Diabetes Clinic Diabetes Education Centres help support individuals living with diabetes to achieve optimal wellness. Diabetes Education Centres can help you whether you’ve recently been diagnosed with diabetes or have been living with diabetes for years. The nurses, dietitians, pharmacists, along with other health care professionals, are available to help you manage your diabetes through support and education. Both group classes and individual appointments can help you gain the knowledge to manage your diabetes. Diabetes Education Centres Fredericton Region Moncton Region About Facility Details The Fredericton Diabetes Resource Centre offers a range of services for children and adults living with type 1 diabetes, type 2 diabetes, gestational diabetes, and prediabetes. Staff include registered dietitians and nurses (certified diabetes educators), as well as a social worker and podiatrist. Self referrals are accepted as well as referrals from health care professionals. Services offered: Adult individual and group appointments Pediatric diabetes clinic, education, and services Classes for newly diagnosed and pre-diabetes Insulin and medication adjustment Comprehensive diabetes education and support – lifestyle, diet, and diabetes management counselling High-Risk Diabetes Foot Clinic Smoking cessation counselling Tips for your visit We recommend you bring: A record of your latest blood sugar tests to every appointment A list of all your medications Something to take notes with Any questions and concerns you may have A family member or friend – they may be helpful in remembering new information Fredericton Diabetes Resource Centre Suite 501, 1015 Regent St. Fredericton, New Brunswick, E3B 6H5 506-452-5180 Oromocto Public Hospital 103 Winnebago St. Oromocto, New Brunswick, E2V 1C6 506-357-4700 Region: Fredericton Telephone: 506-452-5180 Hours of Operation: Monday to Friday, 8 a.m. to 4 p.m. Other Notes: The clinic is located in Suite 501, 1015 Regent St. Parking is $3 for the day. The clinic is a hospital service which is located off site – all services are covered by Medicare. About Facility Details Tips for Your Visit Diabetes Education Classes Moncton Diabetes Peer Support Group Helpful Resources In 2016, there were 87,000 people living with diabetes and 174,000 people living with prediabetes in New Brunswick (Diabetes Charter for Canada). Diabetes is a chronic condition where your body is either unable to use or make enough insulin. Insulin controls the amount of sugar in your blood. Without insulin, your body is unable to use the sugar for energy and this results in high blood sugar levels. If not treated, high blood sugar can damage your blood vessels and can lead to other health problems. Prediabetes is when your blood sugar levels begin to rise but are not high enough to diagnose as diabetes. With support, making lifestyle changes can signficantly decrease your chances of getting diabetes. Healthier eating, physical activity, and losing weight can all contribute to a reduced risk of developing diabetes. The Diabetes Education Centres help support people living with diabetes and prediabetes to achieve wellness. The Diabetes Education Centres can help you if you have been recently diagnosed with diabetes or have been living with diabetes for years. The education centres can help you set goals to improve wellness no matter what stage of your adult life. The nurses, dietitians, pharmacists, and other healthcare providers can help you manage your diabetes through support and education. Both group classes and individual appointments are available. Regions Served: Moncton, Sackville, and surrounding areas. Moncton Location: Clinic A, The Moncton Hospital. 135 MacBeath Avenue. The clinic is located in the Irving Ambulatory Care Centre. Underground parking can be accessed by Walsh Street. Parking is also available across from main entrance of hospital. Parking is $2 per hour, cash only. Hours of Operation: Monday to Friday, 8 a.m. to 4 p.m. Telephone: (506) 857-5269 Sackville Location: The Sackville Memorial Hospital. 8 Main Street. Free parking is available. Hours of Operation: Monday to Thursday, 8 a.m. to 4 p.m. Telephone: (506) 364-4247 For more information about medications or diabetes management, talk to your health care provider or call the Diabetes Education Centre to book an appointment. Outside of regular clinic hours, call 811 (Telehealth) for health information. In case of emergency, call 911 immediately. Please note, the Pediatric Diabetes Clinic is located in the 1600 Unit (Pediatrics) of The Moncton Hospital. This clinic is available for children under the age of 18. Speak to your health care provider to set up an appointment. We recommend you bring: A record of your latest blood sugar tests to every appointment A list of all your medications Something to take notes with Any questions and concerns you may have A family member or friend – they may be helpful in remembering new information Classes are held in a group setting at The Moncton Hospital in Clinic A and are taught by dietitians and nurses. Pre-Diabetes Class Topics discussed in this class include: What can put you at higher risk for getting type 2 diabetes How to lower your risk with lifestyle changes (e.g., weight loss, healthy eating) Making healthier food choices How to start an exercise program and the benefits of physical activity Basic Class: Introduction to Living with Diabetes In this class we will talk about: What diabetes is How you feel about living with diabetes How to live well with diabetes Why it is important to check your blood sugar level and have regular blood tests What does a low blood sugar mean and how to cope with lows Managing diabetes through healthy eating, keeping active and taking medications Healthy Eating and Keeping Active In this class you will learn about the following topics: Healthy eating and keeping active and how these affect your diabetes Which food groups will affect your blood sugar levels What, how much, and when you should be eating Using the food guide to make meals Reading food labels Working through challenges of eating healthy and keeping active How to keep active Setting goals and involving your support network (e.g. family, friends) Best Foot Forward Topics in this class include: How diabetes can affect your feet How to care for your feet and why it is important Protecting your feet and wearing the right shoes Staying healthy with diabetes (e.g., blood pressure, cholesterol, etc.) Types of medications for diabetes Over-the-counter medications that may affect your diabetes Review of blood sugar testing and 3-month sugar test (A1C) Physical activity Foot exam and blood pressure checks are done This is a group of people living with diabetes who meet once a month to talk about their experiences. Some people are newly diagnosed and others have lived with diabetes for years. The goal of this group is to share information and ideas about diabetes rather than to give medical advice. This program covers a wide range of topics. Some meetings have a guest speaker, while others are more informal. These meetings are a safe space to discuss any challenges of living with diabetes and to get support from peers. The meetings run from September to May, every third Tuesday of the month. For more information contact: Robert Surette (506) 532-4965 Nutrition Nutrition is a very important part of managing your diabetes. One thing to pay attention to is the portions on your plate. A balanced diet is very helpful to control your blood sugar levels. A balanced meal includes half a plate of vegetables, one quarter protein, and the last quarter carbohydrates, with a fruit and dairy choice. Below are some links to help you meet this balance: Diabetes Quebec: The Balanced Plate Diabetes Quebec: Adapting Your Recipes Diabetes Canada: Basic Carb Counting Physical Activity Physical activity is an important step in managing your diabetes. An increase in physical activity helps your muscles use the sugar from your food. Below are some links to help you boost your activity level and learn more about how exercise affects diabetes: Public Health Agency of Canada: Physical Activity & Diabetes Diabetes Canada: Your Exercise Prescription Setting Goals to Live Well The Live Well! Bien Vivre! program offers health coaches that work with you to achieve your health goals. The services are free to participants and are personalized to meet your needs. For more information, visit the Live Well! Bien Vivre! website. High & Low Blood Sugar Levels There are several reasons to check your blood sugar: to learn the effects of food and activity, why you may not be feeling well, and to check for highs and lows. Frequent high blood sugar levels can cause damage to your blood vessels and lead to other health problems. If you find your blood sugars are often high, speak to your health care provider about adjusting food choices, physical activity, or medication. Some signs that your sugars are getting too high are: Extreme thirst Needing to pee often Very dry skin or mouth Blurred vision Extreme tiredness or drowsiness Slow healing wounds Having a low blood sugar level can become an emergency. When testing your blood sugar, a low blood sugar is any result below 4. Signs and symptoms of low blood sugar can be: Sweating Dizziness Shakiness Fast heartbeat Anxiety Hunger Blurred vision Weakness or fatigue Headache Irritability Numbness or tingling of the tongue or lips If you are feeling any of these symptoms, you should check your blood sugar immediately. For more information on how to treat your low sugars, see the link below: Diabetes Canada: Lows and Highs Mental Health and Diabetes As with any change in health and lifestyle, living with diabetes can be stressful and lead to mental health challenges. It is important to maintain good mental health for motivation and success in your diabetes management. If you are facing challenges with your mental health, please talk to your health care provider. For more information about how your mental health can affect your diabetes management, click the link below. Diabetes Canada: Diabetes and Mental Health Diabetes Quebec: Stress, Adjusting to Diagnosis, and Mental Health Concerns Smoking Cessation Quitting smoking is one of the most important things people living with diabetes can do to help slow down or prevent complications. Smoking causes heart disease, high blood pressure, and the hardening of blood vessels. For people with diabetes, smoking drastically increases the risk for complications. Diabetes Canada: Smoking & Diabetes Smokers’ Helpline – 1-877-513-5333 (toll free) Assistance is also available through the Live Well! Bien Vivre! Program and through your Diabetes Education Centre. Gestational Diabetes Gestational diabetes is a type of diabetes that happens only during pregnancy. It is very important for women with gestational diabetes to work together with their health care team to ensure the delivery of a healthy baby. Learn more: Diabetes Canada: Gestational Diabetes Diabetes Quebec: Pregnancy in Diabetes Horizon locations offering this service: Fredericton Facility Name Address Phone Fredericton Diabetes Resource Centre (DECRH) Suite 501, 1015 Regent St., Fredericton, New Brunswick, E3B 6H5 506-452-5180 Oromocto Public Hospital 103 Winnebago St., Oromocto, New Brunswick, E2V 1C6 506-357-4700 Miramichi Facility Name Address Phone Miramichi Regional Hospital 500 Water St., Miramichi, New Brunswick, E1V 3G5 506-623-3000 Neguac Health Centre 38 Otho St., Neguac, New Brunswick, E9G 4H3 506-776-3876 Moncton Facility Name Address Phone Sackville Memorial Hospital 8 Main St., Sackville, New Brunswick, E4L 4A3 506-364-4100 The Moncton Hospital 135 MacBeath Ave., Moncton, New Brunswick, E1C 6Z8 506-857-5111 Port Elgin and Region Health Centre 33 Moore Rd., PO Box 1557, Port Elgin, New Brunswick 506-538-2140 Petitcodiac Health Centre 32 Railway Ave., PO Box 2501, Petitcodiac, New Brunswick 506-756-3400 Albert County Community Health Centre 8 Forestdale Rd., Riverside-Albert, New Brunswick, E4H 3Y7 506-882-3100 Saint John Facility Name Address Phone St. Joseph's Hospital (Saint John) 130 Bayard Dr., Saint John, New Brunswick, E2L 3L6 506-632-5555 Grand Manan Hospital 196 Route 776, Grand Manan, New Brunswick, E5G 1A3 506-662-4060 Saint John Regional Hospital 400 University Ave., Saint John, New Brunswick, E2L 4L2 506-648-6000 Charlotte County Hospital (St. Stephen) 4 Garden St., St. Stephen, New Brunswick, E3L 2L9 506-465-4444 Sussex Health Centre 75 Leonard Dr., Sussex, New Brunswick, E4E 2P7 506-432-3100 St. Joseph’s Community Health Centre 116 Coburg St., Saint John, New Brunswick, E2L 3K1 506-632-5537 Fundy Health Centre 34 Hospital St., PO Box 1298, Blacks Harbour, New Brunswick, E5H 1K2 506-456-4200 Deer Island Health Centre 999 Rte. 772, Fairhaven, New Brunswick, E5V 1P2 506-747-4150 Campobello Island Health Centre 640 Rte. 774, (On the Ground floor of Campobello Nursing Home), Welshpool, New Brunswick, E5E 1A5 506-752-4100 Upper River Valley Facility Name Address Phone Hotel-Dieu of St. Joseph (Perth-Andover) 10 Woodland Hill, Perth-Andover, New Brunswick, E7H 5H5 506-273-7100 Upper River Valley Hospital (Waterville) 11300 Route 130, Waterville, New Brunswick, E7P 0A4 506-375-5900 Tobique Valley Community Health Centre 120 Main St., Plaster Rock, New Brunswick, E7G 2E5 506-356-6600