Health
EXERCISE
WAREHOUSE
4.49
"We Buy, Sell, & Trade New and Used Exercise Equipment"
TREADMIILL SPECIAL
Image 10.2 Treadmill
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Rated If1 in
Treadmills under
1000 it} January
1998 Consumer
Reports
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NEW
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248 - 476 - 2213
HOURS
Tues - Sat: 11-5
Thurs: 11-8
Sun: 12-4
8 Mile
Stop in and See our Expanded Showroom
• 31539 Eight Mile Rd. • Livonia, MI
Assistance for your
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VISITING NURSE ASSOCIATION
Joint Commission
■ SUPPORT SERVICES
on Accreditation of Healthcare Organizations
An affiliate of VNA of Southeast Michigan
Let us help you be the best you can be
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PETER
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4119 Orchard Lake Rd. (at Pontiac Tr.), West Bloomfield
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Somerset Medical Group • 3290 W. Big Beaver, Troy
metabolism, how the body changes
Solomon Rosenblatt, a Berkley
digested food into energy and growth,
endocrinologist who is on staff at
doesn't function correctly. After a
William Beaumont Hospital.
meal, a portion of the food is broken
"With Type 2 diabetes mellitus,
down into sugar or glucose which
patients can go seven years or more
then passes into the bloodstream and
with the disease before its diagnosed.
into the body's cells. For sugar to get
That's seven years of high blood sugar
into some of the cells, insulin, a hor-
levels doing damage to small and large
mone produced by the pancreas, must
blood vessels."
escort it in.
According to Dr. Rosenblatt, in Type
When the pancreas produces the
I diabetes and juvenile onset diabetes
correct amount of insulin to accom-
there's a total failure to produce insulin.
modate the quan-
Type I usually starts
tity of sugar,
in children or young
everything is nor-
adults but can happen
mal. For a person
at any age. It afflicts
with
diabetes,
about 700,000 peo-
either
the pancreas
ple.
produces
little or
Type 2 usually
no
insulin
or the
arises because of
cells don't respond
insulin resistance
normally. Sugar
when the body fails
builds
up in the
to use insulin prop-
blood,
overflows
erly and there is usu-
into the urine and
ally some deficiency
passes from the
in the production of
body unused.
insulin. Type 2
"I consider
accounts for 90-95
myself
very luc
percent of diabetes
because
I waited
cases.
too
long
to be
Until now, the
Dr. Rosenblatt:
concerned
about
disease was generally
Fighting the silent killer.
diabetes
and
I was
diagnosed when peo-
at
risk,"
says
65-
ple developed symp-
year-old CPA Harvey Cantor of West
toms such as unusual thirst or fre-
Bloomfield. "I was overweight, I had a
quent urination, or when people at
heart condition, and I didn't exercise.
high risk for the disease were tested
"Fortunately, oral medication is
for it. Now blood sugar testing may
controlling
the blood sugar levels, I've
become as routine as blood pressure
lost
40
pounds
in five years and,
screening.
although
I
may
cheat once in a while,
"Type 2 diabetes mellitus typically
I'm exercising and staying with a
occurs in patients over 45 who are
healthy diet.
overweight, sedentary and have a fam-
"My advice to anyone middle age is
ily history of the disease," says Dr.
to
get
to the lowest weight you can,
Rosenblatt. "It's now recommended
exercise,
and eat a low-fat and low-sugar
that testing for Type 2 diabetes melli-
diet."
tus be considered in all asymptomatic
Dr. Steven Feldman, a West
adults age 45 and over and, if normal,
Bloomfield internist, says, "The
be repeated at three-year intervals.
American Diabetes Association (ADA)
"Testing is done at a younger age
recommends the fasting plasma glu-
for those more at risk — obese, have
cose test (FPG), in which there's no
close relatives with diabetes, are hyper-
food for eight hours before, because
tensive, or have a low HDL choles-
it's simple and inexpensive and most
terol level (the good cholesterol) and a
likely
to be used on a regular basis
high triglyceride level. Interestingly, 80
because
the blood drawn can also be
to 90 percent of people with Type 2
used to measure cholesterol and other
diabetes are overweight."
standard blood work.
The good news, however, is that
"Researchers now believe that seri-
even having a genetic disposition to
ous
problems linked to diabetes begin
the disease doesn't mean a person will
with
test results in the mid-120s. If
develop Type 2 diabetes. The evidence
the
result
is between 110 and 125, the
is becoming stronger that people who
patient
falls
into a new category called
can control their lifestyle can control,
impaired fasting glucose, a danger
to a large extent, whether or not they
zone or borderline area. This usually
develop the disease.
means patients need to stay on a low-
Diabetes occurs when a person's