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"The essence of taking prevention measures in the management of Diabetes is key to a better quality of life."
Hunt Regional Medical Partners
Family Practice at Live Oak

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We got you covered!! Check out the video below to view it. For Spanish, you can start of at minute 33. 

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Learn the true meaning of Diabetes

Diabetes can affect everyone. It can affect your family, friends, and even YOU! Being able to know what Diabetes is and knowing the risk factors, will help YOU be healthier!

Diabetes can affect anyone. It is not specific to any race, gender, or age. Diabetes is a disease where the body does not produce enough Insulin or does not use the Insulin properly. Insulin is a hormone that is produced by the Pancreas. It is important that our body creates and uses Insulin because it makes it easier for our body to use sugar (Glucose) as energy. There are 3 types of Diabetes:

1) Diabetes Type 1

  •  Also known as Juvenile Diabetes or Insulin-Dependent Diabetes
  •  Your own body attacks the cells that produce Insulin
  • The lifestyle that one lives does not produce Diabetes Type 1. Yet, living a healthy lifestyle can alleviate some of the symptoms. 
  • Body still breaks down food into Glucose, or Blood sugar. 
  • There is no Insulin to allow a pathway into the cells. 
  • Will need to use Insulin Injections.
  •  Symptoms of Diabetes Type 1 are Frequent Urination, Frequent Thirst, drastic weight loss, and tiredness. 
 2) Diabetes Type 2
  •  It is the most common type of Diabetes.
  •  Also known as Adult Onset Diabetes.
  •  The type of lifestyle DOES impact the outcome of this disease. 
  • Insulin is produced, but either it is not used adequately or there is not enough Insulin.
  • Can be managed by Diet and physical activity. 
  • Can also be managed by oral medications, but it can also lead to medication injections. 
  •  Symptoms of Diabetes Type 2 are increased thirst, frequent urination, hunger, fatigue, and blurred vision. 
3) Gestational Diabetes (Diabetes during Pregnancy)
  •  Develops during pregnancy
  •  Those who have Gestational Diabetes are at a higher risk of Diabetes Type 2. 
  • In most cases, there are no symptoms. 
  •  Women who do not take care of their Diabetes during pregnancy could lead to a bigger baby than the average size, needing C-section (Cesarean) to deliver the child, High Blood Pressure, and/or Low Blood sugar.
To know more about Diabetes, please check out these educational YouTube Videos: 

The importance of a Healthy Diet

It is essential to management what you place inside your body, especially when you or a loved one has Diabetes. Knowing where to find assistance in diet planning is key for Diabetes management.

Diet is important in keeping your sugar levels at regular levels. First it is important that you know what you are placing in your body. When grocery shopping, you should read the nutrition facts label on the package.  A nutrition facts label looks like the one below:

When reading the label, it is important that you look at the serving size along with the amount for fat, cholesterol, sodium, Carbohydrates, Protein, and the Ingredients. The label will give you facts about the item that you are going to eat. For example, this label is for potatoes. The serving size is 1 Potato, and it  has 3 grams of protein, 26 grams of Carbohydrates, and 20 milligrams of Calcium. If you were to eat 3 Potatoes, then you would multiply the rest of the facts by 3. Therefore, you would end up eating 6 grams of protein, 78 grams of Carbohydrates, and 60 milligrams of Calcium. Also, having a friend and/or a family member assist you with dieting goes a long way. 

There are “Good” and “Bad” Carbohydrates.

Complex Carbohydrates are “Good”.

  • They take longer to digest.
  • They can be used longer.
  • They take longer to turn into fat. 
  •  They allow you to feel fuller allowing you to eat less.
  •  Usually come from Whole Grain, fruits, and Vegetables.
Simple Carbohydrates are “Bad”.
  •  They digest quicker.
  • They are used faster.
  • The simple Carbohydrates that are not used, easily turn into fat.
  • Even though you eat, you never feel full.
  • Usually come from sugary drinks, sugary cereals, candy, desserts, and refined bread (white bread). 
When meeting with your doctor, ask him for suggestions on diets to follow. Make sure that you tell them you goals (lose weight, gain mass, gain muscle, etc). You can also ask your doctor to refer you to a Nutritionist or Dietitian. Nutritionist are individuals that have completed the required courses and/or training to have a certification. Dietitians are individuals who have obtained the degree(s) required and have specialized in Nutrition and Diet. These individuals should be able to guide you in correct direction. Some guides that they should use are myplate.gov (Nutrition guide published by the USDA), The Dietary Guidelines for Americans (Establish by the HHS), and/or other resources that are credible and researched based. 
 
Some resources available are:
  1.  MyPlate.gov
  2.  2015-2020 Dietary Guidelines for Americans
  3.  Nutrition.gov
BONUS: Videos that can help you understand more about nutrition about Diabetes and diet.

Diabetes and The Heart

I know that Diabetes affects my heart, but how much? Diabetes can cause heart attacks, raise blood pressure, can lead to clots, and more! 

Diabetes is one of the biggest contributors of heart disease. The infograph beside shows the truth with numbers:

  •  2-3 times increased for heart disease
  • 30% of coronary stents implanted in 2011
  •  280,000 heart attacks annually
  • 2-4 times higher of heart disease and mortality rates
  • 60% chances of dying from heart disease
It is the sad reality. Yet, how does Diabetes increase the numbers? Well according to the National Institute of Diabetes and Digestive and Kidney Diseases:
  • High sugar in your blood damages your blood vessels and the nerves that control your heart and the blood vessels.
  •  People with Diabetes developed a heart disease at a younger age than those without Diabetes.
Along with Diabetes, there are also other things that can worsen the problem for heart disease and increase the risks. These habits are:
  •  Smoking
  • High Blood Pressure (Hypertension)
  • Abnormal Cholesterol Levels
  • Obesity
  • Lack of Physical Activity
  • Family History of Heart Disease
With the exception of family history, this lifestyle can be modified with the type of lifestyle that you have. It is important that you stop smoking. As we learned last week, having a healthy diet will lower the risk and your levels. You also need to learn how check your blood pressure (BP). When reading the levels, you need to know how to read it The numbers are as follows:
  •  The upper number is the Systolic
  • The lower number is the Diastolic
  • The third number should be your Heart beat (Pulse)
The Systolic pressure is the force that your heart uses to push heart to your body. The Diastolic pressure is the the force that your heart uses to bring the blood back to the heart. When reading the levels, the Systolic number should be higher than the Diastolic. For example, the ideal average Blood Pressure should be 120/80. To determine the range of your Blood Pressure you would check the following:
  •  Higher than 130 Systolic and 80 Diastolic is considered High Blood Pressure
  •  Normal Blood Pressure is between 91 and 120 Systolic and 61 and 80 Diastolic 
  •  Low Blood Pressure is below 90 Systolic and 60 Diastolic
These numbers can help you understand a little of how your heart works. Yet again, knowing how to keep your blood sugar levels at a normal levels, maintaining a healthy diet, and learning how to exercise will help you live a long live. Please stay tuned for next week where will learn how physical activity will help in managing your Diabetes. 
 
Bonus videos: 

HOw can Physical Activity affect Diabetes?

As seen in the info graph, physical activity throughout our day brings several beneficial factors. Some beneficial factors include better quality of sleep, weight loss, more energy, and less stress.

Exercise is essential for our body to regulate sugar in our blood properly. Yet, the regulation will also depend on how long, how frequently, and how hard we exercise. The American Diabetes Association recommends that we exercise at least 2 and a half hours of moderate to vigorous activity.  

Activities can include:

  • Walking
  • Water Aerobics
  • Jogging
  • Swimming
  • Home Exercises
  • any activity that will get you moving and that you are comfortable
Also exercising can bring benefits to your life. Having physical activity in your life increases:
  • the quality of sleep that you receive
  • Energy throughout your day
  • the probability of weight loss
  • your chances of a healthier heart
  • Self-esteem
  • Insulin Sensitivity

There are other benefits when someone has a regular exercise routine. Exercise can also decrease:

  • the levels of cholesterol
  • your blood pressure
  • fatigue
  • stress
  • joint pain
  • insulin that is still circulating in your blood
  • Glucose (sugar) that is still being produce by your Liver

Also, you will get the most benefit out of your physical activity if you:

  • Have 2 to 3 resistant exercises (the type of exercise that strengths your muscles)
  • No more than 2 days without any type physical activity
  • Break up the sedentary time every 30 minutes (This will mean after each episode of your favorite show)

When you exercise, it is important to:

  • Drink water. If you do not drink water you could dehydrate. 
  • Warm up and Cool Down. It is recommended that you warm up and cool down 5 to 10 minutes before and after exercising. This will allow you body to “get ready” for the exercise that will complete. 
  • Dress accordingly. You want to wear clothing that is flexible to the all the exercises that you plan to do. Also, you want you clothing to be breathable. This will allow your body to regulate its temperature. 
  • Breathe normally. When exercising, you want breathe as normally as you can. If you hold your breathe, you could get lightheaded and could lead to bigger problems. 
  • Save your breath. When doing cardio exercises, such as running or jogging, it is normal to have a slight shortness of breath. Yet, you should be able to have a normal conversation. Do not overwork yourself. 
  • Start slow. When you start to be more active after a long time of not exercising, it may be hard for you to do the exercises. At first, you may not want to do anytime of physical activity. That is why it is important to start slow. You want to be easy on yourself. Once you start to get the tempo of things, you can increase the level and time of your exercises. 
  • Carry a phone. Having a phone available can save your or someone’s life in times of an emergency. You never know when you may need it because of low blood sugar or any other emergency. On your phone, you will need to have your emergency contacts available for people or you to call quickly. 

Here are some videos and resources to help you better understand the importance of physical activity and how to do it:

How does Diabetes Further Complicate things?

Diabetes tend to affect your entire body, not just one part. Diabetes affect our life style, and it adds stress to our loved ones as well. Knowing how in-depth Diabetes complicates our life, is important to managing our health. 

  • When you hear the word Diabetes, you may think sugar in the blood. This form of thinking is true, but we should think too much or too little. You may also think that Diabetes does not affect the whole body. You may think that it only affects the heart or the veins and arteries, but is this true? 

NO!

Having too much sugar in your blood system affects your whole body as a whole. As we discussed two weeks ago, too much sugar affects the heart, but what else can having too much sugar in my blood damage?

There are several diseases that can arise from Diabetes. There are short term and long term complications of Diabetes. The short-term complications are considered those that are temporary at the moment. For example, when you have low blood sugar, it would be the symptoms of the temporary problem (We will be discussing Hyperglycemia {High blood Sugar} and Hypoglycemia {Low Blood Sugar} next week). When doctors talk about the complications of Diabetes, they refer to the long term aspect of it. There are several long-term complications of Diabetes that will affect you for the rest of your life.

Those complications are as follows:

  • Cardiovascular Disease.
    • As mentioned two weeks ago, Diabetes tends to heavily increase the chances of Cardiovascular Disease for those with Diabetes compared to those without Diabetes (refer to Diabetes and the Heart section).
  •  Neuropathy (Nerve Damage).
    •  Too much sugar in the blood hurts and damages the small blood vessels (capillaries) that provide nutrients to your nerves. This damage will cause tingling, numbness, burning, and/or pain that normally start at the tip of toes and fingers and spreads upwards to the rest of the body. If you do not control the high levels of sugar in your blood, you could lose feeling in you arms, legs, hands and/or feet. The high amounts of sugar in your blood could also damage the nerves in your digestive system. This would cause issues such as nausea, vomiting, diarrhea, and/or constipation. In men, you could have erectile dysfunction (problems during sex). 
  •  Nephropathy (Kidney Damage).
    •  In your Kidneys, there are several tiny blood vessel clusters (Glomeruli) that work by removing waste out of your blood. High amounts of sugar could damage the filtering system. Harsh damage could lead to Kidney failure and/or irreversible end-stage kidney disease, which would require you to use dialysis and/or a kidney transplant. 
  •  Retinopathy (Eye Damage).
    •  Diabetes damages the blood vessels in the retina (thin layer of tissue in the back of the eye). Damage to this part of the eye could lead to permanent blindness. Diabetes also increases the possibility for you to get Cataracts and Glaucoma. 
  • Foot Damage
    •  Nerve damage and/or poor blood flow to the feet increases the risk of several foot complications. If you do not manage your Diabetes, cuts and blisters could develop infections. These infections tend to heal improperly and poorly. These types of infections could lead to amputations of toes, feet, and/or legs. 
  • Skin Problems
    • Diabetes tends to leave individuals more prone to skin conditions. Some of these conditions could be bacterial and/or fungal. 
  • Hearing Impairment.
    • Hearing issues are more common with those who suffer with Diabetes.
  • Depression
    • Symptoms of Depression are common in individuals with Type 1 and Type 2 Diabetes. In return, Depression could affect your Diabetes Management. 
 These are complications are something serious to think about. That is why it is important for you to regularly check-in with your doctor and check your blood sugar levels. Tune in next week where we will talk about the importance of regular visits with the doctor and regular blood sugar monitoring. 
 
BONUS VIDEOS:

Should I really go to the Doctor and check my sugar levels regularly?

YES!! Going to the doctor regularly will help you manage your Diabetes more effectively. Doctors can prescribe you medications to help you with your Diabetes. Checking your sugar levels regularly lets you understand how much sugary foods you are eating. Having these levels with you when going to the doctor, will help them better treat you. 

When you are diagnosed with Diabetes, checking your blood sugar is important and should be seen as such. When you check your blood sugar, you would be able to know what your levels are at, and this will allow you to manage your Diabetes better. Some of you may ask, why test my blood sugar? Shouldn’t I feel the changes in my body? It is true that you may feel some symptoms that you have rarely felt, but it is essential that you still check you blood sugar. Here is why:

  • It will allow you to monitor the effects of you medication on you blood sugar levels.
  • It will allow you to actually know if your levels are high or low. 
  • It will allow you to track the on your goals that you and your doctor have set up.
  • It will allow you to know how your diet and physical activity.
  • It will allow you to know how stress and other external factors affect your blood sugar levels.  

You will need to know how to check your blood. You need to follow these steps in order to properly check your blood. These steps will ensure your safety. 

  1. Wash your hands with soap and water. You should be washing your hands for at least 20 seconds. 
  2. Rub your hands to warm them.
  3. Place the strip into the meter.
  4. Prick the side of one of your fingers.
  5. Bring the meter close to your pricked finger and let the strip suck up the blood.
  6. Write the results in your book that you safe keep. 

When you record your blood sugar levels. KEEP IT IN A PLACE THAT YOU REMEMBER. This book is necessary to have EVERY TIME you go to the doctor. This way the medical professional will be able to know how to help YOU manage YOUR Diabetes. They will be able to know which medications are helping you more or which medications are actually making you worse. 

You also need to know when to check your blood sugars. It will all depend on:

  • Instructions on your doctor and,
  • Type I Diabetes or,
  • Type II Diabetes.

If you have Type I Diabetes, you should check your levels:

  • Before meals and snacks
  • Before and after exercise
  • Before going to bed
  • Sometimes during the night
  • More when your sick
  • More when you change your daily routine
  • More when you start a new medication

If you have Type II Diabetes you should check you blood sugar levels:

  • Usually before meals
  • Usually before going to sleep
  • If you take multiple injections
  • More if you start a new medication

The number, that shows in your meter, will allow you know what actions you will need to do next. You number can fall into one of several categories:

  • Hypoglycemia (low blood sugar) 
    • Blood sugar is below 70 mg/dl.
  • Normal Blood Sugar
    • Between 71mg/dl 199 mg/dl.
  • Hyperglycemia (High Blood Sugar)
    • Blood sugar is over 200 mg/dl.

It is necessary that you know the guidelines that set to let you know the action that you will need to take. Keep in mind that these guidelines are average based, and it is better to constantly follow up with your doctor about the guidelines set up for YOU. 

When seeing a medical team to help you manage your Diabetes, the team should include medical professionals who are a/an:

  • Doctor
  • Dietitian
  • Diabetes Educator
  • Exercise Trainer (can be substituted by a Physical Therapist, sports coach, or any other professional that is qualified to help you exercise or teach you how to exercise)
  • Pharmacist

When should I see a doctor? It all depends on the treatment that the medical team has you on. If you are a on:

  • Insulin shots
    • You should see the medical team at least every 3 to 4 months
  • Treated by oral medications (pills)
    • You should see the medical team at least every 4 to 6 months

Yet you will need to see the medical team if you do not control your blood sugar. 

What about the information? What should I give them? There are several factors that you need to tell your medical team. You will need to tell them:

  • If your Diabetes is controlled and how well it is being done.
  • If your Diabetic Complications are getting worse or better
  • The blood sugar monitoring record that you safe guarded somewhere.
  • Report symptoms of Hypoglycemia or Hyperglycemia.
  • Changes in your diet, exercise, medications (outside of what your doctor has prescribed).
  • Any illnesses that you may be experimenting
  • Any experience of complications from Diabetes (discussed last week).

At every visit, the medical team should check your:

  • weight 
  • blood pressure
  • eyes
  • feet
  • insulin injections (if applicable)

Your doctor will also want to conduct tests on your visits. What test are these? They are:

  • Hemoglobin A1c
    • Test that shows your average blood sugar level over the past 2 to 3 months
  • Urine test (Albumin test)
    • Test that shows the function of your Kidneys
  • Lipids Test
    • It is a test that shows the levels of fat in your blood, including Cholesterol and Triglyceride levels. 

Here are some bonus videos and resources on Glucose monitoring and regular check-ups:

How Should I take My Medications?

Instructions usually are told by a doctor, but also come attach to your medication for further reference. Following through with medications is important for controlling your Glucose levels and any other problems regarding your health. 

 

So you were prescribed medications by your healthcare team? What are you planning to do? How are you going to take your medications? How should you proceed? These are all great questions that we will be answering this week. 

First, you want to keep constant communication with your healthcare team (discussed last week). You will want to follow their instructions, but in case that you forget, the instructions should come attached the prescription bottle. Also, your pharmacist will place your medication in a bottle with a secure cap that is resistant to children. Your bottle should include the following information:

  • The patient’s name (It should be yours).
  • The medication name on the bottle.
  • The dosage amount that your doctor prescribed.
  • Key information such as side effects.
  • The information should be large enough for you to read.

You can use this picture as reference.

When taking your own medication, it is recommended that you follow these steps:

  • Wash your hands for at least 20 seconds.
  • Prepare the material (injections or oral medications)
  • If oral medication:
    • Grab the pill of the medication
    • Place it in your mouth
    • Take the medication with a full glass of water. This will ensure that the medication has fully been swallow and that it does not come back up.
    • Safe guard your medication.
  • If it is a injectable medication:
    • Clean the injection site with alcohol swab or with soap and water.
    • Inject the needle into the skin
    • Slowly push the medication into your body
    • Remove the needle.
    • Dispose of the needle as biohazard. (Discussed later in this section). 

There are some recommendations that you should also follow to be safe with the medication that your are prescribed:

  1. Know the name and purpose of your medication.
  2. Keep a list of the medications that you are taking. This will include medication that is over-the-counter (OTC) such as Tylenol or Motrin. You will also want the dosage and how often you need to take your medication. 
  3. How to take your medication. You want to follow the instructions of your healthcare team. The instructions should be on the prescription bottle. 
  4. Take your medication with a daily routine activity. 
  5. Know when your last injection was given (if applicable). It is important to know when you last injected insulin (or any other medication) so you will not overdose. You should tell your doctor how often you are injecting and the big of a dosage. They will exam your injection site. 
  6. DO NOT take more or less of your medication, if you take more, you could overdose which will badly affect your body. If you take less of your medication, it will not be as effective and will not improve your condition as expected. 
  7. DO NOT crush or break the medications unless you are instructed by your healthcare team. If you were to do so, it could bring some damages to some of your organs and/or stomach.
  8. Know how your medication looks like. You can find pictures on Google or Bing. You want to know how they look like. This way you will not accidentally take a wrong medication. 
  9. Know where to store your medications. You want to keep them in a safe place where children or pets will NOT be able to reach them.
  10. Store your medication in a cool and dry place. Heat and/or moisture could damage your medication making it less effective. 
  11. DO NOT use expired medication.
  12. DO NOT use medication prescribed to others even if it is the same medication that you need.
  13. Keep your healthcare team updated constantly.
Now you have extra medication or expired medication, what are you planning to do with it? Here are some safe tips, recommended by the Federal Drug Administration (FDA), to follow to disposed of those medications.
 
What about those used needles? How do you get rid of them? Should you save them for later and reuse them? Well you do not want to do that. Once you use it, you want to dispose of it. Here is a image on how to safety dispose used needles.
 Here are some bonus videos and resources that will be beneficial for you to follow. 

How can We Help each other?

It is important to be there for each other. Calling your friends, family, doctors, and anyone else will allow them to keep you accountable. Having a support system goes a long way. 

Have you ever had a family member or a friend that was recently diagnosed with Diabetes? Have you noticed them or someone else check their sugar levels either secretively or openly? If so, you may feel like you want to say something to them. You may want to congratulate them for being responsible with their health, or maybe tell the a better way on how to manage their Diabetes. Yet, you do not know how. Therefore, how can you be a better serve them? Also, why are support groups important? 

First, I would like to say that support groups are crucial to the physical, emotional, and psychosocial wellness of the Diabetic. Support groups provide that feeling of “I am here for you because I also have Diabetes”. This feeling lets others know that they are not alone. Knowing that are individuals deal with Diabetes makes the diseases more comfortable to deal with, even though it can be hard sometimes. Those that are in your support groups does not specifically have to be others with Diabetes. It can be your spouse, children, siblings, coworkers, and/or parents. Just make sure that they are trustworthy and individuals that are willing to keep it confidential.

Support groups can also provide the emotional support that everyone needs. Having individuals know what you are dealing with, can help you “lift the weight off of your shoulders”. You can talk to them about how you are feeling, and as a support group member, they should be willing to listen to you. Talking to a member in your support group, can lead to your happiness. Do not be shy and/or scared to tell them what you are going through. You want to build the personal connection. 

Diabetes support groups are beneficial because they can provide education and awareness. Sometimes going to the doctor does not work for you because they use language that you do not understand. Yet, these support groups are made with the intention to speak to you with common terms. You will be able to ask the groups any Diabetes related questions. Therefore, make sure you remember or write these questions down so you can ask them. The support groups can talk to you more and in-depth of what we have discussed throughout the entire program. Do not feel ashamed to reach out.

Additional Resources and videos:

 

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Want more information on resources in your area?

We got you! We totally understand that you want to continue your path to a healthier lifestyle. We are happy that you were able to follow us on this path to #EducateYourself (#Edúcate), and we continue that you will continue doing so. We decided to compile resources that will be beneficial for you to use. Thank you so much! Please refer to the listing below for the available resources and programs.

  •  Program Name: Good Measures Diabetes Program
  • Address: 15 Rye Street, Suite 305, Portsmouth, NH 3801
  • Email: info@goodmeasures.com
  • Call: (888)-320-1776
  • Offers their Program through Telemedicine (Online, Remotely, calls)
  • Offers their Program in English and Spanish
  • Contains 9 education segments that consist of nutrition, exercise, monitoring, medications, lifestyle changes, and psychosocial issues. 
  • Individuals have 1-on-1 relationship with their coach who supports them in achieving their goals. The coaches will also offer advice and nonjudgmental problem solving.
  • Coaches are available through calls, text, emails, and video. 
  • Program Name: Garland Health Center
  • Address: 802 Hopkins, Garland, TX 75040
  • Call: (214)-266-0700
  • Offers Diabetes Self-Management Education such as assisting you meet your goals, and learning new skills.
  • Offering in English and Spanish
  • Program name: Diabetes LifeCenter
  • Offered at 2 locations:
    • Texoma Medical Center
      • Address: 5016 S. Highway 75, Denison, TX 75021
    • TexomaCare-Bonham
      • Address: 2201 North Highway 121 Bonham, TX 75418
  • Call: (903)-416-4112
  • Offers program in English and Spanish
  • The program focuses on nutrition, medication, and self-care.
  • Services include:
    • Individual instruction/classes
    • Nutrition evaluation and counseling
    • Counseling on Gestational Diabetes (Diabetes during Pregnancy)
    • Intensified Insulin Therapy
    • Insulin Pump Program
  • Medical Clinic
  • Address: 4907 Stonewall, Unit A Greenville, TX 75401
  • Call: (903) 455-4433
  • Hunt County Health Department Medical Clinic offer services such as child and adult immunizations, Wellness Exams, and health educating. 
  • Have several extensions around the state of Texas, including in Hunt County.
  • The Hunt County Extension is located 2217 Washington St. Greenville, TX 75401.
  • Call: (903)-455-9885
  • Email: hunt-tx@tamu.edu
  • They also have Facebook pages (Hunt County Agrilife Extension, Hunt County 4-H, Hunt County Masters Gardeners)  where they are very active. 
  • Provide with several educational factors in regards to health. Some of those educational materials include: Nutrition, Planting, Agriculture, Meal Planning, Food Safety, and more. 
  • Non-Profit Clinic that offers services at low-cost. 
  • Carevide offers:
    • Medical such as acute illness, family services, Same Day appointments, and Immunizations. Has 5 locations:
      • Carevide Bonham
        • Address: 920 N. Center St, Bonham, TX 75418
        • Call: (903)-583-6155
      • Carevide Cooper
        • Address: 91 W. Side Square, Cooper, TX 75432
        • Call: (903)-395-0586
      • Carevide Farmersville
        • Address: 111 N. Johnson St, Farmersville, TX 75442
        • Call: (972)-782-6131 
      • Carevide Greenville
        • Address: 4311 Wesley St, Greenville, TX 75401 
        • Call: (903)-455-5958
      • Carevide Kaufman
        • Adress: 2600 Commerce Way, Kaufman, TX 75142
        • Call: (972)-750-3177
      • Carevide Sulphur Springs
        • Address: 105 II Medical Plaza, Sulphur Springs, TX 75482
        • Call: (903)-885-1730
    • Dental such as General Dentistry, X-Rays, Exams, Cleanings and Fillings.
    • Pediatrics such as Wellness visits, Sick Visits, and Pediatric Dentistry. 
    • Women’s such as comprehensive services and financial assistance. 
    • School-Based offers the program to current Commerce ISD students.
      • Carevide School-Based
        • Address: 606 Culver St, Unit 1 Commerce, TX 75428
        • Call: (903)-259-3602
  • Program Name: Diabetes Self-Management Education Support 
  • Address: 4215 Joe Ramsey Boulevard, Greenville, Texas 75403
  • Call: (903)-408-5130
  • Hunt Regional Healthcare offers several programs to manage your health. Some of those programs are Cardiology services, Occupational Health, Orthopedics, and Wound Care. The Diabetes Management Center offers 3 sections within its program, 1) Education, 2) Weight Loss Counseling, and 3) Nutrition Counseling. The Education section discusses the same issues and regards that were discussed in this program. The Weight Loss section discusses the importance of weight, and how it affects your Diabetes. The Nutrition Counseling section discusses in-depth of the importance of managing your diet to control your Diabetes. 
  • CEO and Founder: Latonya Bynum
  • Email: info@latonyabynum.com
  • Call/text: (501)-291-8775
  • www.latonyabynum.com
  • U.R.A. Resource Center LLC offers this current program of Diabetes self-management education #EducateYourself. Mrs. Bynum also offers Resume, Cover Letter, Intern/Mentee Program, and more, including her Book, Tools for Career Success: 101 Answers to FAQs about Public Health. Feel free to reach out to her with any questions or concerns about any of the programs, including #EducateYourself.

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