The DREAM Team and MOBEC welcome Maya Ramsey to the team - Diabetes ...
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DREAM TEAM Newsletter | Issue 4.1 | July 2021
The DREAM Team and MOBEC welcome Maya Ramsey to the team
Interview by Dr. Jay Shubrook, DO.
We are delighted to announce (1 year delayed due to the COVID pandemic) Touro’s
graduate, Maya Ramsey, MPH, has joined our team. Maya (pictured above) is a Vallejo
resident and will be serving as our Community Outreach Coordinator. What does that
mean? Maya will be the first point of contact for new programs in the community,
Contact Us
including SoDAF (Solano County Diabetes Advisory Forum); and new partners for the Email: tuc.mobec@tu.edu
Diabetes Prevention Program and the Success with Diabetes program. Please keep your Phone: (707) 638-5970
eyes and ears open for Maya- she has great things to share with you. Websites:
Let us get to know Maya a bit better: http://tu.edu/mobec/
http://diabetesprevention.tu.edu/
Q: What sparked your interest in joining the DREAM team and the work as the Diabetes
Follow us on Social Media:
Prevention Program Coordinator (and SoDAF coordinator)? Facebook: @DiabetesDREAMTeam
A: I am interested in bringing the community into the conversation. I want the programs Twitter: @DiabetesTUCA
and education we offer to be available for our community – to raise awareness about Instagram: @Diabetestuca
physical and mental health.
Q: What has been your biggest surprise working on this team? Announcements
A: How much is going on. There is so much. I was so pleasantly surprised by how fluid the
team is and how we all work together –in many roles- to serve our community. Also, it is MOBEC is on the road
wonderful how everyone on the team supports each other.
Q: What has been your biggest challenge here so far?
providing diabetes screening
A: Starting this job remotely and making connections in the community has been hard in and education and aiding the
the pandemic. I am looking forward to making connections as we reopen. vaccine effort.
Q: What animal would you be? We hope to see you out
A: A cat. Cats have their own personality, and they get to sleep all day if they want. there.
Q: When the world opens-up after the pandemic, where would you like to go?
A: El Salvador. This is where my fiancé is from. We are really looking forward to going back For upcoming event dates and
to see his family. location, please visit:
Q: If you had one message for the community, what would it be? http://tu.edu/mobec/
A: We are more alike than we are different.
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DREAM TEAM Newsletter | Issue 4.1 | July 2021
DREAM TEAM Newsletter | Issue 4.1 | July 2021
Getting Ready for School
by Antonia Molinari, OMS4
To Good Health
Anne Lee, RD, CDCES
With summer in full swing, it is time for parents of children with diabetes to prepare for
when the kids go back to school. Being prepared can help make this transition smoother. Peachy Peanut Butter Pita
First, parents should have a current individualized diabetes medical management plan Pockets
developed with their child’s healthcare team (IPE or 504 plan). This plan should include Peach season is back! We’re lucky
detailed instructions for monitoring blood sugar, administering medications, identifying and to have access to some of the best
treating hypoglycemic episodes, and the amount of involvement the child plays. Then, tasting, freshest peaches in
California. They may be enjoyed as
communicate clearly with the school nurse, teacher, and other staff that will be involved with
is, or slices of fresh peach can be
your child’s care. Make sure to address potential situations like physical education classes,
added into a sandwich like in this
special treats brought in, and accommodations for breaks.
recipe for a quick, simple lunch.
Secondly, parents can prepare diabetes kits and daily diabetes checklists for their child.
Peaches can also be added to
Clearly label the kits and consider including copies of the diabetes medical management plan salads to add flavor and color. The
inside. A general rule of thumb is if a parent uses the item to care for their child’s diabetes at sandwich featured below can be
home during the day, they most likely need it during school. Items you should include are paired with a vegetable soup or
glucose monitoring supplies, insulin and administration supplies, hypoglycemic kits, ketone salad to make a balanced lunch
testing supplies, water, and snacks. that is both refreshing and
Lastly, make sure the child feels comfortable with the satisfying. Enjoy the beautiful
plan and knows who to go to if they need help. We are excited colors and flavors of summer fruits!
(and honestly maybe a bit nervous) about going back to • 2 medium whole wheat pita
school- so let’s make this transition smoother and more pockets
successful.
Source: https://www.cdc.gov/diabetes/library/features/managing-diabetes-at-school.html • ¼ cup reduced fat chunky
peanut butter
• ½ apple, cored and thinly sliced
Healthy Picnics |Summer 2021
by Jay Shubrook, DO • ½ banana, thinly sliced
Summer is a time of family and friend gatherings. As we are moving out of the COVID • ½ fresh peach, thinly sliced
pandemic, it is a great time to return to those things we love so much. Cut pitas in half to make 4 pockets
As we venture back out into the world, we can still be healthy. First, if everyone at your and warm in the microwave for
picnic is vaccinated, you may not need to take any special steps to protect yourself and the about 10 sec to make them more
rest of your group from COVID. But if everyone is not vaccinated here are some safety items flexible. Carefully open each pocket
to think about (from Harvard School of Public Health): and spread a thin layer of peanut
butter on the inside walls. Fill with
• Keep the guest list small.
a combination of apple, banana,
• Stay outdoors. It is still important to wear masks
and peach slices. Serve at room
and maintain a safe distance from guests from temperature. Makes 4 servings - ½
other households. Spacing chairs, dining areas, or pita pocket per serving.
picnic blankets further apart may help encourage
safer distancing.
• Create a hand-washing station. If you do have an outdoor faucet or hose, provide soap
and paper towels for guests to wash and dry their hands.
• B.Y.O… everything. Along with beverages, consider requesting that guests bring their own
coolers, ice, and food to avoid sharing.
• Contact-free cleanup. Provide garbage and recycling bins outside so everyone can dispose
of their own trash. Source:
https://cachampionsforchange.cdph.ca.gov/e
• Plan for bathroom use. Create an obstacle-free path directly to the bathroom, minimizing n/recipes/Pages/Peachy-Peanut-Butter-Pita-
commonly touched surfaces along the way. Provide paper towels and ask guests to use Pockets.aspx
them to turn off faucets after hand washing, to open and close doors, etc.
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DREAM TEAM Newsletter | Issue 4.1 | July 2021
DREAM TEAM Newsletter | Issue 4.1 | July 2021
Hypoglycemia (low blood sugar)
Amenpreet Sandhu & Sami Hanna, Pharm.D. Candidates 2021
Low blood sugars or hypoglycemia is the rate-limiting issue for
treating diabetes. While anyone with diabetes can have hypoglycemia,
it is most common in people taking insulin or sulfonylurea-like
medications.
What is hypoglycemia1,3?
When you hear the words “blood sugar” and “diabetes” you might
think of HIGH blood sugar. However, it is equally important to be aware
of LOW blood sugars (also called hypoglycemia). Blood sugar (glucose)
levels in someone with diabetes are considered low when they fall
below 70 mg/dL.
What causes hypoglycemia2,3?
People with diabetes may experience low blood sugars from time to time due to missing meals, taking the wrong dose
of medications, or increasing physical activity. If the blood sugar continues to drop, the brain will stop functioning normally
-this can be very dangerous. If low blood sugar levels are left untreated, this can lead to fainting, seizures, unconsciousness,
and even death.
What are the signs and symptoms of hypoglycemia2,3?
The symptoms can vary from one person to the next. Common symptoms include:
• sweating, dizziness
• shakiness, confusion
• hunger, pale skin
• sleepiness, weakness
How do you treat hypoglycemia3?
If the person is alert and oriented, the American Diabetes Association promotes the use of the “15-15 Rule” to treat
low blood sugar levels.
1. Eat 15 grams of fast-acting carbohydrates to raise
blood sugar levels.
2. Wait 15 minutes and recheck blood sugar levels.
3. Check the glucose again. If blood sugar is still
below 70mg/dL eat another serving of
carbohydrates.
If the person is unconscious or unable to treat themselves, a medication named glucagon needs to be administered
and/or emergency services need to be contacted. Glucagon is available by prescription as an injection or nasal spray.
Resources:
1. American Diabetes Association. “Standards of Medical Care in Diabetes—2020 Abridged for Primary Care Providers.” Clinical
Diabetes: A Publication of the American Diabetes Association, vol. 38, no. 1, American Diabetes Association, Jan. 2020, pp. 10–38.
2. Hypoglycemia. 13 Mar.2020, https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685.
3. Hypoglycemia (Low Blood Glucose). https://www.diabetes.org/healthy-living/medication-treatments/blood-glucose-testing-and-
control/hypoglycemia. Accessed 13 Mar. 2021.
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DREAM TEAM Newsletter | Issue 4.1 | July 2021
DREAM TEAM Newsletter | Issue 4.1 | July 2021
Our Community
Solano County Advisory Forum (SoDAF) Members | The Fortunka
Andrew: Nina:
“As an illness, diabetes was a complete mystery to “My first experience with Diabetes was finding out that my
me. Over the years, I have known some people with grandmother had 'sugar diabetes' in my late teenage years. No one
diabetes or had someone in their family diagnosed with else in my extended family was diagnosed with diabetes.
it. I had no family history. Many years later, my husband Andrew informed me that a
When I was told my lab results showed my blood blood test showed he was in the pre-diabetes range and was asked
sugar was in the pre-diabetes range, my first reaction to attend a Diabetes Prevention Program (DPP) in the next town. I
was denial. Well, denial did not work, so I signed-up for attended the introduction and was allowed to take the class with
a local Diabetes Prevention Program (DPP) class. him, for support. During the next year, in the DPP class, I learned a
Learned a bit, changed some bad habits, improved diet, lot about the different types of diabetes, facts about pre-diabetes,
lost the 7% body mass, and met some new friends. important nutritional information, tracked my food intake, became
The illness is still there but more active, and met some
is managed much better. wonderful new friends.
Over time, got to meet A year later, my blood test
other classmates and many revealed that my A1C was also
of the medical in the pre-diabetes range.
practitioners. Surprising of I attended a Solano County
how small Solano County Diabetes Advisory Forum
actually is! As a long-time (SoDAF) meeting in 2017 and
Solano resident, there other advisory forum meetings
were many individuals that in years since then, where I was
I have either had direct able to express and share my
contact with or knew of experience in the community,
them. The “six degrees of to help the county find
separation” concept only solutions and new ways to get
requires two within the the word out to other
County.” residents.”
Last year, to further support our community, SoDAF started a Diabetes Support Group. We have been volunteering to
help coordinate the activities of this group. We meet once a week -Thursday evenings- via Zoom. The Diabetes Support
Group is open to anyone who has diabetes, have friends or family with diabetes, or just want to learn about it.
Andrew & Nina Fortunka, SoDAF Members.
Editorial Team Community Partners:
Editor: Jay Shubrook, DO
Newsletter Designer: Maryelli Ray
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DREAM TEAM Newsletter | Issue 4.1 | July 2021
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