Living In Balance Newsletter December 2004
 

Do You Know Your Hemoglobin A-1-C?


Hemoglobin A-1-C is a blood test that measures the amount of glucose (sugar) attached to red blood cells. The result helps tell you what your average blood sugar has been over the past 2-3 months. The value is reported as a percentage (%). For the CAIR and MNAW clinic a normal A-1-C is less than 6.5%.

Hemoglobin A-1-C (%)

Average Blood Sugar

5%

90

6%

120

7%

150

8%

180

9%

210

10%

245

11%

280

12%

310

13%

345

Measuring Hemoglobin A-1-C gives you the big picture of your diabetes control, while a blood glucose test gives you a snapshot of that moment. If your readings and your Hemoglobin A-1-C don’t match, it may mean that your blood sugar levels are high or low at times when you are not testing—for example, after meals.

Your Hemoglobin A-1-C level tells you your risk for the complications of diabetes and helps you know how your blood sugar levels are affecting your body. Long-term diabetes control is important. Research has shown that keeping Hemoglobin A-1-C levels at 7% or lower helps to prevent or delay the long-term complications of diabetes.

If you don’t know your Hemoglobin A-1-C level be sure to ask your medical provider. It should be tested every 3 to 4 months.

Diabetes Prevention Program Grant

The Fond du Lac Human Services Diabetes Program was awarded a competitive grant from the Indian Health Service for diabetes prevention. Thirty-six grants were awarded for diabetes prevention and 30 were awarded for cardiovascular disease risk factor reduction.
“These diabetes grants will help to reduce the effects of this devastating disease among American Indian and Alaska Native people and their communities by addressing cardiovascular disease risk factors, one of the most serious complications of diabetes. In addition these grants will allow the Tribes to begin to learn how to prevent this devastating disease before it starts, especially in young people,” stated Dr. Grim, IHS Director. “The prevalence of diabetes among American Indians and Alaska Natives has increased more than 50% in the last decade.”
Grantees will use these funds to improve their diabetes wellness/physical activity centers, provide diabetes self-management training, and purchase newer medications that are more effective in treating type 2 diabetes and its complications. These demonstration projects will attempt to prevent the onset of diabetes and also prevent cardiovascular disease in people who already have diabetes, using research-proven strategies in the real-world settings of American Indian and Alaska Native communities. Some of these strategies include using lifestyle coaching, case management, nutrition and physical activity approaches, smoking cessation strategies, newer medications, more aggressive treatment strategies, and behavioral strategies.
The first year of this grant is a planning year. Diabetes Team members will attend meetings with all other grantees from around the nation to share ideas and plan the demonstration project.
More information will be forthcoming as the project is developed.

Recipe: Pink Peppermint Meringues

Makes about 74 meringues
1 meringue per serving: 6 Calories▪<1 g Total Fat▪2 g Total Carbohydrate

Ingredients:

  • 3 egg whites
  • 1/8 teaspoon peppermint extract
  • 5 drops red food coloring
  • 1/2 cup superfine sugar*
  • 6 finely crushed sugar-free peppermint candies

* Or, 1/2 cup granulated sugar processed in food processor 1 minute until very fine, or sugar substitute baking blend of your choice (Equal Sugar Lite® and Splenda® Sugar Blend for Baking are blends of sugar substitute and sugar for better baking, while still reducing total carbohydrates).

Directions:

  • Preheat oven to 200° F. Line 2 baking sheets with parchment paper; set aside.
  • Place egg whites in bowl of stand mixer. Using wire whisk attachment, beat egg whites on medium-high speed about 45 seconds until frothy. Add peppermint extract and food coloring.
  • Add sugar, 1 tablespoon at a time, while mixer is beating. Continue beating until egg whites are stiff and glossy.
  • Use a teaspoon to mound meringue into 1-inch “kisses” onto parchment-lined baking sheets. Sprinkle crushed peppermint candies evenly over meringues.
  • Bake 2 hours, or until meringues are dry when tapped. Remove parchment paper off baking sheets to allow meringues to cool completely. When cool, peel meringues off parchment and store in airtight container.

Diabetes Class Schedule

The Diabetes Team is offering education classes at CAIR.
Participation in all 3 classes is encouraged. Incentives will be provided.

Call Gloria at CAIR (726-1370) to schedule classes today.

Class 1: Tuesday, December 14th from 8:30 am—12:00 pm

  • What is Diabetes, My Food Plan, Exercise, and Monitoring

Class 2: Tuesday, December 21st from 8:30 am—11:00 am

  • Complications of Diabetes, Grocery Shopping, Cooking, Eating Out, and Health Habits

Class 3: Tuesday, December 14th from 1:00 pm—2:30 pm

  • Medications, Emotions, Depression Screen, Stress and Coping, and Sick Day Care
 

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