the bakersfield voice 12/16/12

The incidence of Type 2 diabetesis on the rise and is largelyattributed to the rise in obesity.According to the AmericanDiabetes Association, the num-

ber of Americans with diabetes isexpected to increase to more than 30million by 2030.

Type 2 diabetes affects the body’sability to use sugars, starches, fats andproteins — it is a serious disease. Ourbodies normally change sugars andstarches into a usable form called glu-cose. Glucose is carried by the blood tovarious tissues. Insulin, a hormonemade by the pancreas, must be presentfor glucose to enter the skeletal mus-cle. Once glucose enters the musclecell, it can be broken down and usedfor energy or stored for later use. WithType 2 diabetes, some insulin is pro-duced, but the body does not makeeffective use of it. This is known asinsulin resistance and prohibits glu-cose from entering the muscle cells. Inturn, glucose rises to abnormal levelsin the blood. If undetected, elevatedglucose levels lead to heart disease,kidney failure, blindness and nervedysfunction. While that is definitelybad news, the good news is that simplelifestyle changes can prevent, and insome cases, reverse the course of thisdisease.

Take my client, Linda, for example.Linda was not an overweight child oryoung adult by any means. She wasactively playing sports in school andtaking aerobic classes as an adult. Bythe time she was 35, raising childrenand working full time took priority and

its toll — exercisetook a back seat.

“I never thoughtI would put on thisamount of weightin five years,” shesaid. Fighting Type2 diabetes now isher main concern

The disease justseemed to sneak upon her. Recently,Linda recommittedherself to a five-day per week, 30-minute workout

plan. Linda once had a blood sugar of126 mg/dL; she now stays between 89to 95mg/dL. I believe Linda has man-aged to keep her blood sugar in thisrange because of her commitment toproper diet and exercise.

“I want to be around for my chil-dren’s children, so I had no choice butto step up my game,” said Linda with aflex of her well defined biceps.

She is now doing great. Here is her

exercise program:Linda does four to five days per

week of moderate intensity exercisefor 20 to 60 minutes. She takes a semi-private session from me three of thedays and gets her strength and coretraining in at the same time. The othertwo days she is on the bike or tread-mill, kicking it up to the tunes of heriPod. Her ultimate goal is to expend aminimum of 1,000 calories per weekwith physical activity for health bene-fits, or up to 2,000 calories for weightloss. She has gradually worked up toexpending the 2,000 over a period ofsix months. She looks and feels great,but the greatest benefit is the reduc-tion of her blood glucose levels.

If you have Type 2 diabetes, youmust monitor your glucose before andafter exercise to understand how yourespond to certain types of activities.Sometimes, if the exercise is toointense, your blood sugar could actual-ly rise. So it is very important to checkyour blood sugar before and afterworkouts.

While exercise is truly a lifesaver,here are some ideas to help make itmore enjoyable:

Use a pedometer: It’s pretty fun toset a goal on this device. For example,try and reach a hard but attainablegoal of 10,000 steps (five miles) by

walking, jogging or beating a friend ata tennis match. You’d be surprisedhow quickly your steps can add up.

If using gym cardio equipment,share the energy among the treadmill,bike, and elliptical.

Build an exercise network: Lindahas made friends quickly in my weeklysessions and it’s easier to stay account-able to exercise if you have a supportsystem of friends or family to encour-age you.

“If a teammate is absent, we arecalling to check up on them,” Lindasaid. “After all is said and done, weare all there for the same cause: fit-ness, fat loss and health!”

Reward yourself: Finally, don’t for-get to reward yourself for your effortand job well done. Remember, youdon’t have to be fitter than everyoneelse, you just have to be fitter than youever thought you could be.

Gina Rolow, owner of Body By Gina,is a personal trainer at Anytime Fit-ness. Rolow conducts one-on-one pri-vate sessions. semi-private sessions,and a weekend boot camp. She alsoteaches and fitness at Cal State Bak-ersfield and has a combined 30 yearsin the fitness industry. Email Gina atFitness4life@yahoo.com for questionsand comments.

2 The Bakersfield Californian Sunday, December 16, 2012

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Y O U R H E A L T H

Exercise, diet can prevent Type 2 diabetes

Clean up fall leavesand use them inthe compost pile,or put them in thetrash. Don’t leave

them and think you’remulching. Leaves andgrass make good mulchafter being composteddown. But left on theground, leaves can make anice warm spot for disease

and insects to call home.This week’s gardening

tip is from Kathy Robinsonof Robby’s Nursery &Landscape.

Do you have a gardeningtip you’d like to share withour readers? Post your gar-dening tips and photos ofyour garden on our website: bakersfieldvoice.com.

GINAROLOWFitness columnist

BY BREANNA FIELDSCommunity contributor

What was planned as a typi-cal family vacation in LosCabos turned into some-thing else entirely. At thetime, 8-year-old Eileen

Roux and her parents had no idea thather health would decline rapidly with-in the next 24 hours. After becomingill, she was taken back to a hotel roomto lay in bed and rest while she wasclosely monitored by her parents. Herfather, Richard Roux, said that it was astressful period of time filled withuncertainty.

“We thought we were going to loseher,” Richard Roux said.

It all happened on Dec. 29, 2009.Hours were spent trying to figure outwhat was wrong as her health contin-ued to deteriorate. She began draggingher feet and slurring her words, whichimmediately prompted her father tocall the hotel staff. Five minutes laterhe reached a doctor by phone, but bythat time Eileen had slipped into acoma.

As time passed it became clear thatType 1 diabetes was the cause of herillness. The symptoms were there,although the peculiar “fruit smell” thatRichard went on to describe may nothave been recognized had Dr. RaulRivas not been a diabetes specialist.

“He [Rivas] said he could smell afruity smell in the room because shewas in DKA (diabetic ketoacidosis),”Roux said. “Basically, the body is notproducing insulin anymore so it’s

burning up the fat in order to try tokeep the body energized.”

As the night wore on, an ambulancerushed Eileen to the nearest hospitalwhere they began to stabilize her. Toget the best medical care and atten-tion, she was flown back to San Diegofrom Baja, Calif. on a Life Flight.

Eileen woke from the coma whenthey touched down in San Diego.

“They told us they're going to dowhat they could to try and save her,but normally a person’s blood sugarlevel is between 80 and 120, and herswas at 1,057,” Roux said. “The doctorsaid that her organs were stressed andpossibly shutting down.”

Fortunately, she was cared for intime, and the doctors managed to sta-bilize her blood glucose level.

“She’s our only child; so obviouslywe were just very grateful," Roux said.

Since she was first diagnosed back in2009, Eileen, now 11, has gone on to alive a healthy and normal childhood asa student at Downtown Elementary.She does, however, have to check herinsulin levels on a daily basis.

“I have to test my blood sugar every-day before meals, and whenever I feeldizzy or dehydrated,” Eileen Rouxsaid. “I have to give myself insulinevery time after I eat and I have thepump. It gives me insulin and it actslike a pancreas, so I don’t have to get

shots everyday, but every three days Ido.”

There is a common misconceptionbetween Type 1 and 2 diabetes. Eileenand Richard Roux wanted to set therecord straight: Type 1 diabetes, alsoknown as juvenile diabetes, is causedby the body not producing enoughinsulin. Type 2 diabetes, on the otherhand, is a result of being unfit andoften times overweight.

In an effort to share her story andinspire youth, Eileen created a Face-book page called “Stand Up To Type 1Diabetes” to promote awareness.Eileen also participated in the JuvenileDiabetes Research Foundation event atYokuts Park in November. Her team,Eileen’s Electric Youth, raised hun-dreds of dollars to donate to the foun-dation.

“It [diabetes] hasn’t held her backfrom doing anything she wants, whichis great,” said Richard Roux. “We’vejust got to be more careful and planthings out.”

Y O U R H E A L T H

Following diagnosis, local girl takes a stand against juvenile diabetes

Volunteers, gifts needed to spread holiday cheer to MS patients

APRIL MASSIRIO

After being diagnosed with Type 1 dia-betes, Downtown Elementary studentEileen Roux created a Facebook pagecalled “Stand Up To Type 1 Diabetes” tohelp promote awareness of this disease,which is also called juvenile diabetes.

BY CHRISTINE GRONTKOWSKI Community contributor

Are you looking for arewarding way to giveback to the communitythis holiday season?The National Multiple

Sclerosis Society, Southern Cal-ifornia and Nevada Chapter islooking for volunteers or dona-tions to make gift baskets forpeople with multiple sclerosis(MS) involved in the CaringConnection program.

As often as possible, throughthe Caring Connection program,volunteers visit people with MSwho are living in a licensedcare facility, or are homeboundand unable to go out into thecommunity. This program helpsprovide a connection to the out-side world, emotional support,companionship and social inter-action.

During the holiday season,the National MS Society tries todo even more by delivering giftbaskets to this group. Theyrequest items such as chapstickand lotion, DVDs, large printbooks, holiday decorations and

personal hygiene products. The most popular request on

the 2012 wish lists is chocolate. “I think the baskets are very

important because so manypeople living with MS are iso-lated,” said chapter trustee LisaKarpe. “Some do not have a hol-iday at all. No gift is too small.”

If you or someone you knowwould like to sponsor a personwith MS by creating or assem-bling a gift basket, or if youwould like to donate, please callChristine Grontkowski at theKern County office at 321-9512,or email christine.grontkows-ki@nmss.org.

PHOTO PROVIDED

Donations enabled volunteers and the Society in 2011 to create morethan two dozen baskets that were given to MS patients living in skillednursing, who were homebound, or who just needed holiday cheer.

STOCK PHOTO

This article first appearedin Bakersfield WellnessMagazine, bWell. For moreon local health and well-ness, go to bwell-magazine.com, or find uson Facebook and Twitter(@BWellMag).

Y O U R H E A L T H Y O U R G A R D E N T I P

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4 The Bakersfield Californian Sunday, December 16, 2012