HomeMy WebLinkAboutClinton News-Record, 1985-11-27, Page 18INCOHPOR ATI Ni(; -T
E; HLYTH STANDARD -THE BAYFIELD QUGLE
SECOND SECTION
WE]DI`TESIDAY, NOVEMBER 27, 1985
Education classes and
clinic offered inarea
The key to diabetes control is knowledge.
The more diabetics know about their condi-
tion, the better they can cope with it. In
Huron County diabetics are offered educa-
tion classes as well as clinics.
According to Barbara Guse, a dietician at
the Clinton and Goderich hospitals, monthly
clinics are offered at the Exeter, Seaforth,
Clinton and Goderich hospitals.
"It's a two day program that deals with
nutrition and the medical aspects," she
said.
During the classes, diabetics are inform-
ed on what diabetes is, how to give
Diabetes —The medical aspects
Editor's note: The doctor consulted for the
facts in .this story wished to remain
nameless.
Diabetes. What is it, how do you get it,
how do you treat it, can it be cured?
1 con-
dition, betheart problems r iperson is iprmsor
dleedwith
diabetes,
common questions 'pop into their minds as
well as a little panic. But in this day and age,
if it isn't cureable, it is probably con-
trollable. .
Today there is no cure for diabetes and
those in the medical profession don't see a
cure in the .foreseeable future. However,
with proper diet, exercise, medication and
education, a person with diabetes can carry
on a realitively normal life.
Diabetes is "the.inability to use sugar effi-
ciently and having too much sugar in the
blood," explaind a medical source. "People
of all ages can get diabetes."
He went on to explain that a certain
percentage of the diabetics inherit the
disease while others don't. •
In a non-diabetic, the • pancreas secretes
the hormone insulin which helps break down
carbohydrates so the body can use them for
energy. When the non-diabetic eats car-
bohydrates, insulin is ejected from the. pan-
creas to meet the intake..
In a diabetic, not enough insulin is releas-
ed by the pancreas, therefore the car-
bohydrates, or sugar, accumulates in the
$ body, building up in the. blood and spilling
over into the urine.
The control of this. disorder can be clone
one of four ways, or a combination of ways.
"An old antidote was D - I- E - T. D is for
diet alone, I for insulin, E for exercise and '1'
tot training.
"Everyone should goon a diet," explained
the doctor, adding the eatting of pies, cakes .-
and sweet food should be •eliminated com-
pletely because a person can get enough
sugar from fruit. ' A person can get enough
nutrition from eating other food, they don't
need that." '
ti The I stands for insulin which most
diabetics take. After taking the insulin, the
diabetic must eat the proper amount of car-
bohydrates to meet the insulin shot. If not
enough carbohydrates are eaten, a diabetic
runs the danger . of insulin shock. The' op-
posite, too much sugar, c,ak result in a
' diabetic coma.
The amount of exercise a diabetic does
has a direct bearing on the amount of insulin
required.
Exercise burns up insulin," explained
Vie doctor. "A ball player would cut down on
the aniount of insulin used if he was going to
be playing, and use more if he was lying
around." .
T stands for training.
•"The ideal diabetic is one who knows as
much t about diabetes I as the doctor. They
know when and how to adjust the amount of
insulin and look after infections properly,"
' the doctor said.
The infections mentioned include foot and
eye problems. Diabetics have a higher risk
of infection at an .earlier stage in their life
than non -diabetics. 'i'heir chances of having
heart attacks are also increased.
According to a pamphlet put, out by the
Canadian Diabetes Association, "a diabetic
must 'be much rnor'e aware of the condition
of his feet or he may develop various pro-
blems with them earlier in life than non -
di abetics. These problems include cir-
culatory and nerve disorders, and an,in-
creased risk of infections that don't heal
well. When these problems are not recogniz-
iii
ed, gangrene, and even amputations, may.
result
"It seems probable that long periods of
elevated blood sugars and poor diabetes
control may be responsible in pail . for these
difficulties..."
Two Groups
There are basically two groups of
diabetics - those who are insulin dependent
and those who don't use insulin. Generally,
the insulin dependent group consists Of
teenagers or younger people, while the Gilder
diabetics fall under the second category.
{ 'The approach to each h
group
is dif-
ferent." the doctor stated. "When we' first
get the younger renes, they are often sick and
iia,' be admitted to the hospital where they
are started on insulin.
ie ono, case, the another gets involved
with controlling the diet, weight control is
also advised. They are instructed in the use
Insulin and a needle are eonsnnon to diabetics. The routine of injections with the medica-
tion maybe needed+once or several tines a day. (Anne Narejko photo)
of insulin endthetraining."
The older diabetic is usually overweight
and is told to lose weight. If they are treated
with insulin, the fat will absorb it, forcing
the use of a higher dosage.
New Equipment
Hesearci i for diabetes has resulted in up-
10-udu eeluipuletil Will programs wutcu
assist the diabetics obtain both better care
and better equipment.
According to a medical source,
glucometers have been on the market for at
least , two years. The machinery helps
diabetics check their blood sugar level'w•ith
immediate feedback, This allows the
diabetic to adjust the amount of insulin thy
.need. ,
"When the glucometers first carne out
o diabetics
they cost $400• Not many . f the c is c
could afford them, but over the last year the
price has dropped to approximately $200...A
lot of them still can't afford to pay that
much, so the government is now involved in
a .program to make the glucometers more
available," said the doctor. •
The Monitors for Children Program was
launched in London on October 12 with the
help of Premier David Peterson. The
provincerwide program is aimed at helping
Ontario's 15,000,diabetics who are under the -
age of 20.
The program is headed by Dr. Merrill Ed-
monds, chief oa endocrinology and
metabolism at Victoria Hospital, London,
and will provide money for diabetics to buy
equipment to accurately rrionitor their blood
sugar levels at home.
The program is operating on a yearly pro-
vincial grant of $500,000 and will allow those
under 20 years of age to buy the machines
and $15 in accessories needed each Week to
do the tests.
The tests are relatively simple. le. The
diabetic pricks his'finger to get a blond sam-
ple and then wipes. it on a test strip. The,
stripe is then read by, the machine, telling
the level of sugar in the blood.
During the first year, Dr. Edmonds hopes
to enrol 2,000 of the possible 15,000 diabetic
youth who make up 10 per cent of the 450,000
diabetics in Ontario. The possibility of offer -
Diabetes can be treated in a number of ways. At a local drug store, chased to aid diabetics with their in the treatment. (Anne Narejko
pills. swabs, rubbing alcohol, syringes and urines tests can be pur- photo)
tog the program to groups, Jucu a, ,conn,
is now being researched.
Complications
If.diabetics watch their diet and take tllet
prescribed. medication, very few connplica
tions should arise. However, when • a
diabetic is pregnant, she should be extra
careful.
When controlled, diabetes has little harni-
ful effect on the fetus but danger could arise
from repeated high blood sugar levels.
If the mother has controlled her diabetes
well throughout the , pregnancy, I he
likelihood of having a non-diabetic baby is
the same as that of a non-diabetic mother.
However, birth' defects are twice as com-
mon in babies of„diabetic mothers if the
diabetes is poorly controlled during the first
three months of the pregnancy. Also, if the
sugar levels are high during the last three
months'of pregnancy, the babies of diabetic
mothers will usually be big at birth. usually
over 10 pounds.
• The cure to diabetes could be an artifical
pancreas, but until the day this is developed,
diabetics will have to watch their lifestyle
and monitor their sugar level.
themselves a needle and what a proper diet
consists of.
An information package on all aspects off
diabetes is also handed out to the diabetics.
The booklets and pamphlets cover
everything from treating diabetes to the use
of alcohol and what to do when you are preg-
nant and have diabetes.
The Goderich Lioness also sponsor an
open house for diabetics at McKay Hall the
third Monday of each month.
"This is an opportunity for them to get
together and talk to other diabetics,” com-
mented Mrs. Guse.
The Canadian Diabetes Association
September was designated Diabetes
Awareness Month and November is the
month for canvassing. According to Mrs.
Guse, they have received a poor response in
getting people to canvass and to donate.
"People who know what diabetes is,
donate, but others don't," said Mrs. Guse,
who also explained that the awareness
rnonth was held to inform the public in hopes
that they would donate their time or money
.during November.
The money that is donated to the Cana-
dian Diabetes Association goes towards:
- providing information programs for the
public on the incidence, symptoms and con-
trol of diabetes.
- providing counselling clinics for the newly
diagnosed diabetic and a wide range of in-
formation and specialized social services
for all those who live with diabetes, such as
summer camps for diabetic children.
- assisting with educational programs for
health professionals on various aspects of
the diabetic condition, such as, diet, exer-
cise, pregnancy and effects of medication.
Also new forms of treatment and methods of
diagnosis.
- active as an advocacy role before govern-
ment and the bio -medical industry, to ad-
vance the cause of diabetics in the
workforce and society.
-.better ways to deliver insulin, better ways
to control the degenerative effects of
diabetes, and ultimately, to find a cure.
Funds received by the Canadian Diabetes
Association come from bequests, contribui-
tions by individuals and corporate contribu-
tions. Membership fees are 'nominal. and
support a fraction of the administrative
costs. The balance of operating funds and
provision for expansion of services are ob-
tained from donations at a time of national
appeal. The major portion of the Associa-
tion's budget is directed to research and
education ,pro.gi sons.. .
How charitable
organizations
spend money
Bruce -Huron chapter of Ontario Division,
Canadian Diabetic Association. (CDA)
members, are saying allegations by Paul
Tuz, president of the Better Business
Bureau, about charitable organizations,
could effect fundraising activities this'
month,
Chapter president Richard Payne told The
News last week that Mr. Tuz has hired
people to investigate how charitable
organizations spend their money: In some
cases, so-called charitable organizations
are spending up to 40 per cent of their intake
on administration costs.
Martha Curgin, director of program
development for CDA, Ontario division, said.
Mr. Tuz has not asked to see their books, but
said they are open to anyone wishing to look.
She added that administration costs for CDA
are under seven per cent.
"Cancer Society and CDA are the two
I organizations who have been chosen to work
for implementation of programs by the
ministry of health for two decades. They
know they are worthwhile causes," said Ms.
Curgin.
She added, however, that what Mr. Tuz is
doing "is a good thing", but it's affecting
worthwhile organizations like CDA.
Because of these allegations, the local
diabetic association canvassers are meeting
sceptical people at doors who are unwilling
to donate, said Mr. Payne, and it has meant
a slow start in their annual November
fundraising campaign.
"Of the money raised, 9r3 per cent goes to
our 'four mandates: research, education,
'well beir1 ( diabetics' day to day living) and
advocacy'," explained Ms. Curgin.
"Since the Canadian Diabetes Association
was established in 1953, with the he)p of a
dedicated team of volunteers, we have
contributed Valuably to the quality of life of
those Canadians affected by diabetes
through the monies we have raised for
research," said Elwood Springman,
executive director of CDA in respons"e to the
allegations.
`'In 1984, donations from the public helped
CDA fund 12 per cent of . all diabetes
research in Canada, which is the largest
source of diabetes research dollars raised
from a voluntary organization. A report
stated this translates 'into over $1.2 million
Turn to page 2.11•
Meal plan helps
Diabetes control includes exercise.
medication, education and diet. In some
cases, the diabetic may have to be•co nsctnus,
of all four, but in less extreme•asts,
carefully monitoring food intake could help
the situation.
By watching their diet, and cooking with
proper ingredients, a diabetic can sl ill enjoy
scrumptious treats such as banana cream
pie, spiced cookie, peach parfait. deviled
Swiss steak and herbed chicken.
The Country Church Cookbook, prepared
by ' the Sl. James 'Middleton Anglican
Church Women, recommends the following
recipes.
Banana Cream Pie
34 cup evaporated skim milk
Htsp salt
34 tsp vanilla
1 tbsp lemon juice
3 eggs
1 cup skim milk
1 cup sliced bananas
omc-third cup Sweet and lest
Beal eggs and salt with evaporal qd
;,.Add skim milk and sweetencsr. ('o ► until
mixt ore thickens. Add vanilla. Mix.w:e •►ncd
remove from heat. Arrange banana slices in
pie shell. Add custard and. chill until firm
'i'op wit 11 whipped cream.
Spiced Cookies
One and two -I hirds cup flour
12 cup margarine
I egg
1 cup apple sauce
rine-( hird cup raisin,
1 cup bran
' tsp. salt
1 Isp. cinnami,n
tsp. nutmeg
' 2 I sp. cloves
1 tsp. soda
2 I bsp, liquid succaryl
Drop on cookie Lin. Bake 18 'ninth es,
Turn to page 2A •