Pioneer Memorial

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Diabetes Management

The American Diabetes Association defines diabetes as a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles.

Some Diabetes Symptoms include:
  • Frequent urination
  • Excessive thirst
  • Extreme hunger
  • Unusual weight loss
  • Increased fatigue
  • Irritability
  • Blurry vision
If you experience one or more of these symptoms, you should contact your physician.

The Diabetes Self-Management Class at Pioneer Memorial provides education for those
  • newly diagnosed with diabetes
  • starting on diabetes medication
  • beginning insulin therapy
  • dealing with uncontrolled diabetes
  • at high risk for complications of diabetes
Diabetes education and meal planning are provided in three sessions.  Classes are suitable for most people with diabetes.  Individual sessions can be arranged to accommodate your needs.  The Sanford Health and Pioneer Memorial Hospital & Health Services Diabetes Education program has been recognized by the American Diabetes Association for Quality Self-Management Education.  Classes will cover:
What is Diabetes?
  • Blood Glucose Monitoring
  • Acute and Chronic Complications
  • Medication
  • Physical Activity/Exercise
  • Stress & Coping
  • Goal Setting
Meal Plannning:
  • Dining Out
  • Label Reading
  • Sick Day Guidelines
  • Alcohol
The program is eligible for reimbursement by health insurance plans, Medicaid and Medicare.

Pioneer Memorial Hospital & Health Services provides Diabetes Management Classes. For more information, contact (605) 326-5161. For more information about Diabetes, you can contact your physician, or visit the American Diabetes Association website at  For more information contact Shirley Hoxeng at (605) 326-5161.

  Charlotte Rommereim, RD, LD
Charlotte is a registered dietician who has been providing nutrition counseling to people with diabetes since 1992.