Diabetes education at CMH
              
            
            
              
                At Columbia Memorial Hospital, our diabetes education program, which has been
              
            
            
              
                recognized by the American Diabetes Association (ADA), offers group classes
              
            
            
              
                that are taught by a registered dietitian and a registered nurse. Our in-depth
              
            
            
              
                program has been ADA-recognized for more than 15 years and provides you with
              
            
            
              
                a high-quality education experience. You will gain the latest knowledge and skills
              
            
            
              
                needed to successfully manage your diabetes. Upcoming activities include:
              
            
            
              
                Group classes
              
            
            
              
                offered monthly in four 2-hour sessions.
              
            
            
              
                These ADA-recognized group classes require a physician’s
              
            
            
              
                referral and have a charge.
              
            
            
              
                Diabetes support groups
              
            
            
              
                at no charge. Join us for the
              
            
            
              
                following classes:
              
            
            
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                April 25 at 2 p.m.: Gardening & Gourmets with Melissa
              
            
            
              
                Morris, RD
              
            
            
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                May 22 at 6 p.m.: Diabetes and Heart Disease with Diana
              
            
            
              
                Rinkevich, MD, cardiologist
              
            
            
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                June 14 at 10 a.m.: Diabetes Foot Assessments with Jan Anderson, RN, and Gloria
              
            
            
              
                VanDeHey, RN.
              
            
            
              
                To register for classes, get more information or join our mailing list to
              
            
            
              
                receive fliers for all upcoming events, call us at
              
            
            
              
                503-338-4012.
              
            
            
              A registered dietitian can help
            
            
              you create a healthy meal plan.
            
            
              For more information or to find a
            
            
              physician, visit CMH on the web at
            
            
              www.columbiamemorial.org
            
            
              .
            
            
              
                Have
              
            
            
              
                diabetes,
              
            
            
              
                will travel
              
            
            
              
                Whenever you travel, your dia-
              
            
            
              
                betes goes with you. For a better
              
            
            
              
                chance of a getaway that results
              
            
            
              
                in good memories only:
              
            
            
              
                Plan ahead.
              
            
            
              
                See your doctor
              
            
            
              
                for a checkup four to six weeks
              
            
            
              
                before your trip. You want to be
              
            
            
              
                sure that your diabetes is well
              
            
            
              
                controlled before you depart.
              
            
            
              
                Get it in writing.
              
            
            
              
                Ask your
              
            
            
              
                doctor for a prescription for any
              
            
            
              
                diabetes medicines you take
              
            
            
              
                and a letter explaining how you
              
            
            
              
                manage your diabetes. Carry
              
            
            
              
                both at all times on your trip.
              
            
            
              
                Be safe, not sorry.
              
            
            
              
                Pack
              
            
            
              
                twice the amount of diabetes
              
            
            
              
                medicine and supplies that you
              
            
            
              
                normally need.
              
            
            
              
                Don’t risk a lost suitcase.
              
            
            
              
                Are you flying? Pack all of your
              
            
            
              
                medicine and supplies in carry-
              
            
            
              
                on luggage.
              
            
            
              
                Do some homework.
              
            
            
              
                Also if
              
            
            
              
                you’re flying, find out how long
              
            
            
              
                your flight will be and whether
              
            
            
              
                meals will be served. Even
              
            
            
              
                if meals are available, bring
              
            
            
              
                enough food to cover delays or
              
            
            
              
                unexpected schedule changes.
              
            
            
              Source: CMH Diabetes Education Program
            
            
              will help you learn how to use your
            
            
              results to make decisions about your
            
            
              diet, physical activity and any diabe-
            
            
              tes medications you take.
            
            
              
                Beyond blood sugar
              
            
            
              As important as it is to control
            
            
              your blood sugar, it’s also essential
            
            
              to keep your blood pressure and
            
            
              cholesterol levels in check. This extra
            
            
              effort helps protect you against heart
            
            
              disease, the No. 1 killer of people
            
            
              with diabetes in the U.S.
            
            
              High blood pressure is defined
            
            
              differently when you have diabetes.
            
            
              It starts at 130/80 mm Hg, a lower
            
            
              threshold
            
            
              than for most
            
            
              people.
            
            
              As for cho-
            
            
              lesterol, you
            
            
              should keep
            
            
              LDL choles-
            
            
              terol (the bad
            
            
              kind) below 100 mg/dL of blood.
            
            
              Levels of HDL cholesterol (the good
            
            
              kind) should be over 40 in men and
            
            
              above 50 mg/dL in women.
            
            
              Exercise is absolutely key to man-
            
            
              aging your blood sugar, blood pres-
            
            
              sure and cholesterol. Your ultimate
            
            
              goal should be 30 to 60 minutes of
            
            
              physical activity on most days of the
            
            
              week. But if you haven’t been active
            
            
              lately, start with only a little exercise
            
            
              and build up gradually. Brisk walk-
            
            
              ing is generally a great way to move
            
            
              more. Still, ask your doctor what’s
            
            
              safe for you.
            
            
              Chances are you’ll also need a
            
            
              meal plan, which a registered dieti-
            
            
              tian can help you create. Like any
            
            
              healthy way of eating, your plan will
            
            
              focus on foods that are low in fat
            
            
              (especially saturated and trans fat),
            
            
              moderate in salt and sugar, and high
            
            
              in fiber.
            
            
              Keys to a
            
            
              healthy eat-
            
            
              ing plan are
            
            
              to have meals
            
            
              and snacks
            
            
              regularly and
            
            
              to eat about
            
            
              the same
            
            
              amount of food at each meal or
            
            
              snack.
            
            
              You can also stay on top of diabe-
            
            
              tes by:
            
            
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                Dropping pounds.
              
            
            
              It’s likely
            
            
              that you developed type 2 diabe-
            
            
              tes, at least in part, because you
            
            
              were overweight. Losing those extra
            
            
              pounds will make your blood sugar
            
            
              easier to control.
            
            
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                Stopping smoking.
              
            
            
              If you light up,
            
            
              ask your doctor for help quitting.
            
            
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                Taking any medicine your doctor
              
            
            
              
                advises exactly as directed.
              
            
            
              Do so
            
            
              even if you feel fine.
            
            
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                Speaking up.
              
            
            
              Ask your doctor
            
            
              how else you can help protect your
            
            
              health, such as by checking your feet
            
            
              daily for any red spots, cuts or sores.
            
            
              Sources: American Diabetes Association; National Diabetes Education
            
            
              Program
            
            
              Our in-depth
            
            
              program has been
            
            
              ADA-recognized for
            
            
              more than 15 years.
            
            
              www . columbiamemorial . org
            
            
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