D I D Y O U K N O W? D I A B E T E S R E S O U R C E G U I D E. Blindness Heart Disease Strokes Kidney Failure Amputation

Transcription

1 D I D Y O U K N O W? D I A B E T E S R E S O U R C E G U I D E Diabetes is a serious disease that can lead to Blindness Heart Disease Strokes Kidney Failure Amputation Diabetes kills almost 210,000 people each year. Some people with diabetes exhibit symptoms and some do not. Contact your healthcare provider if you have any of the following symptoms: Extreme Thirst Frequent Urination Fatigue FOR MORE INFORMATION or Made possible by a grant from the Quality Health Foundation, a Maryland-based non-profit foundation. The views presented herein are those of the author and not necessarily those of The Quality Health Foundation, its directors, officers or staff. T r i - C o u n t y D i a b e t e s A l l i a n c e w w w. t r i d i a b e t e s. o r g

2 T A B L E O F C O N T E N T S M E D I C A L A S S I S T A N C E For additional medical assistance: THE PARTNERSHIP FOR PRESCRIPTION ASSISTANCE Helps qualifying patients who lack prescription coverage get the medicines they need through the public or private program that s right for them. The Purpose of the Resource Guide The Facts What is Diabetes Can Diabetes be Prevented Diabetes Risk Assessment At Risk Weight Chart MEDBANK Provides prescription medications for chronically ill, low-income, underinsured/uninsured Maryland residents. DIABETES IDENTIFICATION MEDIC ALERT FOUNDATION For patients with diabetes who are house-bound, Medicare and private insurance will (in most cases) allow a home health nurse to do diabetes management teaching in the patient s home. How to Find Out if You Have Diabetes or Pre-Diabetes Managing Your Condition Regular Exams and Test Recommended for Diabetes Diabetes Programs and Prescription Assistance Area Diabetes Support Groups Website Diabetes Prevention Resources Medication Assistance

3 D I A B E T E S P R E V E N T I O N P U R P O S E O F T H I S R E S O U R C E G U I D E For more information about healthy eating and physical activity, please contact any of the following resources in your area. SOMERSET COUNTY McCready Health Services Foundation Somerset County Health Department University of Maryland Eastern Shore WICOMICO COUNTY American Diabetes Association ext Covering the Tri-county area Peninsula Regional Medical Center Wicomico County Health Department ext. 371 WORCESTER COUNTY Atlantic General Hospital Worcester County Health Department This resource guide is designed to: Educate you on why it is important to know if you have diabetes Guide you to community resources to help you learn about your risk of T h e getting diabetes Guide you to community services to help you manage your diabetes if diagnosed This resource guide was developed by a group of health professionals from Somerset, Wicomico, and Worcester Counties in Maryland in coordination with the local chapter of the American Diabetes Association. The information contained in this booklet is not a substitute for medical advice or treatment. If you feel you may be at risk for diabetes consult with your doctor or health care professional. F a c t s 7.0% or 20.8 million people in the United States have diabetes. 6.9% or 277,143 people in Maryland have diabetes. Percent of people with diabetes U.S.A. 7.0% MD 6.9% TRI-CO 14.3% 14.3% of people in Somerset, Wicomico, and Worcester Counties have diabetes, a significantly higher rate than Maryland and the U.S. Nearly 1/3 of people with diabetes do not know they have the disease. 41 million people in the United States have a condition known as pre-diabetes having a higher risk of heart and circulation problems known as cardiovascular disease. 12 1

4 W H A T I S D I A B E T E S? W E B S I T E S & S E R V I C E S Diabetes is a disease in which the body does not make or use insulin properly. Diabetes results in high blood sugar. If uncontrolled, diabetes can lead to complications. Serious complications from diabetes include heart disease, kidney failure, blindness, and amputation. The risk of complications from diabetes can be reduced with proper health management. PRE-DIABETES Blood sugar levels higher than normal but not as high as Type 2 diabetes. People at risk are often overweight, not physically active, and have a family history of diabetes. People with pre-diabetes are likely to develop Type 2 diabetes within 10 years. Lifestyle changes and disease management can help reduce your chances of developing Type 2 diabetes. TYPE 2 DIABETES The body makes some insulin but does not use the insulin properly. Most people with Type 2 diabetes are overweight % of those diagnosed with diabetes have this type. TYPE 1 DIABETES The body makes very little or no insulin. Type 1 diabetes is less common than Type 2 diabetes. Type 1 diabetes occurs in 5-10% of all people with diabetes. For more information about diabetes the Tri-County Diabetes Alliance and your local chapter of the American Diabetes Association recommend the following WEBSITES: AMERICAN DIABETES ASSOCIATION MARYLAND DIABETES CONTROL PROGRAM CDC S DIABETES PROGRAM DIRECTORY OF DIABETES ORGANIZATIONS CHILDREN WITH DIABETES CAMP POSSIBILITIES LOCAL SERVICES: For more information on diabetes call DIABETES. AMERICAN DIABETES ASSOCIATION (Local Chapter) 114 Baptist St., Salisbury, MD, contact Carlos Mir, ext THREE LOWER COUNTIES, TLC / PRINCESS ANNE / Medical Building, Elm Street SALISBURY / 1104 Healthway Drive POCOMOKE / th Street, Suite

5 A R E A D I A B E T E S S U P P O R T G R O U P S C A N D I A B E T E S B E P R E V E N T E D? WICOMICO COUNTY Diabetes Kids Mentoring support by Robyn Wilson Peninsula Regional Medical Center Support Group nd Monday of the month except June, July and August Avery Hall Education 7:00 8:00 p.m. Pump Club nd Monday of the month Avery Hall Education Building 6:00 7:00 p.m. Studies have shown that people with pre-diabetes can prevent or delay the development of Type 2 diabetes by 58%. Changes in lifestyle can help. These include: Modest weight loss (by 5-10%) Regular exercise or physical activity (30 minutes daily) at least five days a week Getting started in these areas can help elevated blood sugar levels return to normal. SOMERSET COUNTY McCready Foundation Monthly Diabetes Support Group, call for date & time ext WORCESTER COUNTY Worcester County Health Department Monthly Diabetes Support Group in Snow Hill 3rd Wednesday of the month 1:00 2:00 p.m. Atlantic General Hospital Support Group st Monday of the month 6:00 7:00 p.m. Ocean Pines Support Group st Wednesday of each month 7:00 8:00 p.m. at Ocean Pines Library 10 3

6 D I A G N O S I N G D I A B E T E S P R O G R A M S A N D A S S I S T A N C E COULD YOU HAVE DIABETES AND NOT KNOW IT? Take this test to see if you are at risk for having diabetes. Over twenty million Americans have diabetes and one out of three doesn't even know it! Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders. If you are a member of one of these ethnic groups, you need to pay special attention to this test. To find out if you are at risk, answer each question below. Then add all the points to get your total score. DIABETES EDUCATION PROGRAMS AND PRESCRIPTION ASSISTANCE There are several diabetes education programs in Somerset, Wicomico, and Worcester counties. These programs include diabetes educators who are specifically trained to teach you how to live with and successfully manage your condition. 1. My weight is equal to or above that listed in the chart on the next page 2. I am under 65 years of age and I get little or no exercise during a usual day 3. I am between 45 and 64 years of age 4. I am 65 years old or older 5. I am a woman who has had a baby weighing more than nine pounds at birth 6. I have a sister or brother with diabetes 7. I have a parent with diabetes TOTAL POINTS Yes No 5 pts 0 pts 5 pts 0 pts 5 pts 0 pts 9 pts 0 pts 1 pts 0 pts 1 pts 0 pts 1 pts 0 pts In addition, these programs can connect you with local and national programs that can help you with financial assistance for your prescriptions. SOMERSET COUNTY McCready Health Foundation McCready Outpatient Center Somerset County Health Department Free Clinic WICOMICO COUNTY Peninsula Regional Medical Center Diabetes Outpatient Education Scoring 3-9 points: You are probably at low risk for having diabetes now. But don't just forget about it especially if you are Hispanic/Latino, African American, American Indian, Asian American, or Pacific Islander you may be at higher risk in the future. Scoring 10 or more points: You are at greater risk for having diabetes. Only your health care provider can determine if you have diabetes. Find out for sure at your next doctor s visit. WORCESTER COUNTY Atlantic General Hospital Diabetes Outpatient Education Programs Worcester County Health Department

7 R E C O M M E N D E D E X A M S A N D T E S T S A R E Y O U A T R I S K? REGULAR EXAMS AND TESTS recommended by the American Diabetes Association for people with diabetes EXAMS OR TESTS Blood Pressure WHEN Every office visit AT-RISK WEIGHT CHART Body Mass Index (BMI) Height in feet and inches without shoes Weight in pounds without clothing Weight Every office visit 4'10" 129 Foot Exam Blood Glucose Record Dentist Check-Up A1C Blood Test Average blood sugar value during past two to three months Every office visit Discuss every office visit Two (2) times a year Four (4) times a year if blood sugar not controlled or medicine changes 4'11" 5'0" 5'1" 5'2" 5'3" 5'4" Two (2) times a year if blood sugar controlled 5'5" 5'6" Blood Tests for Cholesterol, HDL, LDL, and Triglycerides Every year unless otherwise recommended by your doctor 5'7" 5'8" Dilated Eye Exam by ophthalmologist or optometrist Every year 5'9" 5'10" Foot Exam (by podiatrist) Urine Check for Protein/Microalbumin and Creatinine Ratio Every year Every year 5'11" 6'0" 6'1" 6'2" Flu Shot Pneumonia Vaccine Every year As per advice by health care provider 6'3" 6'4"

8 D O Y O U H A V E D I A B E T E S? M A N A G I N G Y O U R C O N D I T I O N HOW DO YOU FIND OUT IF YOU HAVE DIABETES OR PRE-DIABETES? There are two types of blood sugar (glucose) tests that are used to tell if you have diabetes or pre-diabetes. Both tests require a fasting period. Fasting Blood Glucose Test Pre-diabetes glucose level = mg/dl Diabetes glucose level = 126 mg/dl or higher Oral Glucose Tolerance Test Involves a special glucose drink and a blood test done 2 hours later Normal glucose level = is 139 mg/dl or below Pre-diabetes glucose level = mg/dl Diabetes glucose level = 200 mg/dl or above It is normal for testing to be repeated to confirm diagnosis. Visit your doctor or health care professional to obtain a fasting blood test or oral glucose tolerance test to tell if you have diabetes or pre-diabetes. Source: American Diabetes Association Once you ve been diagnosed with diabetes or pre-diabetes, it is important to learn as much as you can about managing your condition. Your diabetes health care team should include your doctor, a certified diabetes educator, and a registered dietitian. They will teach you about: Eating healthy Staying physically active Monitoring your blood sugar Monitoring your eyes, your vision and your feet Taking your medicine (if prescribed) Setting healthy goals Problem solving In addition to the local chapter of the American Diabetes Association, there are several resources available in the tri-county area that can help you as you learn to manage your diabetes. Resources available include diabetes education programs, prescription assistance, and diabetes support groups. See pages 9-10 in this resource booklet. 6 7