Blood Pressure goals for diabetics

DID YOU KNOW?
The American Diabetes Association recently changed its Blood Pressure goals for people with Diabetes. The top number or the systolic pressure is measured while the blood vessels are at work pushing blood through the vessels. The Bottom number or the diastolic is a measure of the heart at rest between beats.

The new goal for diabetics is 140/80. The former goal was 130/80. The Diabetes Association made the change based on a recent study that found that people with Diabetes who keep the stricter goals were no more likely to have have a heart attack or stroke than those who did nit follow the recommended goals.

CAN SMOKING CAUSE DIABETES? According to the Diabetes Self Management Magazine the US Surgeon General reports that diabetes has been added added to the long list of illnesses caused by smoking . It has now been exactly 50 Years since the landmark report by the Surgeon General that declared that smoking causes lung cancer. In the last five decades researchers have learned more and more about the health problems that smoking can cause and that over the years heart disease, bladder cancer and cervical cancer have been added to the list.
In January of this year a new list of smoking related illnesses entitled “Health Consequences of Smoking” states that smokers have a 30-40% increased risk of developing Type 2 diabetes than no smokers.

HOW IS DIABETES DIAGNOSED?

My grandfather was diagnosed with Diabetes in the 1950’s by a urine test. For years after that diabetics were diagnosed by the oral glucose tolerance test – drinking a very sweet mixture with blood work done at intervals.

Today there are four tests commonly done to evaluate whether someone has Diabetes or Pre-Diabetes as noted in Diabetes Self-Management Magazine.

1. The HEMOGLOBIN A1C – this test gives an estimate of your average blood glucose level over the past three to four months. This test is non fasting and can be done any time of the day.

A Hemoglobin A1C result of 6.5% or higher will diagnose a person as diabetic.

A diagnosis of Pre-Diabetes occurs if the Hemoglobin A1C is between 5.7 and 6.4%.

2. FASTING PLASMA GLUCOSE – for this test a person needs to not eat or drink anything (except water) for at least 8 hours before the blood sample is taken. The test is usually done the first thing in the morning before a person eats breakfast in a lab setting.

A nondiabetic normal range for this test is a blood glucose level between 65 and 99.

If the fasting glucose is between 100 and 125 – the diagnosis of pre- diabetes may be made.

If the test result is greater than 126 on two separate occasions, diabetes is diagnosed.

3. RANDOM BLOOD GLUCOSE – a random or casual blood glucose test is a check done at any time during the day, without regard to when the person last ate.

A random glucose blood level of 200 or higher indicates diabetes.

4. ORAL GLUCOSE TOLERANCE TEST

The oral glucose tolerance test (OGTT) is generally used for the diagnosis of gestational diabetes. Generally the pregnant woman fasts before the test, has her fasting blood sugar measured when she arrives at the lab, drinks a premeasured glucose solution and then has her blood sugar measured again one hour, two hours and sometimes three hours after drinking the glucose.

A blood glucose of 200 or higher at the two hour mark indicates Diabetes.

A blood glucose between 140 and 199 means a person has Pre-Diabetes.

DIABETES DICTIONARY

LATENT AUTOIMMUNE DIABETES IN ADULTS (LADA)

A condition in which Type 1 develops in Adults.

NO BAKE ENERGY BITES Recipe. From Deb Berg RD CDE -
Valley Health Diabetes Management Program

1 Cup Oatmeal. 1 Cup Coconut flakes (unsweetened preferably) 1/2 Cup Peanut Butter

1/2 Cup a Flax Seed or wheat germ. 1/3 Cup Honey. 1/2 Cup Mini- Chocolate Chips

Mix the dough – then refrigerate for about 1/2 hour – then roll into small balls.

Serving Size: 2 bites. 83 calories. 18 grams of Carbohdrate

5 recommended tests for Diabetics

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The Joslin Diabetes Center in Boston Massachusetts is one of the best and oldest teaching facilities for diabetes education in the United States.

In their booklet ON THE ROAD TO LIVING WELL WITH DIABETES there are 5 tests recommended that all Diabetics should have done on a regular basis. Not being in range on the results of these tests doesn’t make the individual a bad diabetic but instead should be seen as being like a smoke alarm – they can detect danger and warn you that you need to take action.
Acting on the results can lower your risks for complications.

The five tests are: 1. The A1C test
2. Blood Pressure Check
3. Microalbumin test
4. LDL Cholesterol test
5. Eye exam

THE A1C TEST

This is the most important test for a diabetic. Also called the Glycated Hemoglobin test – it is a non fasting blood test that gives a picture of your average blood sugar over a 3-4 month period.

Checking your blood sugar at home shows your blood sugar at the time it is taken- like a snapshot. The A1C gives the long term picture of how well your diabetes care is working.

A Target number for the A1C test is 7 or less. If it is higher than 7 then your blood sugar levels are too high and action is needed!

Action to lower the A1C would include being more active- following a meal plan- checking your blood sugar daily and adjustment if diabetic medications.

The A1C should be checked every 3 months if it is not within range and twice yearly if the target is being met.

Lowering the A1C number will help prevent eye, kidney, and nerve problems. Every one point drop reduces your risk by half.

The A1C is now being used to diagnose Diabetes. Two separate A1C tests with a result of 6.5 or greater can indicate that the person is diabetic.

THE BLOOD PRESSURE CHECK

Many diabetics have hypertension or high blood pressure as well as other cardiac complications.

Diabetics are twice as likely to have a heart attack or stroke as non-Diabetics so it is important to check your blood pressure regularly before complications occur.

Blood pressure officially be checked once a year but it is a good idea to have it checked regularly.

The target number for blood pressure according to Joslin is 130/80. However in January of this year the American Diabetes Association changed the recommendation to 140/80.

Action that be taken to lower blood pressure include becoming more active- losing weight- stopping smoking and started blood pressure medications.

THE MICROALBUMIN TEST

This is also one of the most important tests for Diabetics as it shows how well your kidneys are working. This is a urine test that can be done at your Doctor’s office or a clinic.

This test measures the amount of protein or albumin in the urine. Protein should not be detected in the urine. It’s presence is the first warning sign of kidney disease. If caught in the early stages it is very treatable .

The target number for the Microalbumin test is 30 or lower. The test should be done at least once a year. It is very important to know your number. Action needs to be taken promptly if your number is higher than 30- without treatment your kidneys can be damaged.

Actions to lower or slow kidney problems would include keeping the A1C and blood sugars levels in target level, keeping blood pressure under control, and talking to your Doctor about medicines called Ace Inhibitors which can protect the kidneys and keep your microalbumin from rising.

THE LDL CHOLESTEROL TEST

This test measures the amount of fat in your blood. Cholesterol is made in the liver and can come from food.

The two main types of cholesterol are the HDL ( the “good” kind that protects against heart disease) and the LDL ( the “bad” kind that can damage your heart)

The LDL in your blood sticks to the walls of the arteries, clogging them and preventing blood from flowing freely. This can lead to heart attacks, strokes or other circulatory problems. But treatment can lower the LDL.

The LDL test should be checked at least yearly.

The target for the LDL test is 100 or lower, A number higher than 100 means that you and your Doctor need to take action,

Action to lower the LDL includes increasing you activity level, keeping your blood pressure at or near target range, stop smoking, losing weight, eating less saturated fat ( meat and dairy products) and discussing with your physician the need for a statin medication to lower the LDL cholesterol.

THE EYE EXAM

Having diabetes can put a diabetic at high risk for serious eye problems. Diabetics can have cataracts , glaucoma or diabetic retinopathy involving the tiny fragile blood vessels of the eye.
Any one of these can result in vision loss or blindness.

Some Diabetic eye disease show no signs or symptoms until there is a problem. However early discovery and treatment can prevent or stop most of these problems.

The eye exam should be done at least once a year and the eye should be dilated- with drops to enlarge the vessels so they can be examined.

Action to lower the risk of diabetic eye disease would include keeping your A1C and blood sugar levels in the target range, stop smoking and having the yearly eye exam.

OTHER EXAMS

Other exams that are of benefit to diabetics would include a dental exam every 6 to 12 months and a foot exam by a Health Care professional at least yearly,

Prevention is an important part of diabetic management.

DID YOU KNOW?

The Hampshire County Diabetes Support Group meets monthly on the 4th Wednesday at 1 pm at the Romney Senior Center.

There are still scholarships available for the Diabetic Exercise program at the Wellness Center. The scholarships are sponsored by the Hampshire County Diabetes Coalition. A MD referral is required for the program. To apply for the scholarship contact the Wellness Center at 304-822-7255.

Applications are available for the 6th Annual Walk For Diabetes Awareness. The walk is May 17th OR CAN BE DONE ON YOUR OWN after registering. The cost is $10 and each participant will receive a t-shirt. Call Pam Francis at 304-813-6588 for more information.

MOVING ON program offered at Hampshire Wellness Center

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DID YOU KNOW?

The Hampshire County Diabetes Coalition is offering 5 scholarships to the MOVING ON program at the Hampshire County Wellness Center.  This is an 8 week program for diabetics that provides a personal trainer and an exercise program.  For more information contact Pam Francis at 304-813-6588 or Chris at the Wellness Center at 304-822-7255.

Use EXTEND nutritional snack bars?  Need a coupon?  Contact Pam Francis Diabetes Educator for one.  Also available are coupons for Chobani Yogurt.

According to Endocrine Today- Stephan Martin MD of the West German centre For Diabetes and Health found that diabetics who participated in a 12 week interactive exercise video program improved  their blood sugar and quality of life.  The study which used Nintendo’s Wii Fit Plus showed also that “Exercise games may potentially be used in a home setting as a tool to reduce inactive behavior in people with Type 2 Diabetes.”

UPCOMING EVENTS

The 6th Annual  WALK FOR DIABETES AWARENESS will be held on Saturday May 17th 2014 at the Hampshire County Wellness Center.  The 2 mile Walk will begin at 9 am.  All participants will receive a t-shirt and an educational packet.  Door-prizes will be given on the day of the Walk.
Registration will be $10.00 per person or $30.00 for a team of 5.   New this year will be the opportunity to register and then walk independently beginning April 17th the 2 miles using the honor system. If registered the participant will receive a t-shirt and be eligible for the door prizes on the day of the walk.  For more info contact the Wellness Center or Pam  Francis.

The 4th Annual Diabetes Kid Camp will be held on July 24 and 25th beginning at 9 am.
The Camp is open to Type 1- Type 2 and Pre-Diabetics ages 8 to 18.  For more information or for an application contact Pam Francis.

DIABETIC DICTIONARY

Gestational Diabetes Mellitus- a type of diabetes that develops only during pregnancy and usually disappears upon delivery, but increases the risk that the mother will develop diabetes later in life.

A DIABETIC LOVE STORY

Eva Saxl was born in Prague Czechoslovakia in 1921.  She married her husband Victor, a scientist- at age 20. World War 2 broke out and she and Victor fled to  Shanghai  China.  It was shortly after that Eva was diagnosed with Type 1 Diabetes.  When the Japanese attacked Pearl Harbor in 1941 security was tightened and Eva soon had no access to insulin. When her supply ran out there would be no more to purchase.
Victor – desperate to save the life of the woman he loved decided to do the unconventional – make his own insulin.  A Chinese chemist lent them a small laboratory and it was there that Victor learned to extract insulin from the pancreas of  a water buffaloes.  After much work- using a medical book as a model -he developed  a brown colored insulin.

With time running out and no other choices the day came when Victor was forced to try the brown insulin on his beloved wife.  He was so tense that he had to leave the room as they waited to see if there would be a fatal reaction to his  homemade brown insulin.

The results were amazingly successful.  Eva could not believe how well she felt.  2 patients at a local hospital were given the insulin woke up from a diabetic coma and did
well.
With his new insulin perfected, Victor manufactured insulin for all people with diabetes I in the Shanghai ghetto.  In all 200 people survived by using the dark colored insulin- each coming to the lab daily to receive an injection.

Eva and Victor  left  Shanghai  after the war and immigrated to the United States. She became a spokeswoman for the American Diabetes Association and Victor worked for the United Nations.
During the 1940’s and 1950’s the general public was misinformed about diabetes and there was a real stigma attached to the disease. Most diabetics tried to hide the fact they had the disease.
Eva Saxl was a pioneer in  educating  the public about diabetes and the true facts about the disease.  She appeared on television- did speaking engagements and even met with the President.

When Victor died she moved to Chile where her only sister lived.  For the rest of her life she devoted herself to diabetic education.  Hers was a life well lived – possible only by the love of her husband who risked all to develop the insulin that saved her life.

COPING WITH THE STRESSES OF THE SEASON

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D-Life offers some tips for making it through the Holiday season with sanity and blood sugar intact:   1.  SHOP STRATEGICALLY:  -Plan ahead and start shopping early to avoid the stress of the mall and crowds.  Stress  = increased blood sugar levels   2.  SNACK SMART:  When you are out on long shopping excursions – bring healthy snacks along and avoid the food court.  Small frequent meals are best for keeping your energy and blood sugar in a comfortable zone.   3.  GIVE THE GIFT OF HEALTHY FOOD:  Treat your host or hostess to a tasty low-care or sugar-free dish at the next holiday party you attend.    Chances are that more than one health conscious guest will appreciate you for doing so.   4. HAVE A ROAD MAP FOR DIABETIC EMERGENCIES:   If planning to travel – develop a plan for doing so.  Call ahead for any airline – trains or cruises and discuss your needs and preference to make sure the food that you want is accessible.  Bring snacks and plenty of medication in case of unforeseen delays on the road – rails or air.    5.  WRAP UP A CURE –  Shop for and help Diabetes advocacy groups  to help find a cure.

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DID YOU KNOW?    DIABETES AND SURGERY:    According to Diabetes Living Magazine – if you are scheduled to have surgery – talk with your Doctor `about your blood glucose levels.  Surgical site infections are the most common hospital acquired infection in surgical patients and people with diabetes are at a higher risk that people who do not have diabetes.  Keeping blood sugar levels between 80-110 mg/dl during the first 48 hours after surgery has been shown to reduce infection.
It is also very important when facing surgery or any outpatient procedure to let your Health Care Providers know if you are on Metformin (Glucophage).  This would include dental surgery and would also include any x-ray procedure in which dye is injected. You may need to stop taking metoformin  before the procedure and wait 48 hours to restart treatment.  Your Doctor will give you exact instructions.  Metformin  has the potential to cause a life threatening illness called lactic acidosis so make your provider aware.
THE HEALING POWER OF SILVER AND COPPER::
Wounds in diabetic patients are a concern because of the difficulty in healing them.  The worse case scenerio in a Diabetic patient is a small wound that leads to an infection and amputation of a limb or part of a limb.
For years Home Helath or Wound Care Nurses recognized the positive efect of silver on a wound.  Burns have been treated for years with a silver ointment that looks like “white icing” known as Silverdene
But in recent years wound care specialists have found that silver in a gel form is extremely effective in treating bacteria at the level of the wound bed.  Specialists have found that Antibiotics by mouth are not nearly as effective as treatment of the wound bed. As a result some companies have started to seel socks that have very small amounts of silver interwoven in them.  These socks combat not only bacteria in a wound but also can help with yeast and fungus – other problems that affect Diabetics.
Recently a company called Cupron has developed a pair of socks that has copper woven in the fabric as a preventative for Athlete’s foot and other fungal infections.
Check the internet for companies that sell them
The HAMPSHIRE COUNTY DIABETIC SUPPORT GROUP  meets monthly at the Romney Senior Center on School street.  It is the 4th Wednesday of each month at 1 pm.   For more information call Pam Francis RN Diabetic Educator at 304-813-6588.
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DIABETES DICTIONARY:
A1C:       A test that measures a person’s average blood glucose over the past 2-3 months.  Hemoglobin is the part of the red blood cells that carries oxygen to the cells and joins with glucose in the blood stream/  This test should be done twice yearly if within range and every 3 months if not.  To be in range results should be 7 or less.
BETA CELL:      A cell that makes insulin.  Beta cells are located in the islets of Langerhans in the Pancreas
CALORIE:   Food energy that animals including humans derive from their food..
About 3500 calories equal a pound of body weight.  So to lose a pound a week you would have to decrease 3500 calories from your regular intake for the week
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PORTIONS CAN DECEIVE?
Often we feel that if we eat portions that are smaller it will also mean the food has less calories and carbohydrates.
One example where this is not true is a small pan/individual meat lovers’ pizza.  One of the 6 inch pizza’s with pepperoni – ham or ground beef is a big calorie and fat bomb according to Dietitican’s with Academy of Nutrition and Dietitics.   And lower calories is not an option as they contain about 830 calories.
To burn off one of these pizzas you would have to :  1.  Shop for 5 hours and 8 minutes
2. Bike for 3 hours and 5 minutes  3.  Cook for 4 hours and 38 minutes   4.  Walk for 2 hours and 48 minutes  or 5.  Do jumping jacks for 1 hour and 31 minutes.
Next time to make it healther:  1.  Pick just one meat  – ham would be the better choice.
2. Use the Mushroom trick:  To satisfy a meat craving – order mushrooms instead.  These vegetables will fill you up and deliver the same meaty texture..
3.  Think thin (crust) – Thick crusts are always higher in calories.  The thinner the better.
4.  Go easy on the cheese.  Ask for half the cheese or order without cheese and sprinkle on afterwards.
5.  Stick with Veggies – this slashes almost 300 caloreis – cuts the fat in 1/2 and the sodium content by 40%.
6.  Eat salad first.  You will most likely eat less slices
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QUOTE OF THE MONTH:
Well controlled Diabetes is the leading cause of ……..nothing!
Dr William Polonsky – Diabetess Behavioral Institute
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WANT TO MAKE HEALTHIER CHOICES?
Western Maryland Health Systems offers a guided tour of a local supermarket by a Registered Dietitian.  She will show you how to read labels and shop for healthy choices.
Tours are scheduled regularly and they are free!  For dates of upcoming tours – you can call them at 240-964-2302 or visit www.wmhs.com
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HEPATITIS B AND DIABETICS
The Center for Disease Control (CDC)  recommends vaccination against Hepatitis B because having Diabetes may increase the chances of getting the disease.  Because Diabetes affects the immune system Hepatitis may affect the Diabetic.  The CDC now recommends that unvaccinated adults with Diabetes who are between the ages of 19-59 to have the Hep B vaccine and Diabetics age 60 or older to have the vaccine as determined by a Healthcare provider.
HOW MANY CARBS PER MEAL?   This is one of the most frequently asked questions as a Educator that I receive.  In general the target should be 45-60 carbohydrates per meal for women and 60-75 per meal for men.  Snacks should contain 15-30 grams of carbohydrate.
One carb choice = 15 grams of carbohydrates.  The is about the amount found in – 1 small apple – 1/2 cup of mashed potatoes – 5 crackers or 1 small chocolate chip cookie

2014 UPCOMING EVENTS

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May 17th-  Walk For Diabetes Awareness at the Hampshire County Wellness Center.

July 24th and 25th – the 4th annual Diabetic Kids Camp.  Open to any pre-diabetic -Type 1 or Type 2 diabetics ages 8 -18.

For more information about either event contact Pam Francis at 304-813-6588

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DIABETIC DICTIONARY:        RULE OF 15 –  A conservative way to treat hypoglycemia or low blood sugar.      If the blood sugar goes low or if symptoms of low blood sugar occur then:
1.  Take in 15 grams of a simple carbohydrate serving.  2.  Wait 15 minutes.    3.  If after 15 minutes the blood sugar remains below 70 or symptoms of low blood sugar remain – then take another 15 grams of carbohydrate.  Once the blood sugar comes up then follow with a meal or a snack that contains a protein -a fat and a carbohydrate.

What is low blood sugar?  By definition it is a blood sugar of 70 or below.

What is a 15 gram  serving of carbohydrate?  This could include 1.  8 ounces of milk  2. 1/2 cup of juice or regular soda. 3.  4 glucose tabs or  5. A tube of glucose gel.

Will a candy bar raise my blood sugar just as well?    While a candy bar will increase the blood sugar – it is not ideal because candy contains fat which will provide a slow rise in the sugar not the rapid rise that is needed to prevent a crisis.

————————————————————————————————————–November is  National Diabetes Month  – a time for raising awareness of this disease that affects so many.  Some recent statistics on Diabetes :  ** Nearly 26 million children and adults in the United States has diabetes.    ** Another 79 million Americans have pre-diabetes and are at risk for developing Type 2 Diabetes. **  the American Diabetes Association estimates that the total national cost of diagnosed diabetes in the United States is $245 billion.

Certified Diabetes Educators ( CDE’s ) are health care professionals – nurses- dietitian – pharmacists or exercise physiologists who are specialized in diabetes education and care management.  Currently there are around 15,000 CDE’s in the United States.

Diabetes Education focuses on 7 Self-care behaviors recommended by the American Association of Diabetes Educators (AADE) as essential for improved health status and greater quality of life.

1.  Healthy Eating
2.  Being Active
3.  Monitoring
4.  Taking Medicine
5.  Problem Solving
6.  Healthy Coping
7.  Reducing risks

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DID YOU KNOW?  There is no longer a “diabetic diet” or a “one size fits all eating pattern” for all adults with diabetes.  Though many health care professionals may not be aware of this – the concept of a diabetic diet went out with the 1994 American Diabetes Association Dietary guidelines 20 years ago,

Do you have Type 2?

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DID YOU KNOW
West Virginia had the highest prevalence of adult diabetes in 2012 and Alaska had the lowest rate according to the Robert Wood Johnson Foundation.  In West Virginia 13% of adults had diabetes last year as compared to 7%  for Alaska.

Type 2 Diabetes Risk

The exact causes of Type 2 diabetes aren’t completely understood but it is known that there is a strong family or hereditary component.  According to Diabetes Life individuals who have a parent or sibling with Type 2 Diabetes have a 7-14% chance of developing the disease.

The following Quiz can be used to determine the risk of developing Type 2 Diabetes:

1.  I am overweight or obese. (a).Yes (b).No

2.  I have a parent, brother, or sister with diabetes. (a).Yes (b).No

3.  My family background is African American, American Indian, Asian American, Pacific Islander or Hispanic American/Latino. (a).Yes (b).No

4.  I have had gestational diabetes or I have given birth to at least one baby weighing more than 9 pounds.  (a).Yes (b).No

5.  I am fairly inactive,  I exercise fewer than 3 times a week.  (a).Yes (b).No

6.  My cholesterol levels are not normal. My HDL cholesterol (good cholesterol) is 35 or lower, or my triglyceride level is 250 or higher. (a).Yes (b).No

7.  My blood pressure is 140/90 or higher, or I have been told that I have high blood pressure. (a).Yes (b).No

According to the National institute  of Health (NIH) one or more Yes answers indicate that you might be at risk for Type 2 diabetes. The NIH recommends that people over age 45 should consider getting tested for diabetes, and the American Diabetes Associates (ADA)  suggests a routine test every 3 years for those over 45 especially if they are overweight , or for those under 45 if they are overweight and have at least one other risk factor.

iCookbook Diabetic now available for download for free! This can be used for iPads – iPhones or the iPod touch. It is available at the App Store.  This App contains 500 delicious diabetes-  friendly recipes as well as nutritional in formation and health related articles force opel with diabetes.

DIABETIC DICTIONARY

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Metabolic Syndrome: Also called Syndrome X – refers to a cluster of conditions often found in diabetics: obesity – insulin resistance – hypertension and high lipids.

Recipe: RUSTIC APPLE TART
From- Diabetic Cooking
1 refrigerated pie crust (1/2 of 14 oz package)
2 tablespoons packed brown sugar
4 medium Granny Smith apples – peeled – cored – thinly sliced (about 4 cups)
1/4 teaspoon ground cinnamon.
1 egg white.
3 tablespoons apricot fruit spread
1. Preheat oven to 375 degrees F. Line baking sheet with parchment paper; spray with nonstick cooking spray.
2. Roll out pie crust on lightly floured surface to a 12 inch circle. Place on prepared baking sheet.
3. Combine apples, brown sugar and cinnamon in large bowl; gently toss to coat.
Arrange apples in the center of pie crust to within 1 inch of the edge. Fold crust over apples. Brush with egg white.
4. Bake for 25 minutes. Dot with fruit spread. Bake 5 to 10 minutes or until apples are crisp-tender and crust is golden brown. Let stand for 5 minutes before cutting. Serve warm.

DID YOU KNOW – Diabetic Standards of Care
The American Diabetes Association recommends several yearly tests and exams for diabetics:

1. The A1C blood test- identifies the average blood sugar over a 3 month period.
– should be less than 7%
– done twice yearly if blood sugar is stable -4 times yearly if not.
2. LIPID PROFILE TEST – Goals would include: Total cholesterol less than 200.
HDL – for men above 40 and for women above 50. Triglycerides – below 150.
LDL – less than 100.
3. KIDNEY FUNCTION TESTS:
– A urine test that measures protein also called albumin.
– A blood test that checks creatinine.
4. DILATED EYE EXAM – checking for damage to the small vessels of the eye,
5. FOOT EXAM: Take off your shoes and socks while waiting for the Doctor to come in- then ask them to exam your feet.
6. DENTAL EXAM. – Done yearly – often an overlooked part of diabetic care.
7. FLU SHOT – done yearly. Diabetics are at high risk for developing the flu.

8 01 13 Did you know???

DID YOU KNOW?   Beware of scented hand lotions:  Many hand lotions have added sugars such as glycerin, a sugar alchohol.  According to D-Life, the natureal ingredients that give us the fruity or coconut smells also contain sugars.  Any of these can result in a false high reading.  For the most accuraate testing make sure your hands are clean before testing.

DID YOU KNOW?  It is not necessary to clean the finger before taking a blood sugar. Washing your hands with soap and water is acceptable.

DID YOU KNOW?  Apple Cidar vinegar may help blood sugar?  1-2 tablespoons before a meal can help insulin resistance and lower blood sugar according to some studies. Check with your Provider prior to using this because it is acidic and may trigger Gastric problems.

DID YOU KNOW?  According to D-Life if you are getting inaccurate results on your meter it may be because you have taken Tylenol prior to testing.  Call the  1-800- 1-800 number on the back of your meter to see if Tylenol can affect your blood glucose reading.  How does this work?  Each company uses different chemicals on strips – some react with Tylenol and some do not.  Other factors that can affect blood glucose reaidngs are altitude – anemia and sometimes Vitamin C.

DID YOU KNOW :  Every diabetic will have hypoglycemia (a blood sugar 70 or below) in their lifetime.  Treating it with a simple sugar will bring it up quickly.  One easy item besides glucose tablets to carry or keep at home is the baby food size bottles of juice. They are small – don’t have to be refrigerated and are usually around 15 grams of carbohydrate which is the standard used to treat low blood sugar.

DID YOU KNOW:  The Hampshire County Wellness Center is offering a MOVING FORWARD WITH DIABETES class that emphasizes the exercise component of diabetes management.  It is a 8 weight course with a personal trainer three times a week.  For more information contact the Wellness Center at 822-7255.

DIABETIC DICTIONARY:  Capsaicin – an ingredient in hot peppers that can be found in ointment form for use on the skin to relieve pain from diabetic neuropathy.

 

6 05 13 ABCs of Diabetes

Often having diabetes will increase the risk for heart disease or stroke.   Knowing the ABC’S of Diabetes will help to decrease the risk.

A = A1C.      This is a non-fasting test that will give an “average” blood sugar for the last 3 months. This is a very important test in diabetes management second only to a fasting blood sugar as tests to have done regularly.  The A1C test will come back with a number.  The American Diabetes Association stand is a A1C less than 7.  The A1C is now used to diagnose diabetes.

B =  BLOOD PRESSURE. Keeping blood pressure below 130/80 is another important way to keep the risk of stroke or heart disease down.  Keeping the blood pressure down also helps to protect the kidneys – eyes and brain.  It is not uncommon for some Diabetics to be on 2 or 3 different blood pressure medications in order to keep at goal.
C. = CHOLESTEROL    The HDL cholesterol is the “good” cholesterol. The LDL cholesterol is the  “bad” cholesterol .  HDL cholesterol protects the heart and LDL cholesterol build-up can lead to heart disease or stroke.  LDL cholesterol should be below. 100.    HDL cholesterol should be above 50 for women and above 40 for men.

UPCOMING  EVENTS:

June 19th from 2-3 pm at the Medicine Shoppe in Ft Ashby – MANAGING YOUR MEDICATION – the Diabetic Dilemma .  This is a free program and open to the public.  Call 1-866-611-8268 toll free or 304-298-4557 for more information

June 26th – Monthly meeting of the Diabetic Support Group held at 1 pm at the Romney Senior Center on School Street.  Lisa Bohrer RN will be guest speaker

July 25th and 26th 2013 – DIABETIC KIDS CAMP –  held at the Wellness Center on Rt 50 in Romney WV.  Know a Diabetic or Pre-Diabetic ages 8-18?  Then join us for this Day Camp that is free to the participants.  It will include swimming – kick boxing – Guest Speaker Lee Staley RN – a group for parents- cooking class and more!  To register contact the Wellness Center at 304-822- 7255 or Pam Francis Diabetic Educator at 304-813-6588.  Open to any diabetic child in any state.

August 2013- Healthy Eating Class at the Health Department in Augusta WV – more information coming soon!

Did you know?  You can enroll at Recipes For Healthy Living at diabetes.org/recipes which will give year round meal ideas and a monthly newsletter from the American Diabetes Association. It’s Free!

4 03 13 Upcoming events

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April 6th 2013 – Potomac State College Circle K Club is holding their Annual Health Screening
From 7-10am.  This screening offers blood work for a low charge and if the  Doctor fills out the form in advance some insurances are accepted.

April 16th 2013 – Healthy Eating program at the Hampshire County Health Department in Augusta.  Sponsored by the Hampshire County Diabetes Coalition, it will be taught by Shannon Ritchie a Nutritionist with WVU.  It will be held  from. 11 am to 12:30 pm and will feature recipes – demonstrations and taste testing.  It is free of charge and open to anyone who wants to learn about healthier diet choices.   Call Pam Francis @ 304-813-6588 to register

May 18th 2013 –  The 5th Annual Walk For Diabetes Awareness will be held with registration beginning at 8 am at the Wellness Center on Rt 50 in Romney.  The 2 mile walk will begin @ 9 am.  Entry fee will be $15.00 prior to May 4th for individuals and $20.00 after the 4th.  Teams of four fee is $ 50.00.  There will be t-shirts and door prizes .  Monies from this walk goes toward the Diabetic Kids Camp and other diabetic education projects.  For more information or an entry form contact PamFrancis at 302-813-6588

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