National Health Outreach and Engagement Conference 2024

Health Extension for Diabetes (HED) is a diabetes self-management support program created
by Clemson University Cooperative Extension to offer education on diabetes self-care
behaviors and support in self-management to participants across South Carolina. HED was
originally created to serve an English-speaking American audience. In 2022, HED was
culturally adapted and translated into Spanish to meet the needs of a growing Hispanic
community living with diabetes. Nutrition behaviors are one of the many topics heavily
emphasized throughout HED and one of the topics most heavily adapted to better educate a
Hispanic audience, given the differences in traditional Hispanic and American cuisine.
Biometric data and data related to nutrition and healthy eating patterns were collected from
participants through pre- and post-surveys. Preliminary outcomes of the pilot Spanish HED
program have been examined to explore the impact Spanish HED has on participants and
suggest that while Spanish HED is having a positive impact on participants, significant
differences exist between nutrition outcomes for English-speaking and Spanish-speaking
participants