Frederick County Office 330 Montevue Lane Frederick, MD 21702 TEL 301-600-1594 FAX 301-600-1588 http://extension.umd.edu/frederick-county November 19, 2015 Release Date: November 25, 2015 Deborah Rhoades, MA, RD, FAND Extension Educator, Family & Consumer Sciences DIABETES IS NO SUGAR-COATED ISSUE November is American Diabetes Month. Sponsored by the American Diabetes Association, this campaign is designed to both heighten awareness of the disease among the general population and educate diabetics on how to prevent complications through better control of blood sugar. According to the Centers for Disease Control and Prevention (CDC), the number of people in the US diagnosed with diabetes has tripled in the last 35 years. The Frederick County 2014 Community Health Assessment revealed that 9.4% of county residents report having a diabetes diagnosis. Diabetes lowers life expectancy by up to 15 years and can lead to several life-threatening complications. It is the leading cause of new cases of blindness in young adults. Diabetes can lead to renal disease, nerve disease and lower-limb amputation, heart disease and stroke. The increased incidence of type 2 diabetes is cause for great concern. As more adolescents and children are diagnosed with type 2, the complications of diabetes will begin to appear at younger ages and with greater severity. Alarmingly, there are even pre-school children being diagnosed with type 2 diabetes. Looking for resources to help the person with diabetes? They are right here in our community Frederick Memorial Hospital, Center for Diabetes and Nutrition Services (CDN). Formerly located at the Wellness Center at the FSK Mall they have moved to FMH Crestwood, 7211 Bank Court, Suite 240, Frederick, Maryland. Their staff of health professionals includes a Certified Diabetes Educator (CDE) and Registered Dietitians (RD), and they will evaluate, educate and support you to manage the disease. The FMH Diabetes Program offers a 10-hour comprehensive educational program that teaches meal planning, carbohydrate counting, blood sugar testing, drug administration, weight management, and behavioral management skills to help you better control your diabetes. Most insurance companies cover the cost of the program with a physician referral. Call 240-215-1474 to enroll or visit their website at www.fmh.org Appointments are also available for those diagnosed with gestational diabetes and pre-diabetes. The University of Maryland Extension programs are open to any person and will not discriminate against anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, national origin, marital status, genetic information, political affiliation, and gender identity or expression. For this article I interviewed Jan Drass, Certified Diabetes Educator, of the FMH CDN to inquire about other resources. Jan very passionately recommended Diabetes Forecast® magazine and The American Diabetes Association (ADA) for accurate information. ADA has an excellent website www.diabetes.org which provides a quick risk assessment tool for Type 2 diabetes. For the newly diagnosed diabetes they offer a FREE 12 month program with • 5 informational packets • Tasty and healthy recipes • A monthly e-newsletter • 6 free issues of Diabetes Forecast® • Access to their online community and local events • Opportunity to receive personalized text messages from Care4life Jan also highly recommends everyone watch the HBO video documentary The Weight of the Nation, to fully understand the reasons, consequences, and challenges we face from the rapid rise in obesity. The third segment of this 4-part series addresses childhood obesity which affects 1 in 3 children in America today! Check it out at http://theweightofthenation.hbo.com/ As we approach the holidays and New Year, I hope you will make steps to create a healthy food environment to prevent you and your loved ones from developing this devastating disease. Yes it is no sugar-coated issue but there are resources to help. Here are two recipes that easily fit into a healthy meal plan for people with diabetes. SEAFOOD STIR-FRY 2 tablespoons sesame oil 2 garlic cloves, minced 1 teaspoon crushed red pepper 1 pound bay scallops or shrimp 2 tablespoons sesame seeds 1 tablespoon ground ginger 1 head bok choy (Chinese white cabbage, about 3 lbs), trimmed and chopped 1 package (16 ounces) frozen stir-fry vegetables, thawed and drained 1 tablespoon light soy sauce Heat the sesame oil in a wok or large skillet over high heat. Add garlic, crushed red pepper, and scallops and sauté until the scallops are cooked through. With a slotted spoon, remove the scallops to a bowl and cover to keep warm. Add the sesame seeds and ginger to the wok and cook for 1 to 2 minutes, or until the liquid is absorbed. Add the bok choy and the stir-fry vegetables and stir-fry for 4 to 5 minutes. Return the scallops to the wok and add the soy sauce. Stir-fry for 1 to 2 minutes or until heated through. Serve immediately. Serves 8 (1 cup serving). Nutritional Analysis per serving: 109 calories, 5 gm total fat, 1 gm saturated fat, 15 mg cholesterol, 9 gm protein, 205 mg sodium, 6 gm carbohydrate, 3 gm sugars, 3 gm fiber. Dietary Exchanges per serving: 1 very lean meat, 1 vegetable, 1 fat. TUSCAN TUNA AND WHITE BEAN SALAD Serves 6 1 can (6-1/2 ounces) water-packed tuna, drained and flaked 1 can (19 ounces) cannellini beans, rinsed and drained 1/3 cup thinly sliced red onion 2 tablespoons chopped green bell pepper 1/4 teaspoon ground black pepper 1/3 cup prepared light Italian dressing or vinaigrette Combine tuna, beans, onion, green pepper, and black pepper. Add dressing and toss to combine and coat all ingredients. Chill before serving. Nutritional Analysis per 1/2 cup serving: 129 calories, 1 gm total fat, 0 gm saturated fat, 8 mg cholesterol, 395 mg sodium, 3 gm fiber, 18 gm carbohydrate, 12 gm protein. Diabetic exchanges: 1 starch, 1 very lean meat. For more information about the University of Maryland Extension Frederick County Office check out our website http://extension.umd.edu/frederick-county University of Maryland Extension programs are open to all persons and will not discriminate against anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital status, genetic information, or political affiliation, or gender identity and expression. Deborah Rhoades, MA, RD, FAND, is a licensed Registered Dietitian, Fellow of the Academy of Nutrition Dietetics, and Extension Educator in Family and Consumer Sciences. DHR:ls