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22TRIDENT, NOVEMBER 1, 2004Type 2 diabetes: A growing epidemic!By Heather Robinson, BN RN CDE& Kathleen Bayliss-Byrne, P.Dt CDEDiabetes is a worldwide publichealth issue that has reachedepidemic proportions. Of the 14million Canadians over the age of40, more than 2.5 million are at riskfor developing this chronic conditionknown as type 2 diabetes. Highblood sugars may be the result of aninadequate supply of insulin, aninability to use insulin effectively(insulin resistance) or secondary toanother medical condition.See if you are at risk for developingthis chronic condition. If youcheck any of the following boxesyou should be tested for diabetes!❑ I have a parent, brother or sisterwith diabetes❑ I am a member of a high riskgroup (Aboriginal, Hispanic,Asian, South Asian orAfrican descent)❑ I gave birth to a baby thatweighed over 4 Kg (9 lbs)at birth❑ I had Gestational Diabetes(diabetes during pregnancy)❑ I have been told I have impairedfasting glucose (IFG) orimpaired glucose tolerance (IGT)❑ I have high blood pressure❑ I have high cholesterol or otherfats in my blood❑ I am overweight (especially ifyou carry most of your weightaround the middle)❑ I have been diagnosed with anyof the following conditions:Polycystic Ovary Syndrome,Acanthosis nigricans(darkened patches of skin),SchizophreniaRecognize these signs? Signs andsymptoms of diabetes include:• Unusual thirst• Frequent urination• Weight change• Extreme fatigue or lack of energy• Blurred vision• Frequent or recurring infections• Cuts and bruises that are slowto heal• Tingling or numbness in handsor feet• Trouble getting and/ormaintaining an erectionMore than 2.5million are at riskfor developing thischronic condition.Type 2 diabetes is characterized byhigher than normal fasting glucose orsugars (>7 mmol) in the blood. Ahormoneknown as insulin maintainsnormal blood sugars (4-6 mmol).High blood sugars may be the resultof an inadequate supply of insulin, aninability to use insulin effectively(insulin resistance) or secondary toanother medical condition.Management of diabetes includescreating the balance between regularexercise and healthy eating andwhen necessary taking medicationsor insulin as prescribed. Lifestylemanagement can go a long waytowards reducing your risk for complicationsof diabetes.High Blood Sugars may lead tothe following complications:• Heart disease• Eye disease• Kidney disease• Nerve damage• Problems with feet• Problems with erection(impotence)If you have been experiencing anyof the signs and symptoms of diabetesor have identified yourself as aperson at risk for diabetes, pleasemake an appointment with your doctorfor further investigation.The Canadian Health ServicesCentre (Atlantic) has a DiabetesEducation Centre (DEC) on base.This includes individual assessmentsand group education programs.Please ask your doctor torefer you if you have been diagnosedwith diabetes or pre-diabetes (IFG orIGT). These services are availablefor RCMP or military members only.Any questions can be forwardedto the Diabetes Education Team atStadacona Base hospital. Core teammembers include: Nurses - GuillaineMartin (local 8847), Heather Robinson(local 7860) and Dietitian KathleenBayliss-Byrne (local 8726).Additional Diabetes Team membersinclude:Medical AdvisorPharmacyPhysiotherapyMental Health NurseFor CF family members andDND/NPF civilian employees, additionalinformation is availablethrough the Canadian DiabetesAssociation at (902) 453-4232 orvia the internet at www.diabetes.ca.Oral health is valuableBy Captain Wajahat Khan, SMStJB.Sc., DDS, MBA, M.Ed.(cand.)We work in a profession of healing;that being said we considerourselves to have the bestjob in the Canadian Forces. Our missionis to ensure Canadian Forces(CF) members obtain optimum oralhealth, and the CF Dental Care Planprovides for the best care available.There are not many restrictionson what we can offer our membersin terms of the oral health they needto have a functional and pain freesmile. Smiles are valuable—theyare a sign of happiness and enjoymentof life. The inability to smileor the fear that a smile may showthe effects of disease, are two realitiesthat we frown upon when wediscover them. We work to avoidthese unpleasant situations by consistentlyasking our members toallow us to monitor their state oforal health by attending their annualexams.Despite our best efforts, we findit is a challenge to provide care forall members as many do not takeadvantage of their dental benefitsplan. Many members at CFB Halifaxroutinely avoid their annualSmiles are valuabletheyare a signof happiness andenjoyment of life.exams. On average, slightly over 80per cent of members at CFB Halifaxcame in for their annual exam overthe last three years. This figure forCFB Halifax has consistently beenbelow the CF national average.As a young member of the CF, Ifind it hard to explain to memberswhat they could have done in thepast to avoid the effects of diseasesthat hamper their ability to enjoytheir dentition. To avoid these situationsI have taken the step of writingthis article to invite you toattend your annual exam this year,and allow us to ensure that your oralhealth needs are being addressed.In conveying this message, even ifone person can avoid the harmfuleffects of oral diseases, we willsleep a lot better at night.We hope to see you all soon.Please give us a call at Stadaconaextension 8960 or Shearwaterextension 1096. Sanitas in ore!LAWYERS - AVOCATSService en françaisCriminal DefenceMilitary LawFamily Law/DivorceHouse Purchase & Sale(DND Rates honoured)[902] 492•7000After hours call:Tom Singleton 483-3080Karen MacDonald 221-6290Heather MacDonald 221-6291SINGLETON & ASSOCIATESFees reduced 25%for CF Members
TRIDENT, NOVEMBER 1, 2004 23Tips on winterizing your car for safe winter drivingBy Gary Wright, ManagerCFB Halifax Auto ClubWinter in Nova Scotia isinevitable, but there are a fewsimple steps you can take before thesnow flies to prepare your car for theseason. For the do-it-yourself personthe Auto Club offers memberslow rates for bay rentals, (toolsincluded), advice on repairs, partslocating, and special club memberdiscounts from suppliers. The AutoClub is open all year and the hoursof operation are from Tuesday toThursday, 9 am to 8 p.m. and Fridayand Saturday from 9 a.m. to 5 p.m.Don’t let this winter season catchyou unprepared.1. Check antifreeze strength tomake certain it is good for -30Fwind-chill. Replace antifreeze ifdiscolored; flush cooling systemif required.2. Use thinner motor oil (5w30)for faster cold starts, consult ownersmanual on recommended gradefor your vehicle.3. Check engine tuning, (sparkplugs) for proper gap and condition.Properly tuned engines start easierin cold conditions.4. Check battery condition andtest for defects with proper batterytester. Replace if reading is weak(below 12 volts).5. Check belts for excessive wear,cracks and lubricate with belt dressingor replace if necessary.6. Install winter tires. Rotate frontto back on same side if rotation isrequired. Front wheel drive vehiclesshould have four matchingsnow tires. Rear wheel drive vehiclesrequire snow tires on rear.Check the tire pressures for vehiclemanufacturer’s recommendations.On most newer vehicles, pressures/sizesare listed on a driver’sdoor post label. Tire studding is permittedin Nova Scotia from Oct 14to May 1.7. Check the undercarriage ofyour vehicle for rust and bare metal,particularly fuel and brake lines.Due to the extreme road salt conditionsin Atlantic Canada undercoating/rustproofing will protect yourinvestment and save you vehiclefrom costly repairs.8. Check the condition of allwiper blades and replace ifrequired. Also make certain yourwindshield washer fluid will withstand-30F. Various de-icer brandsof washer fluid are available on themarket. Make sure wipers are in thefull off position and the wiper leverturned off in ice/snow when parkingvehicle. If left on and bladesfreeze to glass, your wiper motormay overheat and burn out.9. Check condition of exhaustChecking the undercarriage of the vehicle is just one of the steps towinterize your car suggested by CFB Halifax Auto Club.system. Any minor leaks must berepaired. Road salt destroys yourexhaust system quickly due to heatingand cooling action, condensation.Remember, carbon monoxidefumes can be deadly if vehicle isleft running while in deep snow.10. If your vehicle is equippedwith remote start, make certain youleave wipers off but defroster heateron at night.11. It is recommended that duringwinter months you keep your gastank full and add gas line antifreeze(methyl hydrate) on each fill up.Low fuel can cause excess condensationin your tank resulting infrozen gas lines or poor performancefrom your engine.12. It is recommend that you waxyour vehicle prior to winter. This willnot only protect against the harshroad salt and winter driving conditions,but will also help in snowremoval. A properly waxed vehiclewill be much easier to clean off snow.13. It is also recommended thatduring winter months you carry athermal blanket, jumper cables,shovel, winter windshield washerfluid and a small one-gallon containerof extra fuel in your trunk.Additional items could also be acigarette lighter, adapter for yourcell phone, or 12v coffee mug, 12vflashlight, crystal de-icer orsalt/sand mixture. If you do extensivewinter driving, emergency survivalkits are available at many autoparts suppliers and they includeilluminated triangles as well foremergency purposes.14. If your vehicle is equippedwith ABS brakes as many modelsnow are, your brakes do not lock upand force your vehicle into a slideon slush or ice. Similarly you canimitate this by pressing the brake,releasing, pressing, releasing andthis method will keep your brakesfrom locking up and allow you bettercontrol and stopping on ice orwet conditions.15. Remember, above all else,reduce speed in winter. Ice and wetrunoff from melting snow can bedifficult to see especially at dusk.Drive cautiously, defensively, andearly to give yourself extra time.The life you save may be your ownor those of your loved ones.Buying or SellingHalifax/Dartmouth?
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