D i a b ete s C l i n i c Provide V alua b l e A c c e s s to Health C are Provide r s

1. MilleLacsBand ofOjibwe Diabetes Program Newsletter Newsletters Mille Lacs Band of Ojibwe Spring 2011 Salads ARE Heart healthy Thekey tomakinga goodsalad is fresh greensandvegetablesanda lightvinaigrette. Combine at leastthree vegetablestogether anda goodvinaigrette (one recipebelow)for anexcellentsalad! Volume1,Issue1 DiabetesClinic Provide Valuable Access toHealth Care Providers Our diabetesclinicsprovide accessto severalproviders on thesame day withonly one trip to make to theclinic. Ateach scheduledclinicyou will be able to meetwitha dietitian,aphysician,podia- trist,apharmacist,laboratory andanurseeducatoras needed.We also encourageyoutobringyour glucometer to downloadonour computer software for updatedreports. Atthistimeyouwill be able to go over your glucose pat- ternswithaprovider thatwill be able to adjustyour diabe- tescareplan.Wehope to seeyousoon! BurgerBlowOut MoreCalories ThanYou Think !! BKWhopper670 BKDoubleWhopper1010 DQ Db BacCh Burger 730 HardeesMonster Bur- ger 1320 Wendy’sDb Baconator 980 McDon Filet-O-Fish 380 ChooseWisely! Have Happy andHealthy Feet! Podiatrist2011 FootClinic Schedule Dr.DanielRyan April2011: Ne-Ia-Shing7,21 Aazhoomog 13 SaladDressing French Vinaigrette ½c Extra virgin olive oil ¼c White wine vine- gar 2 T MailleMustard (wet) 2 T Sugar Putingredientsinto a lidded jarand mix well. East Lake7,27 May2011 Ne-Ia-Shing5,12, 19 Aazhoomog 11 East Lake19pm OlderPeople WhoGardenMayEatMoreVegetables COLLEGESTATION, Texas,March 17(UPI)-- Olderpeoplewhogarden eat morevegetables--butnot Theresearchers collected dataviaan online surveywas postedon aWebsitefor one month--261questionnaires reported having participatedin gardeningseemedtohaveno relationshiptothe numberof vegetables andfruits they report- InsidethisIssue fruit--researchers atTexas A&M University andTexas StateUniversity found. werecompleted byadults ageedlyconsumed. 50andolder. "This suggests thatgardening PodiatrySchedule 1 DressingRecipe 1 HealthyHeartprogram 2 FitnessProgram 2 A1cdiagnostic range2 Communityscreening2 DIABETESAUDIT Fitnessprogram SHIP AHOYMatey diabetesstaff "Ourresults support previous studies thatindicatedgarden- ersweremorelikely tocon- sumevegetableswhen com- paredwithnon-gardeners. Interestingly,theseresults werenotfoundwith regardto fruit consumption,"Waliczek saidinastatement.There- search also showedthe lengthoftimean individual intervention programs latein lifewouldbean effective methodofboostingvegetable andfruit consumption in older adults,"Waliczek said. AimeSommerfeld,Amy McFarland,TinaWaliczek andJayneZajicek saidstud- ies showpoornutrition is one of severalfactors responsible formortalityandmorbidityin theelderlyandis comparable todeaths causedfromciga- rette smoking. 3 3 4 4

2. Studies show that youcanreduce your riskof developing heartdiseaseby treating andcontrollingyour riskfactors, suchasbloodpressure,weight, and cholesterol andby stopping smoking if youareasmoker.TheHealthyHeart Program is now offeringeducation classes onhearthealthin bothgroupset- tingandoneon one visits.Theseclasses consistof weight loss,physical ac- tivity, andnutritionaladviceforbloodpressure, cholesterol anddiabetes. Special individualeducationandmanagement arealsoprovidedby yourpro- viderandadiabetescasemanager.Thegoalsof the program are listed be- low: Individualgoals: ►Increased physical activity(to150minutesperweekor 10,000stepsperday) 7% weight loss ►Control heart disease risk factors withbehaviorsand medica- tion ►Feel better ►Learn better nutrition and activitybehaviors! ►To provide thebestwaysto helpother American Indiansand AlaskaNativeswithdiabetespreventcardiovascular disease For more information onhowyoucouldparticipatein theHealthy HeartPro- gram, give Cyndy a callat the following numberlisted below. It’s never too DiabetesProgram Newsletter Ne-Ia-Shing Clinic Spring2011 yourhealth. Itis worth while in thelongrun. CyndyTravers 320-532-4163 ext. #7840 Next ClassisTuesday April19th,12:00Noon at Dist.Icommunity center classroom. Savethe dates forfuturehealthyheartclasses: May24thandJune 28th Lookforfitness newsnextissue

3. Page3 Volume1, Issue 1 DiabetesAudit 2011 Oneof the important tasks of the diabetesteam istocompleteour annual careandoutcomeaudit. Thisauditlooksatthirty-sevenmeasures fordiabetescareand is basedonthe IndianHealthSer- viceStandardsof Care.Theteamgoalwas tocompletetheaudit by April1stand thisgoalwasmet! Over200 auditswerecompleted for 2011!Abigthankyouto Cyndy, Arielle,Millie andSuefor their greatwork!Overthepast20 years theseguidelineshave helpedhealthcareprofessionalsprovideexcellencein diabetes care to American IndiansandAlaska natives.Ourdiabeteseducation out- comes have been improving eachyear. A1c ??? Is itSteak Sauce?? New guidelines fordiabetes in 2011 includeusing theA1c blood test that candiagnosediabetes. Thediabetes teamhas beenchecking bloodsugars in thecommunity forthe past five years and follow theIndianHealthSer- viceBEST Practices for screening. All clinicaldiabetesteamstaffhavebeentestedandcertifiedfor screening for bloodglucoseandA1c testing. With diabetes, it is recommended tohaveyourA1ccheckedevery threemonths andseeyourprovider anddiabetes educator.Ourgoalwithdiabetesis to keepyourA1c <7%. No, in fact, it isa blood testthattakes a weighted average of yourbloodsugarsforthe past2-3 months. Itcan tell the provider howwell controlled yourdiabe- tes is. Whenpatientscheckindividual homebloodglucoses ontheir meters it canbecomparedtolooking atthe tree view in the forest, comparedtothe A1c thatlooks atthebig pictureorthe forest viewovera2-3 monthtimespan. Managing diabetesis not easy, butit’s WORTH IT! NewJanuary 2011A1c Guidelines forDiagnosingDiabetes: SAVETHE DATE: Next diabeteseducationclassis ScheduledforThursday, April14th 8:30-4pm Call Arielle to register@ 320-532-7852 B/4 April10th Future CommunityA1c Screenings: Normal<5.7% Pre Diabetes5.7 to 6.4% Diabetes6.5%orgreater HHSdistrict IhealthFair 3/31 WellnessEXPOApril 21st,2011 Grandcasino8-5

4. Shipprogram AHOYMatey! StatehealthImprovement Program The community gardensareseenasan important step forcombating chronicdiseasessuchasdiabetes, acondition which disproportionallyaffects Native Americans popula- tions. Theyarealso creditedwith helping the tribal communitiesreturntotheirroots in cultivating fresh foods. “This wasthe old way how we survived,”saysShirleyCain, SHIP tribal director. “We always had a garden growing up. We fished. We hunted. The younger generation hasn’t lived this wayandsotheyneedto re-learn it.” Withinthe Mille LacsTribe, community gardenbedswereexpandedandnew backyardgardens werecreatedwith thesupport of SHIP funding.Whenfoodwasreadyto behar- vested, ShellyFoster, SHIP coordinator for theTribe, andanutritionist offeredahealthylunch alternative made fromgarden cropsto the Tribe’sdaylabor crewand offered the recipeandnutritionalinformation forpeopletotakewith them. Althoughthelaborers weresuspectatfirstof thehealthyofferings, soonlines were forming totrythe weekly dish for Fresh and Fit Fridays. In the end, whenthe department’s cook sawhowpeople responded tothespecialdishes, adecision wasmadetoincorporatethecommunity gar- denvegetables intothe regular lunch fare. Meanwhile workwith theMille Lacs tribal youtharoundhealthy eatingresulted in anew musicvideo beingproduced, featuring the children pickingvegetablesfromthegarden,eating fruit andrappingabouteating healthysnacks. Thevideoincorporates the Anishi- nabephrase,wiisiniwinminobimaadiziwin(meaningeathealthy for a good life)anden- courages childrento:Tell it toyourmom.Tellittoyourdad. In this way, childrenareem- powered to voice their opinionsabout what theyeat. “Parents listen to their kidsand want to keepthemhappy,” saysFoster. “So if kidsare the onesaskingfor healthier snacks, that’sa powerful message.” NotefromtheEditor I wanted to say abigthankyou DIABETESSTAFF&FUNCTIONEXTENSION to everyoneonthediabetesteam thatcontributedto our firstquar- terly newsletter.Withouttheir hard work,thiswouldnothavebeenpos- sible. Miigwetch.Sue ShellyFoster, StateHealthImprovement Coordinator (SHIP) ChristineKegg, NutritionEducationAssistantSNAPEdMillissaAlger,CommunityDiabetes Representative Jim Ingle,FitnessCoordinator Lee Lembke,FitnessAssistant,ChimminisingCenter BobbyAnderson, FitnessAssistant,LakeLena 2538 7742 7712 7547 676-1102 SueSwansonRN, CDE DiabetesCoordinator