PRSRT STDU.S. Postage

PAIDBuffalo, NY

Permit No. 1293

Rite Aid Health Alliance, un socio de GBUAHN, es un programa gratuito que pro-

porciona a los pacientes con apoyo extra para alcanzar sus metas de salud. Este

mes, GBUAHN se reunió con Kate Carlough, Pharm.D. , Clinical Operations Manager

Rite Aid y Natalia Hernández, entrenador de Rite Aid Health Alliance.

Natalia, es un “Care Coach” de Rite Aid localizado en el 350 Niagara St. en

Buffalo. ¿Nos puedes hablar un poco acerca de

lo que hace?

Natalia: Soy un “care coach”, educo a los pacientes

sobre sus enfermedades crónicas, así como de sus

hábitos alimenticios y de ejercicio. También les

pregunto acerca de su conocimiento de los

medicamentos. Les doy opciones a los pacientes-

cosas como, " ¿Qué es lo que desea conseguir con

su salud?, he notado que, a lo largo de un período

de tiempo, los pacientes realmente aprende mucho

y están muy contentos con sus resultados. Estoy

muy feliz de ayudar a hacer cambios en su vida. El

farmacéutico entra en cada visita, y los ayudan con

sus medicamentos.

¿Por qué el Programa Alianza de Rite Aid es tan útil para los pacientes?

Natalia: La mayor parte del tiempo nuestros pacientes simplemente no saben por

donde empezar con sus condiciones de salud o sus medicamentos. El médico le

dice que tome una píldora, y que se supone que ayude. Muchas veces, los médicos

locales no tienen los recursos para controlar los medicamentos de los pacientes

individualmente. Estamos colaborando con el médico y el farmacéutico, y enviando

informes sobre los progresos realizados a los médicos.

Kate: Les damos un lugar para ir entre las visitas al médicos, lo que significa que el

proveedor no tiene que empezar por donde dejó al paciente en su última visita. Es

muy útil para los pacientes, de los proveedores y Rite Aid, porque nos permite

cuidar de estos pacientes y nuestros instructores tienen interacción con ellos. Es

muy gratificante para nosotros.

¿Dónde se reunen los pacientes con sus “Care Coaches” de Rite Aid?

Kate: Los “Care Coaches” se reunen con sus pacientes en las Rite Aid participantes.

Cada uno de los entrenadores tiene una oficina en la parte de atrás de la tienda

justo al lado del Servicio de Farmacia. Los entrenadores tienen citas durante todo el

día.

Agosto-Septiembre 2014 Boletín del Hogar de Salud GBUAHN

¿Está interesado en unirse al programa de Rite Aid?

Hable con su “navegador de salud” de GBUAHN sobre la

inscripción a este servicio gratuito.

GBUAHN lo pasó de

maravillas en el

Festival del Palo

Encebao’ este año!

Acompañado de BFNC y

el

Departamento de Salud

haciendo exámenes de

salud, inscripciones, y

regalos!

4 gbuahn.org • NOVEMBER 2013

393 Delaware AvenueBuffalo, New York 14202

Do you know someone who receives Medicaid and who could use extra help coordinating their health care social service needs? If so, please visit our website at www.gbuahn.org or call us at (716) 247-5282.

We would be happy to provide you with more information.

4 gbuahn.org • NOVEMBER 2013

393 Delaware AvenueBuffalo, New York 14202

Do you know someone who receives Medicaid and who could use extra help coordinating their health care social service needs? If so, please visit our website at www.gbuahn.org or call us at (716) 247-5282.

We would be happy to provide you with more information.

November is Diabetes Awareness MonthWhat You Should Know About Diabetes

Need courtesy Medicaid Transportation? Text GBUAHN!

A new GBUAHN feature for your cell phone allows you to text us when you are ready to be picked up!

NOVEMBER 2014 • gbuahn.org 1

When Medicaid Transportation is unavailable, GBUAHN has a courtesy shuttle that assists you with the appointments you need. Send a text to 55000 after your ap-pointment is over and type “Ride”. When the automated message pops up, type in your full name. Our GBUAHN courtesy van driver will be with you momentarily! These are ways GBUAHN is making it easier for you to successfully com-plete the services we provide at an easier and quicker convenience to you! Keep in mind:

Everyone’s blood has some glu-cose (sugar) in it. Your body needs glucose for energy. Normally, your body breaks food down into glu-cose and sends it into your blood. Insulin, a hormone made by your pancreas, helps glucose go from the blood into the cells so it can be used for energy.

If you have type 2 diabetes, your body doesn’t not use insulin prop-erly. This is called insulin resistance. At first, your pancreas makes extra insulin to make up for it. But, over time it isn’t able to keep up and can’t make enough insulin to keep your blood glucose at normal levels.

Type 2 diabetes can lead to other problems like heart disease, stroke,

nerve damage, and kidney or eye problems. But the good news is that keeping blood glucose, blood pres-sure, and cholesterol on target can help prevent or delay problems.

Most of the daily care of diabetes is up to you. Your plan for taking care of your diabetes includes:

• You must have an appointment already filled out and set with your Navigator by the GBUAHN shuttle. (Not to be confused with Medicaid Transportation)• Please give ample time for the shuttle to travel to you.• You must provide full name when prompted so the courtesy driver knows who you are!• The GBUAHN van is unavailable after 5Call your Navigator today at (716) 247-5282 for more details!**GBUAHN does not charge for this text service, however, normal texting rates apply

• choosing what, how much, and when to eat• maintaining a healthy weight• including physical activity in your day• taking medicines (if needed) to help you reach your blood glucose, blood pressure, and cholesterol goals (continued on Page 2)

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WESTERN NEW YORK’S #1 HEALTH HOME

gbuahn.org • NOVEMBER 2014 NOVEMBER 2014 • gbuahn.org2 3

The holiday season is a time to celebrate with family and friends. Unfortunately, for many it also becomes a time for over-eating and weight gain. According to the Na-tional Institutes of Health, holiday eating can result in an extra pound or two every year. The holidays don’t have to mean weight gain. By implementing a few simple tips you can stay healthy through the holi-day season.1. Be realistic. Don’t try to lose pounds during the holidays, in-stead try to maintain your current weight.2. Plan time for exercise. Exercise helps relieve holiday stress and pre-vent weight gain. A moderate and daily increase in exercise can help partially offset increased holiday eating. Try 10- or 15-minute brisk walks twice a day.3. Don’t skip meals. Before leaving for a party, eat a light snack like raw vegetables or a piece of fruit to curb your appetite. You will be less tempted to over-indulge.4. Survey party buffets before fill-ing your plate. Choose your favor-ite foods and skip your least favor-ite. Include vegetables and fruits to keep your plate balanced.5. Eat until you are satisfied, not stuffed. Savor your favorite holiday treats while eating small portions. Sit down, get comfortable, and

enjoy.6. Be careful with beverages. Alcohol can lessen inhibitions and induce overeating; non-alcoholic beverages can be full of calories and sugar.7. If you overeat at one meal go light on the next. It takes 500 calories per day (or 3,500 calories per week) above your normal/maintenance consumption to gain one pound. It is impossible to gain weight from one piece of pie!8. Take the focus off food. Turn candy and cookie making time into non-edible projects like making wreaths, dough art decorations or a gingerbread house. Plan group ac-tivities with family and friends that aren’t all about food. Try serving a holiday meal to the community, playing games or going on a walk-ing tour of decorated homes.9. Bring your own healthy dish to a holiday gathering.10. Practice healthy holiday cook-ing. Preparing favorite dishes lower in fat and calories will help promote healthy holiday eating. Enjoy the holidays, plan a time for activity, incorporate healthy recipes into your holiday meals, and don’t restrict yourself from enjoying your favorite holiday foods. In the long run, your mind and body will thank you.

Ten Tips for Eating Healthy This Holiday Season

Diabetes Self-Management(continued from Page 1)What can I do to take care of my diabetes?• Lose weight, if needed.• Choose goals for your diabetes ABCs:A:A1C (average blood glucose)B: blood pressureC: cholesterol• Work with your health care team. Make a plan that helps you reach your goals.• Keep track of your numbers.• If you’re not reaching your goals, change your plan to stay on track. Ask your health care provider for tools that can help you log your numbers.

What do I need to know about healthy eating, physical activity, and medicines?Many people think that having diabetes means you can’t eat your favorite foods. But you can still eat the foods you like. It’s the amount that counts. Ask for a referral to a dietitian who specializes in diabe-tes. Together, you’ll design a per-sonal meal plan that can help you reach your goals. These steps can help you manage your diabetes:• Count carbohydrates (also called carbs). Carbs—bread, tortillas, rice, crackers, cereal, fruit, juice, milk, yogurt, potatoes, corn, peas, sweets—raise your blood glucose levels the most. Keep the amount of carbs in your meals and snacks about the same from day to day to help you reach your blood glucose targets.• Choose foods low in saturated fat. Cut down on foods with saturated fat to help you lower your choles-terol and prevent heart disease. Foods high in saturated fat include

meats, butter, whole milk, cream, cheese, lard, shortening, many baked goods, and tropical oils such as palm and coconut oil.• Lower portion sizes. Cutting back on food portions at meals and snacks can help with weight loss.• Eat more fiber. Eat more high-fi-ber foods such as fruits, vegetables, dried beans and peas, oatmeal, and whole grain breads and cereals.

Regular physical activity helps lower your blood glucose, blood pressure, and cholesterol. It also keeps your joints flexible, strength-ens your heart and bones, and tones your muscles. Physical activity can also help lower stress. Your health care team can help you plan what activities are best for you. Try to include:• Being active throughout the dayExamples: Gardening, taking the stairs instead of the elevator, or walking around while you talk on the phone or watch TV. Work up to about 30 minutes each day.• Aerobic exerciseExamples: Brisk walking, dancing, rowing, swimming, or riding a bi-cycle. Work up to about 30 minutes a day, 5 days a week.• Strength trainingExample: Lifting light weights a few times a week.MedicinesYour doctor may need to also give you diabetes pills and/or insulin to help you meet your target blood glucose levels.

If it’s difficult for you to reach your target numbers, talk with your health care team about whether changes to your treatment plan can help.

Courtesy of the American Diabetes Association

Seasonal Influenza Prevention Tips

You can take the following everyday preventive actions:

• Try to avoid close contact with sick people.• If you or your child gets sick with flu-like illness, CDC recommends that you (or your child) stay home for at least 24 hours after the fever is gone except to get medical care or for other necessities. The fever should be gone without the use of a fever-reducing medicine.• While sick, limit contact with others as much as possible to keep from infecting them.• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.• Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.• Avoid touching your eyes, nose and mouth. Germs spread this way.• Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.• If an outbreak of flu or another illness occurs, follow public health advice. This may include information about how to increase distance between people and other measures.

Source: Centers for Disease Control and Prevention

CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against this serious disease. While there are many different flu viruses, the seasonal flu vaccine is designed to protect against the main flu

viruses that research suggests will cause the most illness during the upcoming flu season. People should begin getting vaccinated soon after flu vaccine becomes available, ideally by October, to ensure that as many people as possible are protected before flu season begins.

gbuahn.org • NOVEMBER 2014 NOVEMBER 2014 • gbuahn.org2 3

The holiday season is a time to celebrate with family and friends. Unfortunately, for many it also becomes a time for over-eating and weight gain. According to the Na-tional Institutes of Health, holiday eating can result in an extra pound or two every year. The holidays don’t have to mean weight gain. By implementing a few simple tips you can stay healthy through the holi-day season.1. Be realistic. Don’t try to lose pounds during the holidays, in-stead try to maintain your current weight.2. Plan time for exercise. Exercise helps relieve holiday stress and pre-vent weight gain. A moderate and daily increase in exercise can help partially offset increased holiday eating. Try 10- or 15-minute brisk walks twice a day.3. Don’t skip meals. Before leaving for a party, eat a light snack like raw vegetables or a piece of fruit to curb your appetite. You will be less tempted to over-indulge.4. Survey party buffets before fill-ing your plate. Choose your favor-ite foods and skip your least favor-ite. Include vegetables and fruits to keep your plate balanced.5. Eat until you are satisfied, not stuffed. Savor your favorite holiday treats while eating small portions. Sit down, get comfortable, and

enjoy.6. Be careful with beverages. Alcohol can lessen inhibitions and induce overeating; non-alcoholic beverages can be full of calories and sugar.7. If you overeat at one meal go light on the next. It takes 500 calories per day (or 3,500 calories per week) above your normal/maintenance consumption to gain one pound. It is impossible to gain weight from one piece of pie!8. Take the focus off food. Turn candy and cookie making time into non-edible projects like making wreaths, dough art decorations or a gingerbread house. Plan group ac-tivities with family and friends that aren’t all about food. Try serving a holiday meal to the community, playing games or going on a walk-ing tour of decorated homes.9. Bring your own healthy dish to a holiday gathering.10. Practice healthy holiday cook-ing. Preparing favorite dishes lower in fat and calories will help promote healthy holiday eating. Enjoy the holidays, plan a time for activity, incorporate healthy recipes into your holiday meals, and don’t restrict yourself from enjoying your favorite holiday foods. In the long run, your mind and body will thank you.

Ten Tips for Eating Healthy This Holiday Season

Diabetes Self-Management(continued from Page 1)What can I do to take care of my diabetes?• Lose weight, if needed.• Choose goals for your diabetes ABCs:A:A1C (average blood glucose)B: blood pressureC: cholesterol• Work with your health care team. Make a plan that helps you reach your goals.• Keep track of your numbers.• If you’re not reaching your goals, change your plan to stay on track. Ask your health care provider for tools that can help you log your numbers.

What do I need to know about healthy eating, physical activity, and medicines?Many people think that having diabetes means you can’t eat your favorite foods. But you can still eat the foods you like. It’s the amount that counts. Ask for a referral to a dietitian who specializes in diabe-tes. Together, you’ll design a per-sonal meal plan that can help you reach your goals. These steps can help you manage your diabetes:• Count carbohydrates (also called carbs). Carbs—bread, tortillas, rice, crackers, cereal, fruit, juice, milk, yogurt, potatoes, corn, peas, sweets—raise your blood glucose levels the most. Keep the amount of carbs in your meals and snacks about the same from day to day to help you reach your blood glucose targets.• Choose foods low in saturated fat. Cut down on foods with saturated fat to help you lower your choles-terol and prevent heart disease. Foods high in saturated fat include

meats, butter, whole milk, cream, cheese, lard, shortening, many baked goods, and tropical oils such as palm and coconut oil.• Lower portion sizes. Cutting back on food portions at meals and snacks can help with weight loss.• Eat more fiber. Eat more high-fi-ber foods such as fruits, vegetables, dried beans and peas, oatmeal, and whole grain breads and cereals.

Regular physical activity helps lower your blood glucose, blood pressure, and cholesterol. It also keeps your joints flexible, strength-ens your heart and bones, and tones your muscles. Physical activity can also help lower stress. Your health care team can help you plan what activities are best for you. Try to include:• Being active throughout the dayExamples: Gardening, taking the stairs instead of the elevator, or walking around while you talk on the phone or watch TV. Work up to about 30 minutes each day.• Aerobic exerciseExamples: Brisk walking, dancing, rowing, swimming, or riding a bi-cycle. Work up to about 30 minutes a day, 5 days a week.• Strength trainingExample: Lifting light weights a few times a week.MedicinesYour doctor may need to also give you diabetes pills and/or insulin to help you meet your target blood glucose levels.

If it’s difficult for you to reach your target numbers, talk with your health care team about whether changes to your treatment plan can help.

Courtesy of the American Diabetes Association

Seasonal Influenza Prevention Tips

You can take the following everyday preventive actions:

• Try to avoid close contact with sick people.• If you or your child gets sick with flu-like illness, CDC recommends that you (or your child) stay home for at least 24 hours after the fever is gone except to get medical care or for other necessities. The fever should be gone without the use of a fever-reducing medicine.• While sick, limit contact with others as much as possible to keep from infecting them.• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.• Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.• Avoid touching your eyes, nose and mouth. Germs spread this way.• Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.• If an outbreak of flu or another illness occurs, follow public health advice. This may include information about how to increase distance between people and other measures.

Source: Centers for Disease Control and Prevention

CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against this serious disease. While there are many different flu viruses, the seasonal flu vaccine is designed to protect against the main flu

viruses that research suggests will cause the most illness during the upcoming flu season. People should begin getting vaccinated soon after flu vaccine becomes available, ideally by October, to ensure that as many people as possible are protected before flu season begins.