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====<u>What is Diabetes?</u>====  
====<u>What is Diabetes?</u>====  
There are many reasons why Potawot and UIHS try to help educate as many individuals as they can. One of the main reasons is because of the how diabetes affects an individual. Diabetes is a disease that affects the way an individuals body uses food for energy. Normally, the sugar an individual takes in is digested and broken down to a simple sugar, known as glucose. Insulin, a hormone produced by the pancreas, helps move the glucose into cells. A healthy pancreas adjusts the amount of insulin based on the level of glucose. However, if an individual has diabetes, this process breaks down, and blood sugar levels become too high. People with Type 1 diabetes are completely unable to produce insulin. People with Type 2 diabetes can produce insulin, but their cells don't respond to it. <ref name="About">http://diabetes.about.com/od/whatisdiabetes/p/whatisdiabetes.htm About.com Accessed: 10/28/08</ref> Because of this Diabetic members of Potawot have their eating habits monitored very closely. Clients of the Diabetic program are also encouraged to participate in more rigorous exercise routines.  
There are many reasons why Potawot and UIHS try to help educate as many individuals as they can. One of the main reasons is because of the how diabetes affects an individual. Diabetes is a disease that affects the way an individuals body uses food for energy. Normally, the sugar an individual takes in is digested and broken down to a simple sugar, known as glucose. Insulin, a hormone produced by the pancreas, helps move the glucose into cells. A healthy pancreas adjusts the amount of insulin based on the level of glucose. However, if an individual has diabetes, this process breaks down, and blood sugar levels become too high. People with Type 1 diabetes are completely unable to produce insulin. While, people with Type 2 diabetes can produce insulin, but their cells don't respond to it. <ref name="About">http://diabetes.about.com/od/whatisdiabetes/p/whatisdiabetes.htm About.com Accessed: 10/28/08</ref>Due to the problems that diabetes causes, Diabetic patients at Potawot have their eating habits monitored as closely as possible. Clients of the Diabetic program are also encouraged to participate in more rigorous exercise routines.  




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Image:Path_rest.JPG|Fig. 6: Another rest stop.
Image:Path_rest.JPG|Fig. 6: Another rest stop.
Image:Gardenentrance.JPG|Fig. 7: The entrance to the Garden.
Image:Gardenentrance.JPG|Fig. 7: The entrance to the Garden.
Image:Graden2.JPG|Fig. 8: The garden!
Image:Graden2.JPG|Fig. 8: The garden.
Image:PotawotgardenLook.JPG|Fig. 9: Yummy!
Image:PotawotgardenLook.JPG|Fig. 9: Some vegetables
Image:Gardenvegies.JPG|Fig. 10: Veggies!<ref name="JSin">Pictures Taken by Juliene Sinclair on 10/28/08 </ref>
Image:Gardenvegies.JPG|Fig. 10: More Veggies.<ref name="JSin">Pictures Taken by Juliene Sinclair on 10/28/08 </ref>
</gallery></center></small>
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Revision as of 03:15, 5 December 2008

Template:115inprogress

Fig. 1 The Potawot Logo[1]
Fig. 2 The Potawot Motto[1]





Potawot

The Diabetes program available at Potawot covers nine tribes and more than 13,000 American Indians, consisting mainly of Yurok, Weeot and Tolowa Tribal members. [2] Because diabetes has become such a severe problem in the community, and throughout the world, Potawot and the United Indian Health Services (UIHS) have begun to take steps to address the problem (Fig. 2). The Potawot diabetes outreach program allows its participants to join groups that go on walks (Fig. 3 through 6) Monday through Wednesday during clinic hours. [3]Members of Potawot also have the opportunity to join nutritional garden(Fig. 7 through 10) activities. The community food garden at Potawot consists of a two acre organic garden which produces 6-10 tons of fresh produce per year. It is distributed to the Indian community through produce stands, baskets, and other gardening outreach programs.[4]


What is Diabetes?

There are many reasons why Potawot and UIHS try to help educate as many individuals as they can. One of the main reasons is because of the how diabetes affects an individual. Diabetes is a disease that affects the way an individuals body uses food for energy. Normally, the sugar an individual takes in is digested and broken down to a simple sugar, known as glucose. Insulin, a hormone produced by the pancreas, helps move the glucose into cells. A healthy pancreas adjusts the amount of insulin based on the level of glucose. However, if an individual has diabetes, this process breaks down, and blood sugar levels become too high. People with Type 1 diabetes are completely unable to produce insulin. While, people with Type 2 diabetes can produce insulin, but their cells don't respond to it. [5]Due to the problems that diabetes causes, Diabetic patients at Potawot have their eating habits monitored as closely as possible. Clients of the Diabetic program are also encouraged to participate in more rigorous exercise routines.


Programs

Diabetic Native Americans and family who are UIHS members or enrolled at the Potawot health clinic, have a wide variety of activities and information available to them. Diabetics are provided with many different opportunities to enhance their health beyond dietary improvements Their choices range from exercise and group sessions to one-on-one counseling.

The Potawot diabetes outreach program also provides members with a monthly luncheon, entitled Repchem. The Repchem luncheon is for members who are at risk or already have diabetes, along with their family members. The Repchem luncheon is held on every second Wednesday from 11 am to 1 pm at Potawot. The Repchem luncheons consists of a presentation on healthy lifestyle choices followed by a nutritious lunch. The nutritious lunch includes...[4][3]

Potawot also has UIHS's nationally recognized tobacco awareness and diabetes prevention programs which are featured at the new Health Village.[2]

Services:[6]

Information and Services Provided by the Potawot Health Clinic Include:

  • Individual and Group Fitness/Movement Programs.
  • Diabetes Counseling.
  • Foot Care Information.
  • Diabetes Education by Certified Diabetes Educators (CDEs).
  • Instructions and review of blood glucose monitoring.
  • Interpretation of blood tests and medication use.
  • What you need to stay healthy and happy.
  • Support Groups.
  • Monthly Luncheons.
  • Group Education Classes.
  • Home Visits.
  • Diabetes Education and Support.
  • Community Health Events.
Future Plans
  • The Potawot Health Clinic is also planning on putting up some small work out stations along the paths (Fig. 4 and 6).
Such work out equipment includes:
  • Pull up bars.
  • Fig. 3: One of the paths at Potawot.

    Fig. 3: One of the paths at Potawot.

  • Fig. 4: A rest area on one of the paths.

    Fig. 4: A rest area on one of the paths.

  • Fig. 5: More Paths.

    Fig. 5: More Paths.

  • Fig. 6: Another rest stop.

    Fig. 6: Another rest stop.

  • Fig. 7: The entrance to the Garden.

    Fig. 7: The entrance to the Garden.

  • Fig. 8: The garden.

    Fig. 8: The garden.

  • Fig. 9: Some vegetables

    Fig. 9: Some vegetables

  • Fig. 10: More Veggies.[7]

    Fig. 10: More Veggies.[7]


Diabetes and Native Americans: The Facts

  • The risk of a leg amputation is 15 to 40 times greater for a person with diabetes. [8]
    • Each year 54,000 people lose their foot or leg to diabetes. [8]
    • Amputation rates among Native Americans are 3-4 times higher than the general population.
  • Someone is more likely to develop type 2 diabetes if: [9]
    [10]Fig. 11 Diabetes in Native American Culture (Age and Sex graph)
    • They are overweight.
    • They are 45 years old or older(Fig. 11).
    • They have a parent, brother, or sister with diabetes.
    • Their family background is African American, American Indian, Asian American, Hispanic American/Latino, or Pacific Islander.
    • They have had gestational diabetes or gave birth to at least one baby weighing more than 9 pounds.
    • Their blood pressure is 140/90 or higher, or they have been told that they have high blood pressure.
    • Their HDL cholesterol is 35 or lower, or their triglyceride level is 250 or higher.
    • They are fairly inactive, or they exercise fewer than three times a week.



Funding

Funding for diabetic programs provided at Potawot such as the Diabetes Expansion Project are funded by the California Endowment. This project works to assist California Indian Health Clinics in Diabetes Program Development & Education in regards to diabetes, complications of diabetes and diabetes prevention.[6]


Related Links

References

  1. ↑ 1.0 1.1 Pictures Edited By User: Yuvizela Martinez on 10/27/08
  2. ↑ 2.0 2.1 http://pages.prodigy.net/richardspini/_wsn/page5.html Potawot Info Services Last Accessed: 10/28/08
  3. ↑ 3.0 3.1 Interview of Barbara Piefer from Potawot 10/28/08 (707) 825-4180 (Interviewed by Juliene Sinclair)
  4. ↑ 4.0 4.1 http://www.uihs.org/ns/services.html UIHS Last Accessed: 10/28/08
  5. ↑ http://diabetes.about.com/od/whatisdiabetes/p/whatisdiabetes.htm About.com Accessed: 10/28/08
  6. ↑ 6.0 6.1 http://www.uihs.org/chw/services.html#a UIHS Services Last Accessed: 10/28/08
  7. ↑ Pictures Taken by Juliene Sinclair on 10/28/08
  8. ↑ 8.0 8.1 http://vltakaliseji.tripod.com/Vtlakaliseji/id2.html Vtla Kaliseji Last Accessed: 10/28/08
  9. ↑ http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram/index.htm NDIC Last Accessed: 10/28/08
  10. ↑ Prevalence of Diabetes Among Native Americans and Alaska Natives, 1990–1997, December 2000

This Page was Edited and Created By Engr. 115 Student Yuvizela Martinez.

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