Wellness Promotions Office    

Phone:410-479-8080        Fax: 410-479-2014

Programs Offered: 

Diabetes Prevention Program (DPP)
*Free Lifestyle Change Program for those with pre-diabetes*
Participants will learn about healthy eating and how to include physical activity into their lifestyle.
Dates: Program begins January 6, 2016
It is a yearlong program consisting of two components:
 16 weekly sessions in months 1-4 and
 12 follow up sessions in months 5-12
Time: 5:30- 6:30 pm on Wednesdays
Location: Denton Library
Cost: Free
Eligibility: - must meet all eligibility requirements to enroll
  • Must be 18 years of age or older
  • Must be a Caroline County Resident or Dorchester County Resident
  • Body Mass Index (BMI)  of 24 or higher (22 or higher if Asian) 
(We can calcucate this for you)  
  • Blood work drawn within the last year reflecting your pre-diabetic status or history of gestational diabetes 
(Blood work results need to be sent to us, your doctor may fax them to 410-479-2014)   
  • Limited income per state guidelines or uses Choptank Community Health for Primary Medical Care    
*Pre-Registration is required *
Call Heather Reed, RN, BSN at 410-479-8080 or email heatherl.reed@maryland.gov to learn more or sign up!
For more information about the Diabetes Prevention Program curriculum, go towww.cdc.gov/diabetes/prevention.
What Is the Benefit of Being Part of a Diabetes Prevention Program?
Caroline County Health Department is part of the National Diabetes Prevention Program, led by the Centers for Disease Control and Prevention (CDC). It is proven to help people with prediabetes prevent or delay development of type 2 diabetes.
As part of the diabetes prevention program, you will work with other participants and a trained lifestyle coach to learn the skills you need to make lasting lifestyle changes. These changes include losing a modest amount of weight, being more physically active, and managing stress.
Throughout the program you will gain support from other people who are facing similar challenges and trying to make the same changes you are. Together you can celebrate successes and find ways to overcome obstacles.
 Caroline County Health Department Diabetes Prevention Program Features:
·  Trained lifestyle coach
·  CDC-approved curriculum
·  Group support
·  16 weekly meetings
·   12 monthly follow-up meetings
What Is Type 2 Diabetes?
Type 2 diabetes is the most common form of diabetes. Most of the food we eat is turned into glucose (sugar) for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have type 2 diabetes, your body can’t use its own insulin as well as it should. This causes sugar to build up in your blood.
Type 2 diabetes is a serious condition. It can lead to health issues such as heart attack; stroke; blindness; kidney failure; or loss of toes, feet, or legs.
What Is Prediabetes?
Prediabetes is a blood glucose (sugar) level that is higher than normal but not high enough to be diagnosed as diabetes. One in three American adults has prediabetes, and most do not even know they have it. If you have prediabetes and do not lose weight or do moderate physical activity, you may develop type 2 diabetes within 3 years.
Am I at Risk for Prediabetes and Type 2 Diabetes?
You are at increased risk for developing prediabetes and type 2 diabetes if you:
·  Are 45 years of age or older;
·  Are overweight;
·  Have a family history of type 2 diabetes;
·  Are physically active fewer than three times per week; or
·  Ever had diabetes while pregnant which disappeared after the delivery (gestational diabetes) or gave birth to a baby that weighed more than 9 pounds.
If you think you may be at risk, a health care provider can do a blood test to see if you have diabetes or prediabetes.
Can I Prevent Type 2 Diabetes?
Yes! Hearing your doctor say, “You’re at risk for type 2 diabetes,” or “You have prediabetes,” means that you can start preventing type 2 diabetes today. And you do not have to do it alone. Finding the Caroline County Health Department’s Diabetes Prevention Program was your first step on that journey. If you have prediabetes, now is the time for prevention. Caroline County Health Department’s program can help you take charge of your health to prevent or delay type 2 diabetes.
Cigarette Restitution Funds (CRFP)
This is an ongoing statewide program aimed to educate the community on tobacco prevention and offer cessation resources where needed. Its overall goal is to reduce the presence of tobacco products and electronic cigarettes as a whole. It is broken down into several components including: community initiatives/coalition building, school based initiatives, enforcement initiatives, and cessation initiatives.
quit smoking.jpeg 
Community and Coalitions
Wellness staff is available to participate in community and faith based events as a part of our outreach. If you would like us to be a part of your next event please contact Heather Reed, RN, BSN at 410-479-8080 or by email at  heatherl.reed@maryland.gov. She is able to provide display tables and/or offer presentations on tobacco and electronic cigarette prevention, as well as resources to help individuals quit smoking.
Events/Places attended in the past include: various church events, Paddle Fest, Summer Fest, Department of Social Services Fun Fest, Discovery Days, Parks and Recreation Events, 4-H Events, Caroline County Fair, Judy Center, Family Support Center and more! We are always looking for new ways to reach new people; especially our minority populations.      
Also under our cigarette restitution funds, local minority churches and organizations in Caroline County are encouraged to apply for mini-grant funding to promote prevention and cessation of tobacco products through their organizations. Applications for this year’s funding will be available now. Please contact Leigh Marquess, RN 410-479-8080 or by email at leigh.marquess@maryland.gov for an application.
Wellness coalitions are held quarterly and provide a place for community leaders to share, learn, and collaborate on new projects.  If you are interested in becoming a member on the coalition please contact Leigh Marquess, RN at 410-479-8080 or by email atleigh.marquess@maryland.gov.
School Based Interventions
Wellness staff devotes a lot of time into teaching about the dangers of tobacco products and electronic cigarettes in all of the schools in Caroline County. We have reached the students not only in the classrooms but also at fun events like health fairs, wellness nights, lunch time, and school dances. After school programs are also a time when wellness staff is available to do individualized and small group education on tobacco prevention. We have worked with the Parks and Recreation after school programs and the YMCA’s after school and mentoring programs to target middle school aged students. In addition to educating students in school, wellness staff is available to do in services and staff education on tobacco and electronic cigarettes. For more information please contact Heather Reed, RN, BSN at 410-479-8080 or by email at heatherl.reed@maryland.gov.
Wellness promotion staff is pleased to offer FREE comprehensive programs to assist those that use tobacco products in overcoming tobacco addictions. In addition to support and education in group or one on one sessions, nicotine patches, gum, and lozenges can be provided free of charge for those attending weekly classes or one on one sessions. Please note: a doctor’s note is required to obtain the free nicotine replacement products.   
Two ongoing smoking cessation groups meet regularly on Wednesdays at the health department at 11:30 am and Thursday at the Denton YMCA at 6:30 pm. Please call Charles Prattis at 410-479-8080 to enroll in these classes at any time. If you prefer individual counseling please call Charles Prattis or Heather Reed, RN, BSN at 410-479-8080 to arrange dates and times that work best for you; Heather can also be reached by email at heatherl.reed@maryland.gov.
Cessation groups can also be created within the workplace if there is an interest for this at your place of employment please contact Heather Reed, RN, BSN at 410-479-8080 or by email at heatherl.reed@maryland.gov to find out more.  
Need help quitting NOW??
Call the Maryland Quit Line at 1-800-QUIT-NOW for free assistance that is available 24/7. You can also visit their website by clicking on the link listed below.
Heart disease and stroke are two of the leading causes of death in the United States. Million Hearts® fully supports tobacco prevention and cessation as a means to decrease the incidence of heart disease and stroke. Please visit their website at the link listed below to learn more.
Pregnancy and Tobacco Cessation Help (PATCH)  
If you are pregnant or want to become pregnant and currently smoke or use tobacco products the PATCH program is for you! Please contact Heather Reed, RN, BSN at 410-479-8080 or by email at heatherl.reed@maryland.gov to learn about the benefits of becoming smoke-free and resources available to help you quit.
PATCH also aims to educate and increase awareness of the consequences of second and third hand smoke and the dangers tobacco poses to the entire family. For more information or to schedule a presentation on these topics please contact Heather Reed, RN, BSN at 410-479-8080 or by email at heatherl.reed@maryland.gov. We are pleased to announce that as of July 1, 2015, the multi-unit housing complexes River View Gardens in Denton and Federalsburg Gardens will be completely smoke free! This includes outdoors and the individual housing units!
1422 Grant
Staff in the wellness department strives for a healthy community. A new grant (1422) is underway that focuses on four chronic diseases: heart disease, stroke, diabetes, and obesity. Goals of this funding include building community collaboration and ongoing care for adults with chronic diseases. There will be a push towards using community health outreach workers (CHOWs) to bridge the gap between community members and health care providers. Please stay tuned for more information on this new grant. If you are interested in becoming involved with it please contact Leigh Marquess, RN or Laura Patrick, RN, MS at 410-479-8080.
Breast and Cervical Cancer Screening Program
This program assists women with getting a:
* Clinical Breast Exam
* Screening Mammogram
* Pap test (if indicated)
* Follow-up diagnostic breast or cervical testing if needed
All of this is provided at NO cost to you if you meet eligibility, including:
·         Women ages 40-64
·         Limited income per state guidelines
·         Uninsured, underinsured, high deductible or co-pay
·         Caroline County resident
Colorectal Cancer Screening Program
This program assists both men and women in being screened for colorectal cancer.
Services include:
·         Pre-screening exam
·         Prep medications
·         Colonoscopy
All of this is provided at NO cost to you if you meet eligibility.
Eligibility Requirements:
·         People aged 50 and older or Under age 50 and any of the following four bullets:  
o    Personal or family history of colorectal cancer or adenomatous polyps
o    Personal history of inflammatory bowel disease
o    Women with a history of cancer of the endometrium or ovaries
o    Experiencing current symptoms of colorectal cancer such as: blood in the stool, pain or cramping in lower abdomen, changes in bowel habits, or unexplained weight loss
·         Limited income per state guidelines
·         Uninsured, underinsured, high deductible or co-pay
·         Caroline County resident
****New this year for both cancer screening programs…..We are offering Patient Navigation services for those people who are insured, meet other eligibility guidelines and are in need of assistance in navigating the health care system in order to get cancer screenings done. 
For more information on cancer screening programs please contact Leigh Marquess, RN at 410-479-8080.