03/05/2003
~
New Hanover County Health Department
Revenue and Expenditure Summaries for January 2003
Cumulative: 58.33% Month 7 of 12
Revenues
Current Year Prior Year
ype 01 Budgeted Revenue Balance % Budgeted Revenue BaJance %
Revenue Amount Earned Remainin Amount Earned Remainln
Federal & State 523,207 $ 1,166,445 $1,550,484 $1,109,120
AC Fee. 313,990 $ 273,954 $ 533,041 $ 201 ,263
Medicaid 423,026 $ 612,360 $1,012,934 $ 498,202
Medicaid Max $ $ 165.773 $
EH Fee. $ $ 312,900 $
Health Fee. $ $ 127,850 $
Other $ 1 532210 $
Expenditures
e
Budgeted
Amount
Current Year
Expended Balance
Amount Remainin
Prior Year
Type 01
Ex e"dilure
%
Budgeted
Amount
Expended
Amount
Balance
Remalnin
%
$ 4,903.566 $
$ 958,684 $
$
Summary
Budgeted Actual %
FY 02-03 FY 02-03
Expenditures:
Salaries & Fringe $9,161,798 $4,903,566
Operating Expenses $2,076,008 $958,684
Capital Outlay $188,736 $37,555
Total Expenditures $11,426,542 $5,899,805 51.63%
Revenue: $5,553,055 $2,494,278 44.92%
Net County $$ $5,873,487 $3,405,527 57.98%
e
Revenue and Expenditure Summary
For the Month of January 2003
13
,
,.
~..
1:'.
i
.~
NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
GRANT APPLICATION STATUS FY 02-03
e
Date (SOHI Grant ' , Reouested Pendlna . Received . Denied'
2/5/2003 . No ectlvlty to report lor February 200a. ~,....' ,',';'''". . '.' ;"'.. ,0;:' ,.,,,:~
1/812003 NC DHHS. OPH Preparedness and Response $115,950 $33,600 $82,350 .
12/4/2002 No activity to report lor Dscember 2002.
NC Health and Wellness Trust Fund-Teen
Tobacco Use Prevention & Cessation Pr09ram
11/6/2002 ($100,000 per year lor 3 years) $100,000 $100,000
Safe Kids Buckle Up Program-North Carolina
101212002 Safe Kids $5,000 $5,000
Developing Geographic Information Systems
(GIS) Capeclty In Local Health Depertment In
Eastern North Carolina-Duke University
Nicholas School 01 the Environment and Earth
Sciences (NSEES) $18,000 $18,000
"",""'-;:., :"J',":':."," "'L',"'"'''' ,. "',':""]c , ",",..'
No activity to report or september. , .,"'" '.' "" .... !~;:};\:'.,,:' ~''-:" ,.,.,;".':::;::" ,', i'lei' , ;",: ~- :-';; . [:!:';'
";'":,,,. NO. ectlvlty.to report or AU9~;' '.,x.;",;, . '.. "", '. ,." , .;';:k!:':+:!::i">~:+i:;,i;,;:;;,,:., ::':;,j},:';;i::i::'~:i;:: '{c;';-c
....,h.'.
"'.' . No ect vlty to report. or July. .; ,..... ..... 0,'::"\,;, ~~i::::;:H:i;:i';':,':':1b!\ id!!:i~i:i" . ':'l!~'i,:.:I:'(::!/ '(~i;:':;~::
PROJECT STOP-Prenatal Health Education
and InformatlonlReferral Services- March 01
Dimes Community Grant Program (Tb'*"""" on
6/512002 lntentlo apply fOr l48,87&-thI IlClUII application for thll granl....... $48,280 $1,720
through I" OctobIr 2002- the .mount changed to SSG.OOO) $50,000 ~
~- ,;,0.;:"",,:.'1..'.;'''';';''''';'''''''' ~' ,'.. ".' ",,-,",,'''''.'' '-".'
NO acllv ty 10 report or.May i:!:i:l:;:li'l!i!iiii~:i;!:]!~iij!!!':!::I;!I'1 : 1':, .,'...",.....,,
No.acllv ty to report or APril 2002.::; ~;,: '.' ',,,, ,...,:..'......,,'. ~;;......",:, ::':I.:1;1;IU,::I;i:::\'i:i:!;lliji,:!;i':i:i:':wl:, ]':1 :f: ":~,, ';' i, ;':;:" ,,' ":'
NO acllvlty. to report or MarCh: ",:C:;:",., ""'7,:..,t I,;]:' pi: 1 ':'1 ,0:;;:,', I!i:l :!!:).!:\~:' :::t:; :,i;!, ::;';1:";':::';' ;.;.; ""'.'
NO ecllvlty 10 report or February 1,;,-;,:-,;,-"",,'::-:' ,::\io"iY;i:! ;:n~illi!.,lti:ii::,:::I;qi~':i 1':1:: ,.i!li'I;::::;1,1,::"I.. ;,', ,
"'. "'1,:,:,
1/21200 ~. NO act Vlty to report or .January : ": ' : : ;:I~':;' I: I;: h :'il'!:;ii:,e::"!'j;'iiji,;,:cj,,:':ii'" I~':i:";'j,!:;::;!'!'" ',!.:'i:!:ii"i
Diabetes Education, Management and
12/5/2001 PreventIon - CFMF $60,000 $30,000 $30.000
''''T':;:'I'''''''.'''''!.!!'"'','' '",w',...,--''''''H''''.''',' .,.... ,:,'I,>,,''''''.'''i'.:_:!,I'''''I.. ", ,"~" ,,,""
"",'."
Youth Tobacco Prevention ProJect- Robert
11n12001 Woods Johnson Youth Center $11,800 $11,800
Teens Against Tobacco Use (TATU}-Heallh
Action COuncil 01 Ne $350 $350
Healthv Carollnlans- NC DHHS $10,000 $10.000
..... i"_;.:-',,'u:....,~,', 'J ,.. . ,- ., .','-'- ..,. ..''' ...
Family Assessment Coordination- March
9/512001 of Dimes $16,500 $16,500
Folic Acid Proiect- March of Dimes $16,618 $3,000 $13.318
Safe Kids Coalition- State Farm'Good
Neiahbor" $500 $500
,"'',,,,,'',,,,.,',,'',,,-,,',,''',,''',' "'",,,:,.,..'" ,.';"",".,.".",."':""1"",",--.",, -,-,',--" "":".~,,,.-.:,.;
TB Elimination and Prevention - CDC.
8/112001 NCDHHD, DPH, TB Control Proaram $10,000 $9,200 $800
Teen Aids Prevention (T APl- CFMF $45,500 $25,000 $20,500
e
14
As 01211812003
GRANT APPLICATION STATUS FY 02-o~
Diabeles Today - Diabeles Prevenlion & Conlrol
7/1112001 Unil, NCDHHS $10,000 $10,000
Lose Weight Wilmington - Cape Fear Memorial
Foundalion $75,000 $75,000
. Tolals $545,218 $0 $204,730 $340,188'
i'
.
NEW HANOVER COUNTY HEALTH DEPARTMENT
BOARD OF HEALTH (BOH) APPROVED
~
0.00%
Pending Grants 0 0%
Funded Tolal Requesl 7 44%
Partially Funded 6 .. 38%
Denied T olal Requesl 3 19%
Number 01 Granls Applied For 16 100%
e
e
As 01211812003
37.55%
62.39%
15
MAKING A DIFFERENCE IN DIABETES WITH TIMEt Y INFORMATION FOR THE CITIZENS OF NEW HANOVER COUNTY
-~- - - - ~
When Your Doctor Tells You... Si el Medico Ie Dice...
You have diabetes.
What are you to
think? Diabetes
Mellitus is the most
significant world-
wide health prob-
lem facing us in the
21 st century. This
disease continues
to increase in inci-
dence and preva-
lence to near epi-
demic proportions
William L. Joyner. MO in the United Stats
and around the globe.
Diabetes is estimated to affect 50 to 60
million people throughout the world and
it does not discriminate. It includes all age
groups, races and both sexes.
Rates of diabetes are similar for men and
women and almost two times higher in
Hispanic and African Americans than
Whites.
In the United States, 15.7 million
Americans are affected, or 5.9"10 of the
population. 10.3 million of you are diag-
nosed and receiving therapy along with
education. 5.4 million are not.
Factors for this rise in diabetes include an
aging population; increases in being over-
weight; changing dietary habits;
decreased physical activity; abnormal
growth patterns in adolescents and chil-
dren and co morbid conditions such as
high'cholesterol and high blood pressure.
Diabetes appears when these factors, not
fully understood, cause the body to stop
producing insulin or using insulin and
sugars properly. Insulin is a molecule or
hormone in the body that is needed to
convert and utilize sugars into useful
products that the body uses.
As we age, or if we are overweight, our
bodies begin to alter our handling of sugar
and insulin in an inefficient manner. In
addition to eating sugar in our diets our
body is constantly making and storing dif-
ferent sugars as part of maintaining body
functions.
As a result, we begin to not be able to con.
trol high sugar loads and regulate the use
of sugar in a normal fashion. Our sugar
level begins to rise in our bloodstream
and this sets off abnormal body functions
and reactions.
We divide diabetes
into two basic groups:
a. 'fYpe I - when the body does not pro,
duce any insulin (also known as juvenile
diabetes)
b. 'JYpe 2 - when the body does not
l'roduce enough or properly use insulin
(also known as adult onset diabetes)
Symptoms of diabetes Ctlft indude
any or all of the foUowing:
Frequent urination. Fatigue,
Increased thirst . Weight loss,
Excessive hunger. Blurred vision,
Frequent infections. Irritability,
Numbness/tingling, or
no symptoms at all!
IT untreated, diabetes worsens and can
lead to numerous complications including
blindness, kidney disease, heart disease,
stroke, nerve disease and amputations or
loss of limb(s).
So what are you to think? I believe you
should think you are fortunate because
you have been diagnosed. As stated pre.
viously, 5.4 million people are undiag-
nosed and don't eve know if they have it!
Today there are many effective treatments
and medical therapies to prevent and con.
trol diabetes. Talk to your doctor who can
test you for diabetes and get you started
on the proper treatment if necessary.
Reduce your risk - stay active, exercise,
eat right, and reduce stress as much as
possible. A diet that stresses whole grains,
cereals, yegetables, fruits and fibers, a reg-
ular exercise and weight reduction pro-
gram, oral medications, ,insulin therapy
and blood sugar monitoring are some of
the ways in which your doctor will help
you manage your diabetes and put you on
the road to healthy living.
William LJoyner, MD
Medieal Director
New Hanover Community Health Center
WUmlngton Health Access for Thens
Usted tiene diabetes. <COmo va a reac.
cionar usted? EI Diabetes Mellitus es el
problema de salud mas importante que
enfrentaremos en el siglo 21. La frecuen.
cia y prevalencia deesta enfermedad COD-
tintian aumentando basta a1canzar pro.
porciones de epidemia en Estados Unidos
y en todo el mundo.-
- Se cree que la diabetes arecta a 50 a 60
millones de personas a1rededor del
mundo, sin discriminar edad, raza ni
sexo. Los indices de diabetes son simi-
lares p~a hombres y mujeres, y son casi
dos veces mas altos en Hispamcos y
Afroamericanos que eD Blancos.
En Estados Unidos hay 15,7 millones de
personas enfermas de diabetes, es decir, el
5,9"10 de la poblaci6n. De ellos, 10,3 mil-
lones han sido diagnosticados y estan reci-
biendo terapia y educaci6n; pero 5,4 mil-
lones no han sido diagnosticados ni
reciben ningnn tipo de ayuda.
Los factores que han influido en eI
aumento de la diabetes son el incremento
de la poblaci6n adulta, altos niveles de
sobrepeso, cambios en los habitos alimen-
tarios, disminucion de la actividad fisica,
patrones de -crecimiento anormales en
adolescentes y nifios, y otros factores
determinantes como altos niveles de
cole sterol y alta presion sanguinea.
La diabetes aparece cuando estos factares
(que aiin no se comprenden completa-
mente) causan que el cuerpo deje de pro-
ducir insulina 0 deje de utilizar la insulina
y el azucar de forma eficiente. La insulina
es una moIecula 0 una hormona que el
cuerpo utiliza para lransformar los azii.
cares en material (itil que el cuerpo nece-
sita.
A medida que envejecemos 0 si aumenta-
mos de peso, el cuerpo comienza a utilizar
]a insulina y el azucar de manera ineficaz.
Ademas de consumir azucar en la dieta, el
cuerpo transforma y almacena diferentes
tipos de azUcares para mantener las fun-
ciones corporales.
Como resultado, el cuerpo ya no puede
controlar los altos niveles de azucar y de
regular el uso de este de una manera nor-
mal. EI nivel de azucar en la sangre
comienza a aumentar y esto gatilla fun-
ciones y reacciones anormales en el cuer-
po.
La diabetes de
divide en dos
tipos:
a) Tipo I:
Cuando el cuer-
po no produce
insulina (tam.
bien conocida como diabetes juvenil).
b) Tipo 2: Cuando el cuerpo no produce
suficiente insulina 0 no la utiliza apropi-
adamente (tambien conocida como dia-
betes de la adultez).
Tipo 2. Los sintomas de la diabetes
pueden incluir algunos 0 todos de los
siguientes factores:
Necesidad frecuente de orinar, Sed exce'
siva, Rambre excesiva, Vision barrosa,
Infecciones frecuentes, Fatiga, Perdida de
peso, adormecimiento, hormigueo en las
extremidades.
iO ningiin sintoma en absoluto!
Sin tratamiento, la diabetes empeora y
puede conducir a varias complicaciones
como ceguera, difuncion renal, disfunci6n
cardiaca, apoplejia, a1teraci6n de los
nervios y aml'utaci6n 0 perdida de la(s)
extremidad(es). -
Asi que, tcomo va a reaccionar? Creo que
deb~ria pensar que es afortunado en
haber sido diagnosticado. Como, dije
antes, 5,4 millones de personas no han
sido diagnosticadas y ini siqniera saben
que tienen diabetes!
Hoy existen .muchos tratamientos efec-
tivos y terapias medicas para prevenir y
controlar la diabetes. Pidale a su doctor
que Ie haga un examen de diabetes y que
comienze un tratamiento si es necesario.
Para reducir el riesgo de tener diabetes
mantengase activo, coma bien, y reduzca
el stress 10 maximo posible. Con una dieta
rica en granos enteros, cereales, vegetales,
frutas y fibras; con ejercicio regular y un
programa para perder peso; medicamen-
tos orales; terapia de insulina y control del
mvel de azUcar en la sangre, su doctor Ie
puede ayudar a controlar su diabetes y a
iniciarlo en el camino de una vida salud-
able.
Translation by Stephanie Diaz
UNCW International Student
Diabetes Today is a sp~cial.publication of the New Hanover Co~~ty Diabetes Today Coalition which provides the editorial content. The Diabetes Today Coalition was formed in 1999 to advocate
for dia-
betes care and prevention In New Hanover County. The'CoalltIon operates under the auspices of the New Hanover County Health Department and is funded by a grant from Cape Fear Memorial
Foundation, Wilmington, North Carolina. -
t~ c\ (\
Diabetes Today, ~~oruary 2003 )
Conversation with
Harvard Jennings -
and Diabetes Today Coordinator, Trish Snyder
Trish: How did you find out you hod diabetes?
Harvard: I had dropped off my daughters
at college. On the way home, my vision became so
blurry that I couldn't read the road signs and I felt dis-
oriented. I didn't think of diabetes. Six months passed
with no problems. Then I lost 30 pounds over a 3 to 4
week period and my vision became very bad. I still did-
n't think it was diabetes. Even though seven of my eight
siblings have diabetes, I thought I had escaped. The
doctor told me otherwise: I had adult onset diabetes.
Trish: How has it changed your life?
Harvard: I've made up my mind that I don't want this
disease to control me, so I make sure I have it under
control. I keep my weight at 180-185 and I've learned
to listen to my body. Being human, I don't always
behave, but I'm no longer a "sugarholic" As a kid, I
remember eating sugar sandwiches - bread and butter
sprinkled with sugar. As an adult, I drank tons of sweet-
ened soft drinks. I've cut that out. The toughest part for
me is changing my life around the disease and eating
when I'm not hungry Eating six small meals a day is a
challenge! But it's working. Since the diagnosis, I
haven't missed a day of work.
Trish: As a talk show host, it seems that you deal with a lot
of stress. How do you manage it?
Harvard: I knew the water would be wet when I got into
it, but I've learned not to internalize it. I'm on guard
against getting angry and see my role as one of a peace-
maker, predisposed ngainst hostility.
Trish: Mat advice would you give to people with diabetes?
Harvard: If you have diabetes in your family, don't dis-
regard it. You're a potential victim. Manage it before it
becomes more serious.
HarvardJennings is a radio talk show host on WAAV
980 AM, 5- 7 PM weeknights.
. .
"How far you go in life depends
on your being tender with the
young, compassionate with the
aged, sympathetic with the striv-
ing, and tolerant of the weak and
strong. Because someday in yopi'
life you will have.been all of
these."
GCOrgc Washington Carver -
Vascular Disease
.from Dia be t e s may cause
premature hardening of the arteries.
If you experience:
. poor circulation. pain in calves while walking
. wounds that will not heal
()
Diabetes on a
Shoestring Budget
The fOl/owing infOrmation has been excerpted from an article
by Janet Reaves, RN, MPH, Director, NC Diabetes Prevention
and Control Unit.
Taking care of diabetes costs a lot!
Managing the disease takes a lot of time
and effort, but it also requires substantial
financial resources, particularly for those
without healthcare insurance. Many
resources exist to help people with limit-
ed incomes to purchase healthcare and
prescription medications.
Below is an outline of some of those programs.
Help Finding a Doctor
North Carolina Primary Health Care Association
1-800-277-6092
To find a communitj health center that provides primary care.
Charges are based on income fOr those without health insur-
ance. Medicare and Medicaid accepted.
North Carolina Association of Free Clinics
1-336-251-1111 -
To find a free clinic that provides primary medical care.
Recipients must not be eligible fOr Medicaid in-order to receive
services.
VISion USA 1-800-766-4466
Provides coverage fOr a free eye exam fOr /ow income working
fOmilies without health insurance and ll!ho meet certain crite-
ria
National Eye Care Project 1-800-222-EYES (3937)
Provides access and medical care to eligible seniors over 65
with no out-ofpocket expenses.
Help Getting Medications
North Carolina Senior Care - www.ncseniorcare com
Toll free 1-866-226-1388
Helps Medicare recipients with limited incomes with diabetes,
heart and lung medications.
Pfizer for living Share Card Program
www.pfizerforliving.com or 1-800-717-6005
Helps -/ow-income Medicare recipients with medications
inclnding Glucatrol,@ Glucatrol XL @and Diabanese@
UIly's UIly Answers Card - www.lillyanswers.com or
Toll fr_ee 1-877-795-4559
Helps low-income Medicare recipients with medications
including Humulog,@ and Humulin @insulinproducts
()
---~~
..J'
J- Page2
Together Rx Card - wwwtogetherrx.com or
1-800-865-7~11
Helps low-income Medicare recipients with medications
including Amaryl,@'Avandia @, Diabeta@ Glucophage@
Glucaphage XR @, Glucovana@, LantUS@, Starlix@
Drug Assistance Programs - www.phrma.org/pap/
Phone (202) 835-3400
Most companies offer drug assistance programs fOr those with
limited incomes. Ask your doctor to request and complete the
fOrms from the company that makes your medication.
Resources for Education and Testing Supplies
_ In 1997, the North Carolina legislature passed House
Bill 5 which assured that insurance plans, managed care
and HMOs governed by the NC department of
Insurance would pay for diabetes self-management edu-
cation and blood sugar testing supplies. Medicare and
Medicaid cOver these services and
supplies as well. In order to
have your self-management
education covered by
Medicare, Medicaid or
most private insurance
plans, you must
complete it in a
site that has
been recog-
nixed by the
American
Diabetes
Assoication. To
find a site recog-
nized by the ADA, go to www.diabetes.org/educa-
tion/edllprOlP"am.a&p or call 1-800-342-2383
Another recent service now available for Medicare par-
ticipants is Medical Nutrition Therapy (MNT). This
allows Medicare recipients who have diabetes or kidney
disease and who meet certain criteria to receive a limit-
ed number of hours of nutrition education from a
Registered Dietitian. If you think you qualify, ask your
doctor for a referral.
For more information about programs available in
North Carolina., call the North Carolina Prevention and
Control Unit at 1-919-715-0112 or go to www.ncdia-
betes.org
The Diabetes Support Group in Wilmington
meets on the third Thursday of each month. 1 :30
pm at the New Hanover County Senior Center
ALL ARE WELCOME
rn Michael S. McGarrity, M.D.
"'I' Paul C. Whitesides, M.D.
......; t.i o Cffiified Diabelir EdUrabonlDiet Counseling
o Insu~n & KGn Insulin Dependent DiabM . Insulm Pumps
. . Th)TIJkIDi_
mdudingThnoidNoduleBlOps}'
oOsteoporOSlSEvaluations
, mdudmgBoneDensltyTestmg
. COASTAL CAROLINA
~ ,.;:.,,~ ~~~:.!.~~~,~;.~~~~~;~
343-08I1
Dr. Jeffrey B.-Pu-pp, DPM*
Dr. Kevin G. Bachman, DPM
*Board Certified In Foot And Ankle Surgery
. 011 ~ beal:li.. in the park..
around the block!
Extra Deptil SJw. fUr Di8hetts!
. We'll biJIMtJiuJrt fUr you!
Get new shoes each year!
Medical Center 908 s. 16th Sl
. _. 762-7(){Y7
h Hours:
~1A;0Il> IlIl1lpnMP ~~. M-F 8-5:30
Home Care WYffl.medicakpn~,oorn
Hanover Medical Specialists, P.A.
1515 Doctors Circle . Building "E"
763-6332
foOT 8. ANKLE SuRGERY' DIABEllC foOT CARE
SPRAINS 8. FRAOURES . AMBULAlORY SuRGERY
INGROWN NAILS . ENoosco~C SURGERY
SECONO O~NION CONSULTATIONS' X-RAY FACllmES
Sh~2~51~j .~Q!t~~~1~~
Yfa~~~~~t.~~9l C2~~~~
E Insuronce occepted ond filed = _
n C) c)
Diabetes Today;1'ebruary 2003
Are you interested
in Stepping Out?
The Diabetes Today Coalition is organizing a
monitored walking program for people with
diabetes and people
at risk for diabetes.
Participants will
receive a pedometer
and work under the
guidance of a person-
al fiiness trainer.
For details or to sign
up, call 343-6758
and leave your name,
number, email and
mailing address.
"s0-~ ,
_'--~____'>NW'
_ c
~i'-'~ 1:'
n1
I
"What"do F;tankit lVIaxsy, I
Myron Talbert, 'Amy Kennedy, I
Jlac~'J Gut.rie 411d ~bea J
Hagepanos have in common?-'
the. G uAiJ
No~~cthey are',not in., ast. of;' M; B1g;i!/Z( ~ ;j
Wedding. They are, however, playing a part in DUes. I'
(That's the name chosen for the Diabetes Support'
~. Call:t9-ugu~f~atU s~!!sfor?);,,,",:' !
\j~~: ;~U:~~~~:~':~~::i~~ I
I Soutj1 ColletJ!!toad lf1:ytlmin~ . i
F~ ~O:: '"'Gadget; and ~os: Diabetes i
Devices" with Frankie Maxey, MS, RN, CDE; I
Myrqn Tall1_~,!U1d Ay1~J~ennedy. . i
~irhF:d"~tth~ ~~;:r::1
H~os,~,CDE,).. i
Apdl17. "Eat Right fo~ Life" With Rachel Guthrie, I
RD, CDE I
I
,___"'--...,;:t'.,,,_._,,,
r
U
Pregnancy and Diabetes
There are approximately 135,000 women whose preg-
nancies are affected by gestational diabetes (G D M).
This means that approximately 2 to 14 percenf(depend-
ing on populations studied) of preg-
nant women will have GDM. This
type of diabetes occurs only during
pregnancy and is very treatable.
However, if left untreated, serious
problems can develop both during
the pregnancy and after birth.
Unfortunately these problems can
affect both the mother and the baby,
and range from mild to life threaten-
ing.
Most doctors routinely screen all
pregnant wo'!'en between 24 and 28
weeks of their pregnancy
Depending on your individual med-
ical history and risk factors, you may
be screened earlier. The screening consists of drinking a
sugar solution drink and having blood drawn. Be sure
to tell your physician if you have a first degree relative
with diabetes, babies born to you that weighed over 8
or 9 pounds, GDM with other pregnancies, or persist-
ent yeast infections. Other risk factors include older
maternal age, obesity, or being a member of a high-risk
ethnic/racial group such as Hispanic, African
American, Native American or Asian.
If you are found to have G D M, you will need assistance
from a dietitian for nutrition and meal planning, and
from a nurse to teach you how to monitor your blood
sugars and urine ketones at home. Sometimes insulin
therapy is also needed and you will be taught how to
inject yourself with insulin. Your doctor will depend on
you to closely monitor your blood sugars so he/she can
provide the appropriate treatment in order to have a
healthy pregnancy and a healthy baby.
After delivery, blood sugars of both mother and baby
are closely monitored for 24-48 hours. Women with
GDM usually have another blood test at their six-week
check up and if breast-feeding, after weaning, to make
sure their sugars are within normal limits. In most
women the condition resolves completely. However,
women with GDM have a 50 to 75 percent risk for
/""'\
'..,&
,:)
,J
Pa'l!;e3
developing overt diabetes 10 to 15 years after the preg-
nancy. It is important to continue having regular ,,\~d-
ical check-ups to learn ways to reduce this risk and' to
maintain good health.
Patients can receive patient education and
diabetic equipment for GDM through
Coastal OB/GYN clinic, located at New
Hanover Regional Medical Center. A dia-
betic program is available and operated by
the Public Health staff from the New
Hanover County Health Departroent. "We
provide diabetic supplies, diabetic instruc-
tions, patient education, follow-up and con-
sultations with the physicians and nurses.
The staff is able to provide this service for
indigent patients via grant money obtained
from the North Carolina Medical Society.
To be eligible for this progr,.,'" one must be
pregnant, a patient at Coastal OB/GYN, diagnosed
with gestational diabetes and have no source of pay for
medical cil"e. The Maternal Health team is readily
..
available to provide services to the diabetic patients.
If you have any question regarding your pregnancy and
diabetes, call Debbie King at 343-4627 or 343-2465.
It's not easy to manage diabetes,
but you can do it!
. " . . I
N.C. Diabetes Prevention & Control Unit
In North Carolina, (919) 715-0112
www.ncdiabetes.org
or call 1-800-438-5383 to learn more,
or visit the national website at
http://ndep.nih.gov
.
W I ington Health Associates
NEW WCATION
1.501. M. .~..di'C' _~" j..........'::-...,
W.lmmgton. NC 28401 c . 0
Our Board Certified
~,' c' re Here Ii Help
~. 'I:I1\~;LlI.l'Ulil. DeDe Wad st1ll!iw,
Nt- 375
II .1
~~1
~~g~~r:b:e,:~ ~*;3~:~aPona:.~:
as much aa you can a60ut hOw to
contiollt.
Diabetes ed~n clllS$es wii, be otl'ete1:l at,
Cape Fear cOmmunity' Colleg;, on Tuesdays
from 3- 5 PM beginning February 11, 2002.
C1ass~ will co,;yer nutr!\i9u, und~~ lP~
ications, marniging stress, exercise, moriftoring
blood sugar, dealing with emergencies and
avoiding cOII!Plica,till.!'l8: The 'ocurricllll!fJl is
designed. for persons \Ylth Type'~ diabetes and'
their families. A materials fee of $15.00 covers
materj.als for all four sessions. Family members
may aCcompanfpatien~ at no'cnarge, To-regia-
ier, call the Dlabetes Today registration line at
343-6758.
SUMMIT
PODIATRY
Glaser root &
Ankle Clinic
1717 Shipyard Blvd.
791-1300
If you're ..1.....Ic,
your.... n_" .peel.' attention.
. INFECfION . FOOT ULCERS. NEUROPATHY
. VASCULAR DISEASE. BONE PROBLEMS
_ Soli tor o.consultotioil today! .
~
~
C., C
Df&betes Today, February 2003
'C
, ,
, '
~ 0 :)
DINING -OUT FOR PEOPLE WITH DIABETES
Americans eat 30% of their meals away from home, mostly in employee cafeterias, restaurants
and fast food places. The fact that you have diabetes does not mean that you cannot dine out. You
can maintain your lifestyle and eat out without problems simply by learning how to choose foods
carefully. The American Diabetes Association. (ADA) recommends a meal plan that is nutritious
and fairly consistent from day to day. The recommendations call for less fat intake, a reduction
in calories intake if you
are overweight, and lim-
ited intake of simple sug-
ars. These general guide-
lines will help you stay within the ADA recommendations while you
eI]juy dining out.
BEFORE YOU DINE OUT
v'
~
Mter you receive your meal plan from your doctor or dietitian, practice
weighing and measuring foods at home for a short time. Then you will be able
to judge portions in restaurants more accurately.
Know your meal plan or plan to carry it with you when eating out.
Restaurant-prepared foods are often high in fat, so remember that you can
save fat servings from other meals to be used for higher fat foods when din-
ing out.
H you are using insulin, try to eat your meal out on schedule. But if the meal
must be delayed for more than I 1/2 hours, eat a serving if fruit or starch
bef::>re you go to the restaurant.
~OSlt:lG A 8ES'tA!JRANT
Choose restaurants that allow substitutions and that prepare food to order.
Don't hesitate to explain to the waiter that you are on a special diet.
Cafeterias are good choices because they offer a wide variety of foods and
smaller portions than restaurants.
HEALTHFUL FOOD CHOICES
.\ Ask questions about how the food is prepared and what the ingredients are.
I. Your health is at stake!
Restaurant portions can be large, so plan to share your entree with another
person at your table or request that part of your meal be saved for you in a
doggy bag.
Try ordering a la carte. You can he more creative in fitting foods into your
meal plan. /
Plain is best. Creamed foods or foods With sauces or gravies are higher in fat
and calories. Batter fried foods cost you hundreds of extra calories.
Follow your physician's advice about how much (if any) alcohol you may
drink. If you drink alcohol daily, limit the amount and make the equivalent
substitutions in your meal plan.
Provided as a service of the Upjohn Company
I
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MmiMed l
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Retinopathy
Boafr:JCfJftif1edlnOp/rth81mOlogy
~_ Igor Westra,'fIO . Erik van Rens, M~
! 1601N$wHMD\I0I<~1Ca1 Park Or. . Wilmington. NC
11!13COl.lntrYClub Rd. SullO 104 . Jacksonvillo, NC
_ _4000Hl~9E. Suile240. unleAiver. NC
www.retlna1coastalcarOllna.com
,
,
Insulin Pump Therapy For
. Better Diabetes Control
I For Information Call
ll-800-999-9859 ext. 2887
Page4
SUGGESTED FOODS TO ORDER
APPEITZERS
Brotll,consonune,vegetablesoup
Fresh fruit
Fruit juice
Tomato or vegetable juices
Raw vegetables
ENTREES
Baked, broiled, boiled or grilled
lean meats, fish or poultry
Foods sauteed in wine rather than
butter or margarine
Fried chicken With the skin
removed
Stir-fried lean meats, poultry, or fish
(request that broth be used instead
of oil)
Appetizers are often ideal entrees
for diabetics
Soups (good main course if meat,
poultry, fish or bean based)
VEGETABLES
Order vegetables that, are raw,
steamed, stir fried, boiled or baked
Allow a fat serving if vegetables are
flavored With butter, margarine or
oil
Avoid vegetables that are glazed or
sweet and sour sauce or that ate
deep fried
Ask for a. baked potato plain or With
margarine-served separately
Remember that peas, com, limas
and winter squash are considered
starches
ALCOHOUC BEVERAGES
Avoid drinks that contain large
am,?unts of sugar, such as liquors,
sweet wines, and sweet mixes.
Beverage
Substitution
In Meal Plan
I bread
Hat
2 fat
2 fat
12 oz. regular beer
12 oz. light beer
4 oz. dry wine
I 1/2 oz. distilled spirits
SALADS
At salad bars, fill your plate with raw
vegetables and sparingly top your
salad (using a teaspoon) with high-
calorie items - cheese, olives, seeds,
croutons, hard-boiled eggs, and
bacon.
Ask for the salad dressing on the side
With dinner salads. Use sparingly and
enhance with vinegar or lemon juice.
Avoid creamy salad dressings ~ 2
ounces will probably be more calories
than your entree.
FAST FOODS
Small hamburger Without mayonnaise
Turkey sandwich
Thin-crust cheese pizza with .vegeta-
bles
Small roast beef sandwich
Chili
Baked potato
Small order of French fries (split with
a friend)
Small taco
Chefs salad with diet dressing
Salad bar
Dining at a friend's house? Just say "No,
thanlc you" to foods that you should avoid.
So many people are following various diets
today that you will probably not need to
offer any explanation.
Star-News
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Community
For advertising information on upcoming issues of our
Health & Medicine Guides, Diabetes Today tabs and other
health publications...
Call Medical Marketing Coordinator,
Cae Emerson, 343-2289