| SAMPLE WRAP PLAN FOR MANAGING DIABETES | |
| Wellness Tools | |
| Dietary plan, my nurse, exercise, healthy desserts, the pharmacy, education, support group, specific family members, naps, mindful eating at regular times, insulin,Nikolas (cat), continuing education, seamless padded socks, envisioning myself well, daily food log, flossing, glucose tablets, prepare snacks in advance, mixing 75% water with 25% juice, sunglasses, vitamins | |
| Me Well / At My Best | |
| Stable blood sugars, maintain healthy weight, energetic, fasting blood sugar 110 or below, weight of 200 pounds, regularly exercising, having medications, having healthy food choices available, A1C less than 5.5 | |
| Daily Maintenance | |
| Monitor blood sugar, take insulin as prescribed, eat well, exercise, daily food logs, exercise, breakfast within 30 minutes of waking, nothing to eat after 6:00 pm, planning meals, drinking water, brush/floss after every meal | |
| Triggers | Action Plan (AP) |
| Social functions where food is servedLetting myself get too hungry | Eat before you go; monitor portion size; take sugar tablets with me.Eating 4 small meals a day |
| Stress | Exercise, Sudoku |
| Vending machine at work or school | Ask for healthier choices to be put in vending machines; ask supportive colleague for help when tempted |
| Early Warning Signs | Action Plan (AP) |
| Blood sugar too high or too low | Call nurse or doctor; if too low eat what I know I need |
| Lack of energy | Exercise (walk); check sugars; eat a healthy snack |
| Food craving | Eat a bowl of bran flakes |
| When Things are Getting Worse | Action Plan (AP) |
| Skipped mealsStop checking blood sugar | Take sugar; resume regular eating scheduleTalk to nurse Heather, LPN |
| Staying in bed longer than I needQuit weighing self | Call a friend; positive self-talkWeigh in accountable to Health, LPN |
| Mini Crisis Plan | |
| What I’m like when I’m well | |
| Stable blood sugar, energetic, active, healthy weight range, losing weight, have energy, fasting blood sugar less than 110 | |
| Signs that my supporters need to take over responsibilities for my care or on my behalf | |
| Went to emergency room, admitted to hospital, blood sugar is out of control, I’m broke, no money for food, if I haven’t taken blood sugar for three days, request help from RN to monitor sugars. Three days without exercise – enlist neighbors. | |
| Supporter’s tasks | |
| Keep my apartment safe; take care of pets and plants, take me to grocery store/food pantry, loan me money. | |
| Mini Post Crisis Plan | |
| How I will know when I am out of the crisis | |
| I’m discharged, I’m back on budget, have adequate food in house, blood sugars return to less than 110, back on weight loss, look forward to exercise vs. dreading it | |
| What I would like my supporters to do to help me | |
| Be a listening ear, be a cheerleader, lend me money if I’m broke, hold accountable, encouragement, offer healthy choices | |
| Things I need to do | |
| Resume daily maintenance plan (monitor blood sugar, eat breakfast, etc.), get back to support group; exercise, have medications on hand, healthy choices in cupboard, developing a routine | |
| Things that can wait | |
| Laundry, kitchen rehabilitation, planning my sister’s birthday party, house work | |
WRAP and Recovery Books is the division of AHP’s Human Potential Press that publishes books and materials about WRAP, wellness, and recovery.
