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The examiner

Wellness 2-4 • CalenDaR 6 • nUTRITIOn 7

TRaCey shaffeRFight pre-diabetes with diet, exercise – Page 7

hyperbaric healing saved her toeA new treatment is helping Brenda Prettyman and other diabetics recover from lingering wounds – Page 4

laRRy jOnes Hungry, homeless need

our compassion – Page 2

Page 2 Tuesday, November 9, 2010wellness

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As the Thanksgiving holiday approaches, many people in the country will be facing harder times than they have in years.

According to the National Coalition for the Homeless, there are an estimated 3.5 million homeless persons in the United States, and the number is increasing.

Hunger and homelessness are reaching crisis levels throughout the world and the problems are getting worse with the worldwide recession.

The developing world is experiencing a global hunger epidemic unlike anything in recent history.

Natural disasters, extreme weather, politi-cal conflicts, rising food and transportation costs as well as declining incomes have left mil-lions at risk of, or experiencing, homelessness or starvation.

Hunger and poverty are on the rise in Missouri. It is estimated that 14 percent of households in Missouri struggle to put food on the table.

In all aspects of hunger and poverty, from families with children to the percentage of people below the poverty line, Missouri ranks even with the national average.

How can you help? Two words: community service.

Community service strengthens our com-munity. Organizations and agencies that use volunteers are providing services at low or no

cost to people in desperate need of help. When a community is doing well as a whole, its indi-viduals are better off.

Volunteerism is a great way for families to have fun, become closer and commit to helping others. If you don’t think you have, choose one project a year, but do community service.

A community is made of people and it is only as good as it gets. You get what you give in most cases.

The Hungry and Homeless Coalition has been around for almost two years. It is a collec-tion of community partners, service organiza-tions, and caring citizens who share the com-mon interest of serving others.

The coalition meets the third Thursday of every month to discuss issues or needs within the area.

Several events are sponsored by the coali-tion throughout the year to add extra support to those service providers in the area who give so much every day.

Hungry and Homeless Awareness Week is

Nov. 14-20.The coalition is sponsoring several events

within the area during this week. Please take part in one or all the days to show your sup-port.

n Monday, Nov. 15: Food stamp challenge. Challenge community members, local officials, and city officials to try and live on a food stamp budget. National average is $21 a week, $3 a day, or $1 per meal.

n Tuesday, Nov. 16: Open mic night at a local coffee house. Share poetry, stories, or your feelings about hungry and homeless individu-als.

n Wednesday, Nov. 17: Community Service Day. Volunteer at a local pantry or service provider.

n Thursday, Nov. 18: Skip a meal. Skip one meal during your day and donate to a local charity.

n Friday, Nov. 19: Movie night. Sponsor a movie about homelessness (Suggested movie titles: “Pay It Forward,” “Pursuit of Happi-ness” or “Have you seen Clem?”).

For more information, contact the Hungry and Homeless Coalition, Nicole Collier at ncol-lier@indepmo.org, 816-325-7996.

During holidays, so many are doing withoutRaise awareness during Hungry and Homeless Week

Larry Jones is director of the Indepen-dence Health Department.

Larry Jones

Tuesday, November 9, 2010 Page 3wellness

What does tennis great Billie Jean King, quarterback Jay Cutler, Olympic gold medal swimmer Gary Hall Jr. and former Chief Jona-than Hayes have in common? They all have diabetes with success at the highest level of their sport. Diabetes and athletics, what do you know?

True or False?1. About 1 in 440 kids and adolescents have

diabetes. 2. Most young athletes with diabetes have

type 2.3. High blood sugar most commonly occurs.

Among the general population, Type 2 diabetes is most common. However, 90 to 95 percent of teens with diabetes have Type 1, meaning they require insulin. Prior to diagno-sis the athlete may have experienced fatigue and decreased endurance often misunderstood by teammates, coaches and parents as indiffer-ence or laziness. “Hustle out there!”

Low blood sugar is common during physical activity. As blood sugar decreases, the athlete may be aware of a subtle decline in per-formance, even before coaches or fans notice. During exercise contracting muscles consume sugar. At the same time, insulin is driving sugar into cells which results in an additive drop in blood sugar.

Sports environment, conditioning of the athlete, and type of sport are factors which should be considered in managing diabetes. Athletes with diabetes engaged in crash diets to make weight or who use performance enhancing substances risk severe complica-tions. Running sports have fuel requirements different from non-running sports such as weightlifting or football. Prolonged sporting events or multiple games in a day can deplete fuel reserves.

Before exercise or sports activity, a specific plan should be devised to optimize athletic performance and prevent low blood sugar. This includes plans for insulin adjustment, frequent blood sugar monitoring, (on the sidelines or locker room) and type and timing of fuel con-sumption.

During exercise, the athlete must imple-

ment the plan and have testing equipment and fuels readily available.

After exercise, a balanced fuel intake of car-bohydrates, proteins and fats is recommended for recovery and preparation for the next sport-ing activity. Carbohydrates are metabolized within 1 to 2 hours, providing a rather quick source of energy. Proteins become available for energy after about 3 to 4 hours. Fats are avail-able for energy about 5 to 6 hours after inges-tion. Dairy products such as yogurt, chocolate milk and ice cream provide carbohydrates, pro-teins and fats. Peanut butter sandwiches are a very good recovery fuel. Sports drinks contain carbohydrates but no protein or fat and should be used sparingly during routine post-exercise recovery.

Technology has greatly improved blood sugar testing devices and delivery systems. Implantable Insulin pumps offer freedom from needle sticks and provide steady insulin avail-ability. During collision or contact sports, the pumps can be padded for protection.

For the 190,000 kids and teens with diabetes, exercise and sports can be fun, build confi-dence and improve health. They just need a little support and understanding from their teammates and coaches. They’re just like the other kids, only with few extra items in their gym bags.

Answers1. T 2. F 3. F

Great athletes have played with diabetesSo can aspiring young athletes

Dr. Lori Boyajian-O’Neill can be contacted at lori.boyajian-oneill@hcahealthcare.com.

Lori

Boyajian

O'Neill

SportS and wellneSS

Page 4 Tuesday, November 9, 2010cover

By Michael Glovermichael.glover@examiner.net

In late June, Brenda Prettyman noticed a sore on the big toe of her right foot.

She knew the foot ulcer would be a problem. Her body does not heal as fast as others.

Prettyman, 56, was diagnosed Type 1 (juve-nile) diabetes at age 18.

She watched the sore closely – and one day, the ulcer burst.

Prettyman covered it with a Band-Aid and Neosporin, but that turned out to be a mistake.

“When I went to pull the Band-Aid off, it split it open,” Prettyman said.

As infection flourished in the wound, pain prevented her from walking on the foot.

Her doctor prescribed antibiotics to lessen the deeply infected wound. The drugs worked when she took them.

But whenever she stopped, the wound kept developing.

Pain continued. She wore a foot boot to relieve pressure off the toe.

The infection grew. The wound was deeply infected. Amputation was now considered a treatment option.

That’s when Prettyman went to the Center for Wound Care and Hyperbaric Medicine at St. Mary’s Medical Center.

At the center, the Lone Jack woman “went diving.”

Prettyman received 22 treatments, each two hours long, in a hyperbaric oxygen chamber.

The toe started feeling better after the 15th treatment, called hyperbaric oxygen therapy. After each treatment, she noticed a difference. It was slowly healing.

Three layers of skin had formed over the wound.

Currently, the toe is healed. “I’m very lucky to have a foot,” said Pretty-

man.She goes back to work this week. Prettyman

is a computer lab instructor at Richardson Elementary

The chamber has been healing wounds for diabetics like Prettyman at the center since 2003, when the medical center received two chambers. That year, each chamber cost $150,000.

During a hyperbaric treatment, a patient

breathes 100 percent oxygen inside a pressur-ized chamber.

“It allows the blood to carry more oxygen and therefore wounds that need more oxygen can heal better and faster,” said Renu Debroy, a physician at the Center for Wound Care and Hyperbaric Medicine at St. Mary’s Medical Center. “In general, we have very good results with hyperbaric oxygen treatment. One of the main goals of this is to prevent amputations.”

The chamber simulates what happens to

the blood when a diver drops 33 to 45 feet under the sea, said Terry Frerking, a hyperbaric tech-nician at the wound center.

“That intense pressure drives that oxygen into the blood stream, so it supersaturates. As a result, over a period of several treatments, skin formation takes place because it revascu-larizes with little capillaries.”

The majority of patients at the wound cen-ter are diabetics who have foot wounds. But the chambers can treat delayed radiation damage

and victims of carbon monoxide poisoning.Foot ulcers can lead to amputation for dia-

betics because the condition decreases blood circulation, which is necessary for healing. As a result of decreases in circulation, they fre-quently lose feeling in their feet and may not notice a foot wound.

Frerking has seen diabetes patients who had nails in their feet and didn’t know. “They couldn’t feel it. They couldn’t get their shoe on. Their foot was swollen. They came in and had it examined and found out they had stepped on a nail and didn’t know it.”

Prettyman said her time in the enclosed chamber did not hurt. It was a bit cold, how-ever.

The toughest part of the chamber for Pret-tyman was the intense pressure she felt in her ears.

“It pressurizes every part of your body that has an air pocket,” Frerking said. “So that would be your sinuses, your lungs, your ears.But they don’t feel any of that. The only thing that they feel is their ears.”

Frerking said patients need to do a series of maneuvers to clear ear pressure within 10 minutes of entering the chamber. A common procedure is simply drinking water. Another is yawning.

Prettyman’s energy levels plummeted fol-lowing each treatment. The healing process speeds up oxygen metabolism, which is similar to running a marathon.

“It wears them out. They get tired,” said Frerking.

Frerking said the hyperbaric treatments healed an 8-year-old foot wound on a diabetic man.

“He hadn’t been able to put a regular shoe on for eight years,” she said.

Another success: A car crushed a woman’s feet when her grandson, in the back seat, accidentally hit the gear shift, sending the car forward as the woman walked in front of the vehicle.

Doctors were going to amputate. But the woman went through chamber treatments that saved the woman’s legs and feet.

“For some people who have absolutely lost hope and feel like there’s nothing else out there for them, to have those people heal, it’s amaz-ing,” Frerking said.

Diabetics are more prone to foot ulceration (foot wounds or open sores) because the condition affects the body’s ability to control the levels of sugar in the blood, which in turn affects blood flow that leads to ulcers.

The ulcers commonly appear on the bottom of the foot or big toe, and diabetics are more prone to infec-tion since the body’s ability to fight infection is slower because of poor circulation.

Renu Debroy, a physician at the Center for Wound

Care and Hyperbaric Medicine at St. Mary’s Medical Center, gave the following tips on how to prevent a sore from getting infected:

n Check your feet daily.n Get regular foot exams.n Get good control of your blood sugars and go to

regular follow-ups with your physician.“Watch your feet,” said Brenda Prettyman, a dia-

betic who almost lost her toe to an infection. “That’s what I tell everybody.”

CLOSER LOOK

New treatment options for recurring woundsHyperbaric chamber at St. Mary’s provides diabetics alternative to amputation

The Examiner/aDaM voGlerhyperbaric technician Terry Frerking stands next to the hyperbaric chamber at the center for Wound care and hyperbaric Medicine at St. Mary’s Medical center.

Food Inspections l IndependenceThe City of Independence Environmental Health

Division conducts inspections anywhere food is handled, prepared and served to the public within city limits. Critical violations must be handled within

72 hours.

n Gold lion Chinese restaurant, 2411 S. Mis-souri 291 – On Oct. 27, inspectors found cooked rice

stored in a tub at room temperature, discarded. A dead roach was observed on kitchen floor under hand sink, and rear door open with ill-fitting screen. Pre-scription meds found on ledge over shelf storing rice

and other food products. Paint was found stored on shelf with food wrappers.

–Jillayne Ritchie

Ladies, Put Yourself at the Top of Your Holiday List

The holidays are for sharing time with your family and friends but they can also be stressful. Give yourself a little gift and get ready for the season during a special event at St. Mary’s Medical Center.

Thursday, November 11St. Mary’s Medical CenterEducation Center201 NW R.D. Mize RdBlue Springs, MO

5:30-6:30 p.m. Enjoy hors d’oeuvres and wine, chair massage and health screenings. Shop for unique holiday gifts or food items for holiday entertaining.6:30 p.m. Presentation from Daniel Dunker, MD, cardiologist with the Carondelet Heart Institute

Enjoy this free special event with women you love. Call 816-228-3335 to make your reservation.

The Heart and Soul of Cardiac Care

Presented by

Page 6 Tuesday, November 9, 2010calendar

healthCALENDARItems for the Health Calendar may be e-mailed to

jill.ritchie@examiner.net or mailed to: The Examiner, P.O. Box 459, Independence, Mo. 64051, attention Jill Ritchie. The following items are for Nov. 10 through 16, unless otherwise stated.

SpotlightsIndependenceKIdS’ CooKInG ClaSS – for ages 2 to 12, 6:30

to 7:30 p.m. Nov. 17 at Noland Road Hy-Vee; 10:30 to 11:30 a.m. Nov. 19 or 20 at 23rd Street Hy-Vee. Reg-ister at the pay station in the dining area at Noland Road by Nov. 16; and at the customer service desk by Nov. 18 at 23rd Street. Cost, $3. For information, call Jamie Jarvis at 510-5694.

dIaBeteS Store toUr, 10 a.m. Nov. 17 at 23rd Street Hy-Vee; or 4 p.m. Nov. 17 at Noland Road Hy-Vee. Tours are free, meet at the customer service desk. For information, call Jamie Jarvis at 510-5694.

Addiction groupsIndependenceStraIGht talK, narCotICS anonyMoUS,

8 p.m., Tuesday, Thursday, Friday, First Baptist Church. Narcotics Anonymous Help Line: 531-2250.

lIvInG Free – al anon meeting, 7:30 p.m. Wednesday, 1723 Appleton Ave. 461-0039.

Blue SpringsalCoholICS anonyMoUS, meetings available

daily, most sessions are closed, and there are beginner meetings also, 1428-B W. U.S. 40 (behind Betty’s Diner). There is a total of 29 meetings per week. For times, call 228-7921.

Chapel hIll al-anon, 6:30 p.m. Monday, Wednesday, Thursday; 9 a.m. Saturday, 1428-B W. U.S. 40 (behind Betty’s Diner).

BlUe SprInGS alateen, 3 to 4 p.m. Sunday, 1428-B W. U.S. 40 (behind Betty’s Diner).

Raytownnew day al-anon, 10 a.m. Wednesday, Blue

Ridge Trinity Lutheran Church. 353-5446.

Bereavement groupsBlue SpringswIdowed perSonS support group, 7 to 8:30

p.m. Monday, St. Mary’s Medical Center, Annex A. 224-0677 or 229-8093.

IndependentS SInGleS MInIStry grief sup-port group, 7 p.m. Tuesday, First United Methodist Church. 228-3788.

adUlt BereaveMent support group, spon-sored by St. Mary’s Medical Center, 1:30 to 3:30 p.m. several times throughout the year, Vesper Hall. To register, 655-5490.

Lee’s SummitGrIeF dISCUSSIon GroUp, 7 to 8 p.m. Thursday,

Lee’s Summit Christian Church.OtherInFant loSS GroUp, sponsored by Carondelet

Health. 655-5582.

MiscellaneousIndependenceMaternIty UnIt toUrS, Centerpoint Medical

Center. Call 751-3000 for dates and to register.Food handler/ManaGer perMIt training

classes, food handler classes, 3:30 p.m. Thursdays at Truman Memorial Building, 1 and 3:30 p.m. Wednes-days, Independence Health Department. There is a fee. To register, 325-7803.

SalvatIon arMy SeeInG help (SaSh), 10:30 a.m. Wednesday, The Salvation Army building. There

will be games, speakers or descriptive video movies, plus a meal. 461-4869 or 373-3363.

Blue SpringsBreaK tIMe ClUB, sponsored by Shepherd Cen-

ter of Blue Springs, 9:30 a.m. to 2:30 p.m. Wednesday, Timothy Lutheran Church. For older adults with some physical and/or mental limitations. A donation of $10 to the cost of the program is suggested. 228-5300.

Prenatal/Infant/Child programsBlue SpringsBlUe SprInGS/lee’S SUMMIt toUGh love

support group, for families dealing with unaccept-able adolescent behavior, 7:30 to 9:40 p.m. Tuesday, First Christian Church. 913-492-1200.

MoMS & MoMS-to-Be prenatal and postna-tal class, 4:30 p.m., Monday-Friday, Family YMCA. 224-9620.

natUral FaMIly plannInG SeSSIon, 7 p.m. Thursday, St. Mary’s Medical Center. Fee. For reserva-tions, 913-384-1000.

Kansas CitytrUMan MedICal Center-laKewood wIC

nUtrItIon proGraM, for women who are preg-nant, breastfeeding or gave birth less than six months ago. 404-4WIC.

Screenings/ImmunizationsIndependenceBlood preSSUre for those 50 and older, 9:30

to 11:30 a.m. Tuesday, Palmer Center. Free. 325-6200.Blood preSSUre checks for those 50 and

older, 10:30 to 11:30 a.m. Wednesday, Palmer Center. Free. 325-6200.

Support groupsIndependencedoMeStIC vIolenCe GroUp for men, 6 to 8

p.m. Monday, Family Conservancy of Eastern Jackson County. 373-7577.

alZheIMer’S SUpport GroUp, 6 p.m. Tuesday, Fairmount Community Center. Lead by Monica Ben-son. 254-8334.

parKInSon’S, 3 p.m. Tuesday, The Fountains at Greenbriar. Call Desiree Rogers at 257-5100.

CareGIverS SUpport GroUp, 2 p.m. Thursday, Centerpoint Medical Center Cafeteria, private dining room. Call 698-7584 to register.

Chadd – parentS oF ChIldren wIth atten-tIon deFICIt dISorder, 6:30 p.m. Tuesday, Trails West Library. Call Teresa, 796-3659.

parKInSon’S dISeaSe, 1:30 to 3:30 p.m. Tues-day, Sermon Center. 252-4987.

voId (victims of Impaired drivers), 6 to 7 p.m. business meeting; 7 to 9 p.m. support meeting, Friday, Walnut Gardens Community of Christ, 19201 R.D. Mize Road. Call 816-536-2853.

CarInG CoMMUnItIeS dIvorCe and Step FaMIly, 6:30 p.m. once a month, days vary, Blue Hills Elementary School. 796-6290.

Blue SpringsoverCoMer’S oUtreaCh 12-Step, 7 to 8 p.m.

Monday, Blue Springs Assembly. 229-3298.CanCer support group, 6:30 p.m. Wednesday,

First United Methodist Church, Room 100. Call 229-8108.

CareGIverS, sponsored by Shepherd Center of Blue Springs, 1 to 2:30 p.m. Wednesday, Timothy Lutheran Church. 228-5300.

alZheIMer’S, 7 to 8:30 p.m. Monday, St. Mary’s Manor. 228-5655.

parentS oF nICU BaBIeS, 6:30 to 8 p.m. Thurs-day, St. Mary’s Birthing Center. Moms delivering at other facilities are welcome. 655-5574, option 5.

BreaStFeedInG, offered by St. Mary’s Medical Center, 10 a.m. Thursday, 206 Mock Ave., Suite 101. 655-5574.

holdInG on to hope, for parents who have had a child die, 6:30 p.m. Thursday, every other month, Timothy Lutheran Church. Call Nancy Nowisze-wski, 228-5300, Ext. 320.

ChrIStIan 12-Step reCovery proGraM, 7 p.m. Friday, Blue Springs Christian Church. Call Steve, 229-7311, Ext. 243.

Lee’s SummitStroKe, 1 p.m. Wednesday, Lee’s Summit Hospi-

tal. 969-6900.dIaBeteS, sponsored by Lee’s Summit Hospital

Health Connection, 7 p.m. Tuesday, Lee’s Summit Chris-tian Church. 524-9416 or 347-0147.

alZheIMer’S and deMentIa, 4:30 p.m. Tues-day, Village Care Center Conference Room. Call Elisa-beth Tyler, 347-2491.

arthrItIS and FIBroMyalGIa, 6:30 to 8 p.m. Tuesday, every other month, Lee’s Summit Hospital. 753-2220.

Weight ManagementIndependencetopS Mo. 291, 6:15 to 7:15 p.m. Monday, St.

Michael’s Episcopal Church. 461-0811.topS Mo. 251, 9:15 a.m. Tuesday, Maywood Bap-

tist Church. 478-0723 or 252-2392.

Influenza and Pneumonia VaccinesNow Available at Fifty Plus Pharmacy

(While Supplies Last)

Call for details or appointment 816.461.6546

50 PLUS PHARMACY211 W. Lexington • Independence, MO 64050

JoinToday!

Influenza Vaccine for cash paying customer - $33.90

Pharmacy Savings Club - $25.00

Fully certified pharmacist immunizer on staff most days.

What is the most troubling health issue facing the greater Kansas city area right now?

| YOURtake |

BarBara GoSeindependencepharmacist“The unaffordable dental care and unaffordable pre-scription drugs.”

Mary WurTzlee’s Summitpulmonologist“It’s probably the increasing number of those who are either under-insured or not insured at all. As a result, they have no good access to health care in general or, more importantly, preventa-tive care.”

roBerT ThoMPSoNlee’s Summitadvanced practice nurse in critical care“People without insurance, certainly. By the time they do find care, it’s all catch-up.”

– Jeff Martin

Continued on Page 7

nutrition Tuesday, November 9, 2010 Page 7

healthCALENDAR

816.303.2400Centerpoint Medical Center

19550 E. 39th Street, Suite 410Independence, MO 64057

Office Hours: Monday - Friday 8:30-5:00

Christopher L Wise, MD

Board Certified/Fellowship Trained Orthopedic Trauma Surgeon with special interest in complex

fractures of the pelvis, acetabulum, and lower extremity incuding nonunion and deformed fractures.

topS Mo. 331, 5 p.m. Tuesday, College Park Com-munity of Christ. 254-7075.

topS Mo. 24, 9 a.m. Thursday, New Walnut Park Church. 373-6146 or 650-5262.

topS Mo. 100, 9 a.m. Thursday, Farview Restora-tion Branch. 356-5278.

topS Mo 0062, 6:30 p.m. Thursday, Northeast Baptist Church. 254-9455.

topS Mo. 892, 10 to 11 a.m. Friday, Nativity of the Blessed Virgin Mary Catholic Church. 356-9219.

topS Mo. 482, 10 to 11 a.m. Friday, Calvary Pres-byterian Church. 452-3029.

overeaterS anonyMoUS, 10 to 11:30 a.m. Monday, Maywood Baptist Church. Handicap acces-sible. Call Wanda G., 833-2632.

love Me Slender, 1 p.m. Tuesday, Van Horn Health Source. 418-4070.

Cea-how (Compulsive eaters anonymous-h.o.w.), 8:30 a.m. Saturday, Unity Church of Indepen-dence, 14304 E. 39th St. 1-800-672-6715.

SoS (Save-our-Selves) weight Management, 10 to 11 a.m. Wednesdays, Vesper Hall. Participate in this weight management program and supportive group discussion. Cost, $1 per meeting. 228-0181.

Lee’s SummitovereaterS anonyMoUS, 7 p.m. Monday,

Unity Village, Administrative Building, Room 221. Call Lisa, 833-2636.

Cea-how (Compulsive eaters anonymous-how Concept), 6:30 p.m. Tuesday, First Presbyterian Church. Call Lisa at 679-7009 or visit www.ceahow.org.

RaytownovereaterS anonyMoUS, 4 p.m. Sunday,

Quiet House, 65th and Elm. 353-2691.OtherovereaterS anonyMoUS, a 12-step program

for compulsive eaters. 913-383-5933 or www.overeat-ersanonymous.org.

–Jillayne Ritchie

Continued from Page 6

The Jackson County Public Works/Environmental Health Division conducts inspections anywhere food is handled, prepared and served to the public for cities other than Independence.

Bucknern red dawg Saloon, 315 S. hudson – On Oct.

27, inspectors found pans of cooked ground beef, refried beans, cheese sauce and cooked potatoes in the smaller walk-in cooler were not date marked. There was build-up on the interior of both reach-in coolers in the kitchen. Large amount of discoloration

was observed on the interior of the ice machine. Shelv-ing in smaller walk-in cooler has debris build-up.

Lee’s Summitn Ihop, 628 n.e. Missouri 291 – On Oct. 27,

inspectors observed shell eggs held in ice bath on cook’s line were not 41 degrees or below, discarded.

n Jerry’s Bait Shop, 302 Main St. – On Oct. 28, a drink container without lid or straw was found on the cook’s line, corrected.

n lakeside dining, 600 n.w. Shamrock – On

Oct. 26, inspectors found the walk-in cooler was not 45 degrees or below. A number of potentially hazardous foods were still frozen and were moved to the freezer or another reach-in cooler. There were also a number of food items that arrived to the establishment within the hour. Manager showed the inspector the invoices for these items and they were moved to either a functioning refrigerator in the establishment or were transferred to Places, which is another food establish-ment within John Knox Village. All other potentially hazardous foods were discarded.

–Jillayne Ritchie

Food inspections l Jackson County

November is National Diabetes Awareness Month, which makes it a great time to review the risk factors. You can’t change your family history or your heritage, but you can watch your weight and exercise regularly.

Other risk factors include having a parent or sibling with diabetes, having had gestational diabetes or at least one baby over 9 pounds at birth, having high blood pressure or abnormal cholesterol or triglyceride levels. If you see something you could change in your life, start working on it now! Pre-Diabetes

Pre-diabetes is a condition in which a per-son’s fasting blood sugar levels are above nor-mal, but yet not high enough for a diagnosis of diabetes. Having pre-diabetes puts you at risk for developing Type 2 diabetes. In fact, studies show that many people who fall in the pre-diabetes range develop Type 2 diabetes within 10 years. Recent research has also shown that some long-term damage to the body, especially the heart and circulatory system, may already be occurring during pre-diabetes.

The American Diabetes Association recom-mends that people with pre-diabetes reduce their weight by 5 to 10 percent and participate in some type of modest physical activity for 30 minutes daily.

Here are some important facts you need to

know about the diagnosis, risk factors, preven-tion and treatment of pre-diabetes.

Many people with pre-diabetes have no symptoms, which makes diagnosis very chal-lenging. The American Diabetes Association recommends the following testing guidelines: If you are overweight and age 45 or older, you should be checked for pre-diabetes during your next routine medical office visit. For adults

younger than 45 and overweight, your doctor may recommend testing if you have any other risk factors for diabetes or pre-diabetes.

If your doctor has diagnosed you with pre-diabetes, take action to prevent or delay the onset of Type 2 diabetes. The Diabetes Preven-tion Program has shown that diet and exercise work. Just 30 minutes a day of moderate physi-cal activity and a 5 to 10 percent reduction in body weight produce a 58 percent reduction in the risk of developing Type 2 diabetes.

Do it the right “weigh”Set small weight-loss goals. If you have

pre-diabetes, a modest amount of weight loss will make a huge difference. For example, if you weigh 200 pounds, set a goal to lose 10 to 15 pounds, or if you weigh 150 pounds, set a goal to lose 5 to 10 pounds.

You don’t have to join an expensive gym to start an exercise program. It’s as simple as putting one foot in front of the other and mov-ing. Walking is one of the cheapest and easiest forms of exercise. Set a goal to walk 30 minutes per day. If you can’t fit it all in at once, split up your activity for the day and try a brisk 10-min-ute walk after each meal until you reach a total of 30 minutes. Pick whatever activity fits your lifestyle and enjoy those 30 minutes of healthy moving.

Picking the right foods will help you reach

your goals of weight loss and normal blood sugars. Enjoy a diet filled with fiber. Fiber comes from plants and may help to lower blood glucose. Foods high in fiber include bran cere-als, cooked beans and peas, whole-grain bread, fruits and vegetables. Always start your day with a nutritious breakfast, enjoy a light lunch and end the day with a dinner highlighting lean meats or proteins, low-fat dairy, complex carbohydrates, fruits and vegetables. It’s also important to watch portion sizes. Read food labels to identify serving sizes of the foods you like to eat. Good nutrition means eating a vari-ety of foods.

Maple roasted pearsServes 2 (2 pear halves each)

3 tablespoons sugar-free maple syrup2 tablespoons water2 firm, ripe Bartlett pears, halved length-

wise and cored1/4 cup chopped walnutsWhipped topping, optional

Preheat oven to 425 degrees. Combine maple syrup and water in an 8-inch square glass baking dish. Place pears, cut sides down, in dish. Roast pears 15 minutes.

To serve, drizzle pears with pan juices and if desired, top with whipped topping.

Don’t let pre-diabetes develop any further

Tracey Shaffer, RD, LD, is a Hy-Vee dietitian at the Blue Springs location The information provided should not be con-strued as professional medical advice. E-mail her at1033dietitian@hy-vee.com.

Tracey

Shaffer

Food For thoUGht

web: hearingassociates.come: hearing.associateskc@gmail

Georgetown Medical Bldg.8901 W. 74th St., Suite 150

Shawnee Mission, KS 66204p: (913) 384-5880

Bary Williams, Au.D.James Powell, Au.D.Dustin Spaulding, BC-HISNew Blue Ridge Bank Towers4200 Little Blue Pkwy, Suite 560Independence, MO 64057p: (816) 994-2401

As we enter the holiday season and I spend more time with my two-year-old granddaughter, Sienna, my hearing is getting quite the work out. As her vocabulary grows and she starts stringing together ever longer sentences, I can’t imagine not having the ability to hear and communicate with her. I take this luxury for granted now, but it is something I would have struggled with greatly even a few years ago. I was born hard

of hearing and even with a hearing aid, I used to have difficulty with hearing voices, especially small, high-pitched voices like Sienna’s. With the advancements in hearing technology over the past 5 years, I can finally relax and enjoy my time with my family, without having to worry about missing out on the conversation around the dinner table. Living with hearing loss isn’t easy. It can be isolating, cause depression, and even mental deterioration.

Hearing Associates is proud to be family owned and operated and it is important to us that our patients be able to communicate and connect fully with their loved ones. I am sometimes saddened to think of the millions of Americans who miss out on their families’ lives because they ignore their hearing loss. This holiday season, I want everyone who suffers from hearing loss to be able to enjoy their family as much as I enjoy mine.

If you’ve been putting off getting your hearing checked, come in today for a complimentary hearing screening and start the journey to reconnecting with your loved ones through better hearing. It could just be wax! And if you do need a hearing aid, our expert staff, tailored rehabilitation process, and competitive pricing will help you regain your quality of life.

And to really make the holidays special, we are giving every family who buys a pair of hearing instruments during the next couple of months, afree hour long photo shoot courtesy of KayRae Photo (photo credit above) and 25 personalized photo greeting cards to send to friends and family. (www.KayRaePhoto.com)

Sienna Grace

Are you missing out on life’s important moments? A MESSAGE FROM DR. BARY WILLIAMS

Bary E. Williams, Au.D.

GET YOUR QUALITY OF LIFE BACK. CALL (800) 227-9440 today! THIS WEEK ONLYHearing Instrument Special

offer

exp

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11/1

5/10

$1,000off a pair of premium digital

hearing instruments

WHY HEARING ASSOCIATES?