KET offers program about diabetes prevention and control

KET's "Connections with Renee Shaw" is offering a program about diabetes prevention and control on KET2 Friday, Nov. 8 at 5 p.m. and KET Sunday, Nov. 10 at 1:30 p.m.

This programming could not be more timely, since Kentucky, along with parts of Appalachia and the Deep South, is part of the nation's Diabetes Belt. Diabetes rates are 11 percent or higher in many counties, and as much as 25 percent of Kentucky's Medicaid budget goes towards treating the complications of type 2 diabetes, according to the program guide.

Experts will discuss statewide education and prevention methods and the changes individuals can make to avoid diabetes.

This show will explain the difference between type 1 and type 2 diabetes, the function of the pancreas and insulin, and the role that diet and exercise play to help control diabetes complications and even prevent the onset of diabetes.  It will offer personal stories of people who are living with diabetes, explain the concept of pre-diabetes and how to prevent it, and discuss specific ways we can help resolve this growing problem.

Program guests include Dr. Raymond Reynolds, professor of internal medicine, endocrinology fellowship program director, and director of the Barnstable Brown Diabetes and Obesity Center at the University of Kentucky; Theresa Renn, coordinator of the Kentucky Diabetes Prevention and Control Program; Tami Ross, a registered dietitian, certified diabetes educator, and nationally recognized speaker and health and nutrition writer; Stewart Perry, a Lexington insurance broker who has been living with Type 2 diabetes for more than 20 years and is a policy advocate on the state and national level for the Kentucky Diabetes Prevention and Control Program and the American Diabetes Association.

Obamacare will work, Beshear promises on 'Meet the Press'

By Al Cross
Kentucky Health News

Citing Kentucky examples, Gov. Steve Beshear promised a national audience on "Meet the Press" Sunday morning that the federal health-reform law will work, despite problems with the federal insurance exchange and doubts that the overall law will work.

"I'll guarantee you we're gonna make it work, because it's good for the American people," said Beshear, who is Democrats' national poster boy for Obamacare because Kentucky is the only Southern state to expand Medicaid under the law and create its own health-insurance exchange, which appears to be working well.

Beshear (AP photo)

The governor said more than 26,000 Kentuckians have obtained coverage through the exchange, which has had more than 300,000 visitors. He conceded to interviewer David Gregory that 21,000 of the enrollees are in Medicaid, but said another 10,000 people "are in the process of choosing" private insurance plans. He said Medicaid enrollment is done much more quickly.

To another question, Beshear said "about a third" of Kentucky's enrollees are under 35, "and that's what's going to happen all over this country." Obama administration officials have said the key to making the program work is enrollment by young, healthy people who are not now insured, to make up for increased costs, such as covering people with pre-existing conditions.

In reply to another question, Beshear said the cost of coverage would stay low enough to justify the law.

The governor repeated his rationale for embracing Obamacare: Kentucky's horrible health status. "The only way we're gonna get ourselves out of the ditch is some sort of transformational tool," he said. "That's what the Affordable Care Act is gonna do for us."

Also on the NBC show, Gov. John Kasich of Ohio cited similar reasons (covering the working poor, drug addicts and the mentally ill, including some veterans) for becoming the eighth Republican governor to expand Medicaid to people with incomes up to 138 percent of the federal poverty level. But that doesn't mean he supports the rest of Obamacare.

"The rollout is the least of the problem here," Kasich said, referring to the federal exchange's website problems. "The problem with Obamacare is, it doesn't get to higher health care costs, which are the nub of the problem." He said it will "drive up costs for the vast majority of Ohioans" discourage employers from having payrolls of 50 or more, the threshold for the mandate to cover employees.

Kasich, a former congressman, said President Obama "needs to figure out how to get some bipartisan support to move forward," but acknowledged that Washington politicians talk past each other in a polarized environment, while governors like him and Beshear could get in a room and "figure out what's good, what's bad, how do we fix it."

In NBC's Washington studio, Gregory pressed Beshear for his views on the federal exchange's problems. The governor said it would be fixed, adding, "The advice I would give the news media and the critics up here is take a deep breath. . . . This is gonna take some time to get done, and everybody needs to chill out." Here's an NBC video of the segment with Beshear and Kasich:


Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues, based in the School of Journalism and Telecommunications at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.

KET program to feature citizens who work in three programs to improve the health of Kentucky children

The next episode of  KET's "Health Three60" series will be a program that features citizens who have made a difference in the health of Kentucky children. "Champions for Children's Health" premieres Monday, Oct. 21 at 9 p.m. Eastern Time. It is available online at www.ket.org.

Featured will be guest from HANDS (Health Access Nurturing Development Services), a  home-visitation program for new and expectant parents; Better Bites, of Lexington, whose goal is to transform the snacking culture to reduce childhood obesity; and Doctors and Lawyers for Kids, a Louisville group that helps families with legal issues, such as housing, custody and immigration, that may impact children’s health.

HANDS is a well-regarded, statewide program that works toward healthy pregnancies and births, healthy child growth and development, safe homes and self-sufficient families.  Referred participants begin the process with a home visit that determines the needs and concerns a family might have about pregnancy or a baby's first year.  Families then receive information and learn about resources available in the community to help them and based on the needs of the family, some will receive continued home visits.  This program is available not only to first-time Kentucky moms and/or dads, but also to expectant parents. The premise of the program is that early family intervention improves the well-being of the entire community.

Middle- and high-school students invited to create 30-second videos discouraging prescription drug abuse, win prizes in contest

Attorney General Jack Conway and his Keep Kentucky Safe partners invite Kentucky middle- and high-school students to compete in the annual Prescription Drug Abuse Prevention Public Service Announcement contest.

Contestants create a PSA to warn Kentucky kids about the dangers of prescription drug abuse. "I want our young people to know that it is never okay to take a prescription pill that was not prescribed to them by their doctor,"  Conway said in a press release.  "These are some of the most addictive substances on the planet, and if taken in the wrong combination, or with other substances, they can kill you."

Participating students should produce a 30-second video showing the perils of prescription drug abuse and submit it by Dec. 6.  Winners will be announced Dec. 13. The first place winner will receive an Apple iPad, donated by the National Association of Drug Diversion Investigators, and the runner-up will receive a $100 Amazon.com gift card donated by the Kentucky Pharmacists Association.

Other partners in the contest are the Kentucky Office of Drug Control Policy, Operation UNITE and concerned parents, Dr. Karen Shay and Mike Donta.

Instructions for submission can be found here.  Examples of  winning videos can be found by clicking here for the 2012 winning video and here for the 2012 second place video.

KET will show how annual county health rankings are stirring competition to improve health, community by community

The rankings are in quartiles, or fourths of the 120 counties

Kentuckians love the competition among their basketball and football teams. But what if that same spirit of competition was transferred to health? To help encourage such competition, and thus improve health county by county, the University of Wisconsin Population Health Institute produces county health rankings each year, in partnership with the Robert Wood Johnson Foundation.

The next edition of KET's "Health Three60," Tuesday at 9 p.m. ET, with Renee Shaw, looks at three communities that are taking those health statistics seriously and making positive changes. A health coalition drives change in Grant County, which moved from 89th to 60th in the rankings in three years. In Hardin County and some surrounding communities, a grassroots drive leads to a smoking ban. And new trails in Rockcastle County encourage healthy lifestyles, as well as economic development. The series is funded in part by the Foundation for a Healthy Kentucky. (Read more)

Hard-hitting TV ads against smoking do motivate smokers, like one mother from Elizabethtown, to quit

Hancock with CDC Director Tom Frieden

A 38-year-old Elizabethtown mother's response to a federally funded anti-smoking advertising campaign has been featured in national news this week, showing that these graphic ads can motivate smokers to quit.

Lisha Hancock's decision to stop her two-decade smoking habit was sparked by her viewing of a Centers for Disease Control and Prevention’s “Tips from Former Smokers” campaign commercial, reports Sarah Bennett of The News-Enterprise in Elizabethtown.

Hancock's husband often urged her to quit, and several of her relatives died from smoking, but she still didn't quit. She continuously had a sore throat and clogged sinuses, but she still didn't quit. Then, she saw the commercial.

The advertisement featured raw images of Terrie Hall, a North Carolina woman who was diagnosed with throat and oral cancers at age 40, getting ready in the morning by putting on a wig, artificial teeth an an artificial voice box inside a small hole in her neck, since throat cancer forced her to have her larynx removed.

TV spokeswoman Terrie Hall with grandson's picture

"The only voice my grandson’s ever heard is this one,” Hall says in a robot-like voice, displaying his picture. UPDATE: Hall died Sept. 16.

The ad made a lasting impression on Hancock, who told Bennett she decided to quit smoking after watching the ad with her son: “One time my son asked me, ‘Mom, why does her voice sound like that?’ I said, ‘Because she smoked.’ Then he asked, ‘So you’ll sound like that?’”

Hancock said she had tried to quit before, but "There's nothing that touched me like Terrie's ad. It definitely impacted my life and, in return, impacted my family's life. We all live happier and healthier now."

Hancock started to quit eight months ago. Using nicotine lozenges and a combination of exercise and healthful eating, she's been able to go without even one cigarette, reports Anahad O'Conner of The New York Times.

Others have also been struck by this hard-hitting campaign, which may have prompted more than 100,000 Americans to quit smoking permanently, says a new CDC study published in The Lancet, the leading British medical journal. The CDC says an estimated 1.6 million U.S. smokers attempted to quit this past year after viewing campaign materials funded by the Affordable Care Act.

"Hard-hitting ads work," said CDC Director Dr. Tom Frieden. The agency paid approximately $50 million to produce and place the spots, the first time the federal government funded a nationwide tobacco-education ad campaign, reports Jonathan Serrie of Fox News.

"The impact is huge because a smoker costs about $2,000 more [per year] than a non-smoker, and about $1,000 more than an ex-smoker, to care for," Frieden said. "And if you do the math, this program pays for itself in a year or two in reduced health-care and societal expenditures."

The campaign also saved an estimated 300,000 years of life that smoking-related diseases would have taken, reports Brady Dennis of The Washington Post. Smoking remains the leading cause of preventable death in the United States, killing more than 1,200 Americans each day, says the CDC.

Click here for the CDC ads and other smoking-cessation resources.

Children with TVs in their bedrooms are twice as likely to have extra fat, three times greater risk of heart disease and diabetes

Kids who have TVs in their bedrooms are twice as likely to be fat and nearly three times as likely to be at risk for heart disease and diabetes as those who don’t, according to a new study that elevates concerns about health and screen time. The research, published in the American Journal of Preventive Medicine, studied 369 children, 5 to 18, who have TVs in their rooms and watched more than five hours of television a day. They showed dramatic evidence of extra belly fat, bigger waists, greater risk of heart disease and diabetes and elevated triglycerides, or fat in their bloodstream, said Amanda Staiano, a scientist with the Pennington Biomedical Research Center in Baton Rouge, La. (Getty Images photo)

A 2010 study cited by Staiano indicated that 70 percent of American children have a TV in their bedroom. In the Pennington study, 66 percent of the kids had a TV in the room and the precise relationship between TV and health, as measured by height, weight, waist measurements, blood pressures, fat deposits and other exams, revealed the stark disparity between the groups with and without their own TV. (Read more)

Health coalition asks Nickelodeon to stop marketing sugary and fatty snacks to children

A coalition of health groups thinks maybe it's time to enlist SpongeBob in the childhood obesity fight. Earlier this week, the groups asked the Nickelodeon Channel to stop airing commercials that promote unhealthy foods with the help of the doofy adorable sponge, among other lovable characters the children's channel employs. The letter the groups signed asked that Nickelodeon's parent company, Viacom, put in place strong nutrition standards for the foods marketed by it and by its characters. Their sentiment was strongly backed by the American Academy of Pediatrics.

Elise Viebeck of The Hill's Healthwatch blog quotes the letter: "Research shows that food marketing is an important factor contributing to children's poor diets and obesity. The majority of foods marketed to children remain of poor nutritional quality. The [federal Institute of Medicine] concluded that marketing puts children's health at risk." The letter went on to shake its finger at Nickelodeon for being behind Disney and other prominent child marketers on this front. (Read more)

This comes on the same day that the University of Missouri-Kansas City and the University of Kansas Medical Center release study results that found obese children may be more susceptible to food advertising than healthy-weight children, suggesting at least one reason the nation's childhood obesity rate could continue to climb as feared. (Read more)

KET talks with experts on heart disease and health reform tonight

Some nationally recognized heart specialists will speak directly to Kentuckians about heart disease tonight on the season premiere of Health Three60 on KET. Cardiovascular disease, the leading cause of death in the United States -- and, perhaps surprisingly, in women -- will get a thorough examination. The show will take on the history of the disease, what women should know about the disease and what the future looks like for all of us. Host Renee Shaw will explore the history of cardiac surgery and the development of the artificial heart with Dr. Laman Gray, Jr. cardiovascular surgeon and medical director at the Cardiovascular Innovation Institute. Gray will also discuss how the death rate from heart disease has decreased even as the increase has gone up.

Guests will also include Dr. Joey Maggard, executive director of the Central Kentucky Chapter of the American Heart Association; Dr. Melissa Walton-Shirley, cardiologist with Cardiology Associates in Glasgow; Mark Rucker, recipient of the American Heart Association Lifestyle Change Award; Dr. Paula Hollingsworth, cardiologist at Central Baptist Hospital in Lexington; and, James B. Hoving, Ph.D., division chief of cardiosvascula therapeutics at the Cardiovascular Innovation Institute. Health Three60 airs at 9 p.m. EDT.

Immediately preceding Health Three60, on this week's edition of Kentucky Tonight, host Bill Goodman and guests will discuss health care and health care reform.  Scheduled guests include State Sen. Tom Buford, R-Nicholasville, chair of the Senate Banking and Insurance Committee; State Rep. Mary Lou Marzian, D-Louisville, vice chair of the House Budget Review Subcommittee on Human Resources; Dr. Ralph Alvarado, a Winchester internist and pediatrician; and Dr. Barbara Casper, an internist and University of Louisville professor of medicine. Kentucky Tonight airs at 8 EDT.

Pat Boone commercial about Medicare has many inaccuracies

A television commerical misleads seniors into believing the federal health-care reform law will ration and deny care and contains other inaccuracies, according to FactCheck.org, a non-partisan, non-profit service based at the University of Pennsylvania.

The ad features singer Pat Boone and is being aired repeatedly in Ohio (and presumably in Northern Kentucky) by the conservative 60 Plus Association. It claims the Patient Protection and Affordable Care Act will create the Independent Payment Advisory Board, made up of elected bureaucrats who "can ration care and deny certain Medicare treatments so Washington can fund more wasteful spending."Boone says,"Unaccountable bureaucrats should never have the power to deny you the care you deserve."

The board is neither made up of bureaucrats, nor can it ration care. "The IPAB is tasked with finding ways to reduce the growth in Medicare spending," FactCheck reports. "Its 15 voting members won't be bureaucrats, according to the health care law (see page 502); they will be doctors and medical professionals, economists and health care management experts."

The law also says proposals from the IPAB "shall not include any recommendation to ration health care, raise reveneues or Medicare beneficiary premiums ... increase Medicare beneficiary cost-sharing (including deductibles, coinsurance and copayments), or otherwise restrict benefits or modify eligibility criteria."

The ad says the law will cut $500 billion from Medicare, but fails to mention that cut is in the future growth of Medicare over 10 years and will come from the supplemental Medicare plans seniors can buy.  Moreover, though Boone suggests seniors should object to the $500 billion in cuts, they are meant to extend the funding of Medicare Part A by 12 years.

The ad also states Medicare will be bankrupt in nine years. "The truth is that Medicare Part A — the hospital insurance trust fund, one of four parts of Medicare — is expected to be insolvent by 2020, according to the projections from the Congressional Budget Office, or perhaps 2024, according to the Social Security and Medicare Boards of Trustees," FactCheck reports. "Shortfalls have been projected for Part A 'almost from inception,' says a Congressional Research Service report," but Congress has always found a way to extend the program. (Read more)

New regs could change way food industry markets to children

"The federal government proposed sweeping new guidelines on Thursday that could push the food industry to overhaul how it advertises cereal, soda pop, snacks, restaurant meals and other foods to children," The New York Times' William Neuman reports.

The guidelines, which were released by the Federal Trade Commission, target TV commercials, print ads, websites, product placement in movies, kids meals at fast food restaurants (Getty Images photo by David Paul Morris) and online games that serve to promote a product. "The inclusion of digital media, such as product-based games, represents one of the government's strongest efforts so far to address the extension of children's advertising into the online world," Neuman reports.

"Our proposal really covers all forms of marketing to kids, and the product packaging and the images and themes on the cereal boxes have tremendous appeal to kids," said Michelle K. Rush, a trade commission attorney. "The goal is to encourage children to eat more healthy foods because obesity is a huge health crisis."

Advertised food would have to be made of healthy ingredients, such as whole grains, fresh fruit and vegetables, or skim or 1 percent milk. They could not have high amounts of sugar, trans fats, salt or saturated fat. Cereals would only be able to have 8 grams of sugar per serving — they now often contain 12 grams — and salt would be limited to 450 milligrams per serving in packaged foods. A 15-ounce can of Chef Boyardee beef ravioli now has 750 milligrams.

Following the guidelines will be voluntary, but there will be pressure for companies to adopt them, Neuman reports. Those that elect to do so will have five to 10 years to revamp their products and marketing strategy.

A recent study in the American Journal of Public Health found that in 1997 to 2002 the average child saw about 4,000 television commercials advertising food each year. During Saturday morning cartoons, kids saw a food ad about every five minutes. Of that food advertised, about 95 percent of it was of poor nutritional value. In 2006, food companies spent almost $2.3 billion in children's advertising, the Federal Trade Commission found.

In response to the new guidelines, the food industry said it has "already taken significant steps to improve recipes and change the way it advertises to children," Neuman reports. (Read more)

Link found between kids watching food-based TV commercials and childhood obesity

Watching TV commercials, not the sedentary act of watching TV itself, contributes to obesity in children, according to a study published by the American Journal of Public Health.

The study found that the average child sees about 4,000 television commercials advertising food each year. During Saturday morning cartoons, kids see a food ad about every five minutes. Of that food advertised, about 95 percent of it is of poor nutritional value.

In the study, Associations of Television Content Type and Obesity in Children, researchers followed children from 1997 to 2002 to observe how different types of television might affect obesity rates. They found "television advertising, rather than viewing per se, is associated with obesity." During the five-year period, children saw an increasing amount of commercials and a decreasing amount of non-commercial programming. (Read more)