Is hidden salt hurting your health?

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1 SOUTH CENTRAL ADULT SERVICES MAY & JUNE 2017 ISSUE NO. 3 SOUTH CENTRAL ADULT SERVICES (BPT) - A typical soup and sandwich lunch can seem like a healthy meal. However, the bread, cold cuts and soup can be packed with something that can have a negative impact on your overall wellness: salt. "Even meals that seem healthy, like a turkey sandwich with a side of cottage cheese, can have high levels of salt. It may not even taste salty," says John Meigs, Jr., MD, president of the American Academy of Family Physicians. Meigs says one of the biggest mistakes people make is to assume if they aren't adding salt with a salt shaker, their sodium levels are under control. The truth: The Centers for Disease Control and Prevention estimates Americans get 77 percent of their salt from processed foods and restaurant meals, compared to 6 percent from the salt shaker at the table and 5 percent added during home cooking. According to the CDC, the top 10 foods that contribute to a significant amount of the salt Americans consume are: 1. Breads and rolls 2. Cold cuts and cured meat (e.g., deli or packaged ham or turkey) 3. Pizza 4. Fresh and processed poultry 5. Soups 6. Sandwiches such as cheeseburgers 7. Cheese 8. Pasta dishes (not including macaroni and cheese) 9. Meat-mixed dishes such as meatloaf and tomato sauce 10. Snacks such as chips, pretzels and popcorn Some salt is necessary for the body to function properly, but too much can contribute to high blood pressure, heart disease and stroke. The CDC says most people should limit total salt intake to 2,300 milligrams a day or less. "There are 2,300 milligrams of sodium - the chemical name for salt - in a single teaspoon of table salt," Meigs notes. "It's a real challenge to reduce salt intake, even for people who are highly motivated to do so." Meigs offers some easy strategies to lower hidden salt intake NEWSLETTER Is hidden salt hurting your health? Five tips for taking control and take control of your nutrition: Know your numbers Talk with a doctor about your blood pressure, cholesterol levels, family health history and ways to prevent health problems before they start. Visit familydoctor.org to learn more. Read nutrition labels It takes mere seconds to read nutrition labels to see which items are high in sodium. Sometimes this information is even printed on the front of the package. Keep in mind, different brands of the same foods often contain varying levels of salt. For example, a slice of white bread can range anywhere from 80 to 230 milligrams of salt. Salt levels in a can of chicken noodle CONTINUED on page 6

2 Bone Builders Bone Builders exercise class meets Tuesdays & Thursdays at 10 AM at the Carrington Senior Center. Everyone is welcome. Contact with any questions. South Central Adult Services Council, Inc. makes available all services without regard to race, color, national origin, or handicap, and is subject to Title VI of the Civil Rights Act of 1964, Title V Section 504 of the Rehabilitation Act of 1973, and all related laws and regulations. The South Central Adult Services Council, Inc., is an Equal Opportunity Employer. Senior Companions An opportunity to volunteer and earn a tax-free stipend! The purpose of the Senior Companion Program is to engage persons 60 and older, particularly those with limited incomes, into volunteer service to provide supportive, individualized service to help elderly adults with special needs maintain their dignity and independence. Income eligible Senior Companions earn a tax-free stipend, paid training, vacation, sick and holiday time. Senior Companions also receive monthly inservice training, recognition at special events and the satisfaction of helping other elderly adults. For more information, please contact Andrea Lang, Coordinator for Eastern North Dakota at Foster County Outreach Schedule May & June 2017 Mavis Larsen, Foster County Outreach Worker, will be available in the rural areas on the following schedule. You may contact her at the Carrington office, , to schedule an appointment. Wednesday, May 3, 2017 Glenfield & McHenry area and Meal Site Wednesday, May 24, 2017 Grace City area and Meal Site Wednesday, June 14, 2017 Glenfield & McHenry area and Meal Site Wednesday, June 28, 2017 Grace City area and Meal Site Page 2 May & June 2017

3 Grace City, McHenry & Glenfield Menu for May 2017 ( ) All meals include ~ 2 slices of Whole Grain Bread, 1 cup of 1% Milk, Margarine, Coffee and Dessert Monday Tuesday Wednesday Thursday Friday 1 Meatballs & gravy Creamed carrots Spice cake with frosting 8 Tator tot hotdish Cheese slice Juice 15 Cabbage rolls Peas & carrots Brownie 22 Scalloped potatoes Ham Creamed peas Bread pudding 29 Center CLOSED 2 3 Beef stroganoff over noodles Mandarin oranges 9 10 Vegetable soup Meat sandwich Coleslaw Apple crisp Hamburger rice casserole Cheese slice Orange jello & mandarin oranges Spaghetti & meat sauce Garlic toast Lettuce salad Pear sauce 30 Country sausage Sauerkraut Juice Cookie 31 Meatloaf Baked potato Green beans Birthday cake 4 5 Chicken & dumplings Green beans Orange jello with fruit Hot pork sandwich Vegetables Tapioca pudding Chicken strips Potato wedges Green beans Moon cake Hamburger deluxe Tator tots Macaroni salad Baked apple May & June 2017 Page 3

4 Grace City, McHenry & Glenfield Menu for June 2017 ( ) All meals include ~ 2 slices of Whole Grain Bread, 1 cup of 1% Milk, Margarine, Coffee and Dessert 5 Roast beef & gravy Carrots Peach sauce Monday Tuesday Wednesday Thursday Friday 12 Pork chop w/ brown gravy Cabbage & carrots Baked apple 19 Ham Baked potato Baked beans Jello 26 Meatloaf Baked potato Carrots Moon cake 6 7 Oven chicken Hashbrown potatoes Mixed vegetables Pineapple sauce BBQ on bun Augratin potatoes Angel food cake & Strawberries with Whipped topping Hot beef & gravy Beets Peach sauce Tuna noodle casserole Peas Cheese slice Lettuce Birthday cake 1 2 Hamburger macaroni hotdish Peas Cheese slice Juice 8 9 Steak in gravy Green beans Ice cream Swiss steak Peas Pear sauce Tomato soup Toasted cheese sandwich Coleslaw Ice cream Country style ribs Baked potato & sour cream Vegetables Tapioca pudding Page 4 May & June 2017

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6 Foster County & Anniversaries Erva Bartlett: 5/31 Creeta Luttschwager: 5/11 Myron Kulsrud: 5/18 Larry Merrick: 6/9 Myron Luttschwager: 5/27 Judy Swanson: 5/29 Anniversaries Virginia & Mike Kjelgaard: 6/5 Yvonne & Richard Aasand: 6/8 CONTINUED from page 1 soup can range from 100 to 900 milligrams per serving. Be a smart diner Dining out can still be a healthy treat with a little proactive effort. If nutrition information isn't included on the menu, do some homework in advance by visiting the restaurant's website. You may be surprised to find that items billed as "light or healthy fare" are often high in salt. Opt for whole foods Whether eating out or dining in, filling your plate with whole foods - items in their natural state or close to it - will help you lower your sodium levels. Nonprocessed fresh foods that are high in fiber are ideal, for example, fresh fruits, vegetables, lean meat and whole grains. Prepare food at home It's easier to regulate salt consumption by preparing meals at home. Not only can you select healthy ingredients and pack your plate with whole foods, you can control the salt you add to dishes by manipulating recipes and including flavor-enhancing alternatives like fresh herbs. Gloria Blumhagen: 6/18 Janice Munson: 6/24 Anniversaries Norma & Duane Matt: 6/11 Larry Leininger: 5/6 Marvin Miska: 5/7 Marge Balvitch: 5/21 Dorothy & Gordon Hegvik: 6/15 Page 6 May & June 2017

7 Foster County Transit Transportation is open to the public!! Local Transportation Monday, Tuesday, Wednesday, Thursday & Friday 8 AM until 4 PM A ride to the Senior Center for a meal $0.50 one way. A ride anywhere else in town $1.00 one way or per stop. We accept EBT/SNAP (Food Stamps) contributions. We would like to remind all meal recipients (congregate, frozen, home-delivered meals and liquid supplements) that EBT cards may be used for your contributions. Please phone Mavis Larsen at for more information. Out-of-Town Transportation 1st Wednesday & 3rd Tuesday: Fargo Trip - $15.00 Round Trip 2nd Wednesday & 1st, 3rd & 4th Fridays: Rural Foster County into Carrington - $5.00 Home & Community Based Services Help for those who want to live at home When should you call? If you or someone you know could use services or help with activities including: 3rd Wednesday: Bismarck Trip - $15.00 Round Trip 1st, 2nd & 4th Tuesdays, 4th Wednesday & every Thursday: Jamestown Trip - $8.00 Mondays upon request: New Rockford - $5.00 Bathing, dressing, transferring and personal needs Meal preparation, housework, laundry and shopping Medication Assistance Non-Medical Transportation Adult Family Foster Care Emergency Response Services (Lifeline) If at all possible, out-of-town medical appointments should be scheduled between 10:00 AM and 2:00 PM It is necessary to sign up in advance, if at all possible, by calling: or Driver s Cell Out of Town Family Home Care Case Management Chore Service Respite Care for Caregivers Other services are also available Contact your local County Social Service Agency: May & June 2017 Page 7

8 When will I get my new Medicare card? You probably heard that new Medicare cards will be issued by the Centers for Medicare and Medicaid (CMS) and wonder when you will get your new card. Not for some time, but scammers are already taking advantage of any confusion about the new Medicare cards. Here are some facts: If you look at your Medicare card now, you will see that the nine numbers on it are a Social Security number. * The Social Security number is usually your own, but could be your spouse's or a parent if you are a person with a disability. * The Social Security number is the key for scammers to steal your identity. * A Social Security number can be used to take out loans or open credit cards. Congress passed a law last year called the Medicare Access and CHIP Reauthorization Act (MACRA) which requires that CMS develop a plan to give every Medicare beneficiary a new Medicare card with a new identifier that is NOT tied to the Social Security number. This change will not happen immediately. This is a huge change so CMS and the many providers who accept Medicare need time to update systems to accept the new identifier. Beneficiaries WILL NOT see new cards before April This will be the earliest that CMS will start mailing new cards to beneficiaries. The new Medicare card will have a new and randomly assigned identifier that will mix both numbers and letters (11 characters in all). How can a scammer use this change to get your personal information? This upcoming change has already caused confusion for beneficiaries and scammers love to take advantage of confusion. There are reports of scammers identifying themselves as working for Medicare and are asking for your Medicare number in order to send you a new card or that you need to reapply for Medicare or lose your benefits. THE FACT IS: Medicare already has this information, including your mailing address. * When CMS sends you your new card, they will mail it to you. You have the facts now if you get a call like this, do not give out your information. Report calls like this to the ND SMP office or CMS at South Central Adult Services serves the counties of Barnes, LaMoure, Foster, Logan, McIntosh & Griggs or Check out our website: Carrington Senior Citizen Center 36 10th Avenue S. Carrington, ND McHenry Senior Citizens Center 451 Johnston Street McHenry, ND Glenfield Senior Citizens Center 191 Glenfield Street Glenfield, ND Schoolhouse Café (meals only) 309 City Street Grace City, ND South Central Adult Services Main Office 139 2nd Ave. SE PO Box 298 Valley City, ND PATRICIA HANSEN Director JODI ELLIOTT Bookkeeping MAVIS LARSEN Outreach/Transit Page 8 May & June 2017