Footcare info, specials & more!
Subscribe for FREE.

Foot.com News » 2006 » November

/*

Archive for November, 2006

New Sock Could Be Big Step Forward in the Eternal War Against Smelly Feet

Tuesday, November 28th, 2006

Source: Record, The; Bergen County, N.J.
Publication date: 2006-11-10

By DUNSTAN PRIAL, STAFF WRITER

Imagine a sock that makes your feet not only look nicer but smell better. Teaneck-based Aetrex Worldwide Inc. has.

The 60-year-old foot-care products company said Thursday that within the next month, it will introduce its Copper Sole Sock designed to fight bacteria that causes fungus and odor.

In addition, the socks are essentially seamless, meaning there is no raised seam that can cause an irritation that could be potentially dangerous to diabetics.

The sock taps into the antimicrobial properties of copper for its innovative therapeutic benefits, according to Donille Perrone, Aetrex’s marketing director.

Cupron fibers derived from copper are weaved into the sole of the sock, and that fiber has been found to eliminate 99.9 percent of bacteria and fungi that are the leading cause of athlete’s foot, she said.

The copper fiber remain active for as long the sock is worn, she added.

Moreover, Perrone added, “Copper ions are one of the only technologies presently available that actually improves the appearance of the skin.”

Thus wearers could find red, blotchy irritations caused by fungus disappearing after wearing the socks, she said.

Perrone explained that many diabetics suffer from a condition called neuropathy, which dulls feeling in the foot and can lead to ulcerations.

Copper Sole Socks have no seams and therefore don’t cause irritation, she said.

“There are not too many socks that are safe for people with diabetes but this is one of them,” she noted.

Dr. John M. Galant, a podiatrist in Tenafly, said he couldn’t vouch for copper’s therapeutic values because he was unaware of them. But a seamless sock would be beneficial to a diabetic, he said.

Aetrex said its claims are backed up by medical evidence.

In a 2004-05 study, according to a statement released by the company, a doctor tracked the foot health of 51 patients, including 21 with diabetes.

The study showed that patients wearing Copper Sole Socks had “significant improvement in the appearance and texture of their skin, particularly around their toes and the soles of their feet,” the company said.

Perrone said a pair of Copper Sole Socks will cost $10 to $20, and will be available in sport and dress style. The company expects to one day sell the socks in large sporting goods stores and pharmacies, she said.

Meanwhile they can be purchased on the company’s Web site at foot.com.

“It’s no ordinary sock,” she said.

“It’s by far the healthiest sock you could wear.”

***

E-mail: prial@northjersey.com

(c) 2006 Record, The; Bergen County, N.J.. Provided by ProQuest Information and Learning. All rights Reserved.

Publication date: 2006-11-10
© 2006, YellowBrix, Inc.

Require Prosthetic Coverage

Tuesday, November 28th, 2006

Source: Deseret News (Salt Lake City)
Publication date: 2006-11-07

More than 1.8 million Americans are living with limb loss or limb deficiency as a result of disease, trauma or birth defect. In return for premiums paid for group health insurance, consumers expect to be covered for catastrophic illness or injury. Sadly, without legislation to ensure coverage, many people living with the loss or absence of a limb are facing discouraging obstacles when trying to obtain prosthetic care.

That is why groups all over the country are working to advance legislation to require prosthetic coverage. These bills have already passed in six states. It is time for Utah to take action to protect the needs of people with limb loss. Data have shown that prosthetic parity actually results in a savings in medical costs. I urge people to contact their legislators to push for a prosthetic coverage bill.

Tami Stanley

Orem

(c) 2006 Deseret News (Salt Lake City). Provided by ProQuest Information and Learning. All rights Reserved.

Publication date: 2006-11-07
© 2006, YellowBrix, Inc.

Disabled Dressage Rider Has Olympic Dream

Tuesday, November 28th, 2006

Source: The Arizona Daily Star
Publication date: 2006-11-09

By Shelley Shelton, The Arizona Daily Star, Tucson

Nov. 9–Editor’s note: This story first appeared in the Star on Nov. 7.

Holly Bergay wouldn’t mind seeing herself on a Wheaties box or on the side of a McDonald’s cup.

She’s got her sights set firmly on the Olympics, though it’s rare for equestrians to garner the kind of exposure that lands them on cereal boxes.

When Holly runs through equestrian exercises on an autumn evening as the sun sets, it’s easy for the casual onlooker to miss the precise nature of the dressage techniques she uses.

Her mount, Lilly, appears to skip and dance as she moves gracefully around the arena.

It’s also easy to miss the most unusual aspect of the show, which is that Holly has no left hand or lower arm.

Holly, a 14-year-old dressage champion many times over who lives on the far Northeast Side, has never taken part in a disabled competition since she began competing as a 7-year-old.

For the past four years, she’s worked under the tutelage of Pat Baker-Hutter, a trainer, instructor and licensed dressage judge willing to work with a rider who has a physical challenge.

Last weekend, she went to the state championships in Scottsdale, where she was named third-level state champion and second-level reserve champion, and she twice won third-level musical freestyle.

And for the first time, she’s working toward qualifying for a competition for physically disabled athletes. The U.S. Paralympics Team already is scouting her for the 2008 Paralympics in Beijing, though she can’t begin sending scores to them for another year.

In the near term, Holly hopes to make the Junior Team of the International Federation for Equestrian Sports, which is for ages 14 to 16, before moving on to the federation’s Young Riders category for ages 16 to 21.

Sometime during those years, she plans to compete as a Paralympian — “She doesn’t discount that at all,” said her mother, Mary Bergay — before eventually heading off to the Olympics, she hopes.

She would like to become the first disabled rider to compete in the main Olympics, she said.

Holly says riding dressage with one hand is a blessing in some ways. A lot of dressage — a nonverbal form of communication between horse and rider which, if done properly, appears as if the rider isn’t doing anything — requires keeping both hands steady, and Holly doesn’t have to worry about that second hand becoming jittery, she said.

Sometimes kids ask what happened to her arm, and she tells them a shark bit it off before she tells the truth, which is that she was born that way, she said.

She sporadically wore a prosthetic lower arm until she was 8 and decided she didn’t want it anymore.

“I wore it for show and tell and that was it,” she said.

“She’d dig in the sand with it. It was a $20,000 arm,” her mother said.

Holly’s youth and attitude inspire other riders who see her, said fellow dressage rider Carol Bratt, 52, who first saw Holly about six years ago at a show.

“I was very new at it. It was my very first show,” Bratt said.

First she noticed how young Holly was, and then that she was riding an Arabian — the same kind of horse Bratt was riding. Then she noticed Holly’s left arm.

“The horse just seemed to be completely listening and complying and performing for his little girl,” Bratt said. Holly said that’s exactly what she’s shooting for when she competes.

“It’s really empowering. When you’re up there, and the horse is really going to its full potential and you’re doing everything right that you can, it’s a powerful feeling.”

–Send story ideas about people or happenings in the Foothills or Tanque Verde Valley to Shelley Shelton at sshelton@ azstarnet.com or call 434-4078.

—–

Copyright (c) 2006, The Arizona Daily Star, Tucson

Distributed by McClatchy-Tribune Business News.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

NYSE:MCD,

Publication date: 2006-11-09
© 2006, YellowBrix, Inc.

Look Beyond Appetizing Pictures on Packages to Find Nutrition Facts

Tuesday, November 28th, 2006

Source: Daily Breeze
Publication date: 2006-11-13

They say you shouldn’t judge a book by its cover. The same goes for food packaging.

Lately I’ve noticed many products in the grocery store show more fruit and vegetables on the label than exist in the products themselves. “Juice” drinks, “strawberry” cereal, “fruit” chews and “vegetable” chips often have less nutrition than the pictures on their labels would lead you to believe.

One really tricky item I found is a “juice drink” that comes in a bottle plastered with delicious-looking berries and other fruit. Only after allowing my daughter to have one did I read the small print: “contains 5% juice.”

Far be it from me to make any accusations, but if the print used for “5% juice” were any smaller you’d need the Hubble Space Telescope to read it.

Given that we want our kids to eat more fruits and vegetables, what’s a well-meaning parent to do? It would be great if little Johnny or Sally craved nothing but apples and carrots, but let’s be real: In today’s world of big-budget advertising and focus group testing, they’re more likely to crave apple-”flavored” cereal than the apples themselves.

Though food companies don’t have to follow guidelines for the pictures they use on packaging, they are bound by law to the descriptive words used on their labels.

The words used to promote food products have specific meanings, and getting to know them can help you make better choices for your family. And don’t worry … in most cases, a magnifying glass is not needed to read them.

Here are some of the most commonly used words on food labels, and what they really mean:

Free (fat-free, calorie-free, etc.): This means that the amount of a particular nutrient (fat or calories in these examples) is so small it probably won’t have any affect on your body.

Low: This term is specific to the item it describes. For instance, a low-fat item includes 3 grams of fat or less per serving; a low-sodium item provides 140 milligrams or less of sodium per serving.

Reduced: This is used to describe a food that contains 25 percent less calories, fat, saturated fat, cholesterol or sodium than a comparable non-reduced food.

Light or Lite: These describe a food that has one-third fewer calories or 50 percent less fat than the original version.

Good source: This phrase describes a food that contains 10 to 19 percent of the daily value (the amount we need every day based on a 2,000-calorie diet) of a particular nutrient. Example: “100% whole wheat bread is a good source of fiber.”

High or An excellent source of: These are used to describe a food that contains at least 20 percent of the daily value of a particular nutrient. Example: “High in Vitamin C” or “An excellent source of calcium.”

Healthy: This describes a food that is low in fat and saturated fat, contains less than 60 milligrams of cholesterol and 480 milligrams of sodium, and provides at least 10 percent of the daily value of vitamins A and C, calcium, iron, protein and fiber. Fruits and vegetables can be labeled healthy, even if they fall short in one or more of these nutrient categories.

Paying attention to the descriptive terms on food packaging can help you make smarter choices for your family. Don’t be duped — like yours truly — into a beautiful-looking but less-than- healthful product when alternatives are available.

It’s the content of the book, not its cover, that counts.

Steve Baldwin, M.S., R.D., is a nutrition network project director with the Hawthorne School District’s Nutrition Network Center. He can be reached at stbaldwin@hawthorne.k12.ca.us.

(c) 2006 Daily Breeze. Provided by ProQuest Information and Learning. All rights Reserved.

Publication date: 2006-11-13
© 2006, YellowBrix, Inc.

Healty Eating and Living for a Happy Pancreas

Tuesday, November 28th, 2006

Source: New Straits Times
Publication date: 2006-11-12

By Mustaffa Embong

HEALTHY eating habit can help prevent pre-diabetes, which is caused by, among others, damage to pancreas, writes MUSTAFFA EMBONG

People with pre-diabetes have higher-than-normal blood glucose levels (although not quite as high as in those with diabetes).

These individuals are very likely to also have high blood pressure, high blood lipids (fats in the blood) and are usually overweight or obese.

The combination of these undesirable conditions not only significantly increases the risk of developing full-blown diabetes but also of having heart attack or stroke.

Fortunately, according to studies in China, US and Finland, pre- diabetes (and its associated problems) can be managed, if not reversed, through healthy eating, regular exercise and healthy weight management.

We looked at how a healthy lifestyle can beat pre-diabetes by overcoming an associated condition called Insulin Resistance (IR).

Let’s explore how healthy eating can help in managing another related condition called hyper-insulinaemia, or excessive insulin in the blood (resulting from excessive production by the pancreas).

Is your pancreas overworked?

When food is converted into glucose and the level of the glucose rises in the blood, the pancreas (an organ situated behind the stomach) starts to release more insulin into the blood stream.

This means there is enough to effectively help transport the glucose into your body cells, especially that of muscles and liver.

The amount of insulin that’s produced starts coming down as more and more glucose leaves the bloodstream and enters the body cells.

If you have pre-diabetes, however, things don’t quite go this way.

Due to IR (Insulin Resistance), glucose is not able to readily enter the body cells and tends to stay and accumulate in your blood.

As a natural response, your pancreas keeps producing even more insulin, in the hope that it can encourage more glucose to enter your body cells.

Just how effective this is depends on the degree of your IR. But the fact remains that insulin is being over-produced. The result is hyper-insulinaemia or excessive insulin in the blood.

Quite like high blood glucose levels, some researchers believe that high insulin concentrations by itself could actually damage the blood vessels.

But more evidently, hyper-insulinaemia is a warning sign that your pancreas is becoming seriously overworked.

If you do nothing to manage your pre-diabetes, your IR may get worse, your blood glucose levels may keep rising and, all the while, your pancreas will suffer tremendous stress.

By the time you develop full-blown diabetes, your pancreas would already be all tired out.

In fact, studies have suggested that by the time you develop Type 2 diabetes, your pancreas would have lost up to 50 per cent of its capacity to produce insulin.

And give yourself a few more years of neglect after that, your pancreas might just give up on you altogether.

When this happens, you’ll soon find yourself needing to take insulin injections to keep your blood glucose levels under control.

Pancreas-friendly eating tips

Since your blood glucose levels are greatly influenced by your diet, here are a few eating tips to avoid overloading your pancreas.

* Know your carbohydrates.

Carbohydrates come in two major groups: complex and simple. Complex carbohydrates are found in grains, cereals and tubers.

Simple carbohydrates come in the form of sucrose (white, brown or red cane sugar), fructose (fruit sugar) and lactose (milk sugar). Your body converts such foods into glucose to supply you with energy.

* Choose healthy carbohydrates.

Complex carbohydrate foods (eg rice, noodles, bread, other cereal products and tubers) are recommended sources of energy.

Even though complex carbohydrates are broken down into simple sugars, this is done more slowly resulting in slower absorption from your digestive system.

This in turn leads to a slower rise of glucose levels in your blood, thus giving time for your pancreas to adequately response to the glucose rise.

Fruits and milk, although containing simple carbohydrates, are also encouraged because they are rich in vitamins and minerals.

Sweetened food and drinks, however, should be minimised or avoided as these cause your blood glucose levels to rise quickly and they usually do no confer much nutritional benefit.

* Go high with fibre.

A type of complex carbohydrate, fibre is the undigestible portion of plant foods.

Natural sources of fibre include unrefined complex carbohydrate foods, legumes (eg peas and lentils), fruits and vegetables.

It’s important to note, however, that not all processed carbohydrate foods are high in fibre. Most polished rice varieties and ordinary white sandwich bread, for example, contain almost no insoluble fibre.

This has prompted certain health-conscious manufacturers to develop innovative methods to retain, restore or even increase the amount of fibre in their products.

* Consume low-GI carbohydrate foods.

GI or ‘Glycaemic Index’ is a measure of how quickly or slowly your body converts the carbohydrates in a particular food into glucose and releases it into your bloodstream.

While this is not the only consideration when choosing your carbohydrate foods, low GI varieties are obviously the better choice when you have pre-diabetes.

You must of course, pay particular attention on the amount you take as even low GI foods, if taken in excess will also increase in blood glucose levels.

* Eat sensibly and space out your carbohydrates.

Having pre-diabetes does not mean that you should go on a low carbohydrate diet.

You merely have to eat your carbohydrate foods in sensible and consistent daily amounts, spread over the day.

Some experts may recommend taking frequent but small meals throughout the day so that there is no sudden, sharp rise in your blood glucose levels that your pancreas is not able to cope.

* Cultivate good taste for health.

Besides controlling your carbohydrate intake (and total calorie too, if you are overweight or obese), you need to also keep your intake of high-fat and salty foods to a minimum.

This is to help reduce your high cholesterol and high blood pressure levels, if you have been diagnosed with these.

It might be hard at first on your taste buds but you can be sure that your heart loves the taste of healthy eating.

Overcome IR with a healthy lifestyle

Healthy eating and regular exercise help you manage your body weight - a very important factor when it comes to overcoming Insulin Resistance.

IR is a condition where body cells become less sensitive to the action of the hormone, insulin.

This makes it difficult for glucose to enter the body cells, whereupon it stays in the blood where it rises to harmful levels.

Excessive fat, especially in the belly area, contributes to IR. This may explain why many overweight or obese people (or normal weight people with big belly) develop pre-diabetes.

The good news is that, research has shown that losing just 5-10 per cent of excess body weight markedly improves the body cells’ ability to take up glucose from the blood.

So, if you are overweight or obese and have pre-diabetes, start eating healthily, be physically active or exercising regularly to trim down.

The healthier your body weight, the more likely that your blood glucose levels would have returned to the normal range, reducing your risk of developing Type 2 diabetes or of having a heart attack or stroke.

* Datuk Professor Mustaffa Embong is the Consultant Endocrinologist with the National Diabetes Institute.

Article courtesy of the Fight Against Diabetes programme organised by the National Diabetes Institute in collaboration with the Ministry of Health Malaysia, Nutrition Society of Malaysia, Malaysian Dietitians’ Association and the Malaysian Association for the Study of Obesity. For enquiries, call (03) 5632 3301/5637 3526.

(c) 2006 New Straits Times. Provided by ProQuest Information and Learning. All rights Reserved.

Publication date: 2006-11-12
© 2006, YellowBrix, Inc.

HEALTH CARE: A Model of Efficiency

Tuesday, November 28th, 2006

Source: Grand Forks Herald (Grand Forks, N.D.)
Publication date: 2006-11-13

By Amanda Ricker and Mike Brue, Grand Forks Herald, N.D.

Nov. 13–Although patient survival rates for hospital cardiovascular treatment are on the rise more than 97 percent for all U.S. hospitals cardiovascular disease remains the No. 1 killer in the United States, according to Solucient. If peer hospitals provided the same quality of cardiovascular care as the top 100, the study found survival rates could increase by more than 8,000 patients each year and complications may decrease. About 575 additional patients could be complication-free, the study said.

A study designed to help hospitals improve performance has concluded that Altru Health System is one of 100 hospitals nationwide worthy of being a model of financial and operational efficiency for cardiovascular care.

Altru made the list in a 40-hospital subcategory of teaching hospitals without cardiovascular residencies. It’s Altru’s first appearance on the list.

Solucient is an independent company that markets comparative measurements of cost, quality and market performance intended for use by healthcare managers to improve the business growth, cost management and care quality of their organizations.

The cardiovascular study is one of several Solucient develops for use as a management tool to provide hospital executives and board members with a model of financial and operational efficiency, according to Solucient’s Web site.

It’s not designed, the Web site says, “to provide consumers with all the information needed in the selection of a healthcare provider,” calling that a “complex decision” to be made by consulting with family and a physician.

That hardly means consumers lack interest in the findings.

No. 1 killer

Although patient survival rates for hospital cardiovascular treatment are on the rise more than 97 percent for all U.S. hospitals cardiovascular disease remains the No. 1 killer in the United States, according to Solucient.

If peer hospitals provided the same quality of cardiovascular care as the top 100, the study found survival rates could increase by more than 8,000 patients each year and complications may decrease. About 575 additional patients could be complication-free, the study said.

The study also maintained top 100 hospitals have a quicker patient turnaround, making them less expensive. The average top 100 hospital discharges patients half a day earlier and at an average cost that is 13 percent less than its peers, the study said.

The measures were calculated for three classes of hospitals: community, teaching with cardiovascular residency programs and teaching without cardiovascular residency programs. Next to Altru, the closest hospital on the top 100 list is MeritCare Heart Center in Fargo, which also made the “teaching hospitals without cardiovascular residencies” subcategory; it’s the seventh appearance in eight years for MeritCare.

‘Work collaterally together’

At Altru, officials attribute the hospital’s top 100 status to processes designed for proper “through-put” of patients, facilitated by accessible patient services, state-of-the-art technology and continuity of care.

The cardiovascular care team is contained in one wing of the Altru building and includes 10 physicians, according to Nancy Endres, manager of cardiovascular services.

“All our services work collaterally together,” Endres said. “Patients see the same people throughout their stay here. They know the people who are taking care of them.”

Solucient scored hospitals in eight areas: risk-adjusted medical mortality, risk-adjusted surgical mortality, risk-adjusted complications, core measures score, percentage of coronary artery bypass grafting patients with internal mammary artery use, severity-adjusted average length of stay, and wage and severity-adjusted average cost.

Four Minnesota hospitals none in the northwest also made the list in the “teaching hospitals without cardiovascular residencies” category: St. Mary’s Medical Center, Duluth; United and St. Joseph’s hospitals, both in St. Paul; and Methodist Hospital, St. Louis Park.

Abbott Northwestern Hospital of Minneapolis, a teaching hospital with a cardiovascular residency, also made the top 100.

Medcenter One in Bismarck and Mercy Hospital in Coon Rapids, Minn., made the top 100 in the subcategory for community hospitals.

The study, “2006 Solucient 100 Top Hospitals: Cardiovascular Benchmarks for Success,” appears in the Nov. 6 edition of Modern Healthcare magazine.

—–

Copyright (c) 2006, Grand Forks Herald, N.D.

Distributed by McClatchy-Tribune Business News.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

Publication date: 2006-11-13
© 2006, YellowBrix, Inc.

Stepping It Up in Fight Against Diabetes

Tuesday, November 28th, 2006

Source: Daily News; Los Angeles, Calif.
Publication date: 2006-11-09
Arrival time: 2006-11-11

By Denisse Salazar

With Type 2 diabetes affecting adults and children regardless of race or social status, Bob Harper, life and fitness coach from NBC’s The Biggest Loser, is in Los Angeles to encourage people to take charge of their health.

“Something has to be done,” Harper said, about diabetes, which affects more than 18 million people and is the sixth-leading cause of death in the United States.

Harper is the spokesman for the nationwide educational campaign “Diabetes & You: Step It Up to Get It Down,” which is designed to help people with Type 2 diabetes better manage their disease.

Harper, a West Hollywood resident, said he joined the campaign because he deals with overweight America on a daily basis and “it seemed like the perfect place for me to go in my career because it’s such a problem that we are having here in America and all over the world.”

The campaign launched in July when the American Association of Clinical Endocrinologists convened a panel of experts, including Harper, to discuss the current state of diabetes management and develop the “6.5 Steps Toward Better Blood Sugar Control.” The steps provide patients with recommendations that can be incorporated into their daily to improve their overall health.

The campaign was developed in response to a report issued last year by AACE showing that two out of three Americans with Type 2 diabetes analyzed in the study were not in control of their blood sugar.

But what does it mean to be in control of your blood sugar?

Dr. Michael Bush, an endocrinologist at Cedars-Sinai Medical Center and a board member of the AACE in California said the AACE recommends an A1C goal of 6.5 percent or less for most patients.

Bush said having control of blood sugar is crucial for diabetics since the disease can have dire consequences if not treated properly.

“Diabetics have a higher risk of blindness, heart attacks and kidney failure,” Bush said. “The point is to motivate and educate patients that if they control their diabetes these are the terrible things that can be prevented,” Bush said.

Diabetes occurs when the body does not produce enough insulin or does not respond properly to its own natural insulin, which helps the blood cells convert blood sugar to insulin.

The week of Oct. 30 was declared “Diabetes Control Week” in Los Angeles by Mayor Antonio Villaraigosa to create awareness of the epidemic.

Harper says the main thing people need to achieve control is to incorporate physical activity into their routine, make healthier food choices in their day, find a support group and make sure their blood sugar is at 6.5 percent or less.

Harper says he hopes this will be a wake-up call for America.

“Overweight parents are creating overweight children,” Harper said. “Parents saying that they don’t have the time to prepare a healthy meal for their children isn’t going to work anymore. They have to do something.”

(c) 2006 Daily News; Los Angeles, Calif.. Provided by ProQuest Information and Learning. All rights Reserved.

 

Publication date: 2006-11-09
© 2006, YellowBrix, Inc.

Program Aims to Boost Diabetes Awareness

Tuesday, November 28th, 2006

Source: Greensboro News Record
Publication date: 2006-11-12

By Glenn Chavis

glenn

Chavischavis

Continued from Page 16Ten thousand paper fans printed with information about diabetes are being distributed to predominantly African American churches in Greensboro to raise awareness of diabetes during November, National Diabetes Awareness Month.

The project is a collaborative effort by the Guilford County Department of Public Health, the Moses Cone Congregational Nurse Program, Northwest Diabetes Today Program and Hanes-Lineberry Funeral Homes, which paid for the fans.

The purpose of the project is to increase awareness of the signs and symptoms of diabetes among African Americans.

Individuals with symptoms of diabetes are encouraged to get tested and, if they test positive, to begin a program of care with their medical providers.

The fans are being distributed through the Congregational Nurse Program. These nurses already have a relationship with the parishioners in the churches they serve and will be an additional resource for information and support.

In addition to distributing the fans, the congregational nurses will create bulletin boards and newsletters for parishioners on diabetes symptoms and the role of diet and exercise in managing diabetes. Some congregations will hold diabetes screening events for their members.

Fans were chosen because they can be stored in the pews at church and will be seen by parishioners when they attend. They also have a nostalgic value to older members who remember attending church before there was air conditioning.

North Carolina has the 10th highest rate of diabetes in the nation. An estimated 547,000 adults in North Carolina have diabetes. African Americans have a higher prevalence of diagnosed and undiagnosed diabetes.

Between 2000 and 2005 in North Carolina, the prevalence of diabetes among African American increased more than for any other race or ethnic group, according to the 2005 N.C. State Center for Health Statistics Behavioral Risk Factor Surveillance Study.

Diabetes is a significant contributing factor to heart disease, stroke, and hypertension. It is the leading cause of new cases of blindness in adults ages 20 to 74 and kidney failure. Other complications include nervous system disease, amputations and dental disease, according to the American Diabetes Association, www.diabetes.org

Churches in Greensboro that do not have a congregational nurse but would like some fans may contact Sandra Blaha, Congregational Nurse Program, at 832-8603.

Fans will be distributed as long as they are available

(c) 2006 Greensboro News Record. Provided by ProQuest Information and Learning. All rights Reserved.

 

Publication date: 2006-11-12
© 2006, YellowBrix, Inc.

Schools, Medical Center to Screen for Diabetes

Tuesday, November 28th, 2006

Source: The Santa Fe New Mexican
Publication date: 2006-11-08
Arrival time: 2006-11-11

By ANA MARIA TRUJILLO

Pecos schools and the Pecos Valley Medical Center are working to set up free diabetes screenings in the schools for all students in grades six to 12.

Medical Center diabetes director Lee Dubois, medical center employees and Superintendent Roy Herrera are working together to identify children with diabetes so they can seek treatment immediately, while they’re young.

“You people have in your hands the power to add years of health to people’s lives,” Dubois said as he addressed the school board on Oct. 18, seeking approval for the diabetes screenings.

The screenings will be done with a glucometer, which requires a very small prick of the student’s middle finger. A tiny drop of blood is placed on a test strip used to measure glucose levels in the blood. The needle is only used once and then discarded.

“There is no health risk to the student,” Dubois said of the process. “Most people feel absolutely no pain.”

The test itself takes only a second, but the glucometer takes three to 15 seconds to interpret the results.

According to the Children with Diabetes Web site, normal glucose levels do not rise above 100 milligrams per deciliter when a child has been fasting for eight hours. If the child has eaten, his or her glucose levels should not rise above 200.

“To me, the bit benefit is to raise awareness about diabetes and detect any student in an at-risk category,” Herrera said. “It will take a little while to get it scheduled.”

Herrera and Dubois are working out the logistics of the screenings, but both ensure that every student’s results will be discussed privately between the student and medical center employee.

There will be no cost to either the school or the parent. The screenings will be paid for by the medical center at a total estimated cost of $3,000, said Dubois.

“If we find just one it will be worth all the time and all the money,” he said. “Our ultimate plan is to get them all screened by the end of the year.”

There are two types of diabetes, Type 1 and Type 2. According to the American Diabetes Association Web site, Type 1 is when the body does not produce insulin, the hormone that converts sugar and starches into energy. It used to be called juvenile diabetes because of its prevalence in children and young adults.

Type 2 is diagnosed, according to the association, when the body produces too little insulin or the cells don’t use the insulin that’s produced.

Before people are diagnosed with Type 2 diabetes, they experience a pre-diabetes period of high glucose levels between 100 and 125 milligrams per deciliter; diabetes levels are 126 and above when the student has been fasting.

“Pre-diabetes is a gray area,” Dubois said. “People definitely need to be concerned if they get these levels and watch it for a couple of weeks.”

If a student has been fasting and still shows glucose levels above 126, or if the student registers levels above 200 after eating, another test will be taken, he said.

The number of children and teens diagnosed with Type 2 diabetes is increasing, Dubois said. Type 2 is more common than Type 1, but in some cases it can be prevented with a balanced diet and regular exercise.

“Nationwide, we see that obesity rates in children have tripled in the last decade,” he said. “We are seeing high rates of diabetes and heart disease. We’re seeing this now with diabetes as young as age 9.”

Hispanics, along with American Indians and African Americans, have a greater risk of getting diabetes than Anglos do, according to the American Diabetes Association. Hispanics are 1.7 times more likely than non-Hispanic whites to be diagnosed with the disease, American Indians are 2.2 times more likely, and black people 1.8 times.

The screening is not just for students at Pecos, Dubois said. Anyone in the community can and should be screened.

To find out if you are at risk for diabetes, visit the American Diabetes Association Web site at www.diabetes.org and take a simple quiz that will determine whether or not you should get screened.

Or visit the medical center between 8 a.m. and 12:30 p.m. or 1:30 to 6 p.m. for a free diabetes screening.

“Diabetes is a huge potential danger to the children,” Dubois said. “It is well worth one little finger stick to make sure.” PECOS

Pecos schools and the Pecos Valley Medical Center are working to set up free diabetes screenings in the schools for all students in grades six to 12.

Medical Center diabetes director Lee Dubois, medical center employees and Superintendent Roy Herrera are working together to identify children with diabetes so they can seek treatment immediately, while they’re young.

“You people have in your hands the power to add years of health to people’s lives,” Dubois said as he addressed the school board on Oct. 18, seeking approval for the diabetes screenings.

The screenings will be done with a glucometer, which requires a very small prick of the student’s middle finger. A tiny drop of blood is placed on a test strip used to measure glucose levels in the blood. The needle is only used once and then discarded.

“There is no health risk to the student,” Dubois said of the process. “Most people feel absolutely no pain.”

The test itself takes only a second, but the glucometer takes three to 15 seconds to interpret the results.

According to the Children with Diabetes Web site, normal glucose levels do not rise above 100 milligrams per deciliter when a child has been fasting for eight hours. If the child has eaten, his or her glucose levels should not rise above 200.

“To me, the bit benefit is to raise awareness about diabetes and detect any student in an at-risk category,” Herrera said. “It will take a little while to get it scheduled.”

Herrera and Dubois are working out the logistics of the screenings, but both ensure that every student’s results will be discussed privately between the student and medical center employee.

There will be no cost to either the school or the parent. The screenings will be paid for by the medical center at a total estimated cost of $3,000, said Dubois.

“If we find just one it will be worth all the time and all the money,” he said. “Our ultimate plan is to get them all screened by the end of the year.”

There are two types of diabetes, Type 1 and Type 2. According to the American Diabetes Association Web site, Type 1 is when the body does not produce insulin, the hormone that converts sugar and starches into energy. It used to be called juvenile diabetes because of its prevalence in children and young adults.

Type 2 is diagnosed, according to the association, when the body produces too little insulin or the cells don’t use the insulin that’s produced.

Before people are diagnosed with Type 2 diabetes, they experience a pre-diabetes period of high glucose levels between 100 and 125 milligrams per deciliter; diabetes levels are 126 and above when the student has been fasting.

“Pre-diabetes is a gray area,” Dubois said. “People definitely need to be concerned if they get these levels and watch it for a couple of weeks.”

If a student has been fasting and still shows glucose levels above 126, or if the student registers levels above 200 after eating, another test will be taken, he said.

The number of children and teens diagnosed with Type 2 diabetes is increasing, Dubois said. Type 2 is more common than Type 1, but in some cases it can be prevented with a balanced diet and regular exercise.

“Nationwide, we see that obesity rates in children have tripled in the last decade,” he said. “We are seeing high rates of diabetes and heart disease. We’re seeing this now with diabetes as young as age 9.”

Hispanics, along with American Indians and African Americans, have a greater risk of getting diabetes than Anglos do, according to the American Diabetes Association. Hispanics are 1.7 times more likely than non-Hispanic whites to be diagnosed with the disease, American Indians are 2.2 times more likely, and black people 1.8 times.

The screening is not just for students at Pecos, Dubois said. Anyone in the community can and should be screened.

To find out if you are at risk for diabetes, visit the American Diabetes Association Web site at www.diabetes.org and take a simple quiz that will determine whether or not you should get screened.

Or visit the medical center between 8 a.m. and 12:30 p.m. or 1:30 to 6 p.m. for a free diabetes screening.

“Diabetes is a huge potential danger to the children,” Dubois said. “It is well worth one little finger stick to make sure.”

(c) 2006 The Santa Fe New Mexican. Provided by ProQuest Information and Learning. All rights Reserved.

 

Publication date: 2006-11-08
© 2006, YellowBrix, Inc.

Avoiding the Ups and Downs of Diabetes

Tuesday, November 28th, 2006

Source: Omaha World-Herald
Publication date: 2006-11-12

By Nichole Aksamit, Omaha World-Herald, Neb.

Nov. 12–As she waited in the Denver airport for an April 4 flight to Nebraska, Karen Koch felt a little dizzy.

A type 1 diabetic for more than four decades, Koch assumed her blood sugar was a little low. But the Kearney, Neb., woman — a nurse who travels through Nebraska and Kansas showing diabetics how to use their insulin pumps — couldn’t immediately find her glucose meter.

So she bought herself a soda, which usually did the trick.

But even after a few sips, she dropped to the floor.

Koch awoke with a concussion, the first tinges of a nasty black eye, and the sense that she was in heaven. A gaggle of handsome male paramedics surrounded her, offering her a Pepsi and an ambulance ride.

Two days later, back on earth, Koch got herself a continuous glucose monitor.

The pagerlike hunk of plastic tucks in her pocket or purse or rests on her car’s dashboard. It comes with a disposable sensor she sticks into her abdomen and a tiny wireless transmitter that clips to the sensor. The receiver’s display shows her blood sugar level every five minutes and, more importantly, where it has headed for the past nine hours.

Koch programs the monitor to alert her when her levels are outside the target or nearing high or low danger zones.

It wakes her at night when her blood sugar dips — vibrating against her wooden nightstand and making an increasingly loud and piercing “Beep! Beep!” akin to that of a backing-up truck.

And it sounds a different pitch when it senses her sugar is too high — a signal that she might need to take more insulin after a confirmatory finger-stick.

This expensive little device, the DexCom STS, is one of three continuous glucose monitors the Food and Drug Administration approved this year for ongoing home use by adult diabetics with a prescription. (The two others are made by Medtronic.) A fourth, the Abbott Navigator, is under FDA review. And dozens of biomedical companies are working to develop and refine other continuous glucose monitors.

The devices haven’t been widely studied, aren’t accurate enough to replace finger-stick blood sugar tests and aren’t yet approved for those younger than 18. And the devices are neither routinely covered by insurance nor widely prescribed by doctors.

But as the machines’ accuracy and affordability improves, they hold significant potential for patients with both type 1 and type 2 diabetes.

Knowing one’s blood sugar levels over time is key to managing diabetes — and difficult to do with finger-sticks alone.

Research shows that diabetics who reduce their average blood sugar levels also reduce or eliminate the harmful consequences of diabetes. Those include the sudden dizziness that causes accidents, falls and ambulance rides, like Koch’s in Denver, as well as the more slowly evolving problems — blood vessel disorders, strokes and heart attacks, kidney and liver disease, foot and eye problems — that are hospitalizing, harming and killing diabetics in America every day.

Dr. James Lane, endocrinologist at the University of Nebraska Medical Center and president of the leadership council for the local American Diabetes Association, said eliminating or reducing wild swings in blood sugar, not just lowering average blood sugar, also may play a significant role in reducing diabetic complications.

Initial evidence suggests the monitors help with both.

A review published last year in the journal Diabetes Care said five randomized, controlled studies found that patients who used continuous glucose monitors improved their HbA1c levels — a measure of blood glucose elevation over time and an indicator of serious diabetes complications in the future.

Small, industry-funded studies show that, even without any coaching on when or how to react to the readings, patients had fewer wild glucose swings within a week of using the monitor.

Koch said she got her monitor for about $450 on an introductory special, though it has a list price of $800. She pays $35 for every three-day sensor, making a month’s supply about $350. Insurance doesn’t cover any of those costs. But she points to an HbA1c level that’s dropped a full point since her scare this spring and her $6,000 Denver ambulance bill as evidence it’s worth it.

“I think it’s saved me at least a dozen times from a low blood sugar — and many high blood sugars, too,” she said. “If insurance companies would look at this a little bit, they’d see that it’s cost-effective.”

Dr. Aaron Kowalski, a national advocate with the Juvenile Diabetes Research Foundation who wears a DexCom device to help manage his own diabetes, said he expects the FDA to extend approval of the latest monitors to children in the coming year. He predicted that continuous glucose monitors eventually will couple with insulin pumps and sophisticated software to function as an artificial pancreas for those who depend on externally supplied insulin.

Kowalski said that’s why the foundation is pouring millions into research on the monitors’ effectiveness and future refinements.

Kowalski said the devices have improved in the past few years, with those on the market now above 94 percent and 96 percent accuracy. Nonetheless, he said, the devices require calibration at least twice daily with a finger-stick blood test. And users are instructed to use finger-stick blood draws to confirm readings before acting on them.

“The only thing worse than no information is bad information,” cautioned Lane, who said he reserves concern about the devices’ accuracy.

Koch said that in eight months of use, though, she’s come to rely more on the trend data than individual readings.

“For me, there have been times when it was totally off and the little probe might have been bent or something,” she said. “But there have been more times that it’s dead-on. You have to be realistic and not expect perfection yet. But it’s getting there.”

Additionally, the monitors help patients work on control with their doctors.

Koch, for example, downloads weekly information from her monitor, prints it on her computer and forwards it to her endocrinologist. The doctor then makes insulin dosing suggestions. Notes handwritten on a recent printout suggest: “increase basal dose 0.1″ at a high point early in the morning and “decrease basal 0.1″ at a low spot in the afternoon.

Even short-term use of the monitors can help doctors and patients get a better read on the daily blood sugar roller coaster.

Mark Baumann, 49-year-old Omahan with type 1, checked out a temporary glucose monitor — an older model that didn’t show him his readings until a download at the end — from his doctor for three days in January.

The biggest surprise? “My body did not consistently react in the same way to the same activity or the same food two days in a row,” he said.

Knowing that, he said, he’d like to get one of the new monitors — even if he’d still have to prick his fingers to confirm the readings.

“It’s like driving a car,” he said. “If you didn’t have a speedometer, you’d just be relying on yourself. If the speedometer only flashed at you six or seven times a day, you’d have to guess an awful lot. But if I had something that gave me this constant update, I could probably manage my speed better.”

The cost, though, is prohibitive.

“A thousand dollars would not keep me from considering the use,” said Baumann, a project manager with Microfilm Imaging Systems. “Five thousand dollars a year, though, I’d probably have to think about it a lot harder.”

Dr. Chuck Tomek, a Lincoln physician and Omaha parent whose 13-year-old daughter has type 1 diabetes, weighed the benefits and cost of the new technology at a recent Juvenile Diabetes Research Foundation breakfast.

He said he hadn’t realized the monitors could have such a significant impact on HbA1c levels and, thus, life-threatening complications.

“Three to four thousand a year,” he said, calculating a 12-month sensor supply. “To extend her life, that’s worth it.”

—–

Copyright (c) 2006, Omaha World-Herald, Neb.

Distributed by McClatchy-Tribune Business News.

For reprints, email tmsreprints@permissionsgroup.com, call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA.

NYSE:MDT, NASDAQ-NMS:DXCM,

 

Publication date: 2006-11-12
© 2006, YellowBrix, Inc.