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, 2018. 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: 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.


Answer: C

  • Omada — Omada is a clinically designed, online weight loss program that helps qualified individuals reduce their risk of developing type 2 diabetes. BJC Medical Plan members age 18 or older with a BMI of 24 or over (22 or over if Asian) are eligible at no cost. Omada provides participants with a personal health coach and a smart digital scale. Visit Omada,, to complete an eligibility form.

  • Livongo for Diabetes Program — This program for diabetics combines advanced technology with around-the-clock support to make living with diabetes easier. BJC Medical Plan members age 18 or older, diagnosed with type 1 or type 2 diabetes, are eligible at no cost. Livongo provides participants with a connected glucose meter, access to certified diabetes educators, and unlimited test strips and lancets shipped to their home. Call Livongo at 800.945.4355 (registration code: BJC).

  • Nutrition counseling services — BJC Medical Plan members are entitled to up to $1,000 worth of nutrition counseling services per calendar year, with no out-of-pocket expenses through a provider in the BJC Facility Network or Cigna OAP Network.

Commit to diabetes awareness in November — Deadline November 30, 2018

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.