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            A life-altering disease: 
            diabetes 
            
            Part 4: High blood sugar increases 
            serious health risks 
            
            
            [MARCH 
            12, 2003]  
            WASHINGTON, D.C. -- New data from the 
            third National Health and Nutrition Examination Survey show that 
            more than half of people with type 2 diabetes in the United States 
            have unacceptably high blood sugar levels, putting them at increased 
            risk for serious diabetes-related complications, such as blindness, 
            kidney failure, lower limb amputations, heart disease and stroke. 
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            [Part 
            1 in this series] 
            [Part 2: The 1, 2, G's 
            of diabetes] 
            [Part 3: Discovery to 
            management] 
            To address this critical health 
            problem, the National Diabetes Education Program, a joint program of 
            the National Institutes of Health and the Centers for Disease 
            Control and Prevention, is sponsoring an awareness campaign called 
            "Control Your Diabetes. For Life." The campaign encourages the 16 
            million Americans with diabetes to take steps now to control their 
            blood sugar levels. 
            
            Fewer than half (44.6 percent) of 
            people with type 2 diabetes in this national study had hemoglobin 
            Alc levels of less than 7.0 percent. This is the level the American 
            Diabetes Association recommends as the goal for people with 
            diabetes," said Dr. Rod Lorenz, chairman of the National Diabetes 
            Education Program. The hemoglobin A1c test, considered the best test 
            for measuring blood sugar control, is a simple lab test that 
            measures a person's average blood sugar level over the three-month 
            period prior to the test. 
            
              
            
            
              
            
            "Even more disturbing is that over 
            one-third (37 percent) of people with type 2 diabetes had hemoglobin 
            A1c values greater than 8.0 percent. This is the level at which the 
            ADA recommends that patients work with their health care providers 
            to intensify their treatment to improve blood sugar levels," noted 
            Dr. Lorenz. 
            
            The NHANES III survey also found that 
            more African-American women (50 percent) and Mexican-American men 
            (45 percent) had hemoglobin A1c levels above 8.0 percent compared 
            with other ethnic groups. This finding is significant because 
            minority populations are disproportionately affected by diabetes, 
            and they experience higher rates of the complications associated 
            with the disease. 
            
            "These data demonstrate that many 
            people with type 2 diabetes are in poor control," said Dr. Lorenz. 
            "We need to reverse this trend because research shows that 
            controlling blood sugar levels is the key to reducing the risk of 
            diabetes complications." 
            
              
            
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            Type 2 diabetes is reaching epidemic 
            proportions in the U.S. The number of diagnosed cases has risen 
            sixfold, from 1.5 million in 1958 to 10.3 million in 1997. The 
            disease is hitting older Americans and ethnic minority populations 
            at staggering rates. African-Americans, Hispanics and Latinos, 
            American Indians, and certain Asian American and Pacific Islander 
            groups have significantly higher rates of diabetes than Caucasians. 
            
            The National Diabetes Education 
            Program's campaign to control diabetes recommends that people with 
            diabetes eat healthy foods in the right amounts, get regular 
            physical activity, take prescribed medications, test their blood 
            sugar levels regularly and get a hemoglobin Alc test at least twice 
            a year. "By following these steps, people with diabetes will not 
            only reduce their risk of developing the devastating complications 
            associated with diabetes, but they also can feel better, have more 
            energy and ultimately enjoy a better quality of life," said Dr. 
            Lorenz. 
            
            Television, radio and print public 
            service advertisements for the campaign have been designed to target 
            the various ethnic minority groups affected by diabetes. The 
            campaign is a key strategy of the President's Initiative on Race, 
            which is designed to reduce disparities and improve the health 
            status of America's racial and ethnic populations. 
            To help 
            people with diabetes control their disease, the National Diabetes 
            Education Program offers free educational materials that include 
            tips for following diabetes treatment plans, checklists and 
            questions to ask health care providers about diabetes care. These 
            materials are available for people with diabetes, their family 
            members and health care providers; call 1 (800) 438-5383 or visit
            http://ndep.nih.gov. 
            
            [News release] 
      
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            A life-altering disease: 
            diabetes 
            
            Part 3: Discovery to management 
            
            [MARCH 
            11, 2003]   
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            [Part 
            1 in this series] 
            [Part 2: The 1, 2, G's 
            of diabetes] 
            How is diabetes diagnosed? 
            
            
            Symptoms of type 1 diabetes usually 
            develop over a short period of time, although beta cell destruction 
            can begin months, even years, earlier. Symptoms include increased 
            thirst and urination, constant hunger, weight loss, blurred vision, 
            and extreme fatigue. If not diagnosed and treated with insulin, a 
            person can lapse into a life-threatening coma. 
            
            The symptoms of type 2 diabetes develop 
            gradually and are not as noticeable as in type 1 diabetes. Symptoms 
            include feeling tired or ill, frequent urination (especially at 
            night), unusual thirst, weight loss, blurred vision, frequent 
            infections, and slow-healing wounds and sores. 
            
            In 1997 the Expert Committee on the 
            Diagnosis and Classification of Diabetes published new guidelines 
            for the diagnosis of diabetes. The guidelines lowered the blood 
            sugar values for diagnosis and recommended use of the fasting plasma 
            glucose test to diagnose diabetes, a simpler and faster test than 
            the commonly used oral glucose tolerance test. Glucose levels 
            greater than or equal to 126mg/dl with the fasting plasma glucose 
            test or greater than or equal to 200 mg/dl with the oral glucose 
            tolerance test indicate a diagnosis of diabetes. (1) 
            
            How is 
            diabetes managed? 
            
            
            Diabetes is a self-managed disease 
            because people with diabetes must take responsibility for their 
            day-to-day care. Much of the daily care involves keeping blood 
            glucose near normal levels at all times. 
            
            Management of type 1 diabetes: People 
            with type 1 diabetes need daily injections of insulin because their 
            bodies no longer produce insulin. Treatment requires a strict 
            regimen that typically includes a carefully calculated diet, planned 
            physical activity, self-testing of blood glucose and multiple daily 
            insulin injections. 
            
              
            
      
        
            
            Management of type 2 diabetes: 
            Treatment for people with type 2 diabetes typically includes diet 
            management, exercise, self-testing of blood glucose, and in some 
            cases oral medication or insulin. Approximately 40 percent of people 
            with type 2 diabetes require insulin injections. 
            
            The goal of diabetes management is to 
            keep blood glucose levels as close to a normal range as safely 
            possible, while avoiding blood glucose levels that are too high 
            (hyperglycemia) or too low (hypoglycemia). 
            
            Two major studies of diabetes among 
            type 1 and type 2 patients provide important direction for managing 
            diabetes. 
            
            The Diabetes Control and Complications 
            Trial showed that intensive blood glucose control in people with 
            type 1diabetes delayed the onset and progression of eye disease, 
            kidney disease and nerve disease, reducing the risk by 35 percent to 
            more than 70 percent by lowering hemoglobin Alc from 9 percent to 7 
            percent. (2) 
            
            The United Kingdom Prospective Diabetes 
            Study showed that intensive blood glucose control in people with 
            type 2 diabetes delayed the onset of eye and kidney disease, 
            reducing the risk by 12 percent to 33 percent by lowering hemoglobin 
            Alc from about 8 percent to about 7 percent. (3) 
              
            
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            column in this article]
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            These studies further showed that any 
            sustained lowering of blood glucose helps, even if the person has a 
            history of poor control. The degree of risk reduction for the change 
            in hemoglobin A1c in the two trials was about the same. 
            
            Both the studies also shed light on the 
            relationship between blood glucose control and cardiovascular 
            disease. In both studies there was a trend toward reduced 
            cardiovascular disease with intensive blood glucose control. The 
            United Kingdom study also showed that lowering blood pressure to 
            normal significantly reduced the risk for all diabetes 
            complications. 
            
            What are 
            the major diabetes advances? 
            
            
            In recent years, advances in diabetes 
            research have led to better ways to manage diabetes and treat its 
            complications. 
            
            Major advances include: 
            
            --New forms of purified insulin that 
            are less likely to cause allergic reactions and are nearly identical 
            to the insulin naturally produced by the body. 
            
            --Development of external and 
            implantable insulin pumps that deliver appropriate amounts of 
            insulin, replacing daily injections. 
            
            --New oral medications to improve 
            control of type 2 diabetes. 
            
            --Better ways for patients, doctors and 
            other health professionals to monitor blood glucose -- notably, new 
            devices for self-monitoring of blood glucose, which is performed by 
            the patient, and the hemoglobin A1c (also called H-b-A-one-c) 
            laboratory test, which measures blood glucose control during the 
            previous three-month period. 
            
            --Effective treatment for diabetic eye 
            disease. 
            
            --Better ways to manage diabetic 
            pregnancies, improving chances of successful outcomes. 
            
            --Treatment strategies to reduce damage 
            to the kidneys, eyes and nerves.  
            
            (Adapted from Diabetes Overview. 
            National Institute of Diabetes and Digestive and Kidney Diseases, 
            National Institutes of Health, NIH Publication No. 96-3873, October 
            1995.) 
            
            Tomorrow LDN will bring you the final 
            installment in this four-part series, "High blood sugar increases 
            serious health risks." 
            
            
            You can learn more about diabetes: 
            
            --Diabetes 
            resources  
            
            
            --http://www.clevelandclinic.org/health/ 
            diabetes_module/dm1/movie1.html 
            
            [LDN and press release from 
            Illinois Department of Public Health] 
            (1) Report of the Executive 
            Committee on the Diagnosis and Classification of Diabetes Mellitus. 
            Diabetes Care. 1997 July; 20 (7): 1183-97. 
            
            (2) The Effect of Intensive 
            Treatment of Diabetes on the Development and Progression of 
            Long-Term Complications in Insulin-Dependent Diabetes Mellitus. The 
            New England Journal of Medicine. 1993 September 30; 329 (14): 
            977-86. 
            
            (3) United Kingdom Prospective 
            Diabetes Study Group: Intensive blood-glucose control with 
            sulphonylureas or insulin compared with conventional treatment and 
            risk of complications in patients with type 2 diabetes (UKPDS 33). 
            Lancet 352: 837-853, 1998. 
            
            United Kingdom Prospective Diabetes Study Group: Tight blood 
            pressure control and risk of macrovascular and microvascular 
            complications in type 2 diabetes (UKPDS 38). BMJ 317:703-713, 1998. 
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            A life-altering disease: 
            diabetes 
            
            Part 2: The 1, 2, G's of diabetes 
            
            [MARCH 
            10, 2003]  
            Diabetes 
            mellitus is one of the most common and serious chronic diseases in 
            the United States. About 16 million Americans have diabetes, 5.4 
            million of whom do not know they have the disease. Each year, 
            approximately 800,000 people are diagnosed with diabetes. The 
            prevalence of diabetes has increased steadily in the last half of 
            this century and will continue to rise with the aging U.S. 
            population, the growth in minority populations most susceptible to 
            type 2 diabetes and the increasing prevalence of obesity among 
            Americans. 
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            What 
            is diabetes? 
            
            
            Diabetes is a metabolic disease in which the body does not produce 
            or properly use insulin, a hormone that is needed to convert sugar, 
            starches and other food into energy needed for daily life. Diabetes 
            is characterized by high levels of blood glucose (sugar). 
            
            What 
            are the different types of diabetes? 
            
            There 
            are three main types of diabetes: 
            
              - 
              
              Type 
              1 diabetes   
              - 
              
              Type 
              2 diabetes  
              - 
              
              
              Gestational diabetes  
             
            
            Type 1 
            diabetes, formerly called insulin-dependent diabetes mellitus or 
            juvenile-onset diabetes, is an autoimmune disease that results when 
            the body's immune system attacks and destroys its own 
            insulin-producing beta cells in the pancreas. People with type 1 
            diabetes need daily injections of insulin to live. Type 1 diabetes 
            develops most often in children or young adults and accounts for 
            about 5 to 10 percent of diagnosed diabetes in the United States. 
            Although risk factors are not well defined for type 2 diabetes, 
            autoimmune, genetic and environmental factors are involved in its 
            development. 
            
            Type 2 
            diabetes, formerly called non-insulin-dependent diabetes mellitus or 
            adult-onset diabetes, is a disease that occurs when the body makes 
            enough insulin but cannot use it effectively. This form of diabetes 
            usually develops in adults over the age of 40. About 90 to 95 
            percent of people with diabetes have type 2; about 80 percent are 
            overweight. Type 2 diabetes is more common among people who are 
            older; obese; have a family history of diabetes; have had 
            gestational diabetes; and are of African-American, 
            Hispanic-American, Asian-American, Pacific Islander and Native 
            American ethnicities.  
              
            
        
          
            
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            Gestational diabetes develops or is discovered during pregnancy. 
            This type usually disappears when the pregnancy is over, but women 
            who have had gestational diabetes have a greater risk of developing 
            type 2 diabetes later in their lives.  
            
            What 
            is the scope and impact of diabetes? 
            
            
            Diabetes is widely recognized as one of the leading causes of death 
            and disability in the United States. It was the seventh leading 
            cause of death listed on U.S. death certificates in 1995 and 
            contributed to 187,800 deaths that same year. 
            
            Both 
            type 1 and type 2 diabetes are associated with long-term 
            complications that threaten life and the quality of life. Diabetes 
            is the leading cause of adult blindness, end-stage renal disease and 
            non-traumatic lower-extremity amputations (as a result of nerve 
            disease). People with diabetes are two to four times more likely to 
            have coronary heart disease and stroke than people without diabetes. 
            In addition, poorly controlled diabetes can complicate pregnancy, 
            and birth defects are more common in babies born to women with 
            diabetes. 
            
            
            Diabetes costs the United States $98.2 billion each year. Medical 
            costs for diabetes care including hospitalizations, medical care and 
            treatment supplies total $44.1 billion. Indirect costs, including 
            disability payments, time lost from work and premature death, total 
            $54.1 billion. 
            
            
            Tomorrow LDN will bring you Part 3 in this four-part series, 
            “Discovery to management.” 
            
            
            You can learn more about diabetes: 
            
            --Diabetes 
            resources  
            
            
            --http://www.clevelandclinic.org/health/ 
            diabetes_module/dm1/movie1.html 
            
            [LDN and press release from 
            Illinois Department of Public Health] 
            [Click here for Part 
            1 in this series]  | 
           
          
          
             
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            Diabetes 
            resources 
            
            
            [MARCH 
            10, 2003]  
            These resources will help 
            people with diabetes and their family members find information on 
            diabetes and how to stay healthy. The organizations listed below 
            provide information about healthy foods, recipes, physical activity 
            and other materials for people with diabetes. 
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            American Association of Diabetes 
            Educators 
            
            To find a diabetes teacher near you: 
            
            1 (800) TEAMUP4; 1 (800) 832-6874 
            
            
            http://www.aadenet.org  
            
            American Diabetes Association 
            
            1 (800) DIABETES; 1 (800) 342-2383 
            
            
            
            http://www.diabetes.org 
            
            Information on all aspects of 
            controlling diabetes 
            
            American Dietetic Association Center 
            
            216 W. Jackson Blvd., Suite 800 
            
            Chicago, IL 60606-6995 
            
            1 (800) 877-1600 
            
            Consumer nutrition hot line: 1 (800) 
            366-1655 
            
            
            http://www.eatright.org  
            
            Information on diabetes management for 
            patients and diabetes educators 
            
            Food and Nutrition Information Center 
            
            National Agricultural Library/USDA 
            
            10301 Baltimore Blvd., Room 304 
            
            Beltsville, MD 20705-2351 
            
            (301) 504-5719 
            
            Directory of free or low-cost food and 
            nutrition materials 
            
            National Cancer Institute 
            
            National Institutes of Health 
            
            Building 31, Room IOA24 
            
            Bethesda, MD 20892 
            
            1 (800) 4-CANCER 
            
            
            
            www.nci.nih.gov  
            
            
            Diet, nutrition and cancer prevention 
            booklets 
            
            National Diabetes Education Program and 
            
            National Diabetes Information 
            Clearinghouse  
            
            1 Diabetes Way 
            
            Bethesda, MD 20892-3560 
            
            1 (800) 438-5383 
            
            
            http://ndep.nih.gov and 
            ndic@info.niddk.nih.gov
             
            
            
            Free booklets to help you learn more 
            about controlling diabetes and food choices 
            
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            National Heart, Lung and Blood 
            Institute 
            
            Information Center 
            
            P.O. Box 30105 
            
            Bethesda, MD 20824-0105 
            
            (301) 592-8573 
            
            (301) 592-8563 fax 
            
            
            www.nhlbi.nih.gov  
            
            Information on the prevention and 
            treatment of heart, lung and blood diseases 
            
            Office of Minority Health Resource 
            
            P.O. Box 37337 
            
            Washington, DC 20013 
            
            1 (800) 444-6472 
            
            
            www.omhrc.gov  
            
            Information on diabetes materials 
            available for minority populations 
            
            President's Council on Physical Fitness 
            and Sports 
            
            701 Pennsylvania Ave., NW 
            
            Suite 250 
            
            Washington, DC 20004 
            
            
            http://www.fitness.gov/  
            
            Weight-Control Information Network 
            
            I Win Way 
            
            Bethesda, MD 20892-3665 
            
            1 (800) WIN-8098 
            
            
            
            http://www.niddk.nih.gov/health/nutrit/win.htm  
            
            Free brochures on physical fitness and 
            weight management  | 
           
          
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            Health care program implemented: 
            It's OK to Ask 
            
            [MARCH 
            6, 2003]  
            Embracing patients as 
            partners with their physicians, nurses and all others responsible 
            for their care, Abraham Lincoln Memorial Hospital and Memorial 
            Health System are celebrating the start of
            National Patient Safety 
            Awareness Week (March 9-15) by launching "It's OK to Ask" -- a 
            program to increase awareness of the important role patients play in 
            the hospital care they receive.  
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            It's OK to Ask encourages patients, 
            family members and guardians to ask questions about the care being 
            administered or request assistance when it is needed. The new 
            program also addresses the need for safe and effective care in the 
            home following a hospital stay. 
            
            "The physicians, nurses and staff at 
            Abraham Lincoln Memorial Hospital are dedicated to providing 
            skilled, compassionate care," said Woody Hester, president and CEO 
            of ALMH. "Patients who see themselves as partners in their care will 
            be comforted and reassured by knowing their questions, comments and 
            requests are encouraged and welcomed by all of us. 
            
            "By further embracing patients as 
            partners, It's OK to Ask reduces the risk of accidental injury and 
            improves overall quality of care at ALMH." 
            
            It's OK to Ask provides information 
            about five key health care topics to help patients make important 
            contributions as partners with their caregivers.  
            
            Infection control -- It's OK for 
            patients to ask nurses and physicians to wash their hands, or that 
            they wear gloves, before examining them or giving a medication. It's 
            also important to ask well-wishers not to visit if they feel ill.
             
            
            Reducing medication errors -- 
            Patients can help their caregivers prevent medication errors by 
            making sure their doctor knows about all the medications (including 
            prescriptions, over-the-counter drugs and dietary supplements, such 
            as vitamins) they are taking, telling their physician of allergies 
            or adverse reactions they have had to medicines, and asking about 
            the medicines being prescribed. 
            
            Preventing falls -- Asking for 
            help is the most important thing patients can do to prevent a fall 
            during their hospital stay. It's okay for patients to let caregivers 
            know they are uncomfortable or in pain.  
              
            
      
        
            
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            Safe health care at home -- 
            Following a hospital stay, it's important for patients to stay in 
            contact with their physician or pharmacist, asking questions and 
            taking notes. Arranging for others check up on them and having the 
            needed home health equipment and supplies are also important. 
             
            
            Improved communication -- 
            Through It's OK to Ask, patients are encouraged to ask questions, 
            provide information and take an active part in decisions about their 
            treatment and care.  
            
            "Quality of care, clinical 
            effectiveness and patient safety are all benefits of It's OK to 
            Ask," said Dolan Dalpoas, ALMH director of quality management. "It's 
            also important that this program is patient-centered."  
            
            "We are listening for all the 
            needs of the patient. Can the patient be made more comfortable? How 
            can family members assist while the patient is hospitalized? How can 
            family members help once the patient is discharged? How can 
            outpatient therapy or other treatments be designed to accommodate 
            any special needs that might exist?" 
            
            "It's OK to Ask strengthens the voice 
            of the patient," Dalpoas concluded. "We pledge to listen to that 
            voice. That is a pledge we will continue to honor."  
            
            Hester said It's OK to Ask reflects 
            Abraham Lincoln Memorial Hospital's century-long commitment to 
            skilled, compassionate patient care. 
            "At ALMH, 
            skills, expertise, knowledge and experience are combined with 
            compassion, empathy and genuine concern for every patient's 
            well-being," Hester emphasized. "By joining these values with 
            heightened patient awareness of their importance as partners with 
            caregivers, we grow our ability to provide safe, clinically 
            effective care." 
            
            [Abraham 
            Lincoln Memorial Hospital 
            news release]  | 
           
          
          
             
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            A life-altering disease: diabetes 
            
            [MARCH 
            6, 2003]  
            The year is 1995. Local 
            pastor Don Hoover and his wife Deb are on their way to Michigan. Don 
            makes them stop at every rest area and gas station they pass.  
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            Deb, being a nurse, was worried. She 
            took his blood sugar and discovered it was very high. When they 
            returned home Hoover went to see a doctor, who confirmed his wife's 
            suspicions. He had diabetes. 
            
            What is 
            diabetes? 
            
            
            Diabetes, according to the National 
            Diabetes Education Program, is "a metabolic disease in which the 
            body does not produce or properly use insulin, a hormone that is 
            needed to convert sugar, starches, and other food into energy needed 
            for daily life." In other words, the body of a diabetic cannot 
            process sugar and therefore can develop dangerously high blood 
            sugar. This can lead to blindness, kidney failure, lower limb 
            amputations, heart disease and stroke. 
            
            There are four types of diabetes: type 
            1, type 2, mature onset diabetes of the young (MODY) and 
            gestational. 
            
            Type 1 diabetes (insulin-dependent 
            diabetes mellitus; juvenile-onset diabetes) occurs when the pancreas 
            does not produce insulin. This means that a person with type 1 
            diabetes will need daily insulin shots to live. This type of 
            diabetes usually develops in children or young adults. 
            
            Type 2 diabetes (non-insulin-dependent 
            diabetes mellitus; adult-onset diabetes) occurs when the body cannot 
            properly use the insulin it produces. This type of diabetes is 
            usually found in adults over the age of 40 and often in people who 
            are overweight or have a family history of diabetes. 
              
            
      
        
            
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            MODY is an early development of type 2 
            diabetes. It occurs in children or youth but is not type 1. 
            
            Gestational diabetes develops during 
            pregnancy and usually disappears after the pregnancy is over. Women 
            who have gestational diabetes are at a higher risk of developing 
            type 2 diabetes later in life. 
            
            Watch this spot in LDN as we bring you 
            more information on this life-altering disease. 
            
            So what 
            happened? 
            
            
            There are many levels and several forms 
            of diabetes. Treatment varies according to the type, the discipline 
            and the lifestyle of an individual. To control Hoover's diabetes, 
            the doctor put him on a low dosage of Glucotrol, a medicine that 
            makes the pancreas create more insulin, and a diet consisting of 
            fewer carbohydrates and sweets and more protein and vegetables. He 
            also began to exercise more. 
            
            To find out more about his disease, 
            Hoover went to a seminar given by diabetic Amy Olsen, who was the 
            dietician at Abraham Lincoln Memorial Hospital at the time. Through 
            that conference and subsequent talks with Olsen, he learned about 
            living with his diabetes. 
            With the 
            help of his wife, Hoover has been able to control his diabetes 
            through medication, exercise and healthy eating. He encourages 
            anyone with diabetes to get control and to maintain control of their 
            life. 
            [LDN and press release from 
            Illinois Department of Public Health]  | 
           
          
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            Health Matters 
            A monthly feature from   
            Logan County Health Department
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            A preventable cancer 
            
            [MARCH 
            4, 2003]   
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             The facts 
            
            
            Colorectal cancer -- cancer of the 
            colon or rectum -- is the second leading cause of cancer deaths in 
            the United States. In 2002, there will be approximately 148,300 
            colorectal cancer diagnoses, and 56,600 people are expected to die 
            from the disease. 
            
            But you can take steps to protect 
            yourself from the disease: 
            More than 90 percent of colorectal cancer is preventable. 
            
            
            Colorectal cancers can develop in both 
            men and women. More than 90 percent of cases are found in people 
            over the age of 50. 
            
            Risk 
            factors 
            
            
            Since people are more likely to get 
            colorectal cancer as they get older, everyone age 50 or over should 
            undergo regular screening for the disease. Some people, however, 
            have a higher risk of colorectal cancer.  
            
            If you fall into one of the following 
            groups, you should talk to your health care provider about starting 
            colorectal cancer screening at an earlier age: 
            
            --Personal or family history of 
            colorectal cancer, polyps or inflammatory bowel disease.  
            
            --Personal or family history of 
            ovarian, endometrial or breast cancer. 
            
            African-Americans have higher 
            colorectal cancer incidence and death rates than other ethnic 
            groups, in part because they are less likely to be screened for the 
            disease. 
            
            Screening 
            for prevention 
            
            
            Following colorectal screening 
            recommendations can detect polyps -- grapelike growths on the lining 
            of the colon and rectum that can become cancerous. Removing these 
            polyps can prevent colorectal cancer from ever developing. 
            
            There are four common tests used to 
            screen for colorectal cancer. Your health care provider can help you 
            decide which test is best for you. 
            
              
            
            
              
            
            A fecal occult blood test is a 
            simple chemical test that finds blood present in stool samples. You 
            can perform an FOBT yourself at home with a kit that you can get 
            from your health care provider and send to a laboratory for results. 
            This testing is recommended every year. 
            
            While an FOBT tests for warning signs 
            in the stool, the three tests described below look inside the body 
            to find polyps. 
            
            
            Flexible sigmoidoscopy 
            is a visual examination of the rectum and lower portion of the 
            colon, performed in a health care provider's office or in a clinic 
            or hospital. A flexible tube about the thickness of your finger is 
            put into the anus and slowly moved into the rectum and lower part of 
            the colon. Your health care provider can view the area by looking 
            through the eyepiece of the tube. This testing is recommended every 
            five years. 
            
            
            Colonoscopy 
            is like a sigmoidoscopy, but it lets 
            your health care provider examine the lining of your entire colon 
            rather than just its lower portion. Removal of polyps can be 
            performed during colonoscopy to prevent cancer. This testing is 
            recommended every five to 10 years. 
            
            A double-contrast barium enema 
            uses an X-ray to look at the colon and is performed in a hospital or 
            clinic. The double-contrast technique involves injecting a liquid 
            called barium sulfate and air into the rectum in order to get a view 
            of the large intestine. This testing is recommended testing every 
            five to 10 years. 
            
            Symptoms 
            
            
            Although colorectal cancer can develop 
            without symptoms, there are some warning signs for the disease. 
            
            If you have any of these symptoms, 
            contact your health care provider for testing: 
            
              - Rectal bleeding
 
              - Blood in or around your stool
 
              - A change in the shape of your 
              stool
 
              - Stomach discomfort, including 
              bloating, fullness or cramps
 
              - Unexplained weight loss or 
              fatigue
 
             
            [to top of second column in this
            article]
            | 
          
             
        
            
            
            Prevention tips 
            
            
            Since how you live affects your health, 
            you can take steps to help lower your risk for colorectal cancer. 
            Healthy dietary choices, being active and regular screening can help 
            lower your risk. 
            
            While regular screening is your best 
            bet for lowering your risk, research suggests that being physically 
            active can help protect against the disease. In addition to exercise 
            and maintaining a healthy weight, eating a low-fat diet full of 
            fruits, vegetables and whole grains may help prevent colorectal 
            cancer. 
            
            Staying away from tobacco and alcohol 
            can also lower your risk. In 2002, 170,000 Americans are expected to 
            die from colorectal and other cancers caused by tobacco use. If you 
            don't smoke, don't start, and if you do smoke, quit. And if you 
            drink, do so in moderation; aim for one drink or less per day. 
            
            National 
            Colorectal Cancer Awareness Month 
            
            
            March is National Colorectal Cancer 
            Awareness Month, founded by the Cancer Research and Prevention 
            Foundation in collaboration with many partner organizations. The 
            campaign to designate the special month was launched in March 2000. 
            The goal is to generate widespread awareness about colorectal cancer 
            prevention through screening and healthy lifestyle choices. 
            
            Colorectal cancer is preventable. It is 
            easy to treat and often curable when detected early. Talk with your 
            health care professional about colorectal cancer. 
            
            To learn more, visit   
            
            
            
            http://www.preventcancer.org/colorectal/. 
            
            Colorectal cancer myths and realities 
            
            
            Myth: 
            There is nothing I can do about getting 
            colorectal cancer. 
            
            
            Reality: 
            Colorectal cancer can be prevented. 
            Screening tests can detect polyps (grapelike growths on the lining 
            of the colon or rectum) that can turn into cancer. Removing these 
            polyps can prevent colorectal cancer from ever occurring. Starting 
            at age 50, men and women who are at average risk should be screened 
            regularly for colorectal cancer. Men and women who are at high risk 
            of the disease may need to be tested earlier and should talk to 
            their health care professional about when. 
            
            
            Myth: 
            Colorectal cancer is usually fatal. 
            
            
            Reality: 
            Colorectal cancer is usually curable 
            when detected early. More than 90 percent of patients with localized 
            colorectal cancer confined to the colon or rectum are alive five 
            years after diagnosis. 
            
            
            Myth: 
            Colorectal cancer is a disease of older 
            white men. 
            
            
            Reality: 
            An equal number of women and men get 
            colorectal cancer. An estimated 75,700 women and 72,600 men were 
            diagnosed with colorectal cancer in 2002. African-Americans are more 
            likely to be diagnosed with colorectal cancer at later stages of the 
            disease. 
            
            
            Myth: 
            Screening tests are necessary only for 
            individuals who have symptoms. 
            
            Reality:
            Since symptoms of colorectal 
            cancer are often silent, it is important to get screened regularly. 
            Screenings test for a disease even if the patient has no symptoms. 
            About 75 percent of all new cases of colorectal cancer occur in 
            individuals with no known risk factors for the disease, other than 
            being 50 or older. If you have a personal or family history of 
            colorectal cancer, polyps or inflammatory bowel disease, you may 
            need to be screened before age 50. Talk with your health care 
            professional. 
            
            [From the
            Logan County Health 
            Department] 
            
            All information in this article was 
            provided by the Cancer Research Foundation of America, 1600 Duke 
            St., Suite 110, Alexandria, VA 22314; 
            (703) 836-4412; 
            www.preventcancer.org. 
            
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            Red Cross
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              West Nile Virus 
             | 
   
          
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            West Nile virus links 
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             LDN articles 
            
            Federal websites 
            
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             State websites 
            
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              Honors & Awards 
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              Announcements
               
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            CICBC 
            blood drives monthly at paramedics' building 
            
            Blood supplies across the 
            nation are critical. In some areas, there is less than a one-day 
            supply. Fortunately, thanks to the dedicated donors in central 
            Illinois, these tremendous shortages have not yet touched our 
            hospitals. However, the blood supply is a resource that must be 
            renewed. Every three seconds someone needs a blood transfusion of 
            some kind. To accommodate this constant usage, community members 
            must continually help replenish the supply. Since a donor can donate 
            whole blood only every eight weeks, Central Illinois Community Blood 
            Center needs community members to come forward and help with this 
            lifesaving effort. 
             | 
           
          
            | 
             
            Central Illinois Community Blood Center 
            provides all of the blood and blood products for 12 area hospitals, 
            including those in Lincoln, Hopedale and Springfield. No other 
            organization provides blood in these hospitals. CICBC is a 
            community-based blood center whose mission is to provide a safe and 
            adequate blood supply for patients in local hospitals in a 
            cost-effective manner. 
            
            When you donate blood through CICBC, 
            you help to keep a safe and adequate blood supply for your 
            community. You also help keep local medical costs under control. 
             
             
              
             | 
            
             
            Regularly scheduled blood drives are on 
            the first Monday of each month (except Labor Day) at the Logan 
            County Paramedic Association 
            building, 1300 N. Postville Road. (See 
            schedule.) Please help by donating blood. 
            
            CICBC also provides other services for 
            the communities served, such as therapeutic phlebotomy at no charge 
            for patients with hereditary hemochromatosis.  
            For more 
            information, call Terry Bell at 753-1530. 
            
            [CICBC press release] 
             | 
           
          
          
             
           | 
           
          
            | 
            
            CICBC blood drive schedule | 
           
          
            
            
              - 
              
April 7, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
April 11, 
              at Lincoln Community High School  
              - 
              
May 5, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
May 14, 
              hours and location to be announced  
              - 
              
June 2, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
July 7, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
July 15, 
              hours and location to be announced  
              - 
              
Aug. 4, 
              noon-6 p.m., at Logan County Paramedic Association building  
             
            [to top of second 
            column in this section] 
              | 
            
              
            
              - 
              
Sept. 8, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
Sept. 24, 
              hours and location to be announced  
              - 
              
Oct. 6, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
Nov. 3, 
              noon-6 p.m., at Logan County Paramedic Association building  
              - 
              
Nov. 12, 
              hours and location to be announced   
              - 
              
Dec. 1, 
              noon-6 p.m., at Logan County Paramedic Association building  
             
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          Mobile health unit schedule 
          The 
          Rural Health Partnership has announced the schedule for its mobile 
          health unit for 2002.
          
          
            
            
              
                |   | 
                
                   
                  Morning: 9-11 a.m.  | 
                
                     
                    
                 | 
                
                   
                  Afternoon: 1-3:30 p.m.  | 
               
              
                | 
                   Monday  | 
                
                   1st and 3rd  | 
                
                   Hartsburg  | 
                
                   1st and 3rd  | 
                
                   Emden  | 
               
              
                |   | 
                
                   2nd and 4th  | 
                
                   San Jose  | 
                
                   2nd and 4th  | 
                
                   Greenview  | 
               
              
                | 
                   Tuesday  | 
                
                   Weekly  | 
                
                   Chestnut  | 
                
                   Weekly  | 
                
                   Mount Pulaski  | 
               
              
                | 
                   Wednesday  | 
                
                   Weekly  | 
                
                   New Holland  | 
                
                   Weekly  | 
                
                   Middletown  | 
               
              
                | 
                   Thursday  | 
                
                   1st and 3rd  | 
                
                   Elkhart  | 
                
                   Weekly  | 
                
                   Atlanta  | 
               
              
                | 
                  
                 | 
                
                   2nd and 4th  | 
                
                   Friendship 
                  Manor-Lincoln  | 
                
                  
                 | 
                
                  
                 | 
               
              
                | 
                   Friday  | 
                
                   1st, 2nd, 
                  4th  | 
                
                   Village Hall-Latham  | 
                
                   1st  | 
                
                   Beason  | 
               
              
                |   | 
                  | 
                  | 
                
                   2nd and 4th  | 
                
                   Broadwell  | 
               
              
                |   | 
                
                   3rd  | 
                
                   Maintenance/ special 
                  events  | 
                
                   3rd  | 
                
                   Maintenance/ 
                  special events 
                 | 
               
             
            
           
          
          
          The mobile health unit does not operate on the following dates for 
          holidays during 2002:  Jan. 21 (Martin Luther King Jr. Day), Feb. 
          18 (Presidents' Day), March 29 (Good Friday), May 27 (Memorial Day), 
          July 4 (Independence Day), Sept. 2 (Labor Day), Oct. 14 (Columbus 
          Day), Nov. 11 (Veterans Day), Nov. 28-29 (Thanksgiving break) and Dec. 
          24-25 (Christmas break). 
          For more 
          information on the mobile health unit schedule and services, contact 
          Dayle Eldredge at (217) 732-2161, Ext. 409. 
				
             | 
 
            
           
				
             | 
 
          
            | 
           
          Community resource list 
				
          
          This family 
          resource list to save and use is provided by the Healthy Communities 
          Partnership and the 
          Healthy Families Task Force, 732-2161, Ext. 409.       
             
				
          
            
              | 
                 Agency  | 
              
                 Phone number  | 
              
                 Address  | 
             
            
              | 
                 Lincoln 
                agencies  | 
             
            
              | 
                 911  | 
              
                 911 (emergency) 
                732-3911 (office -- non-emergency) 
               | 
              
                 911 Pekin St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Abraham Lincoln 
                Memorial Hospital 
                  | 
              
                 732-2161 
               | 
              
                 315 Eighth St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 American Red Cross 
                www.il-redcross.org    | 
              
                 732-2134 or  
                1 (800) 412-0100 
               | 
              
                 125 S. Kickapoo 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Catholic Social 
                Services 
                www.cdop.org   | 
              
                 732-3771  | 
              
                 310 S. Logan 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Lincoln/Logan County 
                Chamber 
                of Commerce 
                www.lincolnillinois.com   | 
              
                 735-2385  | 
              
                 303 S. Kickapoo St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Community Action (CIEDC)  | 
              
                 732-2159 
               | 
              
                 1800 Fifth St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Crisis Pregnancy 
                Center/ 
                Living Alternatives  | 
              
                 735-4838  | 
              
                 408 A Pulaski St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 DCFS (Department of 
                Children 
                & Family Services)  | 
              
                 735-4402 or  
                1 (800) 252-2873 
                (crisis hotline) 
               | 
              
                 1120 Keokuk St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Heartland Community 
                College 
                - GED program  | 
              
                 735-1731  | 
              
                 620 Broadway St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Housing Authority  | 
              
                 732-7776 
                 
               | 
              
                 1028 N. College St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Illinois Breast & 
                Cervical Cancer Program (IBCCP) 
                
                www.logancountyhealth.org   | 
              
                 735-2317 or  
                1 (800) 269-4019 
               | 
              
                 109 Third St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 
                Illinois Employment and Training Center (replaces JTPA office)  | 
              
                 735-5441  | 
              
             120 S. McLean St., Suite B 
            Farm Bureau Building 
            Lincoln, IL 62656 
               | 
             
            
              | 
                 Lincoln Area YMCA 
               | 
              
                 735-3915  | 
              
                 319 W. Kickapoo St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Lincoln/Logan Food 
                Pantry  | 
              
                 732-2204 
               | 
              
                 P.O. Box 773 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Lincoln Parents' Center  | 
              
                 735-4192  | 
              
                 100 S. Maple 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Lincoln Park District  | 
              
                 732-8770  | 
              
                 1400 Primm Rd. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Logan County Department 
                of Human Services (Public Aid) 
                
                www.state.il.us/agency/dhs   | 
              
                 735-2306  | 
              
                 1500 Fourth St. 
                P.O. Box 310 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Logan County Health 
                Department 
                
                www.logancountyhealth.org   | 
              
                 735-2317  | 
              
                 109 Third St. 
                P.O. Box 508 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Logan-Mason Mental 
                Health  | 
              
                 735-2272 or 
                732-3600 (crisis line) 
               | 
              
                 304 Eighth St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Logan-Mason 
                Rehabilitation Center  | 
              
                 735-1413  | 
              
                 760 S. Postville Drive 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 The Oasis 
                (Senior Citizens of Logan County)  | 
              
                 732-6132  | 
              
                 501 Pulaski St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Project READ 
               | 
              
                 735-1731  | 
              
                 620 Broadway St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Salvation Army  | 
              
                 732-7890 
               | 
              
                 1501 N. Kickapoo 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Senior Services of 
                Central Illinois  | 
              
                 732-6213 or  
                1 (800) 252-8966 
                (crisis line) 
               | 
              
                 109 Third St. 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 U. of I. Extension 
                Service 
                www.ag.uiuc.edu   | 
              
                 732-8289  | 
              
                 980 N. Postville Drive 
                Lincoln, IL 62656 
               | 
             
            
              | 
                 Springfield 
                agencies  | 
             
            
              | 
                 Department of Aging 
                www.state.il.us/aging  | 
              
                 785-3356  | 
              
                 421 E. Capitol, #100 
                Springfield, IL 62701-1789 
               | 
             
            
              | 
                 American Cancer Society 
                www.cancer.org   | 
              
                 546-7586 
                (24 hour)  | 
              
                 1305 Wabash, Suite J 
                Springfield, IL 62704 
               | 
             
            
              | 
                 Community Child Care 
                Connection 
                
                www.childcaresolutions.org   | 
              
                 (217) 525-2805 or 
                1 (800) 676-2805 
               | 
              
                 1004 N. Milton Ave. 
                Springfield, IL 62702-4430 
               | 
             
            
              | 
                 Hospice Care of 
                Illinois  | 
              
                 1 (800) 342-4862 
                (24 hour) or 
                732-2161, Ext. 444 
               | 
              
                 720 N. Bond 
                Springfield, IL 62702 
               | 
             
            
              | 
                 Illinois Department of 
                Public Health 
                www.idph.state.il.us   | 
              
                 (217) 782-4977 
               | 
              
                 535 W. Jefferson 
                Springfield, IL 62761 
               | 
             
            
              | 
                 Legal Assistance 
                Foundation  | 
              
                 (217) 753-3300 or 
                1 (800) 252-8629 
               | 
              
                 730 E. Vine St., Suite 
                214 
                Springfield, IL 62703 
               | 
             
            
              | 
                 Sojourn Shelter & 
                Services Inc. 
                
                http://www.sojournshelter.org/
                  | 
              
                 732-8988 or 
                1 (866) HELP4DV 
                (24-hour hotline) 
               | 
              
                 1800 Westchester Blvd. 
                Springfield, IL 62704 
               | 
             
            
              | 
                 U. of I. Division of 
                Specialized Care for Children 
                www.uic.edu   | 
              
                 524-2000 or  
                1 (800) 946-8468 
               | 
              
                 421 South Grand Ave. 
                West 
                Second Floor 
                Springfield, IL 62704 
               | 
             
            
              | 
                 Logan County 
                libraries  | 
             
            
              | 
                  Atlanta Library   | 
              
                 (217) 648-2112  | 
              
                 100 Race St. 
                Atlanta, IL 61723  | 
             
            
              | 
                  Elkhart Library  | 
              
                 (217) 947-2313  | 
              
                 121 E. Bohan 
                Elkhart, IL 62634  | 
             
            
              | 
                  Lincoln Public Library 
                
                www.lincolnpubliclibrary.org   | 
              
                 732-8878  | 
              
                 725 Pekin St. 
                Lincoln, IL 62656  | 
             
            
              | 
                  Mount Pulaski Library  | 
              
                 792-5919 
               | 
              
                 320 N. Washington 
                Mount Pulaski, IL 62548 
               | 
             
           
				
             | 
           
            
            | 
               (updated 
              2-15-02)  | 
             
          
            | 
               
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