Category Archives: Chronic Disease

A Look at Diabetes in South Carolina for American Diabetes Month

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.

DHEC Partners with LiveWell Greenville to Help Create Healthier Communities

DHEC collaborates with Trident United Way to embrace service, leadership and collaboration with Stronger Together Campaign

In our next installment of the DHEC Stronger Together video campaign, we take a look at our partnership with LiveWell Greenville. Stronger Together is a video series of testimonials from statewide partners of DHEC. In these inspirational testimonials, we intend to share stories to raise awareness about DHEC’s work in the community and illustrate our strategic plan. In addition, these spotlights will show out core values – Embracing Service, Inspiring Innovation, Promoting Teamwork and Pursing Excellence – in action.

We kicked off the campaign with our partnership with the South Carolina Restaurant and Lodging Association. We then met with Trident United Way in North Charleston. Now we head to the Upstate with LiveWell Greenville.

LiveWell Greenville is a network of more than 100 community organizations that work together to ensure access to healthy eating and active living. DHEC has been a member of this coalition since its inception.

In 2008, Piedmont Health Care Foundation, a non-profit foundation in partnership with the Health and Wellness Taskforce of Greenville Forward, commissioned a youth obesity study and employed Furman University’s Department of Health and Exercise Science to serve as the research base.

“The results of the study were informative,” said Lillie Hall, DHEC Upstate Public Health Region Community Systems Director and founding member of the original coalition. “The study found about 41 percent of the roughly 1,600 Greenville County School students measured were overweight or obese.”

So, the Foundation convened a coalition to develop policy, systems and environmental approaches to address childhood obesity in the county. Originally called the Childhood Obesity or CHO Taskforce, the group included: Piedmont Health Care Foundation, DHEC, Greenville Forward’s Health and Wellness Taskforce, Furman University, PRISMA Health (formerly Greenville Health System), local physicians and pediatricians, and the YMCA of Greenville. In 2011, the name became known as LiveWell Greenville.

Since then, LiveWell Greenville has improved the overall health and wellness in schools, communities, faith organizations and worksites. Jervelle Fort, DHEC Community Health Educator, is on LiveWell Greenville’s “At Worship” and “At Work” subcommittees.

As part of her role on the subcommittees, Fort provides support through the region’s community work plan to create and maintain a community that supports HEAL (healthy eating and active living) strategies and promotes PSE (policy, systems and environmental) change. She also supports the promotion of school and community gardens, updating and maintaining access to DHEC’s fruit and veggie outlet inventory, assisting community partners to implement HEAL and PSE strategies like developing breastfeeding promotion policies in local churches, coordinating resources for creating physical activity resources and creating healthier environments at worksites.

Executive Director of LiveWell Greenville Sally Wills said that partnering with DHEC allows the coalition to have a greater impact, and Fort agrees.

“Partnerships like this help to make the community and state stronger because it groups us together and makes us whole,” Fort said. “It makes us one.”

DHEC embraces service with the LiveWell Coalition and allows us to be part of “healthy people living in healthy communities.” Partnerships like these showcase the agency strategy of leadership and collaboration.

For previous Stronger Together videos

From Other Blogs: Risk Factors for Heart Disease, Emergency Preparedness Month, Food Waste Behavior

A collection of health and environmental posts from other governmental blogs.

5 Key Risk Factors for Heart Disease

Heart disease is common among Americans. In fact, it’s the leading cause of death in the United States. The good news is there are things you can do to prevent this from happening to you. – From Flourish, Prisma Health’s blog

 

Welcome PrepTember: The Readiest Time of the Year

September is a busy month, and not just because that’s when all things pumpkin spice start showing up on store shelves and coffeehouse menus. Here are few reasons why September is possibly the busiest time of year for emergency and risk communicators, including those of us here at the Center for Preparedness and Response (CPR). – From Public Health Matters, Centers for Disease Control and Prevention (CDC) blog

 

The Psychology of Food Waste: An Interview with Brian Roe and Laura Moreno

What’s the psychology behind food waste and what can we do to change our behavior? This interview features insights from Brian Roe, Professor and Faculty Lead at The Ohio State University’s Food Waste Collaborative and Laura Moreno, who received her Ph.D. studying food waste at the University of California, Berkeley. – From U.S. Department of Agriculture’s blog

September is National Sickle Cell Awareness Month

National Sickle Cell Awareness Month brings attention to this crippling illness, a genetic disease that many people around the world struggle with and must manage daily.  Recognizing Sickle Cell Awareness Month helps to dismiss stereotypes and stigmas associated with persons who have sickle cell disease.  Not only does this month shine light on sickle cell disease (SCD) but also sickle cell trait (SCT).  Here is some -information about SCD and SCT.

Quick Facts About SCD:

  • SCD is a blood disorder that causes sickling of the red blood cells.
  • Sickle-shaped red blood cells become stuck in blood vessels and cause disruption of blood flow – this results in crises.
  • SCD affects 100,000 people in the United States.
  • SCD is an inherited blood disorder from the person’s parent, like any other genetic trait, such, as hair color and texture, and eye color.

Quick Facts About SCT:

  • SCT is where a person inherits one sickle cell gene and one normal gene.
  • SCT is not a disease and is generally asymptomatic.
  • SCT affects 1 million to 3 million Americans and 8 to 10 percent of African Americans.
  • Persons with SCT can pass the trait on to their children.

 

What is the Likelihood a person will inherit SCD or SCT?

Sickle Cell DHEC Infographic

DHEC’s Sickle Cell Program

DHEC’s Division of Children and Youth with Special Health Care Needs (CYSHCN) provides assistance to persons with sickle cell disease by covering services, such as:

  • medical expenses
  • physician visits
  • durable medical equipment
  • medical supplies
  • prescription drugs

Assistance is offered to both children and adults who meet eligibility requirements.  Additionally, CYSHCN partners with the Newborn Screening Follow-Up program to ensure infants who are newly diagnosed with sickle cell disease have a medical home to address treatment and care for their disease.

Through partnerships with four sickle cell community-based organizations — the James R. Clark Memorial Sickle Cell Foundation, – Louvenia D. Barksdale Sickle Cell Anemia Foundation, – Orangeburg Area Sickle Cell Foundation and – COBRA Human Services Agency Sickle Cell Program — more persons with sickle cell disease are able to obtain services and support.

South Carolina’s Efforts to Address Services for Sickle Cell Patients & Families

As a part of the agency’s commitment to educate the community and public about the availability of resources and services for individuals and families living with sickle cell disease, DHEC collaborated with the South Carolina Sickle Cell Disease Advocacy Team to develop “A Call to Action: South Carolina Sickle Cell Disease State Plan.”  This three-year plan provides a framework for addressing gaps in sickle cell disease care as well as highlights strategies and resources to support patients with SCD.

The full plan be viewed at Sickle Cell Plan_CR-012241_Final.

sickle cell plan

If you have questions about the DHEC sickle cell program, contact the CYSHCN office at 803-898-0784.  For general information about sickle cell disease, visit cdc.gov/sicklecell or http://www.nhlbi.nih.gov/health/health-topics/topics/sca.

South Carolina Health at a Glance: Chronic Disease and Risk Factors (Part 3)

Our next installment of the 2018 Live Healthy State Health Assessment summaries covers chronic disease and risk factors.  Because this section lists many chronic diseases that affect South Carolina, we will summarize in three sections. In our first section we summarized South Carolina findings on obesity, prediabetes, diabetes, hypertension, arthritis, heart disease, and stroke. The next section summarized physical activity, nutrition, and cigarette smoking.  Our last section will cover all cancers in South Carolina. Check out our previous posts:  overview of the reportSouth Carolina demographicsleading causes of death and hospitalizationcross-cutting, access to healthcare, and maternal and infant health.

In the United States, cancer remains a leading cause of death, second only to heart disease. In South Carolina, cancer has surpassed heart disease in recent years as the leading cause of death. South Carolina ranks 32nd in the nation for new cases of cancer, however ranks 14th for deaths due to cancer.  Approximately 50% to 75% of cancer deaths are caused by three preventable lifestyle factors: tobacco use, poor nutrition, and lack of exercise.

SC Cancer_Assessment

  • In 2016, 10,349 South Carolina residents died from cancer.
  • Cancer of the lung and bronchus contributed to the largest number of deaths for residents of South Carolina in 2016.
  • From 2006 to 2015 in South Carolina, the rate of new cases of cancer decreased from a high of 486.8 per 100,000 in 2006 to a low of 452.8 per 100,000 in 2015.
  • The counties in South Carolina with the highest rates of new cancers during 2011 to 2015 combined were Chester, Dorchester, Lee, Sumter, and Union.

SC Cancer by County_Assessment

Lung Cancer

  • While South Carolina ranks 32nd in the United States for new cases of all cancers combined, lung cancer poses a challenge in that South Carolina ranks 16th in comparison.
  • Lung cancer was the second leading cause of new cases of cancer in 2015. It was the leading cause of cancer deaths in 2016, claiming the lives of 2,701 South Carolina residents.
  • South Carolina’s rate of new cases of lung cancer decreased from a high of 74.4 per 100,000 population in 2006 to a low of 64.5 per 100,000 population in 2015.

In our last section about South Carolina’s chronic diseases and risk factors, we will summarize information about all cancers. For more detailed information about chronic diseases and risk factors that affect our state, visit https://www.livehealthysc.com/uploads/1/2/2/3/122303641/chronic_disease_and_risk_factors_sc_sha.pdf.

Female Breast Cancer

  • In South Carolina during 2016, 75.4% of women aged 50 to 74 years old, reported receiving a mammogram within the last two years.
  • In 2015 there was a total of 4,077 new cases of breast cancer, and of these, 1,306 were diagnosed as late-stage in South Carolina representing a rate of 42.9 per 100,000.
  • South Carolina had a higher breast cancer death rate than the United States in 2016.

Cervical Cancer

  • South Carolina ranks in the lowest quartile nationally for adolescents having received one or more doses of the HPV vaccine.
  • In 2016, 79.4% of women 21 to 65 years old reported having a Pap smear within the past three years.
  • Black women are diagnosed at a higher rate than White women in South Carolina (22% higher).

Colorectal Cancer

  • In 2015, there were 2,320 new cases of invasive colon and rectum cancer in South Carolina. South Carolina met the Healthy People 2020 goal of 39.9 new cases of colorectal cancer per 100,000 population.
  • More women (71.4%) received the recommended colorectal screening than men (66.5%) in 2016.
  • Non-Hispanic Blacks (45.8 cases per 100,000 population) had a higher rate of new cases of colorectal cancer compared to non-Hispanic Whites (38.1 cases per 100,000 population) in 2015.

Prostate Cancer

  • In 2016, 43.7% of men ages 40 years and older reported receiving a prostate-specific antigen (PSA) test within the past two years.
  • There were 3,521 new cases of prostate cancer in 2015 in South Carolina.
  • Non-Hispanic Black males (173.4 cases per 100,000)) had a higher rate of new cases of prostate cancer than non-Hispanic White males (97.8 cases per 100,000) in 2015.

For more information about South Carolina cancer statistics, read the full Chronic Disease and Risk Factors chapter of the 2018 State Health Assessment.