Diabetes and Black History Month.


Compared to the general population, African Americans are disproportionately affected by diabetes:

  • 13.2% of all African Americans aged 20 years or older have diagnosed diabetes.
  • African Americans are 1.7 times more likely to have diabetes as non Hispanic whites.
  • If you wonder why this is possible well here is what many say the reason is like many reliable resources:  A study found that biological risk factors—including weight and fat around the abdomen—are primarily responsible for higher rates of diabetes for black Americans compared with white Americans.   So how does it happen lack of activity with poor nutritional diet for so many in America. The study suggests that making positive changes in known risk factors, like losing excess weight, can help reduce the racial health disparity for developing diabetes.

Diabetes is associated with an increased risk for a number of serious, sometimes life-threatening complications, and certain populations experience an even greater threat. Good diabetes management can help reduce your risk; however, many people are not even aware that they have diabetes until they develop one of its complications.

African-Americans are significantly more likely to suffer from blindness, kidney disease and amputations.

Diabetes is becoming more common in the United States. From 1980 through 2011, the number of Americans with diagnosed diabetes has more than tripled as of 2011 (from 5.6 million to 20.9 million). Do you know how much it is costing in our country?  Its a combination of factors that has caused such and increase in the disease of Diabetes in the U.S.  Factors:

-Look how much our population has increased with fast food companies pushing the  unhealthy foods the sell in restaurants or food stores.

-Also people from other countries who permanently came into America becoming a citizen from 1980 to now and came in to the U.S. already eating poor OR picked up the bad habits of eating poor foods that the U.S. media pushes that is acceptable to enough by U.S. society (that is continues) and is adding to the diabetic population whether they came in the U.S. with it or got it when coming to live in America.

-Than people born in U.S. with family having a history of diabetes or worse parents who did not watch good eating habits when raising their children who got obese putting them at high risk for diabetes.

-Ending line, these factors massively increased making the number of Diabetic Americans 3x higher since 1980.

-Than another factor is the illegals with diabetes also adds to the number of diabetic people in America; for they are not left out and are treated in hospitals with citizens.  If the come to an ER in the U.S. we treat them.

These factors all IMPACT an increase in the number of Diabetics in America!

Wake up America!  We need to get this disease under better control!  See how Diabetes keeps increasing in the U.S.?

That’s right. The metabolic condition is about as American as you can get, according to a national report card on diabetes by the Centers for Disease Control and Prevention 2011.

The report shows that nearly half of Americans have diabetes or prediabetes, which puts them at high risk for the condition. A good number of these folks haven’t been diagnosed and don’t even realize their predicament.

People with diabetes have too much sugar in their blood. If the disease isn’t controlled, they can wind up with heart disease, nerve damage, kidney problems, eye damage and other serious health problems.

The new report combines data from the CDC, the Agency for Healthcare Research and Quality, the Indian Health Service and the Census Bureau. Here’s a numerical look at what they reveal about diabetes in America.

30.3 million – The number of people in the U.S. who had diabetes in 2015.

That’s right. The metabolic condition is about as American as you can get, according to a new national report card on diabetes released Tuesday by the Centers for Disease Control and Prevention.

There are 2 types of Diabetes:

Type 1 diabetes was previously called insulin-dependent mellitus (IDDM) or juvenile-onset diabetes. This type of diabetes happens when the immune system ends up destroying beta cells in the body that come from our pancreas and they are the only cells in the human body that make the hormone INSULIN the regulates your glucose. Insulin allows glucose to transfer into the cells and tissues of our body to give them their energy to do their job in the body and nutrition to work properly=sugar-glucose. To live with this diabetes the person must have their insulin delivered by injection or a pump. This form of diabetes usually occurs in children or young adults but can occur at any age.

Type 2 diabetes was called non-insulin dependent diabetes mellitus (NIDDM) or adult-onset diabetes. In adults, type 2 diabetes accounts for about 90-95% of all diagnosed cases of diabetes. It usually begins as insulin resistance, a disease in which the cells do not use insulin properly due to the pancreas not making enough or the pancreas not secreting the correct form o of insulin to do its function. Ending line the insulin isn’t working properly. As the need for insulin rises, the pancreas gradually loses its ability to produce it.

Type 2 diabetes is associated with older age, OBESITY, family history of diabetes, history of gestational diabetes, impaired glucose metabolism, physical inactivity and race/ethnicity.

Gestational diabetes is a form of glucose intolerance diagnosed during pregnancy. Gestational diabetes occurs more frequently among African Americans, Hispanic/Latino Americans, and American Indians. It is also more common among obese women and women with a family history of diabetes. During pregnancy, gestational diabetes requires treatment to optimize maternal blood glucose levels to lessen the risk of complications in the infant.

Other types of diabetes result from; specific genetic conditions (such as maturity-onset diabetes of youth), surgery, medications, infections, pancreatic disease, and other illnesses. Such types of diabetes account for 1% to 5% of all diagnosed cases.

Treatment for Diabetes:

Diet, insulin, and oral medication to lower blood glucose levels are the foundation of diabetes treatment and management. Patient education and self-care practices are also important aspects of disease management that help people with diabetes lead normal lives.

To survive, people with type 1 diabetes must have insulin delivered by injection or a pump.

Many people with type 2 diabetes can control their blood glucose by following a healthy meal plan and exercise program, losing excess weight, and taking oral medication. Medications for each individual with diabetes will often change during the course of the disease. Some people with type 2 diabetes may also need insulin to control their blood glucose.

Self-management education or training is a key step in improving health outcomes and quality of life. It focuses on self-care behaviors, such as healthy eating, being active, and monitoring blood sugar.

Criteria for the diagnosis of diabetes:

A fasting blood sugar level ≥126 milligrams per deciliter (mg/dL) after an overnight fast, which is just taking the finger stick right when you wake up before breakfast OR

A 2-hour blood sugar level ≥200 mg/dL after a 2-hour oral glucose tolerance test (OGTT), OR

An A1c level ≥6.5%. (The A1C test is a simple lab test that measures average blood glucose levels over the past 3 months. A small blood sample to check your A1C can be taken at any time of the day=simply a blood test)

Pretty simple isn’t it but you have to  the move!  Take action and make changes if you need to!

Diabetes is not only common and serious; it is also VERY COSTLY! Let us take a look:

The cost of treating diabetes is staggering. According to the American Diabetes Association, the annual cost of diabetes in medical expenses and lost productivity rose for $98 billion in 1997 to $132 billion in $2002 to $174 billion in 2007.

One out of every 5 U.S. federal health care dollars is spent treating people with diabetes. The average yearly health care costs for a person without diabetes is 2,560 dollars; for a person with diabetes that figure soars to $11,744. Much of the human and financial costs can be avoided with proven diabetes prevention and management steps.

Remember this if your African American; African Americans are almost twice as likely to be diagnosed with diabetes as non-Hispanic whites. In addition, they are more likely to suffer complications from diabetes, such as end-stage renal disease and lower extremity amputations. Although African Americans have the same or lower rate of high cholesterol as their non-Hispanic white counterparts, they are more likely to have high blood pressure.

 

QUOTE FOR TUESDAY:

“The Weill Cornell Heart to Heart Community Outreach Campaign (H2H) is a mobile free diabetes and cardiovascular disease outreach intervention clinic that brings medical/nursing faculty and students to the underserved communities of NYC; including the uninsured and undocumented. The goal is to identify new cases of CVD/Diabetes and intervene early before the onset of severe symptoms.”
 
Columbian Presbyterian Hospital

QUOTE FOR MONDAY:

“Homocysteine is a common amino acid in your blood. … In fact, a high level of homocysteine is a risk factor for heart disease.”

Web M.D.  (webmd.com)

The relationship between High Homocysteine Levels and Heart DIsease!

Homocysteine is a common amino acid in your blood. You get it mostly from eating meat. High levels of it are linked to early development of heart disease.

In fact, a high level of homocysteine is a risk factor for heart disease. It’s associated with low levels of vitamins B6, B12, and folate, as well as renal disease. Research has shown, however, that getting your homocysteine levels down with vitamins doesn’t reduce your chance of having heart disease.

How Does Homocysteine Increase Heart Disease Risk?

There does appear to be a relationship between high levels of homocysteine and artery damage. That can lead to atherosclerosis (hardening of the arteries) and blood clots.  Arteries filling up with blockages

Studies have shown that high levels of homocysteine are caused by a lack of nutrients in the diet, particularly the B group of vitamins. Without these essential vitamins your body is unable to produce the enzymes necessary to remove homocysteine efficiently from your blood. Homocysteine will cause damage to your arteries when present in very high concentrations.

Other causes may include aging, drug and alcohol use, impaired kidney function, problems with B12 absorption, smoking and obesity.

Do I Need to Have My Homocysteine Level Checked?

There’s no universal recommendation for checking homocysteine levels. The test is still relatively expensive, it isn’t widely available, and insurance rarely covers it but check with your insurance.The normal level of homocysteine in your blood should be up to 15 micro mol/L. This is level in the average healthy person.The optimal level of homocysteine in your blood would be under 7 micro mol/L.Make sure you get a homocysteine test as part of your next visit to the doctor, or on your own at a licensed medical facility.

Can High Homocysteine Levels Be Prevented?

A lack of B Vitamins leads to elevated homocysteine levels which is why vegetarians are particularly at risk due to the lack of meat in their diets. Fortunately the situation is easily treatable. In the late 60’s Dr. Kilmer McCully determined through extensive research that taking adequate amounts of folic acid (vitamin B9), along with vitamins B6 and B12 will help homocysteine levels normalize.

If you have high homocysteine levels, talk to your doctor about how to change your diet.

Don’t Forget:

 

QUOTE FOR THE WEEKEND:

“A widow maker heart attack is caused when the LAD artery becomes blocked.It occurs when there’s a complete blockage of the left anterior descending (LAD) artery, one of two main arteries that brings OXYGENATED blood to the heart=FOOD TO THE HEART MUSCLE (O2).  When it is blocked due to a build up of plaque it is most often deadly, hence the name “widow maker”.

American Heart Association

QUOTE FOR FRIDAY:

Heart disease doesn’t happen just to older adults. It is happening to younger adults more and more often. This is partly because the conditions that lead to heart disease are happening at younger ages. February is Heart Month, the perfect time to learn about your risk for heart disease and the steps you need to take now to help your heart.

CDC Centers for Disease Control and Prevention

QUOTE FOR THURSDAY:

Folic acid is also helpful in producing red blood cells which help prevent anemia during pregnancy. The most important benefit of folic acid intake before and during pregnancy is that it protects against neural tube defects.  In order to work optimally, you must start taking folic acid at least 1-2 months before you get pregnant.  The neural tube, which eventually develops into the baby’s nervous system, is formed during the first few weeks of pregnancy and if the proper amount of folic acid is present in the mother’s body at this point, it reduces or eliminates the risks of defects in the child.”

babyMed (babymed.com)

QUOTE FOR WEDNESDAY:

“Tetralogy of Fallot (TOF) is a congenital heart defect with four components: 1) large ventricular septal defect (VSD), which is a hole between the two ventricles or pumping chambers in the heart; 2) pulmonary stenosis, which is narrowing beneath or in the blood vessel leading to the lungs; 3) overriding of the aorta, in which the aorta lies directly above the ventricular septal defect; and 4) as a result of these events, the right ventricle becomes thickened or hypertrophied.”

Cleveland Clinic

QUOTE FOR TUESDAY:

“Congenital heart defects are the most common types of birth defects. Birth defects are health conditions that a baby’s born with that change the shape or function of one or more parts of the body. They can cause problems in overall health, how the body develops, or in how the body works.”.

March of Dimes (www.marchofdimes.org)

QUOTE FOR MONDAY:

“We know that not all birth defects can be prevented. But, we also know that women can increase their chances of having a healthy baby by managing health conditions and adopting healthy behaviors before becoming pregnant. Make a PACT, a commitment to yourself, to get healthy before and during pregnancy by actively trying to plan ahead, avoid harmful substances, choose a healthy lifestyle, and talk with your healthcare provider.”

Centers for Disease Control and Prevention