in the U.S. • 12.8% • 13.2% • 13.9% The prevalence of diabetes is greatest in? • Texas x • California • Idaho What percentage of Asians have diabetes in the U.S.? • 7.5% • 8.8% x • 9.2% By 2031 what is the projected number of those at risk of diabetes? • 66.1 million • 86 million • 70 million Where are the majority of cases of diabetes most prominent in the U.S.? • East Coast/Southern Section of the U.S. • Southern section of the U.S. • Midwest section of the U.S. Text/Audio Narration:

8. Title: Adults at High Risk to Develop Diabetes Scene : Slide number: 2 Concept: Animation: No Graphics: Yes Audio: No Notes: Charts can be aligned center. Can make numbers a little larger and retain bold. Please use Times Romans font throughout the entire presentation. Who is at greater risk to develop diabetes? Answer Key The prevalence of diabetes is greatest in? • Texas • California • Idaho What percentage of Asians have diabetes in the U.S.? • 7.5% • 8.8% • 9.2% By 2031 what is the projected number of those at risk of diabetes? • 66.1 million • 86 million • 70 million Where are the majority of cases of diabetes most prominent in the U.S.? • East Coast/Southern Section of the U.S. • Southern section of the U.S. • Midwest section of the U.S. What race of people are at greater risk of developing diabetes type 2? • Caucasians • Asian Americans • Native Indians/Native Alaskans What percentage of Hispanics have diabetes in the U.S.? • 13.9% • 14.8% • 12.9% Among Hispanic adults, who are at great risk of developing diabetes? • Cubans • Mexican Americans • Puerto Ricans What percentage of African-Americans have diabetes type 2 in the U.S. • 12.8% • 13.2% • 13.9% Text/Audio Narration:

9. Title: Course Objective Scene : Slide number: 5 Concept: Animation: No Graphics: No Audio: No Notes: Make sure there is plenty of white space. If you can increase the font size in the slide that’s fine. I want it to stand out. Course Objective Educate participants about the importance of understanding diabetes. Increase awareness regarding lifestyle modification and diabetes. Know the symptoms of diabetes. Know who is at risk of getting diabetes. Learn how to minimize risk of Diabetes Type 2. Text/Audio Narration:

10. Title: Performance Based Objective Scene : Slide number: 6 Concept: Animation: No Graphics: No Audio: No Performance Based Objective Notes: Make sure there is plenty of white space. If you can increase the font size in the slide that’s fine. I want it to stand out. Maybe you could change the color of each PBO? 1.  Participants at risk of developing diabetes will know the key symptoms of diabetes with a 95% accuracy. 2.  Participants will know the difference between Type 1 and Type 2 Diabetes Mellitus with a 99% accuracy. 3.  Participants will learn how to count carbohydrates to manage food intake with a 95% accuracy. Text/Audio Narration:

11. Title: What is Diabetes Type 2 Scene : Slide number: 7 Concept: Animation: No Graphics: No Audio: No Notes: Use Times Roman 26 point for heading, 24 font for body. Make sure there is adequate white space. What is Diabetes Type 2? This chronic condition impedes the body's ability to use the carbohydrates in food for energy. The result is elevated blood sugar which places the person at risk of serious medical conditions. Symptoms are subtle and most people do not realize they have it. Type 2 diabetes is typically attributable to lifestyle choices and the body still produce some insulin. Do you know the symptoms? Text/Audio Narration:

12. Title: What is Diabetes Type 1 Scene : Slide number: 8 Concept: Animation: No Graphics: No Audio: No Notes: Use Times Roman 26 point for heading, 24 font for body. Make sure there is adequate white space. What is Diabetes Type 1? Type 1 diabetes (T1D) is an autoimmune disease in which a person’s pancreas stops producing insulin, a hormone that enables people to get energy from food. It occurs when the body’s immune system attacks and destroys the insulin-producing cells in the pancreas, called beta cells. Insulin must be administered daily via injections or insulin pump. Text/Audio Narration:

13. Title: Adults at High Risk to Develop Diabetes Scene : Slide number: 2 Concept: Animation: No Graphics: Yes Audio: No Notes: Charts can be aligned center. Can make numbers a little larger and retain bold. Please use Times Romans font throughout the entire presentation. Do you know the symptoms of Diabetes? Can you name five symptoms of diabetes? 1. ______________________________________ 2. ______________________________________ 3. ______________________________________ 4. ______________________________________ 5. _______________________________________ What should you do if you think you have diabetes? Text/Audio Narration:

14. Title: What are the symptoms of diabetes? Scene : Slide number: 9 Concept: Animation: No Graphics: Yes Audio: No Notes: Picture should appear on the right side, text on left in bullet formation. What are the symptoms of diabetes? • Frequent urination • Excessive thirst • Increased hunger • Sudden weight loss • Tiredness • Lack of interest and concentration. • A tingling sensation or numbness in the hands or feet. • Blurred vision • Wounds will not heal • Sexual problems • Vaginal infections Text/Audio Narration:

15. Title: Are you at risk to develop diabetes? Scene : Slide number: 10 Concept: Animation: No Chart: Yes Audio: No Notes: This chart for learner to fill in. Make sure the chart does refortmat after selection. Also see if you can decrease the column width for the Yes and No columns. I did not know how to do that. Are you at risk to develop diabetes? 5pts 5pts 10pts 10pts 10pts 10pts 5pts 10pts 10pts 15pts = Low Risk 40 pts = Moderate Risk 60 pts = High Risk Text/Audio Narration:

16. Title: You are what you eat. So count it. Scene : Slide number: 11 Concept: Animation: No Graphics: Yes Audio: No Notes: Make sure you note the link for Calorie King so the learner can click to access it. Make sure the amount of time necessary to burn calories are in bold. Distribute the food items so they are balanced on the slide. You are what you eat. So count it. Carbohydrate counting is a diet management tool useful for type 1 and 2 diabetes. Carbohydrate counting is taking the amount of carbohydrate in foods and using that information to help manage your blood sugar levels. Carb counting is a way to help balance your carbohydrate intake throughout the day. Carbs have a direct relation to blood sugar readings. Fruit, starchy vegetables (peas, corn, potato, beans), breads, cereals, grains, milk, and yogurt contain carbohydrates. However, fruits and vegetables cause less fluctuation in glucose levels. Breads, grains, and cereals can cause a spike in blood sugars so be aware. Go to Calorie King for a complete list of foods and carbohydrates. 53 Calories 15 carbs Need to walk for 15 minutes to burn calories. 45 Calories 15 carbs Need to walk for 13 minutes to burn calories. 166 Calories 40 carbs 1 cup Need to walk for 46 minutes to burn calories. 190 Calories Calories from fat 99 80 carbs Need to walk for 53 minutes to burn calories. 143 Calories 50 carbs Need to walk 40 minutes to burn calories. Text/Audio Narration:

17. Title: You are what you eat. So Count it. Scene : Slide number: 12 Concept: Animation: No Graphics: Yes Audio: No Notes: Display the foods and calorie information on the right side of the food. Make sure they are balanced on the slide. Bold the amount of insulin. Make sure you note the link for Calorie King so the learner can click to access it. You are what you eat. So count it. For those on insulin, the amount of carbs will be matched with the dose of insulin you will inject. Note the amount of insulin necessary to control the blood sugar and the amount of exercise necessary to burn the calories. Remember more carbs, more insulin, and more exercise. Check the nutrition facts panel for carb content of specific foods. Go to Calorie King for a complete list of foods and carbs. 45 Calories 15 carbs Need to walk for 13 minutes to burn calories 1 Unit of Insulin 53 Calories 15 carbs Need to walk for 15 minutes to burn calories 1 Unit of Insulin 166 Calories 40 carbs 1 cup Need to walk for 46 minutes to burn calories 2-1/2 Units of Insulin 190 Calories Calories from fat 99 80 carbs Need to walk for 53 minutes to burn calories 5-1/2 Units of Insulin 143 Calories 50 carbs Need to walk 40 minutes to burn calories 3-1/2 Units of Insulin Text/Audio Narration:

18. Title: Diabetes 7 Self-Care Behaviors Scene : Slide number: 13 Concept: Animation: No Graphics: Yes Audio: No Notes: Make sure the pictures are placed evenly within the slide with the caption underneath. And there is plenty of white space. Diabetes 7 Self-Care Behaviors It is important to take ownership of your health and become an active participant willing to acquire knowledge, make lifestyle changes to live a healthy life. Problem solving especially for high and low glucose levels Follow medical advice and medication protocol Engage in physical activity Monitor blood glucose level Living with diabetes – Psychosocial adaptation Eat healthy Reducing risks of diabetes complications. Text/Audio Narration: Diabetes demands diligence and daily self-management inclusive of lifestyle changes which warrant training and ongoing support. The factors are contributory to better glycemic control and minimize risk of developing long term medical complications. These seven health related self-care behaviors have been identified as measureable outcomes of effective diabetes education

19. Title: Reduce Risk of Diabetes Scene : Slide number: 14 Concept: Animation: No Graphics: Yes Audio: No Notes: Make sure the chart is placed center below. Reduce Risk of Diabetes Glycosylated hemoglobin (hemoglobin A1c) is a test that measure your average blood glucose level for the past three months (12 weeks). Target HbA1c is usually within the range of less than 7.0. Text/Audio Narration:

20. Title: Diabetes Knowledge Test Scene : Slide number: 15 Concept: Animation: No Graphics: No Audio: No Notes: Short test to be administered to participants to determine their level of knowledge about diabetes. This is a simple assessment regarding food, exercise, symptoms of diabetes. Diabetes Knowledge Assessment Test Which of the following is highest in carbohydrate? a. Baked chicken b. Swiss cheese c. Baked potato Glycosylated hemoglobin (hemoglobin A1c) is a test to measure your average blood glucose level for the past a. day b. week c. 12 weeks Which should not be used to treat low blood glucose? a. 3 hard candies b. 1/2 cup orange juice c. 1 cup diet soft drink Eating foods lower in fat decreases your risk for: a. nerve disease b. kidney disease c. heart disease d. eye disease • For a person in good control, what effect does exercise have on blood glucose? • a. Lowers it • b. Raises it • c. Has no effect • What effect does fruit juice have on blood glucose? • a. Lowers it by going directly into blood stream • b. Raises it by going directly into blood stream • c. Has no effect • Numbness and tingling may be symptoms of: • a. kidney disease • b. nerve disease • c. eye disease • d. liver disease • What food has more carbohydrates and calories • apple • 1 cup of oatmeal • orange • 12 oz Coca-Cola Text/Audio Narration:

21. Title: Diabetes Knowledge Test Answer Key Scene : Slide number: 16 Concept: Animation: No Graphics: No Audio: No Notes: Answer Key to Diabetes Knowledge Assessment Diabetes Knowledge Assessment Test Answer Key Which of the following is highest in carbohydrate? a. Baked chicken b. Swiss cheese c. Baked potato Glycosylated hemoglobin (hemoglobin A1c) is a test to measure your average blood glucose level for the past a. day b. week c. 12 weeks Which should not be used to treat low blood glucose? a. 3 hard candies b. 1/2 cup orange juice c. 1 cup diet soft drink Eating foods lower in fat decreases your risk for: a. nerve disease b. kidney disease c. heart disease d. eye disease • For a person in good control, what effect does exercise have on blood glucose? • a. Lowers it • b. Raises it • c. Has no effect • What effect does fruit juice have on blood glucose? • a. Lowers it by going directly into blood stream • b. Raises it by going directly into blood stream • c. Has no effect • Numbness and tingling may be symptoms of: • a. kidney disease • b. nerve disease • c. eye disease • d. liver disease • What food has more carbohydrates and calories • apple • 1 cup of oatmeal • orange • 12 oz Coca-Cola Text/Audio Narration:

22. Title: References Scene : Slide number: 17 Concept: Animation: No Graphics: No Audio: No Diabetes Knowledge Assessment Test Notes: Make sure the test are aligned side by side. 1 Slice of wheat bread is 15 carbs and 2oz of Turkey is 3 carbs. You make a sandwich 2 slices of bread. How many total carbs? a. 32 carbs b. 30 carbs c. 42 carbs You have your quarterly visit to the endocrinologist, your HbA1c is 8 is this a. Out of target range b. In target range Which is not a symptom of diabetes? a. Frequent Urination b. Insatiable Thirst c. Receding hairline If you ate a glazed donut, how long would you need to walk to burn the calories? a. 53 minutes b. 120 minutes c. 70 minutes d. 30 minutes • What are three diabetes self -care behaviors? • a. _________________________ • b. _________________________ • c. _________________________ • If you drank a 12 Coca-Cola and ate a slice of whole wheat bread, what are the total carbs? • a. 250 carbs • b. 198 carbs • c. 153 carbs • Which diabetes is attributable to lifestyle choices? • a. Diabetes Type 1 Mellitus • b. Diabetes Type 2 Mellitus • What does the pancreas stop producing in this autoimmune disease? • adrenaline • lycopene • insulin Text/Audio Narration:

23. Title: Diabetes Knowledge Assessment Key Scene : Slide number: 18 Concept: Animation: No Graphics: No Audio: No Diabetes Knowledge Assessment Test Answer Key Notes: Make sure the test are aligned side by side. Diabetes Knowledge Assessment Test Answer Key 1 Slice of wheat bread is 15 carbs and 2oz of Turkey is 3 carbs. You make a sandwich 2 slices of bread. How many total carbs? a. 32 carbs b. 30 carbs c. 42 carbs You have your quarterly visit to the endocrinologist, your HbA1c is 8 is this a. Out of target range <7 b. In target range >8 is good Which is not a symptom of diabetes? a. Frequent Urination b. Insatiable Thirst c. Receding hairline If you ate a glazed donut, how long would you need to walk to burn the calories? a. 53 minutes b. 120 minutes c. 70 minutes d. 30 minutes • What are three diabetes self -care behaviors? • a. Physical Activity • b. Healthy Diet • c. Testing Glucose levels • If you drank a 12 Coca-Cola and ate a slice of whole wheat bread, what are the total carbs? • a. 250 carbs • b. 198 carbs • c. 158 carbs • Which diabetes is attributable to lifestyle choices? • a. Diabetes Type 1 Mellitus • b. Diabetes Type 2 Mellitus • What does the pancreas stop producing in this autoimmune disease? • adrenaline • lycopene • insulin Text/Audio Narration:

24. Title: Resources with Links Scene : Slide number: 19 Concept: Animation: No Graphics: No Audio: No Notes: The hyperlinks are included but make sure they work by testing them. Resources with Links Lilly Diabetes JDRF Diabetes Facts American Diabetes Association Statistics Calorie King Calorie Counter Text/Audio Narration:

25. Title: References Scene : Slide number: 20 Concept: Animation: No Graphics: No Audio: No Notes: Make you use the hanging indent on the references. I could not get it to work. References Mainous, A., Baker, R., Koopman, R., Saxena, S., Diaz, V., Everett, C., & Majeed, A. (2007). Impact of the population at risk of diabetes on projections of diabetes burden in the United States: An epidemic on the way. Diabetologia, 50(5), 934-940. doi 10.1007/s00125-006-0528-5 National Diabetes Statistics Report. (2014). Statistics about diabetes. Retrieved from http://www.diabetes.org/diabetes-basics/statistics/ Spollett, Geralyn R, MSN,A.N.P.-C.S., C.D.E. (2013). Diabetes: Treating the coming tsunami. Diabetes Spectrum, 26(1), 58-62. Retrieved from http://search.proquest.com/docview/1346631752?accountid=458 Text/Audio Narration: