American Diabetes Month Quiz & Pledge Form

One winner from each hospital and BJC’s shared services/service organizations will be randomly chosen to win a convenient, Blue Apron meal-kit service featuring healthy menus delivered to home. The kit includes the equivalent of three meals per week for two people, for four weeks.

To be eligible for the drawing, complete the quiz, e-sign the form below and submit by November 30, 2017. Only one entry per employee will be eligible.

Winners will be announced in BJC TODAY and on BJCnet.

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Answer: C — Diabetes is defined as a disease in which the body’s ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose (sugar) in the blood and urine. In type 1 diabetes, the pancreas no longer makes insulin and, therefore, blood glucose (sugar) cannot enter the cells to be used for energy. In type 2 diabetes, either the pancreas doesn’t make enough insulin or the body is unable to use insulin correctly.

Answer: A — According to the American Diabetes Association, in 2015, 84.1 million Americans age 18 and older had pre-diabetes. Pre-diabetes is a condition in which blood glucose levels are higher than normal but aren’t high enough for a diagnosis of diabetes. Other names for pre-diabetes are impaired glucose tolerance and impaired fasting glucose. 
There are no clear symptoms of pre-diabetes, so, it’s possible to have it and not know it. People usually find out they have pre-diabetes when being tested for diabetes. Results indicating pre-diabetes are:
  • an A1C of 5.7% – 6.4%
  • fasting blood glucose of 100 – 125 mg/dl
  • an oral glucose tolerance test result of 140-199 mg/dl

Although people with pre-diabetes are at increased risk for developing type 2 diabetes and cardiovascular disease, you won’t automatically develop type 2 diabetes if you have pre-diabetes. For some people with pre-diabetes, early treatment can actually return blood glucose levels to the normal range.

Research shows that you can lower your risk for type 2 diabetes by 58 percent by:

  • losing 7 percent of your body weight (that means losing 14 pounds if you weigh 200 pounds) 
  • exercising moderately (such as brisk walking) 30 minutes a day, five days a week
Answer: B — Common symptoms of diabetes include: 
  • urinating often
  • feeling very thirsty
  • feeling very hungry — even though you’re eating
  • extreme fatigue
  • blurry vision
  • cuts/bruises that are slow to heal
  • weight loss — even though you’re eating more
  • tingling, pain or numbness in the hands/feet

These symptoms of diabetes are typical; however, some people with type 2 diabetes have symptoms so mild that they go unnoticed.

Answer: C

— The Omada program for employees: Omada is an online program clinically designed to help pre-diabetic participants reduce their risk of developing type 2 diabetes. Omada guides participants through a 16-week core curriculum with personalized health coaching, a small support group, digital tracking tools — including a digital scale that’s synched with the program and mobile devices — and more. 

In a published Omada study, after 16 weeks, participants in the program, on average, lose 4-5 percent of their body weight and Omada’s two-year data show they maintain the weight loss. 

Omada is available free for BJC Medical Plan participants and their spouses who meet certain criteria. For more information about the program, visit the Omada website

Outpatient dietitians at BJC hospitals: BJC employees, spouses and dependents enrolled in the BJC Medical Plan are entitled to up to $1,000 worth of nutrition counseling services per calendar year, with no out-of-pocket expenses, as long as the services are received from providers in the BJC Facility Network or Cigna Open Access Plus (OAP) Network. Go to the BJC Total Rewards website  for a list of nutrition counseling services across BJC.

Livongo for Diabetes program: BJC also offers the Livongo for Diabetes program at no cost to eligible 2017 BJC Medical Plan participants and covered family members (age 18 and older) who have been diagnosed with type 1 or type 2 diabetes. To date, 725 BJC Medial Plan participants have enrolled in the Livongo for Diabetes program. 

Those enrolled in the program receive the Livongo “connected” glucose meter, which uses cellular technology to automatically upload blood glucose readings to the participant’s private, online account that resides on Livongo’s secure website. After each reading, program participants receive immediate feedback to help them manage their diabetes effectively. 

In addition to the meter, participants have access to real-time, personalized support from Livongo coaches. Coaches are certified diabetes educators who are available anytime by phone, email, text or mobile app to give personalized guidance on blood glucose readings, nutrition or lifestyle changes. Program participants also get unlimited test strips and lancets mailed to their home at no cost. 

To learn more, visit the Livongo for Diabetes program website (registration code: BJC) or call Livongo Member Support, toll-free 800.945.4355

Answer: A — Diabetes increases your risk for many serious health problems, and there’s a big link between diabetes, heart disease and stroke. In fact, two out of three people with diabetes die from heart disease or stroke, also called cardiovascular disease. 
The good news is that good diabetes control can reduce your risks for diabetes complications, including heart and blood vessel disease. Even if you have heart disease or have already had a heart attack or a stroke, every step you take to keep your ABCs (A1C, blood pressure and cholesterol) in your target range will help lower your risk of future heart disease or a stroke.

With the correct treatment and recommended lifestyle changes, many people with diabetes are able to prevent or delay the onset of complications, including cardiovascular disease.


Commit to diabetes awareness in November — Deadline November 30, 2017

By entering my name below, I pledge to: 

  • Have a diabetes screening test based on American Diabetes Association guidelines or the advice of my doctor during the next year. Note: A blood glucose screening is available to BJC employees free of charge during the annual employee health fairs.
  • Promote healthy nutrition and exercise during the next year.