This is from our May 2009 Article
African
Americans and
DiabetesBy Darlene Jameson,
RD, CDE, Diabetes Outpatient Education Program
Atlantic General Hospital
Diabetes – If
you don’t have it, you probably know someone who
does. This disease is on the rise and it touches
everyone. Unfortunately, about one-fourth of the
population doesn’t know they have it. In the
African American community, the percentage of
people affected (3.7 million) by diabetes is
much greater than in the general population.
• 14.7 percent of all African Americans age
20 years or older have diabetes (as compared to
10.7 percent of this age group in the general
population) • Twenty-five percent of African
Americans between 65 and 74 years of age have
diabetes • Death rates for African Americans
with diabetes are 27 percent higher than
non-Hispanic whites • By 2020, it is
projected that the number of African Americans
developing diabetes will increase by 50 percent
Diabetes Complications
Uncontrolled
diabetes, over time, can lead to a number of
serious, possibly life-threatening
complications. Sadly, an initial diabetes
diagnosis is often not made until a complication
occurs.
Complications of diabetes include
heart disease (which is the most common cause of
death for people with diabetes), stroke,
diabetic retinopathy (damage to the eye) and
nephropathy (kidney damage) and diabetic
neuropathy which causes nerve damage and puts
you at risk for foot injury, infection, and even
amputation.
Men with diabetes do better
than women with diabetes when taking into
account these risks. Deaths from heart disease
have gone down 13 percent in men; for women,
they have gone up 23 percent over the past 30
years. In the African American population,
retinopathy, neuropathy and amputation are more
common compared to non Hispanic whites.
For more information on diabetes and its
complications, visit “Diabetes Statistics” on
diabetes.org.
What Can I Do?
The
good news is that a healthy lifestyle, including
exercise and eating well, can make a difference
in the risk of developing diabetes and in
keeping diagnosed diabetes under good control. A
landmark research study, the Diabetes Prevention
Program Trial, showed that the loss of just five
to seven percent of body weight (the equivalent
of eight to 11 pounds for a 160-pound woman) and
physical activity for 30 minutes, five days a
week, lowered the change from pre-diabetes to
diabetes by 58 percent; for those age 60 years
and older, the decrease was a whopping 71
percent!
If diagnosed with diabetes,
healthy eating, regular physical activity and
self-monitoring are the cornerstones for keeping
blood sugars in the target range and in lowering
the risk of long term complications.
The
concept of diabetes self-management is key. A
person with diabetes should know their ABC’s and
strive to meet the goals set by the American
Diabetes Association for testing: A1C –
every 3-6 months [level should be less than 7
percent] Blood Pressure – every visit to the
doctor’s office [should be less than 120/80]
Cholesterol – yearly [LDL should be less than
100 mg/dl (less than 70 if you have a history of
heart disease); HDL should be greater than 40
mg/dl for men and greater than 50 mg/dl for
women; triglycerides should be150 mg/dl]
Programs
To address the growing diabetes
epidemic, the American Diabetes Association
created the African American Initiatives. They
are designed to increase awareness of the rates
and seriousness of diabetes among African
Americans, to teach the importance of making
healthy lifestyle choices, and to educate those
with or at risk for developing diabetes about
prevention, treatment, and management. The
initiatives include educational programs,
workshops and training to be carried out in the
community setting.
Project Power is a
faith-based program targeting the African
American community. It provides a variety of
year-round activities and a series of
educational workshops. Topics include diabetes
basics, management and treatment, risk
reduction, physical activity, healthy eating,
diabetes and African American youth, and
diabetes, heart disease and stroke.
Choose to Live – A Heart to Heart Discussion is
a workshop that targets African American women
ages 35-55 years who have diabetes or who are at
risk for developing the disease; it provides
education about the risks associated with
cardiovascular disease and diabetes.
For
more information on these program initiatives,
call your local chapter of the American Diabetes
Association or the national office at
1-800-DIABETES (1-800-342-2383).

Help Defeat Diabetes With
American
Idol Host Randy
Jackson
Hollywood-
American Idol's own host Randy Jackson
has announced that he has Type II
Diabetes and has teamed up with the
American Heart Association
to help defeat this
dreaded disease. February is not only when
American Idol
starts heating up
but more importantly it is
Heart Month! To
learn more about the American Heart Associations
"the Heart of Diabetes"
campaign
click here.
Be sure to check out some of Randy
Jackson's
Web Cast videos
and
American Idol news story.
Everyday Eating with the DieticianSubmitted by Kathy Wool,
RD, LDN
Diet and diabetes go together like a
horse and
carriage, peanut butter and jelly, salt and pepper! If you have
diabetes, you already know what you eat, when you eat and how much
you eat decides if your blood sugar sky rockets or plunges! So if a
little motivation is in order to eat better- and we know most of us
can use that- then read on and maybe these easy and well known ideas
can set you back on the path of good control and a healthy
lifestyle.
Eat a balanced diet! That means a variety of
foods- carbohydrates, fruits, vegetables, milk and dairy, meat, fish
and poultry, and healthy fats. If you are feeling like food is
becoming monotonous, try some new foods in all the categories. With
the warmer weather approaching look for some new ideas to expand
your selections.
Spread those meals throughout the day!
Eating 3 small meals and a few snacks can actually balance your
blood sugar better than 3 big meals or skipping the meal entirely
and making up for it later. Take a look at your schedule and plan
your meals so they fit around all those things you do in a day.
Go for the grains! Those carbohydrates are full of vitamins
minerals, fiber and give you energy. Whole grain breads, cereals,
brown rice and pasta, beans, lentils and those new grains can add
some variety and nutrition and they taste delicious!
How
small is small? Serving sizes matter and they are smaller than most
of us think. A carbohydrate serving is 1 slice of bread- that large
bagel can be equal to over 6 slices!; a serving of cereal is ½-3/4
cup- smaller than a large apple!; meat is 3 ounces- about the size
of the palm of your hand without the fingers- so that 12 ounce steak
is equal to 5 meals worth of meat!! Get to know that food label and
note the REAL size of a serving!
Fat! Fat! Fat! Eat less fat
and eat healthier fats, such as olive oil, canola oil and trans free
foods. Look at the labels, avoid those fast food meals, and choose
low-fat foods whenever you can! Welcome spring with these easy
and delicious recipes. Take advantage of all the fresh fruits and
vegetables at your local farmer’s market!
Spinach Salad with Nectarines & Raspberries (makes 4 servings)
1 tablespoon olive oil ¼ cup raspberry vinegar 1 ½ tsp.
lemon juice ½ cup orange juice 4 cups fresh raw spinach,
washed and stems removed 5 ripe nectarines, pitted and sliced
Red onion, raw and sliced 2 cups raspberries Fresh ground
pepper to taste
In a small bowl, whisk first 4 ingredients
together for the dressing. Divide the spinach among salad plates,
and lay nectarine slices, red onion slices, and raspberries on top.
Drizzle dressing over salads, add ground pepper and serve!
NUTRITION INFORMATION
Calories: 238 Total Fat: 7.7 grams
Saturated fat: 3.2 grams Calories from fat: 69 Carbohydrates:
45.8 Fiber: 15 grams Cholesterol: 0 grams
Exchanges: 2
vegetable, 2 ½ fruit, ½ fat
Fruit Kabobs with Lemon-Lime Dip (makes 2 Kabobs)
4
ounces low-fat, sugar-free lemon yogurt 1 teaspoon fresh lime
juice 1 teaspoon lime zest 4 to 6 pineapple chunks 4 to 6
strawberries 1 kiwi, peeled and diced ½ banana, cut into ½
-inch chunks 4 to 6 red grapes 4 wooden skewers In a small
bowl, whisk together the yogurt, lime juice and lime zest. Cover and
refrigerate until needed. Put 1 piece of each fruit onto the
skewer. Repeat with the other skewers until the fruit is gone. Serve
with the lemon lime dip. NUTRITION INFORMATION Calories: 160
Total fat: 1 gram Saturated fat: < 1 gram Calories from fat: 9
Carbohydrate: 36 grams Fiber: 4 grams Cholesterol: 4 grams
For more recipes click below
Eating Well & Recipes
To help find a diabetes educator in your area,
contact 1-800-Teamup4 or the American Association of
Diabetes Educators website which is
www.diabeteseducator.org
.

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