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[dt_sc_toggle_framed title=”What is diabetes?”]

  • Diabetes is a disease in which the body does not produce or properly use insulin, a hormone that is needed to convert sugar, starches and other food into  energy needed for daily life. The cause of diabetes is a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play key roles.
  • There are three types of diabetes: Type 1, Type 2 & Gestational Diabetes
    Type 1 Diabetes is a disease that starts when the pancreas stops making insulin. Insulin lets blood sugar—also called glucose—enter the body’s cells to be used for energy. Without insulin, the cells can’t get the sugar they need, and too much sugar builds up in the blood.
    Type 2 Diabetes is a lifelong disease that happens when the cells of the body can’t use insulin the right way or when the pancreas can’t make enough insulin. Insulin lets blood sugar—also called glucose—enter the body’s cells to be used for energy. When insulin is not able to do its job, the cells can’t get the sugar they need, and too much sugar builds up in the blood. Over time, this extra sugar in the blood can damage your eyes, heart, blood vessels, nerves, and kidneys.
    Gestational Diabetes is a temporary form of insulin resistance that usually occurs halfway through a pregnancy as a result of excessive hormone production in the body, or the pancreas’ inability to make the additional insulin that is needed during some pregnancies in women without a previous history of type 1 or type 2 diabetes. Gestational diabetes usually goes away after pregnancy, but women who have had gestational diabetes are at an increased risk for later developing type 2 diabetes.

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[dt_sc_toggle_framed title=”Want to learn about our Diabetes Education Classes?”]

hlsDo You Have Diabetes? Want to Learn How to Understand and Control it Better?

At the Healthy Living Center we offer intense diabetes education and training.

We understand that diabetes is the most harmful disorder to the body and the most difficult to understand. 1 out of every 4 Americans over age 65 have diabetes and of that number African-Americans comprise the most.
The rise in diabetes is so great that by year 2030, it is estimated that 2 out of every 4 Americans over age 65 will have it and 1 out of every 2 African-Americans will have it. To treat Diabetes requires not only your medical provider’s expertise but your willingness to actively participate in your own care. At the Healthy Living Center, we give you the tools and knowledge to take control of your life with this disease.

Don’t let diabetes ruin your life! Fight back with knowledge and understanding.

Education Session Format

Our education session lasts approx 2 hours.

First you will undergo a brief physical exam that focuses on the key body sites that diabetes attacks.

Second, you will tour our Healthy Living Center where a chef will have a diabetic friendly meal prepared for your enjoyment. It will also serve as an example that diabetic food choices can be extremely tasty.

Third, you will be given a 30 minute power point presentation about diabetes from a medical provider with ample time for questions. You will learn about the nuts & bolts of diabetes in clear and simple terms. You will learn some of the terminology and test results that are used during your office visits.

Fourth, you will be counseled by a certified diabetic educator to help you to understand why some foods are bad for diabetes and how to select healthier choices. You will learn how to read food labels, calculate calories and sodium in the foods you eat.

Lastly, you will undergo a review of glucose home monitoring. Your will be shown how to use a monitor if you do not already know. You will be taught the preferred methods of testing yourself. You will be shown how to record your results in a daily log and how to interpret your glucose results. For those needing it, insulin administration will also be reviewed and taught.

Testimonials

What Is The Cost?

nurseThe cost is covered by your insurance plan just like an office visit. If your are interested, let our staff or your health provider know.

Olivia Newby, DNP, FNP-BC, CDE (Program Coordinator & Nurse Practitioner)

James Newby, MD, CDE (Program Physician)cde

DEAP

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[dt_sc_toggle_framed title=”What range should your blood glucose be?”]

Fasting glucose should be 70-130
2 hours after eating the glucose should be under 180
Bedtime glucose should be 90-150.
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[dt_sc_toggle_framed title=”What is an AIC blood test?”]
• The A1C test measures your average blood glucose control for the past 3 months. It should be 7.0 or lower for good diabetes control
• It is determined by measuring the percentage of glycosylated hemoglobin, or HbA1c, in the blood.
• Your A1C should be tested 2-4 times a year..
• It does not replace daily self-testing of blood glucose.
• The results give you a good idea of how well your diabetes treatment plan is working.
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[dt_sc_toggle_framed title=”What are the complications of diabetes?”]

Heart disease and stroke
Approximately 65 percent of people with diabetes will die of heart disease or stroke, and they are likely to die at a younger age than people who do not have diabetes. People with diabetes are two to four times more likely to have heart disease. People with diabetes are two to four times more likely to suffer a stroke.

Blindness due to diabetic retinopathy
Diabetes is the leading cause of new blindness in people 20 to 74 years of age.

Kidney disease due to diabetic nephropathy
Diabetic nephropathy is the leading cause of end-stage renal disease (kidney failure). Kidney failure requires the patient to undergo dialysis or a kidney transplant in order to live.

Nerve disease and amputations
About 60 to 70 percent of people with diabetes have mild to severe forms of diabetes-related nerve damage, which can lead to lower limb amputations. In fact, diabetes is the most frequent cause of non-traumatic lower limb amputations. The risk of a leg amputation is 15 to 40 times greater for a person with diabetes.

Impotence due to diabetic neuropathy or blood vessel blockage
Impotence is a common complication of diabetes in men. It has been reported that men with diabetes, over the age of 50 have impotence rates as high as 50 to 60 percent.
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[dt_sc_toggle_framed title=”How does food affect diabetes?”]

Carbohydrates have a greater impact on blood sugar or glucose than even fats and protein. Diabetics should ensure no more than 40 to 65 percent of their daily caloric intake comes from carbohydrates and ensure that most of this comes from good carbs like vegetables, fruits, whole grains and beans. Simple carbohydrates or sugars are bad carbs that can increase blood glucose levels quickly.

What are carbs?

Your body uses carbohydrates to make glucose (sugar) which is the fuel that gives you energy and helps keep everything going.  Your body can use glucose immediately or store it in your liver and muscles for when it is needed.  You can find carbohydrates in the following:  fruits, vegetables, breads (cereals, and other grains), milk (and milk products),  foods containing added sugars such as cakes, cookies, and sugar-sweetened beverages.

Healthier foods that are higher in carbohydrates include ones that provide dietary fiber and whole grains as well as those without added sugars.

There are two main types of carbohydrates:

–             Simple carbohydrates (less healthy)

–             Complex carbohydrates (more healthy)

What are simple carbohydrates?

Simple carbohydrates are digested quickly.  This is why they are used for quick energy.  The digestive enzymes easily break down these molecules for absorption.  Their rapid absorption increases the chances of sugar converting to fat .  Examples include white bread, white rice, refined sugars (white sugar, cookies, candy, jelly), most packaged cereals, pasta (white flour), sodas, soft drinks and chocolate.

What are complex carbohydrates?

Complex carbohydrates are harder to digest.  Digestive enzymes have to work much harder to break them down for absorption through the intestines.  For this reason digestion of complex carbohydrates takes longer. The slow absorption of these sugars provide us with a steady supply of energy and limits the amount of sugar converted into fat and stored.  Examples include whole grain bread, brown rice, unrefined sugars, (whole cane or raw sugar), oatmeal, potatoes, most fruits, corn and rice.

Try to replace simple carbohydrates with complex carbohydrates.

All carbs can contribute to weight gain and worsening control of diabetes, but eating simple carbohydrates make you much more prone. to this bad consequence.

What are fats?

Fats are nutrients that are water insoluble and supply the body with energy.  They are needed for important bodily functions.  However too much fat consumption can lead to poor control of diabetes and to the development of cardiovascular disease.  There are several types of fats:  polyunsaturated fats, monounsaturated fats, saturated fats and trans fats.

Polyunsaturated and monounsaturated ( the “good” fats).

Found in nut and vegetable oils and oily fish, such as salmon, trout, and herring. They don’t raise blood cholesterol levels and may even reduce the risk of cardiovascular problems. Eating seafood with omega-3 fatty acids, such as salmon and sardines, twice a week may reduce the risk of certain forms of heart disease.

Saturated and trans fats (the “bad” fats)

Found in dairy and beef products and palm and coconut oils. The more of them you eat, the higher your risk of developing cardiovascular disease. Trans fats are also found in French fries and many commercially baked products, such as cookies and crackers, but are becoming less common.

Examples of good oils:   Olive oil (best), Canola oil (next best), Peanut oil (good), Vegetable oil (least)

Examples of bad oils:  Coconut oil, Palm oil, All animal based oil such as lard and bacon grease.

Go to this link for more: www.diabetes.org/food-and-fitness/food/
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[dt_sc_toggle_framed title=”How does exercise affect diabetes?”]

Exercise is very important for people with diabetes. But exercise doesn’t necessarily mean running a marathon or heavy weight lifting. The goal is to get active and stay active by doing things you enjoy, from gardening to playing tennis to walking with friends. Here are some ideas for getting moving and making exercise part of your daily life.

Types of Exercise
A comprehensive physical activity routine includes three kinds of activities:
• Aerobic Exercise
• Strength Training
• Flexibility Exercises

Aerobic Exercise
Aerobic exercise increases your heart rate, works your muscles, and raises your breathing rate. For most people, it’s best to aim for a total of about 30 minutes a day, at least 5 days a week. If you haven’t been very active recently, you can start out with 5 or 10 minutes a day. Increase your activity sessions by a few minutes each week.
If your schedule doesn’t allow for 30 minutes straight of exercise throughout the day, you can break it up into no less than 10-minute spurts to get the same health benefits. For example, you might take a brisk 10-minute walk after each meal.
If you’re trying to lose weight, you may want to exercise more than 30 minutes a day.
Here are some examples of aerobic exercise:
• Take a brisk walk (outside or inside on a treadmill)
• Go dancing
• Take a low-impact aerobics class
• Swim or do water aerobic exercises
• Try roller-skating
• Play tennis
• Ride your bicycle outside
• Stationary bicycle indoors

Strength Training
Strength training, done 2-3 times a week, helps build strong bones and muscles. It makes everyday chores like carrying groceries easier for you. With more muscle, you burn more calories, even at rest. Strength training can also help to prevent weight gain. Here are some ways to do it:
• Join a class to do strength training with weights, elastic bands, or plastic tubes
• Lift light weights at home
• Try calisthenics

Flexibility Exercises
Flexibility exercises, also called stretching, help keep your joints flexible and reduce your chance of injury during other activities. Gentle stretching for 5 to 10 minutes helps your body warm up and get ready for aerobic activities such as walking or swimming. Your health care provider can provide information on how to stretch. Improve your flexibility by:
• Taking an aerobics or fitness classes that includes stretching
• Doing yoga or Pilates
• Stretching on your own before and after exercising

Being Active Throughout The Day
In addition to formal exercise, there are many opportunities to be active throughout the day. Any activity will burn calories. The more you move around, the more energy you’ll have. Some ways that you can be more active throughout the day include:
• Walk instead of drive whenever possible
• Take the stairs instead of the elevator
• Work in the garden, rake leaves, or do some housecleaning every day
• Park at the far end of the shopping center lot and walk to the store
• Walk down every aisle of the grocery store
• Walk in place or stretch while you watch TV
• Walk around the house or up and down stairs while you talk on the phone
• Get up from your desk and take a lap around the office once each hour while you are at work
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[dt_sc_toggle_framed title=”What diabetes programs are there online?”]

callout_mywellpanner

Exciting new lifestyle improvement program for people with type 2 diabetes

We know that making lifestyle changes can be overwhelming, but we are here to help.  My Well Planner is a FREE customized, online support program designed to help you make healthy lifestyle choices.

My Well Planner:mywellplanner

  • Helps you get motivated to eat healthier and stay active
  • Makes understanding diabetes easier with a variety of topics you can choose
  • Allows you to set health goals that you can achieve at your own pace
  • Provides you with tools for sharing your progress between appointments

*It’s important to work with your doctor when setting health goals.

With the My Well Planner Program, you can take small steps to reach your personal health goals in five areas:

  • Eating Better
  • Staying Active
  • Understanding Type 2 Diabetes
  • Sharing with Others
  • Taking Medications

Enroll today for your FREE personalized online program.

To learn more about My Well Planner, visit tradjenta.com/mywellplanner or click the link below to go ahead and register now!

btn-register-now
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[dt_sc_toggle_framed title=”For more information on Diabetes?”]

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Other useful information links…
American Diabetes Association link: www.diabetes.org
Sanofi Diabetes link: www.strivingforward.com
Boehringer Ingelheim link: www.tradjenta.com/my-well-planner

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