Craig Wargon, DPM Motivational Speaker

Featured Speaker

Clinical Psychologist

Motivational Speaker

William Polonsky, PhD, CDE

Sean Busby

PAID

Featured Speaker

Do you have

San Diego, CA Permit No 1

Featured Speaker

Nonprofit Organization U.S. Postage

Steven V. Edelman, MD, Endocrinologist; TCOYD Founder & Director; Professor of Medicine, University of California at San Diego School of Medicine; Director, Diabetes Care Clinic, San Diego VA Medical Center

Health Fair

Director

Diabetes?

– TCOYD 2013 Conference Attendee

Carla Cox, PhD, RD, CDE, CSSD, Educator, Western Montana Clinic and Diabetes Care and Prevention Center, Providence Medical Group Pam Olsen, BSW, MA, DMin, Licensed Counselor, Training Specialist, St. Patrick Hospital

The Doctor Is In Faculty (MD, PA, RN, RD, CDE

Kelly Foster, FNP, BC, Nurse Practitioner, Community Medical Center

Christine Bond, MS, RD, HFA, Dietitian, Providence Medical Group Diabetes Care and Prevention Center

Juan Pablo Frias, MD, Chief Medical Officer, National Research Institute

Kids and Teens Track Faculty

Linda Lau, ANP, Advanced Nurse Practitioner, Pediatric Endocrinology, Community Medical Center Janice Tate, RN, CDE, Diabetes Educator, Community Medical Center

and PharmD)

Deb Bjorsness, RD, CDE, BC-ADM, Dietitian, Benefis

Christopher Corsi, MD, Endocrinologist, Western Montana Clinic Michele Danicich, MD, FACE, Endocrinologist, Community Medical Center Karrie Fairbrother, RN, CDE, Diabetes Educator, St. Peter’s Hospital, Helena

Person living well with diabetes

Pam Lockwood, RD, CDE, Dietitian, Community Medical Center

Nathan Thomas, DPM, Podiatrist, Advanced Foot & Ankle Center

Ashley Martin, PharmD, Pharmacist, Diabetes Care and Prevention Center, Providence Medical Group

Craig Wargon, DPM, Podiatric Surgery, Kaiser Permanente, Santa Clara

Molly Quinn, PA, Physician Assistant, Western Montana Clinic

Blood Pressure Screeing by pharmacy students from the University of Montana Skaggs School of Pharmacy

Screenings

Sara Engberg, RD, CDE, Dietitian, Diabetes Educator, Providence Medical Group Diabetes Care and Prevention Center Judy Fitzner, RN, CDE, Nurse, Community Medical Center Gregg Neibauer, DPM, Podiatrist, Alpine Foot & Ankle Clinic Rick Neumeister, MD, Ophthalmologist, Montana Valley Eye Clinic

A1c tests by Providence Medical Group

Body Fat and Body Mass Index testing by Providence Medical Group Diabetes Care and Prevention Center

FITNESS Faculty

Cami Cote, Yoga Instructor, River City Yoga Katie Geoghegan, Certified OULA Instructor, Dancemania for the Soul Personal Trainers from PEAK Health and Wellness Center

Many are asking the same question:

Does anyone understand what it’s like to live with diabetes?

TCOYD understands! TCOYD has been educating and motivating diabetes communities in cities around the country since 1995. We have assembled an all-star cast of diabetes experts for a day that will ignite motivation, offer hope and change your life with diabetes forever!

My name is Steve Edelman and I am the Founder of Taking Control Of Your Diabetes (TCOYD). I was diagnosed with diabetes when I was 15. I was told that blindness, kidney failure and amputations were likely to occur after several years and that my life expectancy wouldn’t exceed 20 years. That was not a prediction I was willing to settle for, so I went into medicine to learn how to conquer this condition and help others afflicted with it. I’m 58 now and although I do have some complications, I am living well with diabetes and I have dedicated my medical career to educating and empowering others with this disease so they, also, can live long and healthy lives.

Missoula Hilton Garden Inn Missoula, MT

Ian Blumer, MD, FRCPC, Diabetologist, Charles H Best Diabetes Centre, University of Toronto

Diabetes affects 26 million people in the U.S. and more than 70,000 people in Montana.

Our Founder’s Story

Saturday, September 6, 2014

Type 2 Track Faculty

“Attending the TCOYD conference has been life saving.”

One day can change Your Life!

Bill Woods, Community Outreach Manager, Glu

One day can change YOUR LIFE!

Conference & Health Fair

Jeremy Pettus, MD, UCSD; Type 1 Track Co-Director, TCOYD

Conference & Health Fair

Taking Control of Your Diabetes

Carla Cox, PhD, RD, CDE, CSSD, Educator, Western Montana Clinic and Diabetes Care and Prevention Center, Providence Medical Group

Taking Control of Your Diabetes

in Expa Montana n & Ty ded Typ pe 2 e Track 1 s

Ian Blumer, MD, FRCPC, Diabetologist, Charles H Best Diabetes Centre, University of Toronto

Sean Busby, a professional snowboarder, was training for the 2010 Olympics when he was first diagnosed with type 1 diabetes. Devastated by his diagnosis he considered leaving snowboarding all-together. Just as he was getting ready to quit, he read about some inspirational kids who attended JDRF’s Children’s Congress meetings. Their triumphant stories of living well with diabetes inspired Sean to keep living his dreams, despite his diagnosis. Sean is the founder of Riding On Insulin, a nonprofit organization that offers extreme sports camps to instill resilience in those facing chronic diseases. Riding is a way for Sean to give back to all the kids who inspired him to keep riding! People with diabetes can do anything…including racing down mountains, and traveling the globe.

1110 Camino Del Mar, Suite B Del Mar, California 92014

Type 1 Track Faculty

William Polonsky, PhD, CDE, understands that diabetes can affect more than just your body. It can affect your emotions as well. Dr. Polonsky is a Licensed Clinical Psychologist, Certified Diabetes Educator, Founder and President of the Behavioral Diabetes Institute. He is actively researching and studying what the emotional and behavioral consequences are of being diagnosed with diabetes. “So many people feel isolated by their diagnosis. At TCOYD you are never alone. You are among others who know first hand it is possible to overcome the emotional barriers that can occur with diabetes.”

FREE Screenings Screenings

Jennifer Troupe, MS, RD, CDE, BC-ADM, Program Coordinator, Diabetes Care and Prevention Center, Providence Medical Group

Craig Wargon, DPM, a practicing podiatrist for Kaiser Permanente, spends most of his time as the Medical Director of a technology department for the The Permanente Medical Group in Northern California, the largest medical group in the country. Dr. Wargon supports the creation and implementation of online programs and resources to support the health and well-being of Kaiser’s 3.4 million members in Northern California. Dr. Wargon has a keen interest in promoting healthy behaviors. Hear about his philosophy and strategy to achieve your own personal health goals!

Activities

Michele Danicich, MD, FACE, Endocrinologist, Community Medical Center

Presentations

Christopher Corsi, MD, Endocrinologist, Western Montana Clinic

Workshops

co-directors

are not alone!

in Expa Montana n & Typ ded Type 1 e2T racks

Saturday, September 6, 2014 Missoula Hilton Garden Inn Missoula, MT

Steven V. Edelman, MD, Endocrinologist Taking Control Of Your Diabetes® is a 501(c)3 not-for-profit educational organization

TCOYD Founder & Director; Professor of Medicine, University of California at San Diego School of Medicine; Director, Diabetes Care Clinic, San Diego VA Medical Center

Craig Wargon, DPM Motivational Speaker

Featured Speaker

Clinical Psychologist

Motivational Speaker

William Polonsky, PhD, CDE

Sean Busby

PAID

Featured Speaker

Do you have

San Diego, CA Permit No 1

Featured Speaker

Nonprofit Organization U.S. Postage

Steven V. Edelman, MD, Endocrinologist; TCOYD Founder & Director; Professor of Medicine, University of California at San Diego School of Medicine; Director, Diabetes Care Clinic, San Diego VA Medical Center

Health Fair

Director

Diabetes?

– TCOYD 2013 Conference Attendee

Carla Cox, PhD, RD, CDE, CSSD, Educator, Western Montana Clinic and Diabetes Care and Prevention Center, Providence Medical Group Pam Olsen, BSW, MA, DMin, Licensed Counselor, Training Specialist, St. Patrick Hospital

The Doctor Is In Faculty (MD, PA, RN, RD, CDE

Kelly Foster, FNP, BC, Nurse Practitioner, Community Medical Center

Christine Bond, MS, RD, HFA, Dietitian, Providence Medical Group Diabetes Care and Prevention Center

Juan Pablo Frias, MD, Chief Medical Officer, National Research Institute

Kids and Teens Track Faculty

Linda Lau, ANP, Advanced Nurse Practitioner, Pediatric Endocrinology, Community Medical Center Janice Tate, RN, CDE, Diabetes Educator, Community Medical Center

and PharmD)

Deb Bjorsness, RD, CDE, BC-ADM, Dietitian, Benefis

Christopher Corsi, MD, Endocrinologist, Western Montana Clinic Michele Danicich, MD, FACE, Endocrinologist, Community Medical Center Karrie Fairbrother, RN, CDE, Diabetes Educator, St. Peter’s Hospital, Helena

Person living well with diabetes

Pam Lockwood, RD, CDE, Dietitian, Community Medical Center

Nathan Thomas, DPM, Podiatrist, Advanced Foot & Ankle Center

Ashley Martin, PharmD, Pharmacist, Diabetes Care and Prevention Center, Providence Medical Group

Craig Wargon, DPM, Podiatric Surgery, Kaiser Permanente, Santa Clara

Molly Quinn, PA, Physician Assistant, Western Montana Clinic

Blood Pressure Screeing by pharmacy students from the University of Montana Skaggs School of Pharmacy

Screenings

Sara Engberg, RD, CDE, Dietitian, Diabetes Educator, Providence Medical Group Diabetes Care and Prevention Center Judy Fitzner, RN, CDE, Nurse, Community Medical Center Gregg Neibauer, DPM, Podiatrist, Alpine Foot & Ankle Clinic Rick Neumeister, MD, Ophthalmologist, Montana Valley Eye Clinic

A1c tests by Providence Medical Group

Body Fat and Body Mass Index testing by Providence Medical Group Diabetes Care and Prevention Center

FITNESS Faculty

Cami Cote, Yoga Instructor, River City Yoga Katie Geoghegan, Certified OULA Instructor, Dancemania for the Soul Personal Trainers from PEAK Health and Wellness Center

Many are asking the same question:

Does anyone understand what it’s like to live with diabetes?

TCOYD understands! TCOYD has been educating and motivating diabetes communities in cities around the country since 1995. We have assembled an all-star cast of diabetes experts for a day that will ignite motivation, offer hope and change your life with diabetes forever!

My name is Steve Edelman and I am the Founder of Taking Control Of Your Diabetes (TCOYD). I was diagnosed with diabetes when I was 15. I was told that blindness, kidney failure and amputations were likely to occur after several years and that my life expectancy wouldn’t exceed 20 years. That was not a prediction I was willing to settle for, so I went into medicine to learn how to conquer this condition and help others afflicted with it. I’m 58 now and although I do have some complications, I am living well with diabetes and I have dedicated my medical career to educating and empowering others with this disease so they, also, can live long and healthy lives.

Missoula Hilton Garden Inn Missoula, MT

Ian Blumer, MD, FRCPC, Diabetologist, Charles H Best Diabetes Centre, University of Toronto

Diabetes affects 26 million people in the U.S. and more than 70,000 people in Montana.

Our Founder’s Story

Saturday, September 6, 2014

Type 2 Track Faculty

“Attending the TCOYD conference has been life saving.”

One day can change Your Life!

Bill Woods, Community Outreach Manager, Glu

One day can change YOUR LIFE!

Conference & Health Fair

Jeremy Pettus, MD, UCSD; Type 1 Track Co-Director, TCOYD

Conference & Health Fair

Taking Control of Your Diabetes

Carla Cox, PhD, RD, CDE, CSSD, Educator, Western Montana Clinic and Diabetes Care and Prevention Center, Providence Medical Group

Taking Control of Your Diabetes

in Expa Montana n & Ty ded Typ pe 2 e Track 1 s

Ian Blumer, MD, FRCPC, Diabetologist, Charles H Best Diabetes Centre, University of Toronto

Sean Busby, a professional snowboarder, was training for the 2010 Olympics when he was first diagnosed with type 1 diabetes. Devastated by his diagnosis he considered leaving snowboarding all-together. Just as he was getting ready to quit, he read about some inspirational kids who attended JDRF’s Children’s Congress meetings. Their triumphant stories of living well with diabetes inspired Sean to keep living his dreams, despite his diagnosis. Sean is the founder of Riding On Insulin, a nonprofit organization that offers extreme sports camps to instill resilience in those facing chronic diseases. Riding is a way for Sean to give back to all the kids who inspired him to keep riding! People with diabetes can do anything…including racing down mountains, and traveling the globe.

1110 Camino Del Mar, Suite B Del Mar, California 92014

Type 1 Track Faculty

William Polonsky, PhD, CDE, understands that diabetes can affect more than just your body. It can affect your emotions as well. Dr. Polonsky is a Licensed Clinical Psychologist, Certified Diabetes Educator, Founder and President of the Behavioral Diabetes Institute. He is actively researching and studying what the emotional and behavioral consequences are of being diagnosed with diabetes. “So many people feel isolated by their diagnosis. At TCOYD you are never alone. You are among others who know first hand it is possible to overcome the emotional barriers that can occur with diabetes.”

FREE Screenings Screenings

Jennifer Troupe, MS, RD, CDE, BC-ADM, Program Coordinator, Diabetes Care and Prevention Center, Providence Medical Group

Craig Wargon, DPM, a practicing podiatrist for Kaiser Permanente, spends most of his time as the Medical Director of a technology department for the The Permanente Medical Group in Northern California, the largest medical group in the country. Dr. Wargon supports the creation and implementation of online programs and resources to support the health and well-being of Kaiser’s 3.4 million members in Northern California. Dr. Wargon has a keen interest in promoting healthy behaviors. Hear about his philosophy and strategy to achieve your own personal health goals!

Activities

Michele Danicich, MD, FACE, Endocrinologist, Community Medical Center

Presentations

Christopher Corsi, MD, Endocrinologist, Western Montana Clinic

Workshops

co-directors

are not alone!

in Expa Montana n & Typ ded Type 1 e2T racks

Saturday, September 6, 2014 Missoula Hilton Garden Inn Missoula, MT

Steven V. Edelman, MD, Endocrinologist Taking Control Of Your Diabetes® is a 501(c)3 not-for-profit educational organization

TCOYD Founder & Director; Professor of Medicine, University of California at San Diego School of Medicine; Director, Diabetes Care Clinic, San Diego VA Medical Center

TYpe 2 Track

Morning Program

Registration & Health Fair Open 7:30 am

Morning Session I

Morning Break 10:40 - 11:30 am

Visit Health Fair Exhibits

Cheese, apples and beverages available in Health Fair

TYpe 2 Track

session I Workshops

Too Good to Be Missed

11:30 - 12:30 pm

9:00 am

Info & Tools to Help You

Diabetes Care from Head to Toe: Thyroid, Heart, Kidneys and Feet



9:10 am

Welcome & Introduction

Conference Co-Directors: Jennifer Troupe, MS, RD, CDE, BC-ADM; Christopher Corsi, MD; and Michele Danicich, MD, FACE

There Has Never Been a Better

Time to Have Diabetes!



Steven V. Edelman, MD

10:10 am Change Your Mind, Change

Your Diabetes

William Polonsky, PhD, CDE

11:30 am An Explosion of Type 2

Treatment Options

Juan Pablo Frias, MD

11:50 am Taking Control: Doable

12:10 pm Simple Nutrition Changes You

Can Make to Significantly Improve Your Health!

Jennifer Troupe, MS, RD, CDE, BC-ADM

Luncheon 12:30 - 1:30 pm Box Lunch Meet and mingle with others who have diabetes

Pam Olsen, BSW, MA, DMin

Afternoon Break 3:00 - 3:30 pm

Visit Health Fair Exhibits

Beverages available in Health Fair throughout the afternoon

session II Workshops 3:30 - 4:25 pm

Choose Your Topic of Interest Exercise Is Medicine

Carla Cox, PhD, RD, CDE, CSSD

theDoctorisin!

One-on-One Consultations Covering Topics from A-Z

Diabetes ShakeDown Fitness Sessions

10:40 -11:30 am and/or 1:00 - 3:30pm

9:00 - 10:40 am

Too Good to Be Missed 9:00 am

Ian Blumer, MD, FRCPC

Modifications We Can All Make Craig Wargon, DPM

Morning Session I

William Polonsky, PhD, CDE, and Steven V. Edelman, MD

Feeling Stressed Out? Learn Skills and Techniques to Manage Stress

Meter Readings: High, Low… Now What? Kelly Foster, FNP, BC

1:00- 3:30 pm Get your individual questions answered by one of our diabetes specialists. Talk to a doctor, converse with a dietitian, consult with a pharmacist and learn from our diabetes educators.

OULA - Dancemania for the Soul u Yoga u Personal Training

Register Now TCOYD.org or 800.998.2693

Program

7:30 am

Choose Your Topic of Interest

Morning Session II

TYpe 1 Track Registration & Health Fair Open

2:00 - 3:00 pm

Diabetes Criminals and Diabetes Police: Patients and Providers Can Learn From One Another

9:00 - 10:40 am

Afternoon Program

Closing Session 4:30 - 5:00 pm

4:30 pm “Riding On Insulin”

Sean Busby

5:00 pm Raffle and Wrap-Up

GETCHECKEDoUT Screenings 1:30- 3:30 pm

Foot Screening u Eye Screening u Blood Pressure Screening u Body Mass Index Screening u A1c Testing u and More



Welcome & Introduction

Conference Co-Directors: Jennifer Troupe, MS, RD, CDE, BC-ADM; Christopher Corsi, MD; and Michele Danicich, MD, FACE

There Has Never Been a Better Time to Have Diabetes!

9:10 am



Steven V. Edelman, MD

10:10 am Change Your Mind, Change

Your Diabetes

William Polonsky, PhD, CDE

Morning Break 10:40 - 11:30 am

Visit Health Fair Exhibits

Cheese, apples and beverages available in Health Fair

KIDSAND TEENSTRACK

Free-Form Discussions for Kids and Teens 1:30- 3:30 pm

Connect with Other Kids and Teens Who Can Relate u Balancing Insulin and Life u Mentor Programs to Keep You Motivated u Annoying Things Parents Do

Morning Session II 11:30 - 12:30 pm CGM

Devices: Revolutionizing Diabetes Care

panel discussion on why you should be on A one, how to get the most out of it, and what the future holds Steven V. Edelman, MD; Jeremy Pettus, MD; Judy Hirshberg; and Wes Wilson

Luncheon 12:30 - 1:30 pm Box Lunch

Meet and mingle with others who have diabetes

Type 1 Afternoon SESSIONS 1:30 - 4:25 pm

1:30 pm Pumping Techniques

Jeremy Pettus, MD; and Carla Cox, PhD, RD, CDE, CSSD

2:30 pm What Else You Got? Other

Medications for Type 1 Besides Insulin Jeremy Pettus, MD

3:30 pm Envisioning a World Without

Type 1 Diabetes: Progress in Preventing, Reversing and Treating the Disease

Steven V. Edelman, MD; Jeremy Pettus, MD; Ian Blumer, MD, FRCPC, and Bill Woods

Closing Session 4:30 - 5:00 pm

4:30 pm “Riding On Insulin”



Sean Busby

5:00 pm Raffle and Wrap-Up

“I laughed, I cried, I was educated and now I am inspired.” – TCOYD 2014 Conference Attendee

SWEET Membership

This conference is brought to you by Taking Control Of Your Diabetes®, a 501(c)3 not-for-profit educational organization.

Fees (Registration fee includes

Support diabetes education by becoming a “Sweet Member” of TCOYD and save $5 on pre-registration. For an additional $20, become a “Sweet Member” and receive a discount on your pre-registration fee, a copy of the compelling book, Taking Control of Your Diabetes, 4th Edition, as well as the critically acclaimed quarterly TCOYD Newsletter with the most up-to-date information on diabetes. Please note: If you purchase a Sweet Membership with your conference preregistration you must pick up your book at the conference. Books are available only to those who attend; shipping is not available. Total cost for one registration and one year as a “Sweet Member” is $40. $30.

all materials, screenings and lunch)

Early-Bird Registration Fee Sponsored by Platinum Foundation Sponsor

Platinum Corporate Sponsors

Gold Corporate Sponsors

If you are a medical professional, consider registering for ‘Making the Connection: Advancing Clinical Care and Improving Adherence for Patients with Diabetes’. This program is being held concurrently with the Missoula ‘Taking Control Of Your Diabetes’ Conference and Health Fair. Earn 6.25 credits. For more information to register “Attending the Sanand Diego TCOYD online, go to www.tcoydcme.org conference was eye-opening, or call 858.792.4741 x17

life changing and fun!”

– TCOYD 2011 Conference Attendee

2014 TCOYD Schedule Conferences and Health Fairs February 8 Native American, Pala, California March 8 Sacramento, California April 12 Honolulu, Hawaii May 17 Raleigh, North Carolina June 7 Washington, DC September 6 Missoula, Montana September 27 Des Moines, Iowa October 18 Amarillo, Texas November 8 San Diego, California

Is this your first time attending TCOYD? Are you attending: Type 1 Track or Join or renew membership ($20)?

Yes No Type 2 Track? Yes No

$25 per person ($20 per person for 2 or more registering together) $5 off either fee with membership. No refunds after Friday, August 29, 2014

Please send TCOYD news via Email

Address_______________________________ Apt.______ City_________________________________ State_______ Zip_____________ Phone No. (_____)________________ Yes

No

Email Address____________________________________

Day-Of On-Site Registration Fee

Second Person Is this your first time attending TCOYD? Are you attending: Type 1 Track or Join or renew membership ($20)?

Secure Online Registration

Name___________________________________________

Yes No Type 2 Track? Yes No

www.tcoyd.org

Address_______________________________ Apt.______

Financial Aid Financial aid is available for those in need. Ask your caregiver or call TCOYD at 800.998.2693.

City_________________________________ State_______

Parking is complementary.

Missoula Hilton Garden Inn

Exhibiting Opportunities Available Contact [email protected]

First Person

Name___________________________________________

Parking

In Association with

How did you hear about this conference? ________________________________________________

Early-bird registrations will be taken by phone, fax or online through 12 noon PST, Wednesday, September 3rd. Registrations sent through the mail must be postmarked by Friday, August 29, 2014.

$30 per person

Silver Corporate Sponsors

CME for Medical Professionals!

Registration

Register at TCOYD.org or call 800.998.2693 or mail !

3720 North Reserve Street Missoula, MT 59808 406.532.5300

Registration & Information

Call the TCOYD office: 800.998.2693 or 858.755.5683 u FAX 858.755.6854 Look for us on the internet: www.tcoyd.org If you have special needs, call 800.998.2693

Why is the registration fee to attend this conference so low? While we charge only $20-$30 per person in registration fees, it costs TCOYD $125-175 per person for these conferences. We make up the cost difference by raising funds from our generous donors as well as educational grants. TCOYD is a 501(c)3 not-for-profit charitable educational organization. All donations directly support TCOYD, are tax deductible and greatly appreciated.

Zip_____________ Phone No. (_____)________________ Please send TCOYD news via Email

Yes

No

Email Address____________________________________ _________________________________________________

Payment (See registration fees column to the left)

Total Registration Fees

$_________



Total Membership/Renewal Fees

$_________



Additional Donation/Gift Amount

$_________

Total $_________

AmEx

Discover

VISA

MasterCard

(Please print clearly) Name on Card ___________________________________ Billing Address____________________________________ City/State/Zip____________________________________ Credit Card No.___________________________________ Exp. Date________ Signature________________________ Make checks or money orders payable to: Taking Control Of Your Diabetes or TCOYD

Mail to: Taking Control Of Your Diabetes

1110 Camino Del Mar, Suite B, Del Mar, CA 92014 Missoula, MT 2014 / Office use only: Date rcv’d _________ Check No.__________

TYpe 2 Track

Morning Program

Registration & Health Fair Open 7:30 am

Morning Session I

Morning Break 10:40 - 11:30 am

Visit Health Fair Exhibits

Cheese, apples and beverages available in Health Fair

TYpe 2 Track

session I Workshops Choose Your Topic of Interest

Morning Session II

Too Good to Be Missed

11:30 - 12:30 pm

9:00 am

Info & Tools to Help You

Diabetes Care from Head to Toe: Thyroid, Heart, Kidneys and Feet



9:10 am

Welcome & Introduction

Conference Co-Directors: Jennifer Troupe, MS, RD, CDE, BC-ADM; Christopher Corsi, MD; and Michele Danicich, MD, FACE

There Has Never Been a Better

Time to Have Diabetes!



Steven V. Edelman, MD

1 0:10 am Change Your Mind, Change

Your Diabetes

William Polonsky, PhD, CDE

11:30 am An Explosion of Type 2

Treatment Options

Juan Pablo Frias, MD

11:50 am Taking Control: Doable

Modifications We Can All Make Craig Wargon, DPM

12:10 pm Simple Nutrition Changes You

Can Make to Significantly Improve Your Health!

Jennifer Troupe, MS, RD, CDE, BC-ADM

Luncheon 12:30 - 1:30 pm Box Lunch Meet and mingle with others who have diabetes

Afternoon Break 3:00 - 3:30 pm

Visit Health Fair Exhibits

Beverages available in Health Fair throughout the afternoon

session II Workshops 3:30 - 4:25 pm

Choose Your Topic of Interest Exercise Is Medicine

Carla Cox, PhD, RD, CDE, CSSD

theDoctorisin!

One-on-One Consultations Covering Topics from A-Z

Diabetes ShakeDown Fitness Sessions

10:40 -11:30 am and/or 1:00 - 3:30pm

Meter Readings: High, Low… Now What? Kelly Foster, FNP, BC

1:00 - 3:30 pm Get your individual questions answered by one of our diabetes specialists. Talk to a doctor, converse with a dietitian, consult with a pharmacist and learn from our diabetes educators.

OULA - Dancemania for the Soul u Yoga u Personal Training

Register Now TCOYD.org or 800.998.2693

4:30 - 5:00 pm

4:30 pm “Riding On Insulin”

Sean Busby

5:00 pm Raffle and Wrap-Up

GETCHECKEDoUT Screenings 1:30- 3:30 pm

Foot Screening u Eye Screening u Blood Pressure Screening u Body Mass Index Screening u A1c Testing u and More

11:30 - 12:30 pm

CGM

Morning Session I

panel discussion on why you should be on A one, how to get the most out of it, and what the future holds Steven V. Edelman, MD; Jeremy Pettus, MD; Judy Hirshberg; and Wes Wilson

9:00 am

Closing Session

Morning Session II

7:30 am

Too Good to Be Missed

Ian Blumer, MD, FRCPC

Pam Olsen, BSW, MA, DMin

Program

9:00 - 10:40 am

William Polonsky, PhD, CDE, and Steven V. Edelman, MD

Feeling Stressed Out? Learn Skills and Techniques to Manage Stress

TYpe 1 Track Registration & Health Fair Open

2:00 - 3:00 pm

Diabetes Criminals and Diabetes Police: Patients and Providers Can Learn From One Another

9:00 - 10:40 am

Afternoon Program



Welcome & Introduction

Conference Co-Directors: Jennifer Troupe, MS, RD, CDE, BC-ADM; Christopher Corsi, MD; and Michele Danicich, MD, FACE

There Has Never Been a Better Time to Have Diabetes!

9:10 am



Steven V. Edelman, MD

1 0:10 am Change Your Mind, Change

Your Diabetes

William Polonsky, PhD, CDE

Morning Break 10:40 - 11:30 am

Visit Health Fair Exhibits

Cheese, apples and beverages available in Health Fair

KIDSAND TEENSTRACK

Free-Form Discussions for Kids and Teens 1:30- 3:30 pm

Connect with Other Kids and Teens Who Can Relate u Balancing Insulin and Life u Mentor Programs to Keep You Motivated u Annoying Things Parents Do

Devices: Revolutionizing Diabetes Care

Luncheon 12:30 - 1:30 pm Box Lunch

Meet and mingle with others who have diabetes

Type 1 Afternoon SESSIONS 1:30 - 4:25 pm

1:30 pm Pumping Techniques

Jeremy Pettus, MD; and Carla Cox, PhD, RD, CDE, CSSD

2:30 pm What Else You Got? Other

Medications for Type 1 Besides Insulin Jeremy Pettus, MD

3:30 pm Envisioning a World Without

Type 1 Diabetes: Progress in Preventing, Reversing and Treating the Disease

Steven V. Edelman, MD; Jeremy Pettus, MD; Ian Blumer, MD, FRCPC, and Bill Woods

Closing Session 4:30 - 5:00 pm

4:30 pm “Riding On Insulin”



Sean Busby

5:00 pm Raffle and Wrap-Up

“I laughed, I cried, I was educated and now I am inspired.” – TCOYD 2014 Conference Attendee

SWEET Membership Support diabetes education by becoming a “Sweet Member” of TCOYD and save $5 on pre-registration. For an additional $20, become a “Sweet Member” and receive a discount on your pre-registration fee, a copy of the compelling book, Taking Control of Your Diabetes, 4th Edition, as well as the critically acclaimed quarterly TCOYD Newsletter with the most up-to-date information on diabetes. Please note: If you purchase a Sweet Membership with your conference preregistration you must pick up your book at the conference. Books are available only to those who attend; shipping is not available. Total cost for one registration and one year as a “Sweet Member” is $40. $30.

This conference is brought to you by Taking Control Of Your Diabetes®, a 501(c)3 not-for-profit educational organization.

Registration Fees (Registration fee includes

all materials, screenings and lunch)

Early-Bird Registration Fee

Sponsored by Platinum Foundation Sponsor

Platinum Corporate Sponsors

Silver Corporate Sponsors

CME for Medical Professionals! If you are a medical professional, consider registering for ‘Making the Connection: Advancing Clinical Care and Improving Adherence for Patients with Diabetes’. This program is being held concurrently with the Missoula ‘Taking Control Of Your Diabetes’ Conference and Health Fair. Earn 6.25 credits. For more information to register “Attending the Sanand Diego TCOYD online, go to www.tcoydcme.org conference was eye-opening, or call 858.792.4741 x17

life changing and fun!”

– TCOYD 2011 Conference Attendee

Exhibiting Opportunities Available Contact [email protected]

2014 TCOYD Schedule Conferences and Health Fairs February 8 Native American, Pala, California March 8 Sacramento, California April 12 Honolulu, Hawaii May 17 Raleigh, North Carolina June 7 Washington, DC September 6 Missoula, Montana September 27 Des Moines, Iowa October 18 Amarillo, Texas November 8 San Diego, California

First Person Is this your first time attending TCOYD? Are you attending: Type 1 Track or Join or renew membership ($20)?

Yes No Type 2 Track? Yes No

Name___________________________________________

$25 per person ($20 per person for 2 or more registering together) $5 off either fee with membership. No refunds after Friday, August 29, 2014

Please send TCOYD news via Email

Address_______________________________ Apt.______ City_________________________________ State_______ Zip_____________ Phone No. (_____)________________ Yes

No

Email Address____________________________________

Day-Of On-Site Registration Fee

Second Person Is this your first time attending TCOYD? Are you attending: Type 1 Track or Join or renew membership ($20)?

Secure Online Registration

Name___________________________________________

Yes No Type 2 Track? Yes No

www.tcoyd.org

Address_______________________________ Apt.______

Financial Aid Financial aid is available for those in need. Ask your caregiver or call TCOYD at 800.998.2693.

City_________________________________ State_______

Parking

Parking is complementary. In Association with

How did you hear about this conference? ________________________________________________

Early-bird registrations will be taken by phone, fax or online through 12 noon PST, Wednesday, September 3rd. Registrations sent through the mail must be postmarked by Friday, August 29, 2014.

$30 per person Gold Corporate Sponsors

Register at TCOYD.org or call 800.998.2693 or mail !

Missoula Hilton Garden Inn

3720 North Reserve Street Missoula, MT 59808 406.532.5300

Registration & Information

Call the TCOYD office: 800.998.2693 or 858.755.5683 u FAX 858.755.6854 Look for us on the internet: www.tcoyd.org If you have special needs, call 800.998.2693

Why is the registration fee to attend this conference so low? While we charge only $20-$30 per person in registration fees, it costs TCOYD $125-175 per person for these conferences. We make up the cost difference by raising funds from our generous donors as well as educational grants. TCOYD is a 501(c)3 not-for-profit charitable educational organization. All donations directly support TCOYD, are tax deductible and greatly appreciated.

Zip_____________ Phone No. (_____)________________ Please send TCOYD news via Email

Yes

No

Email Address____________________________________ _________________________________________________

Payment (See registration fees column to the left)

Total Registration Fees

$_________



Total Membership/Renewal Fees

$_________



Additional Donation/Gift Amount

$_________

Total $_________

AmEx

Discover

VISA

MasterCard

(Please print clearly) Name on Card ___________________________________ Billing Address____________________________________ City/State/Zip____________________________________ Credit Card No.___________________________________ Exp. Date________ Signature________________________ Make checks or money orders payable to: Taking Control Of Your Diabetes or TCOYD

Mail to: Taking Control Of Your Diabetes

1110 Camino Del Mar, Suite B, Del Mar, CA 92014 Missoula, MT 2014 / Office use only: Date rcv’d _________ Check No.__________

Craig Wargon, DPM Motivational Speaker

Featured Speaker

Clinical Psychologist

Motivational Speaker

William Polonsky, PhD, CDE

Sean Busby

PAID

Featured Speaker

Do you have

San Diego, CA Permit No 1

Featured Speaker

Nonprofit Organization U.S. Postage

Steven V. Edelman, MD, Endocrinologist; TCOYD Founder & Director; Professor of Medicine, University of California at San Diego School of Medicine; Director, Diabetes Care Clinic, San Diego VA Medical Center

Health Fair

Director

Diabetes?

Carla Cox, PhD, RD, CDE, CSSD, Educator, Western Montana Clinic and Diabetes Care and Prevention Center, Providence Medical Group Pam Olsen, BSW, MA, DMin, Licensed Counselor, Training Specialist, St. Patrick Hospital Kelly Foster, FNP, BC, Nurse Practitioner, Community Medical Center

– TCOYD 2013 Conference Attendee

The Doctor Is In Faculty (MD, PA, RN, RD, CDE and PharmD)

Deb Bjorsness, MPH, RD, BC-ADM, CDE, Program Coordinator, Dietitian, Diabetes Educator, Benefis Health System, Great Falls

Juan Pablo Frias, MD, Chief Medical Officer, National Research Institute

Christine Bond, MS, RD, HFS, Dietitian, Diabetes Care and Prevention Center, Providence Medical Group

Kids and Teens Track Faculty

Michele Danicich, MD, FACE, Endocrinologist, Community Medical Center

Linda Lau, ANP, Advanced Nurse Practitioner, Pediatric Endocrinology, Community Medical Center Janice Tate, RN, CDE, Diabetes Educator, Community Medical Center

Christopher Corsi, MD, Endocrinologist, Western Montana Clinic

Karrie Fairbrother, RN, CDE, Diabetes Educator, St. Peter’s Hospital, Helena

Person living well with diabetes

Pam Lockwood, RD, CDE, Dietitian, Diabetes Educator, Community Medical Center

Nathan Thomas, DPM, Podiatrist, Advanced Foot & Ankle Center

Ashley Martin, PharmD, Pharmacist, Diabetes Care and Prevention Center, Providence Medical Group

Craig Wargon, DPM, Podiatric Surgery, Kaiser Permanente, Santa Clara

Molly Quinn, PA, Physician Assistant, Western Montana Clinic

Blood Pressure Screeing by pharmacy students from the University of Montana Skaggs School of Pharmacy

Screenings

Sara Engberg, RD, CDE, Dietitian, Diabetes Educator, Diabetes Care and Prevention Center, Providence Medical Group Judy Fitzner, RN, CDE, Diabetes Educator, Community Medical Center Gregg Neibauer, DPM, Podiatrist, Alpine Foot & Ankle Clinic Rick Neumeister, MD, Ophthalmologist, Montana Valley Eye Clinic

A1c tests by Providence Medical Group

Body Fat and Body Mass Index testing by Providence Medical Group Diabetes Care and Prevention Center

FITNESS Faculty

Cami Cote, Yoga Instructor, River City Yoga Katie Geoghegan, Certified OULA Instructor, Dancemania for the Soul Personal Trainers from PEAK Health and Wellness Center

Many are asking the same question:

Does anyone understand what it’s like to live with diabetes?

TCOYD understands! TCOYD has been educating and motivating diabetes communities in cities around the country since 1995. We have assembled an all-star cast of diabetes experts for a day that will ignite motivation, offer hope and change your life with diabetes forever!

My name is Steve Edelman and I am the Founder of Taking Control Of Your Diabetes (TCOYD). I was diagnosed with diabetes when I was 15. I was told that blindness, kidney failure and amputations were likely to occur after several years and that my life expectancy wouldn’t exceed 20 years. That was not a prediction I was willing to settle for, so I went into medicine to learn how to conquer this condition and help others afflicted with it. I’m 58 now and although I do have some complications, I am living well with diabetes and I have dedicated my medical career to educating and empowering others with this disease so they, also, can live long and healthy lives.

Missoula Hilton Garden Inn Missoula, MT

Ian Blumer, MD, FRCPC, Diabetologist, Charles H Best Diabetes Centre, University of Toronto

Diabetes affects 26 million people in the U.S. and more than 70,000 people in Montana.

Our Founder’s Story

Saturday, September 6, 2014

Type 2 Track Faculty

“Attending the TCOYD conference has been life saving.”

One day can change Your Life!

Bill Woods, Community Outreach Manager, Glu

One day can change YOUR LIFE!

Conference & Health Fair

Jeremy Pettus, MD, UCSD; Type 1 Track Co-Director, TCOYD

Conference & Health Fair

Taking Control of Your Diabetes

Carla Cox, PhD, RD, CDE, CSSD, Educator, Western Montana Clinic and Diabetes Care and Prevention Center, Providence Medical Group

Taking Control of Your Diabetes

in Expa Montana n & Ty ded Typ pe 2 e Track 1 s

Ian Blumer, MD, FRCPC, Diabetologist, Charles H Best Diabetes Centre, University of Toronto

Sean Busby, a professional snowboarder, was training for the 2010 Olympics when he was first diagnosed with type 1 diabetes. Devastated by his diagnosis he considered leaving snowboarding all-together. Just as he was getting ready to quit, he read about some inspirational kids who attended JDRF’s Children’s Congress meetings. Their triumphant stories of living well with diabetes inspired Sean to keep living his dreams, despite his diagnosis. Sean is the founder of Riding On Insulin, a nonprofit organization that offers extreme sports camps to instill resilience in those facing chronic diseases. Rinding On Insulin, is a way for Sean to give back to all the kids who inspired him to keep riding! People with diabetes can do anything… including racing down mountains, and traveling the globe.

1110 Camino Del Mar, Suite B Del Mar, California 92014

Type 1 Track Faculty

William Polonsky, PhD, CDE, understands that diabetes can affect more than just your body. It can affect your emotions as well. Dr. Polonsky is a Licensed Clinical Psychologist, Certified Diabetes Educator, Founder and President of the Behavioral Diabetes Institute. He is actively researching and studying what the emotional and behavioral consequences are of being diagnosed with diabetes. “So many people feel isolated by their diagnosis. At TCOYD you are never alone. You are among others who know first hand it is possible to overcome the emotional barriers that can occur with diabetes.”

FREE Screenings Screenings

Jennifer Troupe, MS, RD, CDE, BC-ADM, Program Coordinator, Diabetes Care and Prevention Center, Providence Medical Group

Craig Wargon, DPM, a practicing podiatrist for Kaiser Permanente, spends most of his time as the Medical Director of a technology department for the The Permanente Medical Group in Northern California, the largest medical group in the country. Dr. Wargon supports the creation and implementation of online programs and resources to support the health and well-being of Kaiser’s 3.4 million members in Northern California. Dr. Wargon has a keen interest in promoting healthy behaviors. Hear about his philosophy and strategy to achieve your own personal health goals!

Activities

Michele Danicich, MD, FACE, Endocrinologist, Community Medical Center

Presentations

Christopher Corsi, MD, Endocrinologist, Western Montana Clinic

Workshops

co-directors

are not alone!

in Expa Montana n & Typ ded Type 1 e2T racks

Saturday, September 6, 2014

Missoula Hilton Garden Inn Missoula, MT

Steven V. Edelman, MD, Endocrinologist Taking Control Of Your Diabetes® is a 501(c)3 not-for-profit educational organization

TCOYD Founder & Director; Professor of Medicine, University of California at San Diego School of Medicine; Director, Diabetes Care Clinic, San Diego VA Medical Center

TYpe 2 Track

Morning Program

Registration & Health Fair Open 7:30 am

Morning Session I

Morning Break 10:40 - 11:30 am

Visit Health Fair Exhibits

Cheese, apples and beverages available in Health Fair

TYpe 2 Track

session I Workshops

Too Good to Be Missed

11:30 - 12:30 pm

9:00 am

Info & Tools to Help You

Diabetes Care from Head to Toe: Thyroid, Heart, Kidneys and Feet



9:10 am

Welcome & Introduction

Conference Co-Directors: Jennifer Troupe, MS, RD, CDE, BC-ADM; Christopher Corsi, MD; and Michele Danicich, MD, FACE

There Has Never Been a Better

Time to Have Diabetes!



Steven V. Edelman, MD

10:10 am Change Your Mind, Change

Your Diabetes

William Polonsky, PhD, CDE

11:30 am An Explosion of Type 2

Treatment Options

Juan Pablo Frias, MD

11:50 am Taking Control: Doable

12:10 pm Simple Nutrition Changes You

Can Make to Significantly Improve Your Health!

Jennifer Troupe, MS, RD, CDE, BC-ADM

Luncheon 12:30 - 1:30 pm Box Lunch Meet and mingle with others who have diabetes

Pam Olsen, BSW, MA, DMin

Afternoon Break 3:00 - 3:30 pm

Visit Health Fair Exhibits

Beverages available in Health Fair throughout the afternoon

session II Workshops 3:30 - 4:25 pm

Choose Your Topic of Interest Exercise Is Medicine

Carla Cox, PhD, RD, CDE, CSSD

theDoctorisin!

One-on-One Consultations Covering Topics from A-Z

Diabetes ShakeDown Fitness Sessions

10:40 -11:30 am and/or 1:00 - 3:30pm

9:00 - 10:40 am

Too Good to Be Missed 9:00 am

Ian Blumer, MD, FRCPC

Modifications We Can All Make Craig Wargon, DPM

Morning Session I

William Polonsky, PhD, CDE, and Steven V. Edelman, MD

Feeling Stressed Out? Learn Skills and Techniques to Manage Stress

Meter Readings: High, Low… Now What? Kelly Foster, FNP, BC

1:00- 3:30 pm Get your individual questions answered by one of our diabetes specialists. Talk to a doctor, converse with a dietitian, consult with a pharmacist and learn from our diabetes educators.

OULA - Dancemania for the Soul u Yoga u Personal Training

Register Now TCOYD.org or 800.998.2693

Program

7:30 am

Choose Your Topic of Interest

Morning Session II

TYpe 1 Track Registration & Health Fair Open

2:00 - 3:00 pm

Diabetes Criminals and Diabetes Police: Patients and Providers Can Learn From One Another

9:00 - 10:40 am

Afternoon Program

Closing Session 4:30 - 5:00 pm

4:30 pm “Riding On Insulin”

Sean Busby

5:00 pm Raffle and Wrap-Up

GETCHECKEDoUT Screenings 1:30- 3:30 pm

Foot Screening u Eye Screening u Blood Pressure Screening u Body Mass Index Screening u A1c Testing u and More



Welcome & Introduction

Conference Co-Directors: Jennifer Troupe, MS, RD, CDE, BC-ADM; Christopher Corsi, MD; and Michele Danicich, MD, FACE

There Has Never Been a Better Time to Have Diabetes!

9:10 am



Steven V. Edelman, MD

10:10 am Change Your Mind, Change

Your Diabetes

William Polonsky, PhD, CDE

Morning Break 10:40 - 11:30 am

Visit Health Fair Exhibits

Cheese, apples and beverages available in Health Fair

KIDSAND TEENSTRACK

Free-Form Discussions for Kids and Teens 1:30- 3:30 pm

Connect with Other Kids and Teens Who Can Relate u Balancing Insulin and Life u Mentor Programs to Keep You Motivated u Annoying Things Parents Do

Morning Session II 11:30 - 12:30 pm CGM

Devices: Revolutionizing Diabetes Care

panel discussion on why you should be on A one, how to get the most out of it, and what the future holds Steven V. Edelman, MD; Jeremy Pettus, MD; Judy Hirshberg; and Wes Wilson

Luncheon 12:30 - 1:30 pm Box Lunch

Meet and mingle with others who have diabetes

Type 1 Afternoon SESSIONS 1:30 - 4:25 pm

1:30 pm Pumping Techniques

Jeremy Pettus, MD; and Carla Cox, PhD, RD, CDE, CSSD

2:30 pm What Else You Got? Other

Medications for Type 1 Besides Insulin Jeremy Pettus, MD

3:30 pm Envisioning a World Without

Type 1 Diabetes: Progress in Preventing, Reversing and Treating the Disease

Steven V. Edelman, MD; Jeremy Pettus, MD; Ian Blumer, MD, FRCPC, and Bill Woods

Closing Session 4:30 - 5:00 pm

4:30 pm “Riding On Insulin”



Sean Busby

5:00 pm Raffle and Wrap-Up

“I laughed, I cried, I was educated and now I am inspired.” – TCOYD 2014 Conference Attendee

SWEET Membership

This conference is brought to you by Taking Control Of Your Diabetes®, a 501(c)3 not-for-profit educational organization.

Fees (Registration fee includes

Support diabetes education by becoming a “Sweet Member” of TCOYD and save $5 on pre-registration. For an additional $20, become a “Sweet Member” and receive a discount on your pre-registration fee, a copy of the compelling book, Taking Control of Your Diabetes, 4th Edition, as well as the critically acclaimed quarterly TCOYD Newsletter with the most up-to-date information on diabetes. Please note: If you purchase a Sweet Membership with your conference preregistration you must pick up your book at the conference. Books are available only to those who attend; shipping is not available. Total cost for one registration and one year as a “Sweet Member” is $40. $30.

all materials, screenings and lunch)

Early-Bird Registration Fee Sponsored by Platinum Foundation Sponsor

Platinum Corporate Sponsors

Gold Corporate Sponsors

If you are a medical professional, consider registering for ‘Making the Connection: Advancing Clinical Care and Improving Adherence for Patients with Diabetes’. This program is being held concurrently with the Missoula ‘Taking Control Of Your Diabetes’ Conference and Health Fair. Earn 6.25 credits. For more information to register “Attending the Sanand Diego TCOYD online, go to www.tcoydcme.org conference was eye-opening, or call 858.792.4741 x17

life changing and fun!”

– TCOYD 2011 Conference Attendee

2014 TCOYD Schedule Conferences and Health Fairs February 8 Native American, Pala, California March 8 Sacramento, California April 12 Honolulu, Hawaii May 17 Raleigh, North Carolina June 7 Washington, DC September 6 Missoula, Montana September 27 Des Moines, Iowa October 18 Amarillo, Texas November 8 San Diego, California

Is this your first time attending TCOYD? Are you attending: Type 1 Track or Join or renew membership ($20)?

Yes No Type 2 Track? Yes No

$25 per person ($20 per person for 2 or more registering together) $5 off either fee with membership. No refunds after Friday, August 29, 2014

Please send TCOYD news via Email

Address_______________________________ Apt.______ City_________________________________ State_______ Zip_____________ Phone No. (_____)________________ Yes

No

Email Address____________________________________

Day-Of On-Site Registration Fee

Second Person Is this your first time attending TCOYD? Are you attending: Type 1 Track or Join or renew membership ($20)?

Secure Online Registration

Name___________________________________________

Yes No Type 2 Track? Yes No

www.tcoyd.org

Address_______________________________ Apt.______

Financial Aid Financial aid is available for those in need. Ask your caregiver or call TCOYD at 800.998.2693.

City_________________________________ State_______

Parking is complementary.

Missoula Hilton Garden Inn

Exhibiting Opportunities Available Contact [email protected]

First Person

Name___________________________________________

Parking

In Association with

How did you hear about this conference? ________________________________________________

Early-bird registrations will be taken by phone, fax or online through 12 noon PST, Wednesday, September 3rd. Registrations sent through the mail must be postmarked by Friday, August 29, 2014.

$30 per person

Silver Corporate Sponsors

CME for Medical Professionals!

Registration

Register at TCOYD.org or call 800.998.2693 or mail !

3720 North Reserve Street Missoula, MT 59808 406.532.5300

Registration & Information

Call the TCOYD office: 800.998.2693 or 858.755.5683 u FAX 858.755.6854 Look for us on the internet: www.tcoyd.org If you have special needs, call 800.998.2693

Why is the registration fee to attend this conference so low? While we charge only $20-$30 per person in registration fees, it costs TCOYD $125-175 per person for these conferences. We make up the cost difference by raising funds from our generous donors as well as educational grants. TCOYD is a 501(c)3 not-for-profit charitable educational organization. All donations directly support TCOYD, are tax deductible and greatly appreciated.

Zip_____________ Phone No. (_____)________________ Please send TCOYD news via Email

Yes

No

Email Address____________________________________ _________________________________________________

Payment (See registration fees column to the left)

Total Registration Fees

$_________



Total Membership/Renewal Fees

$_________



Additional Donation/Gift Amount

$_________

Total $_________

AmEx

Discover

VISA

MasterCard

(Please print clearly) Name on Card ___________________________________ Billing Address____________________________________ City/State/Zip____________________________________ Credit Card No.___________________________________ Exp. Date________ Signature________________________ Make checks or money orders payable to: Taking Control Of Your Diabetes or TCOYD

Mail to: Taking Control Of Your Diabetes

1110 Camino Del Mar, Suite B, Del Mar, CA 92014 Missoula, MT 2014 / Office use only: Date rcv’d _________ Check No.__________