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W.Va. Man: Diabetes Programs Work

Fellowship Story Showcase

W.Va. Man: Diabetes Programs Work

Picture of Kate Long

West Virginia is among the top five on just about every national chronic disease list. The state leads the nation in diabetes and obesity, according to the Gallup Healthways poll.

Surveys show that many West Virginians do not realize obesity is a leading cause of many chronic diseases. Many also feel those diseases are hereditary, and there is nothing a person can do to prevent them.

The state's children raise major red flags for the future. West Virginia University screens thousands of schoolchildren every year. In 2010-11, they found that 24 percent of fifth-graders have high blood pressure, 26 percent have high cholesterol, and 29 percent are obese. Eighteen percent of kindergartners and 23 percent of second-graders are obese.

There has been little public discussion of this problem. "The Shape We're In" project aims to stir up that discussion. Written and photographed by Annenberg fellow Kate Long, it will be divided into three parts in The Charleston Gazette, the state's largest newspaper:

• Children at risk
• Programs that work
• Communities making a difference

Some segments will be accompanied by West Virginia Public Radio pieces.

Part 1: "This is a public health emergency"

Part 2: A growing problem

Part 3: Putting the pieces together

Part 4: Health officials say W.Va. can reverse its chronic disease numbers

Part 5: W.Va. man: diabetes programs work

Part 6: "Get kids moving"

Part 7: Daily activity affordable, Department of Education says

Part 8: Wood researchers: Active kids do better academically

Part 9: Rocking the gym at 7:30 a.m.

Part 10: Nebraska school district lowers obesity rate

Part 11: What happened?

Part 12: 'Everyday heroes' saving own lives

Part 13: W.Va. ranks first in heart attack, diabetes, eight other categories

Part 14: Success from scratch

Part 15: Great Kanawha food fight

Part 16: Better focus

Part 17: W. Va. slammed with sugar

Part 18: Glenda and Jill vs. diabetes

Part 19: This is how bad diabetes can be

Part 20: Recognize diabetes before it's too late

Part 21: Logan hardest hit by diabetes

Part 22: Even if your relatives had diabetes, you don't have to

Part 23: Body and spirit

Part 24: American Diabetes Association is MIA in W.Va.

Part 25: Young people contending with diabetes

The Charleston Gazette
Sunday, February 12, 2012

BELLEVILLE, W.Va. -- Dannie Cunningham, 61, climbed the steep hill behind his house, crunching briskly through oak leaves, whacking weeds with his walking stick. "Maybe I'll get lucky and flush out a rabbit," he said.

He was headed for his hunting camp at the top of the second hill, hustling up the path, laughing and teasing a reporter trailing along behind him. "I hear you puffing a bit there, don't I?" he called over his shoulder.

This is a man who beat back diabetes and chopped his blood pressure and cholesterol in half.

Experts have advised West Virginia to establish statewide diabetes management programs. Dannie Cunningham can testify that they work.

"Last year, I couldn't have climbed like this," he called. "I owe it to Devena."

Devena Moore is one of the state's too-few diabetes reduction counselors. "I lucked into her program," Cunningham said.

He stopped to philosophize. "Now I'll ask you a question," he said, jabbing the air with his finger. "Why aren't we as careful with our bodies as we are our cars? I'm a stickler when it comes to my cars and four-wheelers, stuff like that. I change the oil when I'm supposed to. I change the air filters. But before Devena, I was nowhere near as careful to maintain my own body. Why is that?"

Not missing a beat, he shrugged and started back up the path. "Now I'll tell you how I got in trouble," he said. "After my first wife died, I spent eight years as a bachelor. That's when I packed on the pounds."

He was working at a glass plant as he had for 20 years, he said, mostly running machines. "I had a long drive to work, so I got used to shoveling the fast food in. I'd eat a hamburger while I drove to work, then throw down a hamburger on the way home.

 "I never thought a thing of it, kept it up till I got married again. To me, food was just food, like fuel for your car, except I have to say, I was a whole lot more careful about what I put in my car."

He stops to point out deer tracks. "These are fresh," he said.

He pointed up a second steep hill. "My wife and I, we'll stay up at hunting camp two or three days at a time," he said. "It's a real getaway." Turkey and deer stroll by their window in the morning, he said. Nobody can reach them by phone. The stars shine clear and bright at night.

"My grandkids love it up there," he said. They set a bathtub against the hillside by the stream. The pond's full of bass and bluegill. "My wife shot our first deer this year up there, with her crossbow.

"The grandkids like to wrassle their old poppy," he said. "I can keep them going now. Last year, I couldn't."

Last year, he weighed almost 250 pounds at 5' 7." "I couldn't go anywhere without huffing and puffing," he said. "In church, it had got so I had to prop my Bible on my belly, because I couldn't get it down between my legs."

Cunningham stopped walking and laid his hand over his heart. "I'll tell you what happened to me," he said. "One day, I was walking to the mailbox, and all the sudden, I felt like somebody had grabbed me from behind and was crushing my chest."

His blood pressure shot up to 220 over 180. His wife rushed him to the hospital. The doctors put a stent in his heart and sent him home. "Three months later, it happened again. That time, they put in a longer stent."

He patted his chest. "My doctor said if I didn't lose the extra weight, I'd be gone from this world," he said. "I made up my mind to shed some pounds."

He stretched out an arm over the broad farming valley rolling out below the hill. "You can see why I'd like to stick around,' he said.

"And I'll tell you something else," he said, cocking his head, "It's kind of embarrassing to see a doctor write out that word 'obese.' That was a real wakeup call all on its own."

Worth it

Cunningham has lost about 56 pounds, gone from a size 40 waist to a 36, from a size 17 1/2 neck to a 15.

"I want you to tell people it's possible," he said. "I want people to know they can do it. That's why I'm talking to you. People need somebody like Devena to get them started right, but they can turn it around."

His doctor referred him to Devena Moore, who runs DREAM, the diabetes self-management program for the Mid-Ohio Valley Health Department in Parkersburg.

Nobody keeps an accurate list of such programs in West Virginia. At the professional diabetes educator site, fewer than 80 are listed for West Virginia, mostly located in Charleston, Huntington, Morgantown, Parkersburg, and the Eastern Panhandle.

Very few are listed in rural southern and central West Virginia, where the need is greatest.

Lucky for Dannie Cunningham, he lives near Parkersburg. When he first walked through Moore's door, he was diabetic, with high blood pressure and cholesterol and serious heart issues.

"It had never really hit me that my weight could be causing all those things," he said. "I didn't know you could get your blood sugar back down to normal level.

 "Devena teaches you how to manage your own health," Cunningham said. "You learn what food does in your body and how exercise helps and what's in the food you buy. She teaches you how to measure a serving and little tricks that make medicine work better for you.

The first week in the program, he said, he wore a pedometer that counted his steps. "First thing, you find out what you're already doing, so you know where you're starting from. Then the second week, she starts you keeping a food log. You don't change anything you do. Just write down everything you eat.

"That's what I did, and I'm telling you, there were surprises! I found out I was eating more than I thought at night!

"Devena and me, we'd go over my list, and she'd make suggestions."

"It's not something you can do in 15 minutes, visiting a doctor," he said. "It takes more time than that."

After six months, his triglycerides had dropped from 597 to "a little less than 200," he said. He cut his cholesterol in half, to 130.

Moore taught him how to read food labels and count carbohydrates and keep track of the fuel he was putting into his body, compared with what his body burned with exercise.

As he marched up the hill toward the camp, he pulled back his flannel shirttail to show he had his pedometer on. "I've got a little book called Calorie King that breaks down fast food menus," he said. "I was getting Burger King spicy chicken sandwiches, thinking they were low-fat till I looked in there and found it has more fat than a hamburger." He switched to a low-fat sandwich.

His weight is staying off, but he still keeps his food log. "It's part of my life now. It keeps me on track. I check in with Devena once a month so I can show off."

At the top of the hill, he threw his arms wide, gesturing at a wide, round field. "Take a look at heaven," he said. A camper sits at the edge of the field under a shelter. He showed off the pathways he mows through the brush to attract deer.

"I climb up here several times a week," he said. "Right now, there's not much more I want out of life, except maybe a 10-point buck.

"My neighbor got a nine-point yesterday. That means I need to get a 10-point," he said. "I'll be back up here tonight, waiting for it.

"If I have to keep track of what I eat, to have this, it's worth it," he said. "I just wish everyone knew how to do it."