In October, Tillamook County Wellness offered a popular series of classes on financial literacy. We learned that we always have something new to learn about how to manage the everyday costs of living. But that got me thinking, “What are the costs of living with a chronic condition, like diabetes, and how does that affect your overall lifestyle?”
Many people think of diabetes as merely an issue of too much sugar in the diet. However, diabetes can not only cause long-term health issues, but it can also mean additional expenses over time, especially if it is not treated properly. In fact, diabetes is the most expensive chronic condition in the United States. People with diabetes must manage their condition and consider the cost of doctor’s visits, medications, and supplies.
For people with diabetes, maintaining healthy blood sugar levels help decrease the risk of complications, such as nerve damage, vision problems and heart disease, among other problems. Naturally, better management of the disease can also mean lower health care costs.
Let’s consider some of the costs on a personal level related to diabetes.
People diagnosed with diabetes shoulder medical expenses 2.3 times greater than those without diabetes. According to the researchers at Good Rx, when the various costs are tallied, including the cost of extra doctor visits, over-the-counter supplies, and lost wages, a typical person with diabetes taking insulin could spend a shocking $4,800 a year in extra costs – even with health insurance. That figure represents about 10% of the average American’s annual wage.
Costs get even more expensive for those living with uncontrolled diabetes, with more than one chronic condition, or those lacking insurance altogether.
More than 30 million Americans have diabetes, and more than seven million of those people treat their condition using insulin. In Tillamook County, it is estimated that one in three people have prediabetes, and that nine out of ten don’t even know it or have no symptoms. Those numbers have likely increased during the pandemic, but they have not been measured yet.
These out-of-pocket costs present a significant burden for people with diabetes, over and above the work of monitoring their disease, checking blood glucose levels, and the toil of regular insulin injections.
You can take control of these potential costs by prevention — lifestyle changes can help prevent the onset of type 2 diabetes, the most common form of the disease. Prevention is especially important if you’re currently at an increased risk of type 2 diabetes because of excess weight or obesity, high cholesterol, or a family history of diabetes.
The Tillamook County Family YMCA offers a year-long program with the goal of losing 6-7% of body fat and working up to 150 minutes of physical activity each week. The group meets every week for the first 16 weeks and every other week after that. The next cohort is expected to begin at 5:30 p.m. on Tuesday, Feb. 21, 2023. And the best part, this program is free!
Past participants of the National Diabetes Prevention Program (mentioned above) have lost 15-19 lbs. on average and increased their activity to 151-550 minutes per week on average. Those are impressive – yet very attainable – statistics that will improve your overall health.
Additionally, the Tillamook County Family YMCA offers a wide range of programs to help you live a better, healthier life: including the National Diabetes Prevention Program, Living Well with Diabetes, Living Well with Chronic Conditions, Tai Chi, Qi Gong and other fitness programs. Check out their website for more information at https://tillamookymca.org/.
The bottom line is, that taking a few simple changes in your lifestyle now may help you avoid the serious health complications of diabetes in the future and save you money as well. It’ s never too late to get started!
AUTHOR: Patti Atkins, APR, Marketing Communications Consultant to TCCHC
½ teaspoon chopped freshoregano or ¼ teaspoon dried oregano
½ teaspoon chopped fresh mint or ¼ teaspoon dried mint (optional)
8 ounces ground meat, 15% fat or less (beef, chicken, turkey or pork)
¼ cup plain bread crumbs (optional)
2 teaspoons vegetable oil
6 cups low-sodium broth (any type)
1 or 2 sprigs fresh oregano or 1/2 teaspoon dried oregano
1/4 teaspoon garlic powder or 1 clove garlic, minced (optional)
2 cups chopped vegetables (fresh, frozen or canned)
Directions
Wash hands with soap and water.
For meatballs: In a medium bowl, mix together the rice, carrot, ¼ cup onion, ¼ cup tomato, egg, salt, oregano and mint, if desired. Mix in ground meat. Add bread crumbs to help the mixture stick together, if desired.
Using the palms of your hands or a scoop, roll the mixture into balls about 1 ½ inches in diameter. Set the meatballs aside and wash your hands with soap and water after handling raw meat.
In a large saucepan, heat oil on medium heat. Add ¼ cup onion and 1 cup tomato and cook for 1 minute.
Stir in broth, oregano and garlic powder, if desired. Bring to a boil, then reduce heat to simmer.
Add meatballs to the broth. Cover and simmer until the internal temperature of a meatball reaches 165 degrees on a food thermometer, about 20 minutes.
Add vegetables to the soup and simmer, covered, until the vegetables are tender, about 10 to 15 minutes.
Refrigerate leftovers within 2 hours.
Notes
Top with a squeeze of lime juice and chopped cilantro.
No breadcrumbs? Use 1 Tablespoon cornstarch instead.
Thanks to the Food Hero Latinx Workgroup for this recipe.
If you’ve been following Tillamook County Wellness this year, there’s a good chance that you heard about our “This Way to Well-Being” map activity that we’ve been sharing the last few months. This map stemmed from many discussions of wanting to create something fun and engaging that highlights a broader range of wellness – where the focus is not just on benefiting our physical health, but also our mental and emotional health. (And as an extra bonus, we handed out prizes such as Hydro Flasks, county / state parks passes, fair tickets, and local business certificates to randomly selected participants!)
We created this map of local activities with no set starting point or finish line based on the idea that there is no “right” path to wellness. We all have different interests that motivate us (as well as different challenges that may create barriers) so this map was created to serve as a guide for ideas when thinking about what we find exciting and what we might want to try here in Tillamook County. The “This Way to Well-Being” map included local ideas for enjoying the outdoors, connecting with friends and family, trying new foods, prioritizing your mental health, and more. You can view the map here on the Tillamook County Wellness website.
But we also wanted to hear from participants about what we might be missing – What did you enjoy? And what should we add? The survey responses we received were thoughtful and energizing. Here are a few suggestions that we received about what could be added to the map:
“Create art”
“Start recycling / composting”
“Practice meditation”
“I’d like more ways to meet like-minded people. Perhaps something like sharing a meal with a new friend.”
“Maybe something about sleep, laughter, mental health?”
“Yoga practice. Fostering homeless animals for United Paws or adopting a cat or dog from the Tillamook Animal Shelter”
Not only do we want to thank our participants for their excitement and engagement, but also our community partners who helped spread the word about the “This Way to Well-Being” map. This wouldn’t have reached nearly as many people without the support of the Tillamook Family YMCA, Food Roots, Tillamook County Community Health Center, North Coast Recreation District, Rinehart Clinic, Tillamook Bay Community College, Tillamook Library branches, Tillamook Food Pantries, Kiawanda Community Center, and local worksites. These organizations shared our printed maps with community members and helped distribute prizes to those who were taking steps to prioritize their health. (For example, the picture with this article shows YMCA instructors Kelly Benson and Sarah Patterson awarding one of the prizes to Megan, a new YMCA member!)
Although we’re wrapping up our printed map and prize distribution at the end of October, we are planning on keeping the map up on our webpage and adding a section about the suggestions we received in the survey. We hope it can continue to be used by anyone in Tillamook County who is looking for a little inspiration in starting up their own journey towards a happier, healthier life.
Area schools are integrating health and wellness in innovative ways. Nestucca School District is doing this through a science-based, school nutrition curriculum and on-site garden.They also recently received a grant for a school-based health clinic and are expanding outdoor play areas with bike paths and a bike skills park that will also be open to the public.
Tillamook County Wellness interviewed Nestucca School District Superintendent, Misty Wharton and K-8, CTE and Community Resource Specialist, Rachel Pettit, to learn more about their unique approach to whole-student learning.
Science & Nutrition Curriculum
With a full-time garden coordinator and K-5 science teacher, students experience hands-on education every day with a focus on agriculture, not only learning where their food comes from but also growing that food themselves. According to program coordinator Rachel Pettit, “Kids love the school garden and anything that takes them outdoors to learn.” Using art, journaling and scientific inquiry, students are developing critical thinking skills and enjoying the process of learning and discovery. Rachel notes that, during the year and over summer school, students were able to dig deep and build their observation and communication skills. “Now some of those students are asking incredible questions,” she stated.
In addition to the school garden, the science curriculum includes an outdoor classroom and wellness trail with native plants. Misty Wharton explains that the curriculum design means students are always learning, “Every environment is a learning environment, not just the classroom.” Wharton emphasizes the importance of students getting a well-rounded perception of their world. Through this approach, they become more aware of larger ecosystems and how to be good stewards within them. She goes on to say, “I always hope it ignites their curiosity about the world, maybe gives insight into career paths they hadn’t thought of before,” noting that students often aren’t aware of careers beyond becoming a teacher, police officer or firefighter.
Since September 1st, they have harvested 357 pounds of school garden produce that has gone to the cafeteria, including 80 pounds of potatoes harvested by classroom students and later enjoyed in breakfast burritos. Both Pettit and Wharton agree that students are having fun. They also note that, by growing the food themselves, students are willing to try foods they otherwise would not be willing to try. The school garden was relocated during recent renovations and with the garden gate now next to the school playground, students regularly visit and check on their garden.
Raising a garden takes a lot of time and attention. Rachel manages the garden, working year-round except for a break in January. This spring, she worked with a middle school class (Intro to Agriculture elective course) where the students came in one day a week, helped grow all of the transplants in the garden, and got to take extras home at the end of the school year. Rachel maintains the garden in the summer and works with kids to plant and harvest during the 4-week summer school program. “What I think is really exciting,” says Rachel, “is when kids are asking me what is growing in the garden and then help me harvest some cucumbers, and then I see the same kids in the cafeteria later that day and they’ve got a cup of cucumber slices off the salad bar, crunching away, talking about how beautiful the garden is.”
It was also noted that, even though we live in such an agricultural and naturally beautiful place, a lot of local students are not getting out and exploring the natural world. Many students don’t have easy access to these experiences and so having that on the school grounds and part of daily teaching reduces barriers and introduces students to new activities, skills and interests.
Outdoor Play & Physical Activity
In addition to the outdoor classroom environments, Nestucca School District has made significant investments in outdoor play areas. In the same way that nutrition is built into the science curricula, physical fitness is incorporated through activities kids can enjoy in and out of school. When asked why such a focus has been placed on creating outdoor movement opportunities, Misty says, “I grew up in this community, and there’s not a lot of structured environments for kids to play in a safe, healthy way. There was no existing playground that served the entire community before this one.” The new playground is open to the public, where kids can come after school, on the weekends, and in the summertime with their families. Going beyond the traditional school playground, they have had a bike skills park engineered and are fundraising to expand that project. According to Misty, “There’s no safe place for kids to ride their bike in this community, I was always shocked by how many kids didn’t have a bicycle.”
To change that, Nestucca is launching a fully-funded “All Kids Bike” project, part of a national PE curriculum where schools are awarded a fleet of bicycles for Pre-K and Kindergartener students. In addition to learning basic skills and safety precautions, the curriculum supports learning readiness in that bike riding strengthens the systems of the brain used in reading and writing. “So, we’re constructing a skills park, called a bicycle playground, and then on top of that, also using a large chunk of the acreage to develop mountain biking trails,” says Misty. “There’s a lot of excitement around it because it’s something people can do their entire lives.” The project has a lot of community support, including from the Tillamook Off-Road Trail Alliance (TORTA) which raised $11,000 for the project at a recent fundraiser. “As an adult, I’m excited for the skills park and mountain bike trails,” said Rachel, who went on to say, “I was an avid bicyclist before I moved to Tillamook and I don’t think I’ve ridden my bike in the almost 6 years I’ve lived here because the roads and highways aren’t safe. And I’m excited to learn how to mountain bike which I’ve never done before.”
The bicycle playground and trail system is a phased project. They will be seeking grants and people can also donate funds at the Nestucca k8 building (36925 hwy 101 s Cloverdale) or by calling 503 392 3194 ext 401.
Student Health & Well-Being
Increasing access to healthy habits at school is wonderful; however, according to local data, many students still struggle with getting enough sleep, managing screen time and overall mental health. The district was recently awarded a grant for a school-based health clinic, which helps to reduce transportation and other barriers to receiving timely care.
They conducted listening sessions last year and are incorporating that feedback into new programs. Misty goes on to say that they want to increase access to drama, theatre and dance, noting it is an area of opportunity to meet student interests.
Misty notes, “Coming out of covid, it’s been super important to get students involved outside of the school day. So, right now for our elementary aged kids, we’re offering two nights of soccer & two nights of flag football. We’re seeing vast increase in participation in the middle and high schools in activities and sports and part of that is we’ve done such an upgrade to our facilities. We have really nice places for the kids to play, they’re proud of it, they’re glad that they’re participating.”
AUTHOR: Michelle Jenck, Adventist Health Tillamook Director of Community Well-Being
