Our Association of Diabetes Care & Education Specialists (ADCES) nationally accredited Diabetes Self-Management Education Program empowers people living with diabetes. We provide the knowledge necessary to make educated decisions to control diabetes. This knowledge improves health, decreases the risks of complications, and improves a person’s overall quality of life.
Contact Information
Diabetes Self-Management,
Education, and Training Service
Littleton Regional Healthcare
580 St. Johnsbury Road
Littleton, NH 03561
Phone 603-444-9323
Fax 603-259-7705
Hours: Monday – Thursday
Office: 7:00 am – 5:30 pm
Appointments: 8:00 am – 4:00 pm
About the Diabetes Self-Management Education Program
Mission Statement: The Diabetes Self-Management, Education, and Training Service will teach and provide support to people with diabetes or at risk of diabetes. The goal is to assist people with diabetes, or at risk, to achieve the behavioral changes necessary to manage their risks or health conditions.
Diabetes Education: Diabetes Education pays off, however, fewer than 60% of people with diabetes have had any formal diabetes education. Research shows people who have received diabetes education are more likely to:
- Use primary care and preventive services,
- Take medications as prescribed,
- Control their blood glucose, blood pressure, and cholesterol levels,
- Have lower health costs.
Diabetes self-management training is a benefit covered by Medicare and most health plans when provided by a diabetes educator within an accredited/recognized program.
Diabetes Self-Management Education and Support Program: Taking good care of yourself can seem overwhelming. Diabetes Management can be easier when you have the knowledge and skills to make healthy lifestyle choices. Our program centers on what you need for resources and support. You will learn how to solve problems and cope with living with a chronic disease so you can control the risks of developing problems.
- Individualized self-management training
- Association of Diabetes Care & Education Specialists (ADCES)
- Focus on meeting all 7 ADCES Self-Care Behaviors using ADCES Curriculum
- The 7 ADCES Self-Care Behaviors include
- Healthy Eating
- Being Active
- Monitoring Blood Glucose
- Taking Medications (tablets, insulin, both)
- Problem-Solving
- Healthy Coping
- Reducing Risks
Why meet with a Certified Diabetes Education Specialist?
They teach, coach, and guide people with diabetes to understand their diabetes in their personal lives and work with them to set and meet a health-directed way of life. LRH offers flexible scheduling Monday through Thursday. Please call our Certified Diabetes Education Specialist to schedule your appointment today at 603-444-9323.
Meet Our Diabetes Educator
Meet Emily DuPont, MSN, RN, Diabetes Educator at Littleton Regional Healthcare. Emily is passionate about delivering quality care with a patient-centered focus—assisting patients to achieve their goals by helping them define what they want and providing them with the knowledge and tools needed to empower them to manage their diabetes. You’re not a “diabetic,” you don’t fit into a mold; you’re a unique individual who happens to have diabetes and she would be honored to be a member of your healthcare team.

How to Request an Appointment
To request an appointment to see our diabetes educator, please contact your endocrinologist or your primary care physician to fax the following documents to 603-259-7705. Once the documents are received, our office will contact you to schedule an appointment.
The following documents are required from your doctor:
- A referral order
- The most recent chart notes and patient contact and insurance information
- Your most recent Hemoglobin a1c labs and any other labs

Diabetes Self-Management Resource, Links, and Video
- adces7_healthy_eating.pdf (diabeteseducator.org)
- Healthy Snacking Tip Sheet (diabeteseducator.org)
- Food Shopping and Diabetes for People with Diabetes (diabeteseducator.org)
- https://www.diabeteseducator.org/docs/default-source/living-with-diabetes/tip-sheets/lifestyle-resources/ramadan—pwd-final.pdf
- building-a-balanced-meal.pdf (novomedlink.com)
- dining-out-with-diabetes.pdf (novomedlink.com)
- reading-a-nutrition-facts-label.pdf (novomedlink.com)
- simple-swaps-and-substitutions.pdf (novomedlink.com)
- managing-portions-and-serving-sizes.pdf (novomedlink.com)
- https://www.novomedlink.com/content/dam/novonordisk/novomedlink/new/diabetes/patient/disease/library/documents/meal-planning-and-carb-counting.pdf
- Diabetes Meal Planning | CDC
- https://www.cornerstones4care.com/healthy-eating.html
RECIPES

- Get Active! | Diabetes | CDC
- Weekly Exercise Targets | ADA (diabetes.org)
- adces7_being_active.pdf (diabeteseducator.org)
- adces-men-health-being-active-v1.pdf (diabeteseducator.org)
- Chair Exercises
- starting-with-the-first-step.pdf (novomedlink.com)
- Why Regular Exercise is Needed to Manage Diabetes | NovoCare® Diabetes Education
- aade7_monitoring.pdf (diabeteseducator.org)
- GlucoseMon_Tip_Sheet_WhatsInItforMe (diabeteseducator.org)
- TipsTricks_Tip_Sheet (diabeteseducator.org)
- timeinrangetipsheet_2020.pdf (diabeteseducator.org)
- Know Your Numbers
- your-blood-sugar-tracker.pdf (novomedlink.com)
- high-blood-glucose-hyperglycemia.pdf (novomedlink.com)
- low-blood-glucose-hypoglucemia.pdf (novomedlink.com)
- checking-your-blood-glucose.pdf (novomedlink.com)
- Manage Blood Sugar | Diabetes | CDC
- Monitoring Your Blood Sugar (cdc.gov)
- Foot Care for People with Diabetes
- Managing Diabetes Safely During Sick Days
- adces7_being_activeff450237a05f68739c53ff0000b8561d.pdf (diabeteseducator.org)
- tips_for_improving-(002).pdf (diabeteseducator.org)
- Incretin-Based_Therapies_Tip_Sheet_10052022 (diabeteseducator.org)
- how-your-diabetes-treatment-plan-may-evolve.pdf (novomedlink.com)
- injectable-medicines-part-of-the-diabetes-journey.pdf (novomedlink.com)
- http://www.novomedlink.com/diabetes/patient-support/disease-education/library/what-to-expect-when-you-inject.html
- glp-1-prior-authorization-submission-process-brochure.pdf (novomedlink.com)
- type-2-diabetes-and-the-role-of-glp-1.pdf (novomedlink.com)
- medicines-for-type-2-diabetes-insulin.pdf (novomedlink.com)
- adces7_being_activee5450237a05f68739c53ff0000b8561d.pdf (diabeteseducator.org)
- MentalHealth_Anger_English_02042021 (diabeteseducator.org)
- MentalHealth_Stress_English_02042021 (diabeteseducator.org)
- MentalHealth_Distress_English_02042021 (diabeteseducator.org)
- MentalHealth_Depression_English_02042021 (diabeteseducator.org)
- adces_t1d_emotionalchallenge.pdf (diabeteseducator.org)
- adces_t1d_acrosslifespan.pdf (diabeteseducator.org)
- healthy-coping-patient-flyer-v-1-(002).pdf (diabeteseducator.org)
- taking-care-of-your-mental-health.pdf (novomedlink.com)
- https://www.novomedlink.com/content/dam/novonordisk/novomedlink/new/diabetes/patient/disease/library/documents/caring-for-someone-with-diabetes.pdf
- lower-my-risk-for-cvd.pdf (novomedlink.com)
- https://www.novomedlink.com/content/dam/novonordisk/novomedlink/new/diabetes/patient/disease/library/documents/risk-of-getting-cvd.pdf
- https://www.novomedlink.com/content/dam/novonordisk/novomedlink/new/diabetes/patient/disease/library/documents/risk-for-stroke.pdf
- Diabetes Management & Staying on Track | NovoCare® Diabetes Education
- starting-with-the-first-step.pdf (novomedlink.com)
- aade7_reducing_risks_updated_11-2017.pdf (diabeteseducator.org)
- adces-reducing-risk-english-final.pdf (diabeteseducator.org)
- dka_ketoacidosis.pdf (diabeteseducator.org)
- sickday_adult.pdf (diabeteseducator.org)
- hyperosmolarsyndrome.pdf (diabeteseducator.org)
- Amazon.com : Medical Alert Bracelets
- Medical Alert Bracelets, Necklaces and More | American Medical ID (americanmedical-id.com)
- How to use your Dexcom G6 CGM: Click to view the video
- How to use your Freestyle Libre 2 CGM: Click to view the video
- How to use an insulin pen – Click to view the video
- How to use vial and syringe insulin: Click to view the YouTube video
- How to check your blood sugar: Click to view the YouTube video
General Diabetes Education & Advocacy
- National Diabetes Education Program diabetes.niddk.nih.gov
- Diabetes online community beyonetype1.org/the-diabetes-online-community-doc
- 4 Steps to Manage Your Diabetes for Life cdc.gov/diabetes/ndep/toolkits/4steps.html
- Type 1 Diabetes Exchange https://t1dexchange.org/welcome-glu-users/
- DiabetesSisters https://diabetessisters.org
- American Diabetes Association (ADA) diabetes.org
- JDRF jdrf.org
- Taking Control of your Diabetes tcoyd.com
Diabetes Online Literature/Magazines
- Diabetes Self-Management – https://www.diabetesselfmanagement.com/
- Diabetes Health https://www.diabeteshealth.com/
- A Sweet Life asweetlife.org
- Diatribe Foundation diatribe.org/foundation
Medication Assistance Programs
- Johnson & Johnson Patient Assistance Phone: 1-800-652-6227 jjpaf.org
- Lilly Diabetes Supplies insulinaffordability.com
- Merck merckaccessprogram.com/hcc
- Novo Nordisk novocare.com
- Insulin assistance finder getinsulin.org
Online Mental & Emotional Health Resources
- National Suicide Prevention Hotline dial 988 https://suicidepreventionlifeline.org/
- For New Hampshire, Rapid Response for Mental Health Emergencies dial 1-833-710-6477
- SAMHSA Mental Health Resource Hub https://www.samhsa.gov/find-help/national-helpline
- Mental Health Provider Referral Directory (American Diabetes Association) www.professional.diabetes.org/mhp_listing
- Diabetes and Mental Health cdc.gov/diabetes/managing/mental-health.html
Online Nutrition and Healthy Eating Resources
- ADA Nutrition Diabetes.org/nutrition
- Diabetes Food Hub Diabetesfoodhub.com
- Calorie King calorieking.com
- Eating Well (CDC) https://www.cdc.gov/diabetes/managing/eat-well.html
- Healthy Weight (CDC) https://www.cdc.gov/diabetes/managing/healthy-weight.html
Online Physical Activity Resources
- ADA Fitness diabetes.org/fitness
- Make Your Workout Work for You cdc.gov/features/diabetes-physical-activity/index.html
Fitness apps/meal tracker apps
- MyFitnessPal
- Macros
- Daily Workouts Fitness Trainer
- Fooducate
- Sworkit
Community Resources
Smoking Cessation
- Koop Tobacco Treatment Center—Dartmouth Hitchcock Medical Center, Lebanon NH / Smoking Cessation Support Materials https://www.dartmouth-hitchcock.org/tobacco-dependence/information-materials
Food Assistance
- Meals on Wheels https://www.mealsonwheelsamerica.org/find-meals
- SNAP Program https://www.dhhs.nh.gov/dfa/foodstamps/index.htm
- NH Women, Infants & Children Nutrition Program (WIC) https://www.dhhs.nh.gov/dphs/nhp/wic/
- VT Women, Infants & Children Nutrition Program (WIC) https://www.healthvermont.gov/family/wic
- Food Pantries https://www.foodpantries.org/
- NH Food Bank https://nhfoodbank.org/
- NH soup kitchens, food pantries, and food banks list https://www.homelessshelterdirectory.org/foodbanks/state/new-hampshire.html
- VT soup kitchens, food pantries, and food banks list https://www.homelessshelterdirectory.org/foodbanks/state/vermont.html