THE PEOPLE'S CLINIC
Diabetes continues in
epidemic proportions
FROM THE MAYA ANGELOU
CENTER FOR HEALTH
BOUITY
Diabetes continues to
be a significant health issue
in our community, and the
statistics nationally and in
our home state of North
Carolina are increasingly
alarming.
* 29.1 million people in
the US, or 9.3 percent of
the population have dia
betes.
* Of those, 8.1 million
people are unaware that
they have the disease.
?It costs nearly $275
billion each year for dia
betes related treatment.
?African-Americans
are up to 2.5 times more
likely to develop diabetes
compared to whites.
?African-Americans
are not only more likely to
develop Type 2 diabetes,
but they are also more like
ly to suffer from some of
the health problems associ
ated with diabetes, such as
amputations, kidney dis
ease and blindness.
?In N.C., almost 11
percent of people have dia
betes, with two-thirds of
those being African
American.
' ?The Centers for
Disease Control (CDC)
predict 1 in 3 Americans
will have diabetes by 2050.
What is diabetes?
According to the
American Diabetes
Association (ADA), dia
betes is a disease in which
the body does not produce
or properly use insulin. The
cause of diabetes continues
to be a mystery, although
studies have shown that
both genetics (meaning it
may run in your family)
and environmental factors
such as obesity and lack of
exercise appear to play a
role in developing diabetes.
There are four main types
of diabetes: Pre-diabetes,
Type 1, Type 2 and
Gestational. Diabetes often
goes undiagnosed because
many of its symptoms
seem so harmless.
Symptoms of diabetes can
include: frequent urination,
excessive thirst, extreme
hunger, unusual weight
loss, increased fatigue, irri
tability and blurry vision.
Pre-diabetes - Pre-dia
betes is a condition that
occurs when a person's
blood glucose levels are
higher than normal but not
high enough for a diagnosis
of type 2 diabetes. There
are 54 million Americans
who have pre-diabetes, in
addition to the 20.8 million
with diabetes.
T^pe 1 diabetes - Type
1 happens when our bodies
fail to produce insulin. It is
estimated that 5 percent to
10 percent of Americans
who are diagnosed with
diabetes have type 1 dia
betes.
Type 2 diabetes - Type
2 happens when our bodies
fail to properly use insulin
that we produce. Most
Americans who are diag
nosed with diabetes have
type 2 diabetes, about 90
percent to 95 percent.
Gestational diabetes -
Occurs when diabetes
develops during pregnancy.
Gestational diabetes affects
about 4 percent of all preg
nant women - about
135j000 cases in the United
States each year.
If you are overweight,
live a sedentary (inactive)
lifestyle, have a family his
tory of diabetes, have pre
diabetes, have high blood
pressure, and/or if you are a
woman who has had gesta
tional diabetes, you are at
risk of developing diabetes.
Diabetes vocabulary
There are many terms
I
that are used when talking
about diabetes and its asso
ciated problems, but they
are not often explained in a
way that is eqsy to under
stand. Adapted from the
ADA, we have prepared a
mini-glossary of diabetes
related terms for you
below.
Pancreas - an organ
that is located behind the
stomach, whose job is to
produce insulin, alortg with
other hormones. These aid
us in digesting the food we
eat and using the nutrients
and minerals to make our
bodies function properly.
Insulin - -Produced by
the pancreas, insulin is a
hormone that is needed to
convert sugar, starches and
other food into energy
needed for daily life.
Insulin Resistance - is
a condition in which the
cells of our body become
resistant to the effects of
insulin, that is, the normal
response to a given amount
of insulin is reduced. As a
result, higher levels of
insulin are needed in order
for insulin to have its
effects. IR is often noted as
a precursor to pre-diabetes
and diabetes.
Things to keep in mind
when you are first diag
nosed:
It is difficult to hear
that you or a loved one
have been diagnosed with
diabetes, but it's important
to keep in mind that the
disease is treatable. While
it is a serious chronic dis
ease, people with diabetes
can still live long, active,
healthy lives.
The key to living with
diabetes is working with
your doctor and other
healthcare providers to
manage the disease. When
you receive your diagnosis,
it is crucial that you make
time to talk with your
healthcare team about your
care. Together, you can
come up with a treatment
plan that will work best for
you.
h is so important to
take an active role in your
health care; after all, your
well-being is on the line!
There are many treatment
options available to you,
including oral and/or injec
tion medications.
Treatment for diabetes also
includes developing a
healthy eating plan and
increasing your physical
activity to maintain a
healthy weight.
Let's talk treatment
Whether you have Type
1 or "type 2 diabetes,, it is
essential that you learn
how to monitor your blood
glucose ("sugar"), so you
can maintain a proper level
and avoid problems like
hypoglycemia (too low
blood sugar), hyper
glycemia (too high blood
sugar), and ketoacidosis (a
build of acids in your blood
that can cause someone to
go into a coma). Let's talk
about the different ways in
which we can manage
blood glucose.
Lose excess weight.
We all know how difficult
it is to lose weight, but it is
so important for people
with diabetes to maintain a
healthy body weight. One
simple way to determine
whether you are over
weight is to measure your
body mass index (BMI).
which is a ratio of your
weight to your height. The
CDC (www.cdc.gov) has a
free BMI calculator on
their website under
Conditions > Obesity. A
BMI of 25 or greater means >
that you are overweight,
and a BMI of 30 or greater I
means you are obese. Not I
only does being over- ]
weight increase your
chances of diabetes com
plications, but it also i
increases your risk for i
other conditions, including i
heart disease, osteoarthri i
tis, and stroke. A good way J
to get started is to calculate
5 percent of your body
weight and lose that much.
For instance, a person who
weighs 200 pounds can
lose 10 pounds (5 percent)
to take the first steps in
reducing their risk for com
plications.
Eat a healthy diet. This
doesn't mean you can
never have sweets again! It
simply means that sweets
need to be eaten only in
moderation, as part of a
sensible diet, and com
bined with physical activi
ty. Learning about portion
sizes and what counts as a
"serving" is crucial. You
can talk to a dietician to
leam about portion sizes
and the types of food you
can eat; together, you can
develop an eating plan that
will work for you and help
control your diabetes. Also,
to find out how to eat right,
you can call the American
Diabetes Association.
(ADA) has some healthy
recipes available for free
on their website: www.dia
betes .org. The ADA recom
mends:
? Limiting the amount
of calories, fat and saturat
ed fat in your diet is one
key. Limiting these foods
means eating lean meats,
fish or poultry, choosing
reduced fat snacks, and
cutting back on added fats
such as butter or mayon
naise.
? Limiting the portion
sizes of your meals, espe
cially when eating out, is
very important. Eating
foods that are high in fiber
also helps keep the blood
sugar down and gives you
that feeling of "fullness so
you can avoid getting too
many calories. Eating
whole wheat breads, fruits
and vegetables and whole
grain cereals are the best
choices.
* Limiting the amount
of salt that you add when
cooking and at the table.
This is especially important
if you have high blood
pressure.
Get moving! Physical
activity is important for
everyone, especially for
people with diabetes. Did
you know that being active
can help keep blood glu
cose levels in check? That
is because it makes your
body more sensitive to
insulin. The Diabetes
Prevention Program was a
large study conducted with
people with pre diabetes
for the purpose of learning
how to prevent or delay the
onset of type 2 diabetes.
This study found that exer
cising just 30 minutes a day
5 or more days out of the
week can reduce the risk of
developing diabetes or its
complications. If you're
currently inactive, you may
need to work your way up
to 30 minutes a day, and
that's okay. Remember that
it's crucial to talk with your
doctor before beginning
any exercise regimen to
help design a program that
will work for you, given
your current weight and
activity status.
Adhere to your doctor's
recommendations for med
ications. Adherence means
that you take your medica
tion exactly as your doctor
prescribed all the time.
If you have pre-dia
betes or have not been
diagnosed with diabetes,
but have any of the control
lable risk factors, it is criti
cal that you achieve a
healthy weight, eat a
healthy diet, and increase
your physical activity to
reduce your risk of devel
oping diabetes. If you have
been diagnosed, it's essen
tial to control your diabetes
to reduce your risk of com
plications.
For further informa
tion, visit the ADA website
at WwWdiabetes org For
information about the
Maya Angelou Center for
Health Equity, visit:
i
laws
9
ull
NORTH CAROLINA
FORSYTH COUNTY
BEFORE THE COMMUNITY
AND BUSINESS DEVELOPMENT
DEPARTMENT OF THE CITY OF
WINSTON-SALEM
HOUSING FILE 2013011256
COMPLAINT AND
NOTICE OF HEARING
SERVICE BY PUBLICATION
In the Matter of:
Property Located at:
132 N. Dunleith Avenue
Winston-Salem. North Carolina,
Known as Tax Block 0532 Lot(s) 036
On City County Tax Map
This Complaint and Notice of hearing is
drawn and given under the provisions of
the Housing Code of the City of Win
ston-Salem. It appears that the house lo
cated at 132 N. Dunleith Avenue, the
property being known as Block 0532
Lot(s) 036 is unfit for human habitation
under the standards-of-fitness prescribed
in the Housing Code of the City of Win
ston-Salem.
You are hereby notified that a hearing
will be held before the undersigned or his
designated agent in City Hall South. 100
E. 1st Street, Winston-Salem, North Car
olina, at 1:30 pm on the 3rd day of De
cember, 2015, when and where all parties
owning or having a interest in the afore
said property may show cause, if any
they have, why an ORDER should not be
entered finding said housing to be unfit
for human habitation and directing that it
be repaired or demolished.
You are further notified that the owner of
the aforesaid property and all parties in
interest have a right to file an answer to
this Complaint in the Office of the under
signed at any time prior to, or at the time
set for, the hearing of this matter, and.
also, to appear in person, or otherwise,
and give testimony at the time and place
above fixed.
This notice applies to all next of kin of
the property ownerfs) of the address at
132 N. Dunleith Avenue including
known or unknown heirs, devisees, suc
cessors, transferees, legal representa
tives, (deceased) or any other assigns
whether in being or not in being, or en
ventre sa mere, including those under
, mental disability, in the military service,
minors, the spouse of each, if any, the
beneficiaries or trustees of each, if any,
all other persons, firms, or corporations,
active or dissolved, foreign or domestic,
who now have, or might in any contin
gency have, or claim, or may hereafter
claim, any right, title or interest or estate
this property.
?Stephanie Stimpson,
Code Enforcement Project Supervisor
Date Issued: November 3,2015
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NORTH CAROLINA
FORSYTH COUNTY
BEFORE THE COMMUNITY
BUSINESS AND DEVELOPMENT
DEPARTMENT OE THE CITY OF
WINSTON-SALEM
HOUSING FILE N0.2015061307
DEMOLISH ORDER
SERVICE BY PUBLICATION
In the Matter of:
Property Located at:
5016 Ohio Ave
Winston-Salem, North Carolina,
known as Tax Blockl649(s) Lot(s)l28B
on City County Tax Map
This matter being heard before the un
dersigned employee of the City of Win
ston-Salem Community and Business
Development Department whose as
signed duties include the enforcement of
the Housing Code, at 1:30 clock on
the2nd day of September. 2015, pur
suant to Complaint and Notice of Hear
ing duly issued by the undersigned and
served upon the owner of record and par
ties in interest as required by law, and ap
pearances having been made by or on
behalf of the owners and other parties in
interest as follows:
THEREFORE, IT IS ORDERED, AD
JUDGED AND DECREED that the
structure located at 5016 Ohio Ave, said
structure being situated on
Blockl649Xot(s) 128B PIN No. 6837
59-8761 .OOas shown on the City-County
Tax Map, fails to comply with the Stan
dards of Fitness as prescribed in the
Housing Code of the City of Winston
Salem in the respects listed on Exhibit
"A" attached to and made part of this
Order.
By reason of said deficiencies, said hous
ing is unfit for human habitation. The
necessary repairs, alterations, or im
provements required to bring said hous
ing up to standards required under the
Housing Code of the City of Winston
Salem cannot be made at a reasonable
cost in relation to the value of the hous
ing, that is, not to exceed sixty-five per
cent (65%) of the value.
THEREFORE, IT IS ORDERED, AD
JUDGED, AND DECREED that the
housing located at 5016 Ohio Ave, said
housing being situated on Blockl649
Lot 128B. Pin No. 6837-59-8761 .OOas
as shown on the City County Tax Maps
be and the same is hereby condemned as ?
a dwelling unfit for human habitation
and the owner thereof if hereby OR
DERED AND DIRECTED to make the
necessary repairs to bring said housing
into compliance with the Code of the
City of Winston-Salem, a copy of said re
pairs necessary for compliance being Ex
hibit "A", attached hereto and
incorporated herein by reference, within
a period of 30 days from service; and, if
owner fails to bring said housing into
compliance with the Code of the City of
Winston-Salem 30 days from the service
of the Order, he is hereby ORDERED
AND DIRECTED to demolish said
housing, and is hereby advised that the
undersigned will apply to the City Coun
cil of the City of Winston Salem fot
adoption of a Resolution concurring with
this Order of Demolition.
This notice applies to all next of kin of
the property ownerfs) of the address at
5016 Ohio Ave including known or un
known heirs, devisees, successors, trans
ferees, legal representatives, (deceased)
or any other assigns whether in being ot
not in being, or en ventre sa mere, in
cluding those under mental disability, in
the military service, minors, the spouse
of each, if any, the beneficiaries ot
trustees of each, if any, all other persons
firms, or corporations, active or dis
solved, foreign or domestic, who now
have, or might in any contingency have
or claim, or may hereafter claim, any
right, title or interest or estate this prop
erty.
Stephanie Stimpson,
Code Enforcement Senior
Project Supervisor
Date Issued: September 23, 2015 <
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