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There are Four Types of Diabetes.
The first is called type 1 diabetes which affects some 5 – 10% of the total diabetic population. This condition used to be referred to as either insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes. Its cause is unknown, but it’s an autoimmune disease in which a person’s body attacks the cells that produce insulin in the organ called the pancreas. Insulin is a hormone that is essential in assisting cells in the blood to accept sugar coming from food. When these cells (beta cells) in the pancreas can no longer produce insulin – it causes an inability of cells to accept the sugar which in turn causing the sugar to increase higher and higher. Type 1 diabetes is most commonly diagnosed before age 20. It’s rarely diagnosed later in life, but it can happen. Individuals who have this type of diabetes have to inject insulin via a syringe for the rest of their life. Individuals with this type of diabetes have to monitor their blood sugar closely every day and follow an active physical activity program. There is no cure, but there is some promising research that may heal these patients.
The second type of diabetes is called pre-diabetes. This condition does not mean that a person is diabetic – it means that it increases your chance of developing this disease, unless immediate action takes place. During this condition the blood sugar exceeds (120 mg/dl) the normal fasting number when fasting. Some individuals may take oral hypoglycemic medications (i.e. Glucophage) temporarily to help bring their blood sugar down. Physical activity (exercise) is essential to all diabetics and is one of the best ways along with a healthy diet to keep blood sugar in a healthy range.
The third type of diabetes and most frequent is called type II. This type affects nearly 90 – 95% of all diabetics. This disease begins with the body’s inability to accept insulin which in touch allows the sugar in the blood to be taken in the cell to get burned for energy. This condition is called insulin resistance. Or similar to type I diabetes, the body may not be produce enough insulin from the pancreas. As with each type of this disease, when blood sugar remains higher than 120 mg/dl at a fasting state, diabetes complications will soon follow. The following races seem to be more susceptible to developing this type of diabetes … Blacks, Latinos, Asians, Native Americans and Pacific islanders and Hawaiians.
The fourth and least common type is called Gestational diabetes. This type can occur during pregnancy. Between 40 – 60% of women with this type of diabetes will develop type II diabetes in a span of 10 years post-partum. The numbers are high, yes, but it is not inevitable that women with gestational diabetes will have diabetes for life.
Check back next week when we discuss diagnostic criteria for each type of diabetes.
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Steve J. Roch Jr., RD, LDN, CFT is a registered and licensed dietitian. He is also a certified personal trainer. Steve is the owner and president of BestRD Wellness, LLC, a company that provides nutrition therapy and wellness services to residents and businesses in the areas of New Orleans and South Louisiana. Steve can be contacted by email at steve@bestrdwellness.com.
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Yesterday, I attended 1 one of the 3 Transition New Orleans Recreation Task Force Public Meetings – held by the New Orleans Recreation Department Citizens Advisory Panel (NORDcap). The goal of NORDcap is to provide recommendations for the development of high quality, broad-based playgrounds, facilities, programs and services creating a sense of community, enabling a safe and secure environment, and enhancing New Orleans’ quality of life.
By far the biggest thing that clearly stood out last night is how extremely passionate the citizens of New Orleans are about improving recreational opportunities and facilities because of how critical it is to the proper formation of our youths.
Coaches, parents, children and communities leaders stood up one by one; taking their 2 minutes and 30 seconds to express their concerns, disappointment, and burning desire to see changes in NORD and to see community parks, facilities and programs returned and be properly managed.
In the last five years, since Katrina, it’s clear that the citizens of the city, the parents, coaches, booster clubs and volunteers have put forth the efforts, the money, the time, love, and care in reviving the parks, and organizing the programs. The citizens of New Orleans are heart broken by the recent raise of violence and are demanding change and better opportunities, and programs for the kids in the city.
The members of the NORDcap chaired by Rod West, CEO, Entergy New Orleans, Inc. and Roy Glapion, Founder and past President, Citywide Testing & Inspections, Inc., listened carefully, took notes and have a big job to fill in making the best possible recommendations to Mayor Mitch Landrieu.
To find out more about the New Orleans Recreation Task Force I recommend listening to the New Orleans Recreation Department Citizens Advisory Panel presentation to the New Orleans City Council, August 28, 2009 – Rod West clearly articulates the current situation, the issues that need to be addressed, the challenges ahead, and mission NORDcap has undertaken.
I personally stood up last night, stepped to the microphone and expressed that as the parks and recreation centers are revived, it’s critical that the entire family and community is taken into account. As the CEO of Be Fit NOLA – what I’ve discovered is how many people have no access to any kinds of facilities or ability to exercise and workout. I do believe it’s critical to setup programs for kids but it’s also imperative to give parents access to exercise programs and equipment. Lets setup Green Gyms in our parks…lets invest in the health of the citizens in New Orleans by providing parks and recreation centers that support all – people of all ages.
I really hope that amazing things will happen in the next few years…real change, real improvement, real innovation.
We are joining great cities of the likes of Boston, San Francisco, Toronto, San Diego, Philadelphia and Nashville in holding a HealthCamp in our wonderful city of New Orleans.
HealthCamp is an unconference inspired by the popular BarCamp conferences, which are intended to allow people to share and learn in an open environment. It is an intense event with discussions, demos and interaction from attendees.
The purpose of the HealthCamp is to bring together health, fitness and wellness professionals in the Greater New Orleans area to share knowledge, network, and open dialogues around the challenges, issues, and concerns they face every day. As well as, brainstorm, explore and discuss solutions, ideas and the latest innovations, policies and technology available.
An unconference means that the attendees are the presenters – this is a user generated conference. There is no keynote speaker and planned agenda for the day. However, we are establishing some guidelines and tracks.
Sessions in the technology track will vary from discussing improving or extending the efficacy of health care by embracing social networks, open standards, and the latest web and mobile technologies to new breakthroughs and latest technology available or being developed that will change the way health services are provided.
Sessions in the prevention and wellness track will focus on discussing and addressing what can be done in our community to educate, assist, motivate and encourage people to take preventive measures to prevent diseases and health problems. What can be done? What are the biggest factors affecting the members of our community? How can health care and fitness professionals best support and help each other? Etc.
Sessions in the policy track will focus and vary from discussing federal, State and city policy that impact health and wellness providers. This could include anything from funding issues and concerns, privatization of local hospitals, and the impact of the Health Care Reform Bills recently signed by President Obama.
Session in the business track is to discuss the state of health and wellness businesses, opportunities and entrepreneurship in the health and wellness industry. What opportunities exist in New Orleans? What type of businesses already exist – what makes them successful?
This will be an extremely beneficial event to all health, fitness and wellness professionals in the Greater New Orleans area – the energy, opportunities and networking generated from unconferences can’t be compared to anything else you have attended in the past.
Our first priority in bringing this event to New Orleans is finding a location that can support 100-150 attendees. A space with 4-5 classrooms. The event will be held on a Saturday.
As soon as we have reserved a location, we will accept sponsorships. Sponsors are critical to make this a free event for attendees. The sponsorship will be used to pay for the food for the day, possibly the facility and t-shirts. NO MONEY is made by the organizers of this event – this event is being organized by volunteers…currently myself and Tung Ly; assisting us is the HealthCamp Organizer Mark Scrimshire.
You can stay abreast of what’s happening by joining our Facebook Group and following us on Twitter.
Today, we have an inspirational interview with Jacques Courseault – a medical student at Tulane University School of Medicine and Co-Founder/Program Designer of Don’t Weight to Lose.
Don’t Weight to Lose (DWTL) is a 501c(3) non-profit organization designed by Tulane medical students, to promote long-term behavioral changes in terms of diet and exercise habits. DWTL ultimate goal is for each program participant to develop practical lifestyle changes without diet or exercise fads. They aim to promote small changes in nutrition habits, without sacrificing cultural characteristics in taste; and to increase physical activity, without needing sophisticated exercise equipment.
Q: Can you tell us a little more about Don’t Weight to Lose?
Jacques Courseault: Don’t Weight to Lose (DWTL) is a faith-based non-profit health and wellness organization based in New Orleans. Basically, Ryan Jupiter and I came up with this idea as first-year Tulane medical students. There was a program that I ran, as a personal trainer, called “Fat Tuesday,” where we offered free body composition and cardiovascular screenings at the Reily Center (Tulane’s gym). Ryan and I were working out one day and were discussing ways to bring a program like Fat Tuesday out into the community. After a year of research and development, DWTL was born. DWTL is now an 8-week program, held twice a year at Franklin Avenue Baptist Church. Components include physician speakers, health screenings, free exercise equipment, exercises classes and personal counseling from medical students. At this point, we have seen around 500 participants, and many noted significant health improvements.
Q: How does someone become a participant in the Don’t Weight to Lose program?
Jacques Courseault: Visit www.dontweighttolose.org and sign up for our newsletter. We release dates 2 months in advance for people to sign-up. If you don’t want to wait, we have tons of exercise and nutrition information available on our affiliate websites www.ExerciseMenu.com and www.DrGourmet.com. I am the Chief Editor of Exercise Menu, and Dr. Timothy Harlan is a chef turned Tulane Internist who developed Dr.Gourmet.com. There is tons of great information on both sites.
Q: How much personal attention do the participants receive?
Jacques Courseault: One of the great aspects about DWTL is the personal attention that participants receive from our medical students. We have about 25 volunteer medical students that are trained in exercise and nutrition counseling, in addition to, what they are learning in medical school. Each student is assigned to three to five participants. Students review body composition readings, nutrition diaries and workout logs with participants during each session. There is really a strong bond that develops…
Q: You mentioned it’s faith-based health and wellness program – can you explain that a little more?
Jacques Courseault: Faith-based meaning that we address health issues from the mind, body and spiritual perspectives. Obviously, you have to take physical action, by increasing physical activity and making health food choices to improve your overall health. What is not so obvious is that many of these issues have a psychological and spiritual basis to them that should also be addressed. Having a Bachelor’s degree in Psychology, I have designed this program based on particular theories to address behavior change. Obesity and other chronic diseases have also been linked to psychological disorders, such as stress and depression. Last but not least, is the spiritual component. Making sustainable lifestyle changes is difficult. By making the connection that God has blessed us with the gift of life and health, I try to teach our participants not to take this time we have for granted. In addition, the church offers a support network that provides encouragement when the temptation to revert back to previous ways arises.
Q: What inspired you to start Don’t Weight to Lose?
Jacques Courseault: I love New Orleans and the potential that this city has. Nothing can compare to the culture of this city. At the same time, I realize that overindulging in our food and leisurely activities can lead to serious health problems. So, I asked myself “How can we improve the health of this city and still eat great tasting foods and enjoy ourselves?” The answer is to teach small and practical changes that can drastically improve health. The people of New Orleans want to be healthy; however, it’s not always clear how to do that, especially with the day-to-day fads that pop up in mainstream media. Therefore, it is my passion as a personal trainer, physician and citizen of this great city to teach these practical changes.
Q: Have you reached out to former participants? Have they maintained the new habits they developed during the program?
Jacques Courseault: Being a member of Franklin Avenue Baptist Church and from seeing previous participants at various health fairs or at other functions, we realize that our changes look to be sustainable. We have also received many testimonials about the positive changes people are noting in their lives. One participant reported at 40-pound weight loss, and we have had quite a few that reported 25 pounds or more. We are working to set up a screening session of all of our former participants to see if these changes have been sustainable as we hoped.
Q: How do you feel about the health and fitness scene in New Orleans?
Jacques Courseault: The health and fitness scene in New Orleans has notably improved after Katrina. The greatest improvement that I have seen is at City Park, with the addition of the new walking and biking tracks. New Orleans provides many avenues for outdoor exercise. One can walk through the French Quarter, bike on the levees, play pick-up soccer at Audubon or join any of the many run/walks that are held here each year. Unfortunately, there is a lack of indoor facilities. To address this problem, I have developed ExerciseMenu.com, which allows people to workout in the comfort of their own home. Resistance training, or weight lifting is important, but we can maintain better health if we regularly participate in outdoor activities.
Q: We hear you are graduating this year – what’s next for you? Will you be staying in New Orleans?
Jacques Courseault: I will never leave this city. I had a wonderful four years at Tulane University School of Medicine, but will now hang up the green and white for the LSU purple and gold. Starting in July, I will begin my residency in Physical Medicine and Rehabilitation. I love this field because I can combine my exercise passions with medicine, in order to help people maintain their physical health. I will also continue to make sure that DWTL contributes to improving the health and wellness of this city.
This week is National Sleep Awareness Week®, it’s is an annual public education and awareness campaign to promote the importance of sleep.
Though diet and exercise are critical components of healthy lifestyles, it’s also important to remember that sleep is inherently linked with how we eat (and how much), how we exercise (and whether or not we lose weight), and how we function on a daily basis. Getting the proper amount of sleep each night is necessary to face the world with your best foot forward. Sleep will help you on the road to good fitness, good eating and good health.
An estimated 18 million Americans have sleep apnea, a sleep-related breathing disorder that leads individuals to repeatedly stop breathing during sleep. Not only does sleep apnea seriously affect one’s quality of sleep, but it can also lead to health risks such as stroke, heart attack, congestive heart failure and excessive daytime sleepiness. Sleep apnea is often associated with people who are overweight – weight gain leads to compromised respiratory function when an individual’s trunk and neck area increase from weight gain. These interacting problems of weight gain and sleep apnea make it difficult to help oneself off the slippery slope of health problems. Read More
(Source: National Sleep Foundation)
Obesity. Women who reported getting five hours of sleep per night were nearly twice as likely to be obese as women who regularly slept about seven hours; those who got four hours were three times more likely to be obese, according to a 2005 study of more than 2,500 women under age 49. Sleep restriction increases your appetite by lowering your levels of leptin, a hormone that suppresses hunger, and raising your levels of ghrelin, a hormone that stimulates it.
High blood pressure. People under age 60 who sleep five or fewer hours a night are twice as likely to develop hypertension as those who log seven to eight hours, according to a 2006 study of almost 5,000 men and women. Not sleeping enough strains the cardiovascular system and “resets” it to operate around the clock at an elevated pressure.
Diabetes. Studies have found an association between lack of sleep and a risk for diabetes as well as a 45 percent increased risk of heart attack and a 15 percent increased risk of death from all causes. Read More
(Source: Ladies Home Journal)
Create the Best Possible Sleep Environment
Prepare for Sleep
Improving Your Nutrition from the Ground Up

Eating healthy can be a daunting task. Learning about what to eat, how to eat it, and how much can be overwhelming! That is why I am here to help! Registered Dietitians have the training to answer all those questions for you and more. With March being National Nutrition Month, I can’t think of a better time to start thinking about how we can make our diets more healthy. Over the next few weeks we will focus on one of the themes of National Nutrition Month, improving our nutrition from the ground up!
· Focusing on fruits and vegetables, especially those grown locally right here in Louisiana
· Making calories count, just because something is low calorie doesn’t meant it’s healthy
· Testing our taste buds! Trying new things to improve our palate and grocery lists
· Trick yourself with treats. Don’t be scared of this one, healthy doesn’t equal hungry
I’ll go into more detail for each one creating a tool-box of ideas, recipes, and steps to take towards a healthy diet. Healthy eating doesn’t mean sacrificing taste and it definitely doesn’t mean deprivation.
So come back next week to find out about focusing on fruits and vegetables with featured local produce, sold right here in New Orleans!
Check out www.eatright.org/nnm for more information on National Nutrition Month and more information on why Registered Dietitians are the nutrition experts you should seek for healthy eating advice.
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Lauren Futrell Dunaway, MPH, RD, graduated from the University of Georgia with a degree in Dietetics. She then completed her dietetic internship at Vanderbilt University Medical Center. After becoming a Registered Dietitian, she began to pursue a Master of Public Health in Maternal and Child Health and Nutrition at Tulane University School of Public Health and Tropical Medicine. Lauren currently works at the Tulane Prevention Research Center as a program manager for their core research project focusing on the built environment and how it affects obesity.
Living a healthy lifestyle includes NO smoking. But what if you don’t smoke but others around you do?!?
The facts are Secondhand smoke causes cancer
Secondhand smoke is classified as a “known human carcinogen” (cancer-causing agent) by the U.S. Environmental Protection Agency (EPA), the U.S. National Toxicology Program, and the International Agency for Research on Cancer (IARC), a branch of the World Health Organization.
Secondhand smoke causes other kinds of diseases and deaths
Secondhand smoke can cause harm in many ways. In the United States alone, each year it is responsible for:
(Source: American Cancer Society)
If you are conscious about your health – you don’t want to be exposed to second-hand smoke but I’m sure you also don’t want to be stuck at home because people smoke in most bars and night clubs. That is why you need to check-out Let’s Be Totally Clear.
As a consumer, you have a lot of power – you should exercise that power to support Smoke-Free Establishments and encourage stronger smoke-free air laws that protect all Louisianans from secondhand smoke and help others in your community understand the dangers of secondhand smoke exposure.
You are at risk when exposed to secondhand smoke but the people constantly at risk are those who work in bars and casinos that can still allow smoking due to current local and state laws – bartenders, waiters, casino dealers, maintenance workers, entertainers, DJs and musicians. Let’s be totally clear: all Louisiana employees deserve protection from secondhand smoke
Join Let’s Be Totally Clear on Facebook
Questions:
* Do you prefer breathing clean, smoke-free air versus toxic secondhand smoke?
* Do you hate going to bars or going out to hear live music because of all the secondhand smoke?
* Are you a musician, bar or casino worker who wishes Louisiana would protect all workers from secondhand smoke exposure?
If you answered yes to any of these questions, then Let’s Be Totally Clear is for you and your involvement can change things!
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I joined the Pound for Pound Challenge 8 weeks ago because I wanted to lose 20 pounds…I won’t lie that 8 weeks ago when I joined; it was all about losing 20 pounds so I could fit in a size 6 again and look fabulous this summer. It was quite superficial of me.
I gained the 20 pounds because I stopped focusing on living a healthy lifestyle and got carried away with living like a tourist on an endless vacation in New Orleans…lots of indulging and because of injuries, no exercising.
For the last 8 weeks I’ve also been blogging about health and fitness every day…and had my own awakening moment about my size and health. During those 8 weeks; I’ve stopped indulging and refocused on living a healthy lifestyle. Although I’ve lost little weight, I can say that I’m living a healthy lifestyle. I eat healthy. I get my daily recommended fruits and vegetables servings, I eat a low sodium diet, I drink a gallon of water a day and I take a multi-vitamin each and every morning. I don’t drink, I don’t smoke, and I haven’t had chocolate in weeks (that was my vice). I’m exercising, meditating and getting my 8 hours of sleep a night. I am healthy; low Blood Pressure and Cholesterol and not currently at risk for any kinds of health diseases.
I was at a networking event a couple of weeks ago and a lady who was sitting next to me (although I had already introduced myself to her) made an announcement to the table about this fabulous diet supplement, which was supposedly all natural, she had heard about. I simply had to butt-in and talk about how important it is to focus on life changes and living a healthy lifestyle – NOT quick fixes or solutions because losing weight is a result of living a healthy lifestyle.
An estimated 80 million Americans go on diets every year, spending more than $30 billion annually on programs and products. I’d love to take a survey of those 80 million Americans to find out how many of them are actually putting their health has the #1 reason for wanting to lose weight??
Thankfully we are in LA – Louisiana and not L.A. – Los Angeles so we don’t feel or have a huge pressure in our community/city to be stick figures with a perfect tan, but there is still a big stigma attached to being big so there is still societal pressure for wanting to be slim.
What society needs to put pressure on and what we need to focus on in New Orleans are: living healthy lifestyles, having healthy habits and enjoying good health and healthy bodies, minds and spirits.
Being healthy is what prevents:
Diabetes
High Blood Pressure
Hypertension
Obesity
Heart Attacks
Cancer
It’s not being slim or slander. A skinny person isn’t necessarily healthy – for all you know he or she might be smoker with high cholesterol on the verge of having a heart attack or lung cancer. We normally don’t think that when looking at a skinny person…but slim does not equal healthy.
No matter what size you are, living a healthy lifestyle will prolong your life and help you enjoy life a lot more. Make changes and create new routines and habits that support living a healthy lifestyle. If you happen to need to lose some weight – living a healthy lifestyle will take care of that along the way!! And Yes, you better believe it that we’re right here with you to help!!
Yesterday was the start of National Nutrition Month sponsored by the American Dietetic Association.
“National Nutrition Month focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. Registered Dietitian Day, also celebrated in March, increases awareness of registered dietitians as the indispensable providers of food and nutrition services and recognizes RDs for their commitment to helping people enjoy healthy lives.”
So in recognition of National Nutrition Month and the very exciting news that Be Fit NOLA now has a registered dietitian on board to blog for us – Lauren E. Futrell Dunaway, MPH, RD…more to come on Lauren later this week. We have decided to do a fun giveaway.
To be in the drawing to win a brand new iPod, you need to leave a comment to this post with the top 3 healthiest items in your refrigerator and the top 3 unhealthiest items in your refrigerator. This is not required to win, but we would love it if you could also take a picture of what’s inside your frigde – add it to your Flickr account, join the Be Fit NOLA Flickr Group and share the picture of what’s in your fridge there (for our delight, nitpicking, and entertainment).
We will draw a winner next week, March 10th.
BTW, for Aaron and I…in our refrigerator (picture included) the top three healthy items are: a variety of fruits and vegetables, skim milk and skinless grilled chicken (red container). Top three unhealthiest items are: the WholeFood’s Dill Tuna, a bottle of white wine (in the back) and light mayonnaise (on the door).
Yesterday we attended the Lakeview Christian Center Wellness Fair 2010…and we were pleasantly surprised by how well organized the event was. Parked outside of the Center was the Elmwood “On the Move – Driving to Fight Childhood Obesity” Bus. This unique program is designed to give school children ages 9-13 an opportunity to learn about health and fitness in a non-competitive environment. Inside the bus is a fitness center designed for children – check the Elmwood Fitness Center Website for more information.
Inside the Lakeview Christian Center we were welcomed by a staff (church members) who were excited, and happy to see us and tell us all about what was available for us to see and take part in. They had 36 vendors that made up the Wellness Fair to include a station to get your Blood Pressure taken for free and Cholesterol screening from The Blood Center: Blood Mobile & Free Cholesterol Screening. Also in attendance was Salire Fitness, BestRD Wellness (nutritionist), Advance Medical Care and Wellness, DHH/OAAS/Adult Protective Services, Elderly Protective Services, Louisiana Chiropractic Center, Alzheimers Association of GNO and the American Cancer Society to name a few.
From 10:00 am to 3pm they hosted some wonderful free seminars for attendees which included: Tulane hospital discussing Childhood Obesity & Type 2 Diabetes, Rose Dermatology discussed Skin Cancer, and LSU Radiolody has a seminar of Mammogram, When and & Why.
We spoke with Pete Schefferstein the Church Administrator and Wellness Fair Organizer to find out more about the Fair and why the Lakeview Christian Center decided to put on this event. As it turns out, Pete used to be quite an unhealthy fellow – as he puts it “a typical New Orleanian” and his wake-up call came when his doctor told him that he was close to being diabetic and unless he made some changes, he would have to take medicine for diabetics.
Speaking with Pete was an eye opener. To hear him say that for him; not being able to bend down to pick something up, or not being able to walk up a flight of stair or walk around the block and that living with all the discomfort of bad health seemed perfectly normal was very surreal. It’s hard to comprehend that some people have never known or experienced living a normal “healthy” life.
However, when his doctor told him if he kept going the way he was he would be diabetic – Pete decided to change his lifestyle. Since then, Pete has lost over 100 pounds. He enlisted the help of his son who designed a program for him based on the Men’s Health TNT. After losing 40lbs, Pete was finally able to use a treadmill. Pete was exercising for the first time in his life.
Pete said to us “When you’re overweight, you don’t really realize how much everything is such a chore – like bending down to pick something up, traveling…how embarrassing it is to ask the stewardess on a plane for a buckle extension”
Since losing the weight and making life changes/establishing a new healthy lifestyle, Pete became more aware of the members in his church community who also needed help and assistance. He commented on how difficult being overweight is on the families in the community; “People are losing jobs because the can’t perform their duties.” That’s when the Lakeview Christian Center became involved in helping their community become healthier. Every six weeks they run a Biggest Loser Challenge to encourage members to get involve, participate in learning new things about nutrition and exercise and support each other in losing weight.
They bring in other members of the community who are nutritionists, trainers, nurses and doctors to speak on health issues. It’s really fabulous what the Lakeview Christian Center have started and how they are supporting their community.