1. ✔ Heart attack is the leading (#1) cause of death in both men and women in the United States. ✔ People with Type 2 diabetes have a four times greater chance of dying of a heart attack. ✔ Stroke is the third leading cause of death in the United States. ✔ People with Type 2 diabetes are two to four times more likely to have a stroke. Join us! The Choctaw Nation Diabetes Wellness Center is proud to present the Happy Heart Program, beginning in October, 2005. To participate you will be given a simple, painless screening to evaluate your blood pressure, cholesterol and glucose levels. Our trained technicians will help to establish healthy target ranges and develop healthy lifestyles that will work for you. Education, regular checkups, a healthy diet and exercise can reduce your risk of cardio- vascular disease. We want healthy lifestyles to become a way of life in the Choctaw Na- tion. Please join us, call the Diabetes Wellness Center today. Diabetes Wellness Center staff Ronald P. Robinson, MD is board certified in Endocrinology and Metabolism. He com- p l e t e d h i s E n d o c r i n o l o g y F e l l o w s h i p training at Vanderbilt University Medi- c a l C e n t e r i n N a s h v i l l e, T N i n 1 9 8 2. Eddie Noel, PAC Graduate of The University of Oklahoma PA Program in 1987. Noel has been a practicing PA for 18 years, has been at DWC 2 years. Dixie Hammons, MS, FNP, CDE Graduate of Oklahoma University 1994. Practicing FNP 11 years, has been at DWC 8 years. I have Type 2 diabetes why is cardiovascular disease risk reduction important to me? High blood pressure, family history of heart disease, lack of exercise, fatty diet... are all signs that you are at risk for heart disease and stroke. ✔ Monthly clinic visits until risks are reduced by reaching target ranges for blood pres- sure, cholesterol and blood sugar. After reaching target, visits will be quarterly. ✔ A registered nurse will help manage your care, provide education and be available to answer your questions in person or by phone ✔ Closely monitor your blood pressure, blood sugar, weight and cholesterol ✔ Group and individual educa- tion classes on diabetes and cardiovascular disease (CVD) risk reduction ✔ Regular laboratory testing ✔ Family participation encouraged through community events ✔ Consultation with Exercise Program Manager and personal exercise plan development ✔ Consultation with a Registered Dietician and assistance with personal meal planning Who Can partiCipate Patients who receive health care within the Choctaw Nation Health Care System Have a diagnosis of Type 2 Diabetes Must be at least 18 years old Who may not partiCipate Pregnant On dialysis or in End Stage Renal Disease Actively using alcohol or drugs as deter- mined by a physician Brochure Choctaw Nation of Oklahoma

2. TargeT ranges Blood pressure - below 130/80 LDL Cholesterol (bad) - below 100 HDL Cholesterol (good) - men 40 or greater & women 45 or greater Triglycerides - less than 150 a1C - less than 7 Ways to reduce risk of CVD in diabetes ✔ Stop smoking ✔ Keep your blood pressure within target range ✔ Keep cholesterol within target range ✔ Keep blood glucose levels within range ✔ Exercise daily ✔ Lose weight if needed ✔ Have regular checkups reduce your risk of cardiovascular disease! Call today! Joi n today! reduce your risk of hea r t disease and s tro k e! One Choctaw W ay T alihina, OK 74571 ChoC t a W n a tion Diabetes W ellness C e n ter CHoCtAw NAtioN DiAbEtES wEllNESS CENtER One Choctaw Way Talihina, OK 918-567-7000 ext. 6957 or ext. 6545 800-349-7026 ext. 6957 or ext. 6545