JIGSAW
JUGGLING INSULIN FOR GOAL SUCCESS AND WELL-BEING
.
A structured educational programme for
improved self-management of type 1 diabetes
Purpose of JIGSAW
JIGSAW is a programme that seeks to assist people with Type 1 diabetes to improve their day-to-day lives and glycaemic control by developing advanced skills in adjusting their food, exercise and insulin levels effectively.
JIGSAW usually runs over five or six weeks…a weekly 3-hour session for four weeks (9.30am to 12.30pm) and then a whole day (9.30am to 4pm) to finish.
This programme has been designed and will be facilitated by a specialist multi-disciplinary team consisting of a specialist physician (Iain Cranston) a specialist dietitian (Sue Beaden), a senior diabetes nurse specialist (Lisa Skinner) and a consultant nurse (Sue Cradock).
JIGSAW is a programme that will:
Assist you to reflect on your personal goals for your own diabetes self management.
Work with others to explore different approaches to what you are currently doing in order to help you achieve your goals.
Help you reflect on and review your own strategies for blood glucose monitoring and teach pattern management of blood glucose levels.
Help you understand more about your insulin regimen and what you can do to it to achieve your goals.
Help you increase your confidence in managing your diabetes day to day.
The JIGSAW programme will provide you with:
1. Provision of tools to identify current patterns of food, home blood glucose monitoring and insulin dosages.
2. Skills to estimate the carbohydrate content and glycaemic effects of usual food intake.
3. Greater understanding of broad principles of carbohydrate metabolism to understand interrelation between food, exercise and insulin.
4. Improved skills to relate the dose and timing of insulin to volume and type of carbohydrate and total meal effect.
To be a participant of JIGSAW you will need to:
Be already regularly using Home Blood Glucose Monitoring (HBGM)
Be using a multiple daily insulin injection regimen
(eg 4 times/day)
Want to improve your HbA1c and/or reduce glucose fluctuations (eg hypoglycaemic episodes)
Be willing to actively participate in the programme by attending sessions and undertaking ‘experimental homework’
Be willing and able to attend all sessions
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