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Below 70? The 15-15 rule

All forDiabetes

Your fat cat or portly pup could be destined for diabetes

All for DiabetesPublished April 27, 20102 min read

Key points

  • Kristen Yee is growing concerned about the pets she??d in Block by Block are equal partners with the medical professionals in the program, says Rush’s Dr.
  • It’s not clear why Puerto Ricans in Humboldt Park have such high rates of diabetes, though obesity, unhealthy diets and perhaps genetics are thought to be contributing factors.
  • Then, the focus will be on teaching people about diabetes through activities, such as group trips to the grocery store, exercise programs and classes at the Greater Humboldt Park Community Diabetes Empowerment Center, which opened last Friday.
  • One of those captains is Johnny Tirado, a 36-year-old diabetic whose parents, brother and sister also have Type 2 diabetes.

Dr. Kristen Yee is growing concerned about the pets she??d in Block by Block are equal partners with the medical professionals in the program, says Rush’s Dr. Steven K. Rothschild, who is leading Block by Block along with Jose Lopez, director of the Humboldt Park Puerto Rican Cultural Center.

“Health care professionals can go in to a community and talk to people about nutrition and exercise, but we believe that, for an intervention to truly succeed, the change has to come from within,” Rothschild says. “Our goal is to partner with the community – not just residents, but businesses, schools, churches, restaurants – to reduce the impact of diabetes.”

It’s not clear why Puerto Ricans in Humboldt Park have such high rates of diabetes, though obesity, unhealthy diets and perhaps genetics are thought to be contributing factors.

As part of the four-year project, Humboldt Park residents, trained in diabetes prevention and management, will help conduct a survey of 4,100 households in a 72-block area to identify people who have diabetes or are at high risk for it. That should take about nine months.

Then, the focus will be on teaching people about diabetes through activities, such as group trips to the grocery store, exercise programs and classes at the Greater Humboldt Park Community Diabetes Empowerment Center, which opened last Friday.

Four “block captains” who live in the neighborhood and either have diabetes or a family member with diabetes will help diabetics come up with a plan to manage the condition.

One of those captains is Johnny Tirado, a 36-year-old diabetic whose parents, brother and sister also have Type 2 diabetes. Since taking a diabetes education course at Norwegian American in January, Tirado, who is Puerto Rican, said he has lost 20 pounds and lowered his blood glucose levels.

He wants to get the message out to other Hispanics that diabetes isn’t inevitable.

“A lot of diabetics I know who are Hispanic . . . have accepted it as, ‘It’s just part of life,’ but that’s not the way it has to be,” Tirado says.

Rothschild says he hopes to “change the ideology” about diabetes in Humboldt Park through repeated health messages in schools, homes and churches.

“What we’re trying to do is reach a critical mass so that one person trying to change their diet gets reinforcement from neighbors, kids who learned about this in school and other family members,” he says.

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BY MONIFA THOMAS Staff Reporter

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.