Diabetes & Hispanic Farmworkers: A Family Affair
By Elisabeth Almekinder RN, BA, CDE 2 Comments
One of my favorite diabetes classes to teach is my migrant farmworkers class. This class lets me get right in community health grass roots programs where diabetes education can really make a difference. What they lack in resources, they gain in community and family support that is unmistakably helpful and effective, not to mention uplifting.
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A large migrant farmworker class, which included children, grandchildren, and community members, was held at the local high schools health center. Along with a healthy meal, daycare was provided as well as Spanish materials for diabetes management. All class members signed a release for pictures.
Henrico, a farmworker, came in to see the nurse practitioner. He had lost 30 pounds recently. He was cachectic, literally bones with skin pulled over it. He was limping into the clinic in his work boots, favoring his left leg. The lab did a random blood sugar that was 1064 mg/dL. He looked dehydrated, and exhausted.
Melina, one of our farmworker staff, walked him in.
Melina interpreted, I feel very tired, she said.
The worst part was when Henrico took his boots off. Inside his work boots, with dirty socks from working the fields that morning, Enrico had a blister. It looked just like an ordinary looking blister.
The nurse practitioner said, Oh Continue reading