Diabetes Clinic Provide

Valuable Access to Health Care

ProvidersOur diabetes clinics provide access to several providers on the same day with only one trip to make to the clinic. At each scheduled clinic you will be able to meet with a dietitian, a physician, podia- trist, a pharmacist, laboratory and a nurse educator as needed. We also encourage you to bring your glucometer to download on our computer software for updated reports. At this time you will be able to go over your glucose pat- terns with a provider that will be able to adjust your diabe- tes care plan. We hope to see you soon!Older People Who Garden May Eat More VegetablesCOLLEGE STATION,

Texas, March 17 (UPI) -- Older people who garden eat more vegetables -- but notfruit -- researchers at Texas A&M University and Texas State University found.

Aime Sommerfeld, Amy McFarland, Tina Waliczek and Jayne Zajicek said stud- ies show poor nutrition is one of several factors responsible for mortality and morbidity in the elderly and is comparable to deaths caused from ciga- rette smoking.

The researchers collected data via an online survey was posted on a Web site for one month -- 261 questionnaireswere completed by adults age edly consumed. 50 and older.

"This suggests that gardening"Our results support previous

studies that indicated garden- ers were more likely to con- sume vegetables when com- pared with non-gardeners.Interestingly, these results were not found with regard to fruit consumption," Waliczek said in a statement.The re- search also showed the length of time an individual

reported having participated in gardening seemed to have no relationship to the number of vegetables and fruits they report-

intervention programs late in life would be an effective method of boosting vegetable and fruit consumption in older adults," Waliczek said.

Have Happy

and Healthy

Feet!

Podiatrist 2011

Foot Clinic

Schedule

Dr. Daniel Ryan

April 2011:

Ne-Ia-Shing 7, 21

Aazhoomog 13

East Lake 7, 27May 2011Ne-Ia-Shing 5, 12, 19Aazhoomog 11East Lake 19 pm

Spring 2011

Volume 1, Issue 1

Burger Blow Out

More Calories

Than You Think !!

BK Whopper 670

BK Double Whopper 1010

DQ Db Bac Ch Burger

730Hardees Monster

Bur- ger 1320Wendy’s Db

Baconator980McDon Filet-

O-Fish 380Choose Wisely!

Mille Lacs Band of Ojibwe Diabetes Program Newsletter

Salad DressingFrench Vinaigrette½ c Extra virgin olive oil¼ c White wine vine-gar2 T Maille Mustard (wet)2 T SugarPut ingredients into a lidded jar and mix well .

Salads ARE Heart healthy

The key to making a good salad is fresh greens and vegetables and a light vinaigrette. Combine at least three vegetables together and a good vinaigrette (one recipe below) for an excellent salad!

Inside this Issue

Podiatry Schedule 1Dressing Recipe 1Healthy Heart program 2Fitness Program 2A1c diagnostic range2 Community screening2 DIABETES AUDITFitness programSHIP AHOY Matey diabetes staff

3344

Newsletters Mille Lacs Band of Ojibwe

Look for fitness news next issue

Diabetes

Program

Newsletter

Ne-Ia-Shing

Clinic Spring

2011

Studies show that you can reduce your risk of developing heart disease by treating and controlling your risk factors, such as blood pressure, weight, and cholesterol and by stopping smoking if you are a smoker. The Healthy Heart Program is now offering education classes on heart health in both group set- ting and one on one visits. These classes consist of weight loss, physical ac- tivity, and nutritional advice for blood pressure, cholesterol and diabetes.Special individual education and management are also provided by your pro- vider and a diabetes case manager. The goals of the program are listed be- low:

Individual goals:►Increased physical activity (to 150 minutes per

week or 10,000 steps per day)7% weight loss

►Control heart disease risk factors with behaviors and medica-

tion►Feel better►Learn better nutrition and activity behaviors!

►To provide the best ways to help other American Indians and Alaska Natives with diabetes prevent cardiovascular disease

For more information on how you could participate in the Healthy Heart Pro- gram, give Cyndy a call at the following number listed below. It’s never tooyour health. It is worth while in the long run.

Cyndy Travers320-532-4163 ext. #7840

Next Class is Tuesday April 19th, 12:00 Noon at Dist. I community center classroom.

Save the dates for future healthy heart classes: May 24th and June 28th

Mille Lacs Band of Ojibwe Page 2

Healthy Heart Program Going Strong

One of the important tasks of the diabetes team is to complete our annual care and outcome audit. This audit looks at thirty-seven measures for diabetes care and is based on the Indian Health Ser- vice Standards of Care. The team goal was to complete the audit by April 1st and this goal was met! Over 200 audits were completed for 2011! A big thank you to Cyndy, Arielle, Millie and Sue for their great work! Over the past 20 years these guidelines have helped health care professionals provide excellence in diabetes

care to American Indians and Alaska natives. Our diabetes education out- comes have been improving each year.

Diabetes Audit 2011

A1c ??? Is it Steak Sauce?? New guidelines for diabetes in

2011 include using the A1c blood test that can diagnose diabetes. The diabetes team has been checking blood sugars in the community for the past five years and follow the Indian Health Ser- vice BEST Practices for screening. All clinical diabetes team staff have been tested and certified for screening for blood glucose and A1c testing. With diabetes, it is recommended to have your A1c checked every three months and see your provider and diabetes educator. Our goal with diabetes is to keep your A1c <7%.

Volume 1, Issue 1

Managing

diabetes is

not easy,

but it’s

WORTH

IT!

Page 3

No, in fact, it is a blood test that takes a weighted average of your blood sugars for the past 2-3 months. It can tell the provider how well controlled your diabe- tes is. When patients check individual home blood glucoses on their meters it can be compared to looking at the tree view in the forest, compared to the A1c that looks at the big picture or the forest view over a 2-3 month time span.

Future Community A1c Screenings:

HHS district I health Fair 3/31

Wellness EXPO April 21st, 2011 Grand casino 8-5

New January 2011 A1c Guidelines

for Diagnosing Diabetes:

Normal <5.7%Pre Diabetes 5.7 to 6.4% Diabetes 6.5% or greater

SAVE THE DATE:Next diabetes

education class is Scheduled for

Thursday,April 14th8:30-4 pm

Call Arielle to register @ 320-532-7852

B/4 April 10th

Shelly Foster, State Health Improvement Coordinator (SHIP)

Christine Kegg, Nutrition Education Assistant SNAP Ed

Millissa Alger, Community Diabetes Representative

Jim Ingle, Fitness Coordinator

Lee Lembke, Fitness Assistant, Chimminising Center

Bobby Anderson, Fitness Assistant, Lake Lena

2538

7742

7712

7547

676-1102

Ship program AHOY Matey!State health Improvement Program

The community gardens are seen as an important step for combating chronic diseases such as diabetes, a condition which disproportionally affects Native Americans popula- tions. They are also credited with helping the tribal communities return to their roots in cultivating fresh foods.

“This was the old way how we survived,” says Shirley Cain, SHIP tribal director. “We always had a garden growing up. We fished. We hunted. The younger generation hasn’t lived this way and so they need to re-learn it.”

Within the Mille Lacs Tribe, community garden beds were expanded and new backyard gardens were created with the support of SHIP funding. When food was ready to be har- vested, Shelly Foster, SHIP coordinator for the Tribe, and a nutritionist offered a healthy lunch alternative made from garden crops to the Tribe’s day labor crew and offered the recipe and nutritional information for people to take with them. Although the laborers were suspect at first of the healthy offerings, soon lines were forming to try the weekly dish for Fresh and Fit Fridays. In the end, when the department’s cook saw how people responded to the special dishes, a decision was made to incorporate the community gar- den vegetables into the regular lunch fare.

Meanwhile work with the Mille Lacs tribal youth around healthy eating resulted in a new music video being produced, featuring the children picking vegetables from the garden, eating fruit and rapping about eating healthy snacks. The video incorporates the Anishi- nabe phrase, wiisiniwin mino bimaadiziwin (meaning eat healthy for a good life) and en- courages children to: Tell it to your mom. Tell it to your dad. In this way, children are em- powered to voice their opinions about what they eat. “Parents listen to their kids and want to keep them happy,” says Foster. “So if kids are the ones asking for healthier snacks, that’s a powerful message.”

DIABETES STAFF & FUNCTION EXTENSION

Note from the EditorI wanted to say a big thank youto everyone on the diabetes teamthat contributed to our first quar- terly newsletter. Without their hard work, this would not have been pos- sible.Mii gwetch. Sue

Sue Swanson RN, CDE Diabetes Coordinator

Mark Bostrom, N.O. Medical Director 320-532-3154

Sue Swanson Diabetes Coordinator/Educator 2527

Arielle Beaulieu, Administrative Assistant/Data Entry 7852

Cyndy Travers, Diabetes Case Manager, Dietitian 7840