Monthly Archives: November 2019

A Look at Diabetes in South Carolina for American Diabetes Month

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November is American Diabetes Month. Let’s use this month to understand one of South Carolina’s most prevalent chronic diseases. There are three types of diabetes: type 1, type 2, and gestational. Type 1 diabetes occurs when the body does not produce insulin. Type 2, the most common form of diabetes, occurs when the body does not use insulin properly. Gestational diabetes occurs in some pregnant women when hormones may block the mother’s insulin, causing insulin resistance.

Adults with diabetes in SC

Common Symptoms of Diabetes

  • Frequent urination
  • Feeling very thirsty
  • Extreme fatigue
  • Blurry vision
  • Weight loss (type 1)
  • Cuts/bruises that are slow to heal
  • Tingling, pain, or numbness in the hands/feet (type 2)
  • Feeling very hungry even though you have eaten

Diabetes can be very expensive to manage. Use these tips from the Centers for Disease Control and Prevention (CDC) to find ways to save on medicine. By successfully managing your diabetes, you could prevent other onset chronic diseases and health issues, such as kidney disease, heart disease, or vision impairment, and amputation.

Diabetes in South Carolina

According to the 2018 South Carolina Health Assessment:

  • The prevalence of adults in South Carolina diagnosed with prediabetes increased from 6.7% in 2011 to 9.4% in 2016 (Figure 6.3).
  • Although there was not a steady pattern in the percentage of adults with diabetes in South Carolina from 2011 to 2016, South Carolina’s diabetes rates were consistently higher than the United States (Figure 6.4).
  • Adults aged 65 or older experienced diabetes at the highest rate of other age demographics with 26.1%.
  • In 2016, the prevalence of diabetes was higher in non-Hispanic Blacks (16.9%) than in non-Hispanic Whites (11.7%), and higher in those with an annual household income of less than $25,000 than those with an annual household income of $50,000 or more (9.4%).

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What is Prediabetes?

Prediabetes in SC

Prediabetes, sometimes called “borderline diabetes,” is a condition that can lead to type 2 diabetes and heart disease. It occurs when your blood sugar (glucose) level is elevated, but not in the diabetes range yet. People with prediabetes are more likely to develop type 2 diabetes, heart disease, or experience a stroke. Your chances of having prediabetes increase if you:

  • Are 45 or older
  • Are Black, Hispanic/Latino, American Indian, Asian-American, or Pacific Islander
  • Have a parent, brother or sister with diabetes
  • Are overweight
  • Are physically inactive
  • Have high blood pressure or take medicine for high blood pressure
  • Have low HDL cholesterol and/or high triglycerides
  • Had diabetes during pregnancy
  • Have been diagnosed with Polycystic Ovary Syndrome

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Do you think you could have prediabetes? Take the risk test and find out. It only takes a few minutes and you can find the test online at https://www.cdc.gov/prediabetes/takethetest/.

There are ways to combat diabetes with lifestyle changes. By increasing physical activity, eating a balanced diet and quitting tobacco use, you may prevent your chances of getting diabetes. If your physician has diagnosed you with prediabetes, you can also enroll in a National Diabetes Prevention Program, which has shown to reduce your chances of developing diabetes by 58%. For more information and links to resources, visit https://www.scdhec.gov/health-professionals/clinical-guidance-resources/diabetes-data-and-reports.

Plan a Tobacco-Free Lifestyle during the Great American Smokeout

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Let today be the day to stop smoking or using tobacco products of any kind. Today is the Great American Smokeout, an opportunity for people who use tobacco to commit to a healthy tobacco-free life. Nicotine is one of the most addictive drugs. Whether it is in cigarettes, cigars, chewing tobacco, or Electronic Nicotine Delivery System (ENDS) products such as electronic cigarettes (e-cigarettes) and vapes, the effects of nicotine are detrimental to your health.

Tobacco use is linked to the leading causes of death and hospitalization in South Carolina, which are cancer, heart disease, circulatory system disease and births/pregnancy complications, respectively.  Nearly 90% of all trachea, lung, and bronchus cancer deaths in South Carolina are smoking related.  According to the 2018 South Carolina Health Assessment, cigarette has been shown to increase South Carolina annual health care spending by $1.9 billion per year.

Cigarette Smoking in Adults_SC Health assessment

While South Carolina is making progress toward the CDC Healthy People 2020 goal of a 12% adult smoking rate – the current rate is 20.6% (2016).  Data from the most recent Adult Tobacco Survey (2014) shows that 6.2% of adults in South Carolina use e-cigarettes and 4.6% report using both combustible tobacco products like cigars and cigarettes, as well as using e-cigarettes or vapes.  ENDS products make tobacco prevention and cessation efforts more difficult due to the high concentration of nicotine found in the products (increasing nicotine addiction) and since many smoke-free policies have not been updated to include these products.

Cigarette Smoking in Teens_SC Health Assessment

While South Carolina has achieved the Healthy People 2020 goal of 16% or fewer high school students who are current smokers, the popularity of ENDS products again complicates this achievement. The 2017 Youth Tobacco Survey data show that the use of e-cigarettes or vapes (13%) surpassed the use of cigarettes (12%) for the first time. This new threat is expected to increase with the findings from the 2019 Youth Tobacco Survey slated to be available later this year. Nicotine in any form increases the risk of heart disease and addiction and is not safe for any age, especially adolescents.

Research shows that people who use tobacco are most successful in their efforts to quit when they have support. In fact, tobacco users are three times more likely to quit successfully with individualized counseling in combination with nicotine replacement therapies (over the counter or prescription) – all of which are available free of charge 24/7 through the DHEC administered SC Tobacco Quitline (1-800-QUIT-NOW).  The SC Tobacco Quitline has resources to help you quit and stay quit. Information includes: Nicotine Anonymous meetings, self-help books and materials, and smoking counselors or coaches. The Quitline also has a Youth Support Program for teen tobacco users and a Spanish language Quitline available by calling 1-855-DEJELO-YA.

Here are some additional cessation resources:

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For more tobacco information, visit the Centers for Disease Control and Prevention (CDC)’s Office on Smoking and Health.  For more information about electronic cigarettes, visit DHEC’s e-cigarettes and vapes webpage.  You can quit for keeps. Start today.