Carolinas HealthCare System

Diabetes Services at CMC-Lincoln

Diabetes Services at CMC-LincolnWhile there is no cure for diabetes, it can be controlled with lifestyle changes and/or medication. For people living with diabetes, their daily goal is to maintain a delicate balance between the sugar in their diet and insulin. This will help them control acute symptoms, prevent long-term complications and promote better overall health. As difficult as that may seem, diabetes management is similar to leading a healthy lifestyle based on educated decisions, meal planning and exercise.

Carolinas Medical Center-Lincoln's diabetes staff plays an important role in helping primary care physicians help patients successfully self-manage their disease. Through individual and small group sessions, patients and their family members learn about topics such as meal planning, exercise regimens and the importance of checking blood sugar levels regularly.

CMC-Lincoln received Certification of Distinction from The Joint Commission for Advanced Certification in Inpatient Diabetes. This represents to the community that we care about the quality of care we deliver to our patients with diabetes. We strive to provide excellent diabetes care every day.

For more information about Outpatient Diabetes Services, call 980-212-6037.

What is Diabetes?

This disease affects the body's ability to use and/or produce insulin. Insulin - a hormone produced by the pancreas - acts like a gate keeper, transferring sugar from the bloodstream into cells where it is converted into energy. If the person's blood sugar level rises too high, too quickly, it can create immediate symptoms of nausea, blurred vision, sleepiness and feelings of weakness. Over time, the cumulative effects of abnormally high blood sugar levels may result in circulation problems.

Patients can have one of two types of diabetes. Type 1 diabetes is caused by insulin deficiency. Because the person's pancreas has stopped producing insulin, his or her blood sugar levels can rise extremely high. Insulin injections are needed to keep them under control. Symptoms of high blood sugar levels include becoming very sick quickly, lethargy, inability to function and frequent urination. This form is common in children, adolescents and adults under 30.

Type 2 diabetes, traditionally the adult form of the disease, is now appearing more often in young patients due to lifestyles. Usually starting at age 35 to 40, this disease is due to insulin resistance. The cells in the person's body have trouble receiving sugar from the blood stream and therefore are unable to produce energy. The liver tries to compensate for the lack of energy by releasing even more sugar into the blood stream. This overcompensation may go on for several years before the person experiences symptoms such as thirst, increased frequency of urination, blurred vision, extreme tiredness and sores that will not heal.

Quick Facts

American Diabetes Association (ADA) "Recognized" Diabetes Education Program:

  • Diabetes affects nearly one in 16 Americans.
  • The incidence of diabetes in a 30-year-old has increased 70 percent in the last 10 years.
  • Diabetes is one of the leading causes of eye disease/blindness and renal failure in the U.S. as well as the leading cause of circulatory problems resulting in lower extremity amputations.

Main causes of diabetes:

  • Baby boomers are now in the 45 to 60 year-old range which is when people are more prone to develop Type 2 diabetes.
  • Obesity is on the rise. Obesity can lead to insulin resistance which is a precursor to Type 2 diabetes.
  • An increase in ethnic groups migrating to the United States, especially Hispanic.
  • Family history, age, dark skin (African American or Hispanics), sex (women are more prone to the disease than men) and stress also play a role in a person's risk for diabetes.

Services @ CMC-Lincoln

Outpatient Diabetes Services staff consists of two Certified Diabetes Educators (CDE); one is a registered nurse and one is a registered dietitian.

Other Outpatient Diabetes Services include:

  • Individual assessment and instruction in diabetes self-management skills
  • Group classes, minimum four to six hours
  • Individual one-to-two hour sessions as indicated
  • Follow-up and reinforcement at regular intervals to assess progress with lifestyle changes and long-term control
  • Phone consultations as questions arise
  • Monthly education/support sessions offered at no charge
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