Diabetes, Exercise, Nutrition
The Nebraska Diabetes Control Program (NDCP) works to reduce or prevent complications and premature death for Nebraskans with diabetes.
The NDCP strives to educate persons with diabetes, their families, and health professionals. One of the primary functions of the NDCP is to update information and training materials to ensure application of current knowledge and treatment of diabetes.
For up-to-date information on diabetes, click on the Nebraska Diabetes Control Program.
Action Now Community Diabetes Prevention & Control www.123ActionNow.org
http://www.cdc.gov/diabetes Division of Diabetes Translation at the Centers for Disease Control & Prevention
http://ndep.nih.gov National Diabetes Education Program
http://www.diabetes.org American Diabetes Association
The following materials have been developed, in part, through a grant from the
American Public Health Association and Pfizer.
These materials can be modified to include your contact information and to meet local needs.
PowerPoint Presentation on Type 2 Diabetes in Youth
Fact Sheets and brochures
Diabetes Fact Sheet in Microsoft Word
Diabetes Fact Sheet in Adobe Acrobat
Type 2 Diabetes in Youth Fact Sheet in Microsoft Word
Type 2 Diabetes in Youth Fact Sheet in Adobe Acrobat
Nutrition Brochure in Microsoft Word
Nutrition Brochure in Adobe Acrobat
Physical Activity Fact Sheet in Microsoft Word
Physical Activity Fact Sheet in Adobe Acrobat
Five Affiliate Obesity Mini Grants Awarded
by APHA and the Pfizer Public Health Group
Pursuant the success of the 2003 National Public Health Week, the American Public Health Association (APHA) and the Pfizer Public Health Group are excited to announce the grantees of the of the APHA and Pfizer Public Health Group Obesity Grant. The grantees will continue bringing focused attention on the epidemic of overweight and obesity in their states. The awarded Affiliates are Nebraska, Alaska, New York State, Ohio and Hawaii. Each Affiliate will be developing or updating their website to focus attention on the increased and associated risks of overweight and obesity with special emphasis on childhood overweight and on type II diabetes. To learn more about the grants that APHA offer visit APHA's Scientific and Professional Affairs at http://www.apha.org/ppp/
Childhood Overweight and Type II Diabetes
Diabetes is one of the most common chronic diseases in children and adolescents; about 151,000 people below the age of 20 years have diabetes.
When diabetes strikes during childhood, it is routinely assumed to be type 1, or juvenile-onset diabetes. However, in the last 2 decades, type 2 diabetes (formerly known as adult-onset diabetes) has been reported among U.S. children and adolescents with increasing frequency. Also, studies conducted in Europe showed an increase in the frequency of type 1 diabetes, especially in young children. It is unclear whether the frequency of type 1 diabetes is also increasing among U.S. youth.
Findings
Each year, more than 13,000 young people are diagnosed with type 1 diabetes. Type 2 diabetes begins when the body develops a resistance to insulin and no longer uses the insulin properly. As the need for insulin rises, the pancreas gradually loses its ability to produce sufficient amounts of insulin to regulate blood sugar. Health care providers are finding more and more children with type 2 diabetes, a disease usually diagnosed in adults aged 40 years or older. A statistically significant increase in the prevalence of type 2 diabetes among children and adolescents was found only for American Indians. The epidemics of obesity and the low level of physical activity among young people, as well as exposure to diabetes in utero, may be major contributors to the increase in type 2 diabetes during childhood and adolescence. Type 2 diabetes in children and adolescents already appears to be a sizable and growing problem among U.S. children and adolescents. Better physician awareness and monitoring of the disease’s magnitude will be necessary. Standard case definition(s), guidelines for treatment, and approval of oral hypoglycemic agents (to lower blood sugar) are urgently required for children and adolescents. Children and adolescents diagnosed with type 2 diabetes are generally between 10 and 19 years old, obese, have a strong family history for type 2 diabetes, and have insulin resistance.
Did You Know That...
Obese children and adolescents have shown an alarming increase in the incidence of type 2 diabetes, also known as adult-onset diabetes.Many obese children have high cholesterol and blood pressure levels, which are risk factors for heart disease.One of the most severe problems for obese children is sleep apnea (interrupted breathing while sleeping). In some cases this can lead to problems with learning and memory.Obese children have a high incidence of orthopedic problems, liver disease, and asthma.Overweight adolescents have a 70 percent chance of becoming overweight or obese adults. Taken from the NIH Word on Health
A Word to the Wise...
Help your children maintain a healthy body weight
Be supportive. Children know if they are overweight and don't need to be reminded or singled out. They need acceptance, encouragement and love.Set guidelines for the amount of time your children can spend watching television or playing video games.Plan family activities that involve exercise. Instead of watching TV, go hiking or biking, wash the car, or walk around a mall. Offer choices and let your children decide.Be sensitive. Find activities your children will enjoy that aren't difficult or could cause embarrassment.Eat meals together as a family and eat at the table, not in front of a television. Eat slowly and enjoy the food.Don't use food as a reward or punishment. Children should not be placed on restrictive diets, unless done so by a doctor (for medical reasons). Children need food for growth, development and energy.Involve your children in meal planning and grocery shopping. This helps them learn and gives them a role in the decision making.Keep healthy snacks on hand. Good options include fresh, frozen, or canned fruits and vegetables; low-fat cheese, yogurt or ice cream; frozen fruit juice bars; and cookies such as fig bars, graham crackers, gingersnaps or vanilla wafers.Focus on small, gradual changes in eating and activity patterns. This helps form habits that can last a lifetime.Taken from the NIH Word on Health
RISE IN CHILDHOOD OBESITY LINKED TO INCREASE IN TYPE 2 DIABETES
Recent research shows a surge in children diagnosed with type 2 diabetes. Whereas fewer than 4 percent of childhood diabetes cases in 1990 were type 2, that number has risen to approximately 20 percent, varying from 8 percent to 45 percent, depending on the age of the group studied (type 2 is most frequent in the 10 to 19 year age group in pediatric practice) and the racial/ethnic mix of the group studied. Of the children diagnosed with type 2 diabetes, 85 percent are obese.
Most children are diagnosed with type 2 diabetes during middle-to-late puberty. Physicians fear that as the childhood population becomes increasingly overweight and less active, more type 2 diabetes may occur in younger pre-pubescent children.
Children who are sedentary, overeat, and have a family history of diabetes are most at risk of contracting type 2 diabetes. Minority populations have an especially high rate of type 2 diabetes.
Taken from the American Academy of Pediatrics
Download CDC's Growth Charts
CDC's School and Community Guidelines for Physical Activity
Webcast Available
"The Role of Media in Childhood Obesity"
Kaiser Family Foundation
Diabetes
Steps to a HealthierUS -- HHS is targeting diabetes with the Secretary Thompson's Prevention initiative Steps to a HealthierUS, to prevent obesity and the onset of type 2 diabetes through community initiatives to achieve healthier lifestyles. More information is available at http://www.healthierus.gov/.
Better Diabetes Care Web Site -- HHS provides practical information and resources designed to help health care providers across the country make a difference in the way diabetes is prevented and treated. The resources are available at http://www.betterdiabetescare.org.
Diabetes At Work -- HHS partners with the Washington Business Group on Health to support a "worksite Web site" with industry and business associations (http://www.diabetesatwork.org) to help companies meet the burgeoning diabetes epidemic head on.
HHS' Special Diabetes Program for Indians -- This $150 million program, administered by HHS' Indian Health Service, promotes strategies for the prevention and treatment of diabetes and its complications for American Indians and Alaska Natives. More information is available at http://www.ihs.gov/MedicalPrograms/Diabetes/.
National Diabetes Fact Sheet from CDC
Resources for children with diabetes and their families
There is a free newsletter for parents of children with diabetes too.
The AK DPCP has worked with the ADA to distribute the "wisdom kit" to students with diabetes. The kit is a "kit of wit and wisdom for kids with diabetes (and their parents)" developed by the ADA. see:
Diabetes materials in Bosnian, Croatian, and Serbian
Here is some information from the Minnesota Diabetes Program about diabetes materials in Bosnian, Croatian, and Serbian. Per the MN DPCP, the difference between Bosnian, Croatian and Serbian language is more political difference than linguistic difference. The actual difference is no greater than 5%. And, Serbian is nearly the same as Bosnian, except it uses Cyrilic fonts (like Russian) instead of Latin fonts.
Are you at risk from the world's fastest growing disease?
Diabetes in pregnancy - gestational diabetes:
Don't let diabetes steal your sight.
The Translated Health Resources Exchange is an exciting collaboration among more than a dozen health care organizations in Minnesota, all of them interested in health care for the foreign-born patient. Representatives of these organizations are exploring ways to share the responsibility and cost of creating and distributing health education materials for non-English speaking patients.
This link goes to a database of health education materials available in the languages of Central and Eastern Europe and the former Soviet Union. http://www.eurasiahealth.org/index.jsp?sid=1&id=3542&pid=3540
* We ask that you credit the Public Health Association of Nebraska and the Health Care Cash Fund when using the materials marked with an astrick (*).
Exercise and Nutrition
Food Marketing to Children and Youth
The Institute of Medicine (IOM) has released a report entitled “Food Marketing to Children and Youth: Threat or Opportunity?” The report found that while there is no conclusive proof that junk food marketing leads to childhood obesity, evidence does show that such ads cause kids to eat more high-calorie foods. The study’s authors -- experts in psychology, nutrition, law, and education -- argued that advertising standards must be higher for young children than for adults. The report recommended that food companies stop using characters like SpongeBob SquarePants to sell high calorie, low nutrition foods.
To read “Food Marketing to Children and Youth,” visit the National Academies Press: http://www.nap.edu/books/0309097134/html/
HHSS Cardiovascular Health Program
The Nebraska Department of Health and Human Services System Cardiovascular Health Program has a new website. You may log on to the site at http://www.hhs.state.ne.us/cvh/
School Lunch and Nutrition
Increased rates of obesity and diabetes among young children have heightened parents' concerns about the quality of food available to their children through school breakfast and lunch programs. Parents have also expressed concerns about snack foods sold in vending machines, and candies and other "junk foods" sold as fund-raisers. A number of school communities are exploring how they can strengthen school policies related to breakfast, lunch and snacks on campus.
The Center for Health and Care in Schools has gathered background information on this topic, identified some sample "best practice" school policies, and provided a list of questions for parents and community members to use in assessing nutrition policies and programs at school. Please visit the Center¹s website to access this information and free handout. http://www.healthinschools.org/parents/lunch.htm
Family Nutrition Educational materials in Spanish
Bilingual materials about nutrition are available through the Hispanic Health Council, the University of Connecticut Department of Nutritional Sciences, the Cooperative Extension System, and the Connecticut Department of Social Services. http://www.hispanichealth.com/pana.htm - click on "Materials Developed"
AHRQ Announces Expanded Resource to Help Adults Stay Healthy
If you and your clients or patients have questions about which preventive services they need and when they need them, you'll want to know about an important new free publication for consumers from the Agency for Healthcare Research and Quality. AHRQ released a revised and expanded booklet for health care consumers called The Pocket Guide to Good Health for Adults. The Pocket Guide, available in English and Spanish languages, includes tips and recommendations on good health habits, screening tests, and immunizations. It provides easy-to-use charts to help track personal health information and includes questions to ask health care providers, as well as resources to contact for additional information.
As an update to the Put Prevention Into Practice program's Personal Health Guide, the new Pocket Guide is based on the most current research-based recommendations from the U.S. Preventive Services Task Force. The Pocket Guide is available on the AHRQ Web site in English at http://www.ahrq.gov/ppip/adguide/ and in Spanish at http://www.ahrq.gov/ppip/spadguide/. Copies of this publication and related materials are available from the AHRQ Publications Clearinghouse by calling (800) 358-9295 or sending an E-mail to ahrqpubs@ahrq.gov.
* We ask that you credit the Public Health Association of Nebraska and the Health Care Cash Fund when using the materials marked with an astrick (*).
This page is sponsored, in part, through a grant from the American Public Health Association and Pfizer.