Fresno Aims To Boost Health Through Biking, Walking
How Fresno Man Started Biking and Reversed Type 2 Diabetes
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Both teens consider biking to school 'too dangerous' due to a lack of bike lanes. 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She previously covered immigration. Farida was \u003ca href=\"https://www.ccnma.org/2022-most-influential-latina-journalists\">named\u003c/a> one of the 10 Most Influential Latina Journalists in California in 2022 by the California Chicano News Media Association. Her work has won awards from the Society of Professional Journalists (Northern California), as well as a national and regional Edward M. Murrow Award for the collaborative reporting projects “Dangerous Air” and “Graying California.” \u003c/span>\u003cspan style=\"font-weight: 400;\">Before joining KQED, Farida worked as a producer at Radio Bilingüe, a national public radio network. Farida earned her master’s degree in journalism from Stanford University.\u003c/span>","avatar":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g","twitter":"FaridaJhabvala","facebook":null,"instagram":null,"linkedin":"https://www.linkedin.com/in/faridajhabvala/","sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["author"]}],"headData":{"title":"Farida Jhabvala Romero | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c3ab27c5554b67b478f80971e515aa02?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/fjhabvala"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_183797":{"type":"posts","id":"stateofhealth_183797","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"183797","score":null,"sort":[1463583991000]},"guestAuthors":[],"slug":"fresno-aims-to-boost-health-through-biking-walking","title":"Fresno Aims To Boost Health Through Biking, Walking","publishDate":1463583991,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Volunteer bike mechanics fix faulty brakes and flat tires under colorful tents at a park in south Fresno. The free bike repair event, organized by the local nonprofit Cultiva la Salud, has attracted dozens of kids and their parents.\u003c/p>\n\u003cp>Joanna Ruiz, 13, awaits her turn while holding her bike, which has rusty chains. She says she would like to bike more, including riding her bike to school. But her parents won't allow it.\u003c/p>\n\u003cp>The 2-mile ride from her home to school is over busy roads with scary intersections and no bike lanes, Ruiz says.\u003c/p>\n\u003cp>\"It's basically too dangerous,\" she says. \"A lot of cars don't even stop when they see us, so it would be too dangerous for us to be just riding in the streets.\" Instead, Joanna's mom drives her and her three siblings to school and most destinations.\u003c/p>\n\u003cp>The family's fears are founded. They live in south Fresno, \u003ca href=\"http://www.fresno.gov/NR/rdonlyres/5DBFAA2D-5352-47D2-84BA-3A9BEDC99351/0/FresnoBMP.pdf\" target=\"_blank\">where the majority \u003c/a>of the city's car collisions with bicyclists and pedestrians take place.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Public health advocates say unsafe streets discourage people from being active, and lack of activity in turn can drive up rates of Type 2 diabetes and obesity. South Fresno is majority Latino and African-American -- people who suffer disproportionately from these conditions.\u003c/p>\n\u003cp>Joanna Ruiz's ZIP code in south Fresno has a higher incidence of diabetes among adults than Fresno as a whole, according to\u003ca href=\"http://www.fresno.gov/NR/rdonlyres/5DBFAA2D-5352-47D2-84BA-3A9BEDC99351/0/FresnoBMP.pdf\" target=\"_blank\"> data \u003c/a>from the UCLA Center for Health Policy Research. Fresno County's death rate from diabetes is one of the highest in California.\u003c/p>\n\u003cp>Officials in Fresno are now aiming to boost public health and safety for bicyclists and pedestrians by creating more transportation options that do not involve driving.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/264731777\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>Fresno Earns 'Bike-Friendly Community' Award \u003c/strong>\u003c/p>\n\u003cp>Fresno has already moved to become more bike-friendly, according to the League of American Bicyclists. The league cited Fresno's bike-friendly laws and public education outreach in awarding it a \"\u003ca href=\"http://www.bikeleague.org/sites/default/files/bfareportcards/BFC_Fall_2015_ReportCard_Fresno_CA.pdf\" target=\"_blank\">bronze designation\u003c/a>.\"\u003c/p>\n\u003cp>The city is pushing ahead with a transportation plan that includes more biking and pedestrian options. Fresno city officials are collecting public comment, with the\u003ca href=\"http://www.fresno.gov/NR/rdonlyres/4A9F5C32-4306-4BB4-9B55-12E10193FA45/34446/FresnoATPWorkshops05180519.pdf\" target=\"_blank\"> first two workshops open to the public\u003c/a> scheduled for tonight and Thursday. Residents can also suggest where the city should make streets safer for bicyclists and pedestrians through an online \u003ca href=\"http://gis.fehrandpeers.com/FresnoATPSurvey/\" target=\"_blank\">mapping\u003c/a> tool.\u003c/p>\n\u003cp>\u003cstrong>Infrastructure Lacking in Fresno's Older Neighborhoods\u003c/strong>\u003c/p>\n\u003cp>Since 2010, Fresno has dramatically extended its bike lane network by more than a third, to about 155 miles, say city officials.\u003c/p>\n\u003cp>Most of those improvements have been focused in the wealthier and newer neighborhoods in the city's north, says Genoveva Islas, who directs Cultiva la Salud. The health nonprofit organizes free bike repair events and group rides with Latin American cumbia music to promote exercise and prevent chronic illnesses among local Latino families.\u003c/p>\n\u003cp>\"Unfortunately, when you come south where there are census tracts of lower-income residents, that’s where you really begin to see a deficit in both bicycle and pedestrian infrastructure,\" says Islas, who was born in Fresno. \"So the protective factors that north Fresno has are clearly not available for residents who are living in south Fresno.\"\u003c/p>\n\u003cp>Islas says unsafe streets discourage residents from opting to be more physically active in their daily routines, while going to the store or work. That in turn hurts obesity and diabetes prevention efforts.\u003c/p>\n\u003cp>\"We understand that in order for our communities to bike more, they need the infrastructure that keeps them safe and doesn't put their lives or their children's lives at risk,\" says Islas.\u003c/p>\n\u003cfigure id=\"attachment_185736\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-185736 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19526_IMG_9891-qut.jpg\" alt=\"Genoveva Islas prepares to begin a group bike ride in Fresno. Islas directs Cultiva la Salud, a local non-profit pushing to create 'healthier environments' in Fresno and other parts of the San Joaquin Valley as a way to prevent chronic illnesses.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Genoveva Islas prepares to begin a group bike ride in Fresno. Islas directs Cultiva la Salud, a local nonprofit pushing to create 'healthier environments' as a way to prevent chronic illnesses in Fresno and other parts of the Central Valley. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>'New Idea' for City Planning\u003c/strong>\u003c/p>\n\u003cp>City officials say newer housing developments have paid fees toward building biking and pedestrian facilities in the north. By contrast, many of the city's older neighborhoods were built several decades ago when city planning prioritized car travel, says Randy Bell, who manages infrastructure projects for the city of Fresno.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Fifty years ago, city planning had a different idea of how to develop the city,\" says Bell, so the focus was on cars. \"\u003c/span>Today we have a new idea to get people more active, and to not use their cars as much.\"\u003c/p>\n\u003cp>Bell says the city wants public input to help prioritize projects.\u003c/p>\n\u003cp>\u003cstrong>Central Valley Cities Adding Bike Lanes, Sidewalks\u003c/strong>\u003c/p>\n\u003cp>Caltrans' \u003ca href=\"http://www.dot.ca.gov/hq/LocalPrograms/atp/\" target=\"_blank\">Active Transportation Program\u003c/a> is the biggest source of funding for localities statewide, with a pool of $120 million available annually, and is funding projects in Fresno, Bakersfield and Modesto.\u003c/p>\n\u003cp>Public health issues in particular are a rallying cry among community-based groups and city officials alike for Central Valley cities to become more bikable, says Jeanie Ward-Waller, policy director for the California Bicycle Coalition.\u003c/p>\n\u003cp>She says many in the Central Valley want to have more opportunities for physical activity built into their communities.\u003c/p>\n\u003cp>\"They definitely have high demand for more bikable and walkable places to live,\" she says.\u003c/p>\n\u003cp>North of Fresno on Highway 99, Modesto added 4 miles of additional bike lanes last December.\u003c/p>\n\u003cp>\"E\u003cspan style=\"font-weight: 400\">very time we do a road project now,\" says Michael Sacuskie, Modesto's \u003cspan style=\"font-weight: 400\">bicycle program coordinator, we \"\u003c/span>incorporate bike lanes when possible.\" Sacuskie is a life=long Modesto resident who regularly bikes 3 miles to work. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_185738\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-185738 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut.jpg\" alt=\"Bikers use new lanes opened last year in the Modesto Junior College area. The city paid $1.5 million in local funds to complete the project.\" width=\"1920\" height=\"1627\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-400x339.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-800x678.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-768x651.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-1440x1220.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-1180x1000.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-960x814.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Bikers use lanes opened last year in the Modesto Junior College area. The city paid $1.5 million in local funds to complete 4 miles of bike lane additions. \u003ccite>(Courtesy of Michael Sacuskie, city of Modesto)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bakersfield is about to break ground on 20 miles of bike lanes, additional sidewalks close to schools in a disadvantaged neighborhood and more bicycle parking and wheelchair ramps, said Christopher Gerry, an analyst in the city manager's office.\u003c/p>\n\u003cp>Back at the Fresno bike repair event, Magdalena Barrios, Joanna Ruiz's mother, says she is planning to weigh in at one of the meetings with Fresno officials this week.\u003c/p>\n\u003cp>\"The city could help us with more bike lanes and street lights so that people can be out and about freely without being worried,\" says Barrios, 32. \"We also need parks.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Residents in south Fresno have complained for years about a lack of parks and other open space recreational areas in their neighborhoods. On parkland area, Fresno ranks close to the bottom when compared to 18 cities of similar size nationwide, according to a recent Trust for Public Lands \u003ca href=\"https://www.tpl.org/sites/default/files/files_upload/2015-City-Park-Facts-Report.pdf\">report\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Fresno is working to add bike and pedestrian options in the city. ","status":"publish","parent":0,"modified":1464820014,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1178},"headData":{"title":"Fresno Aims To Boost Health Through Biking, Walking | KQED","description":"Fresno is working to add bike and pedestrian options in the city. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Fresno Aims To Boost Health Through Biking, Walking","datePublished":"2016-05-18T15:06:31.000Z","dateModified":"2016-06-01T22:26:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"183797 http://ww2.kqed.org/stateofhealth/?p=183797","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/05/18/fresno-aims-to-boost-health-through-biking-walking/","disqusTitle":"Fresno Aims To Boost Health Through Biking, Walking","path":"/stateofhealth/183797/fresno-aims-to-boost-health-through-biking-walking","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Volunteer bike mechanics fix faulty brakes and flat tires under colorful tents at a park in south Fresno. The free bike repair event, organized by the local nonprofit Cultiva la Salud, has attracted dozens of kids and their parents.\u003c/p>\n\u003cp>Joanna Ruiz, 13, awaits her turn while holding her bike, which has rusty chains. She says she would like to bike more, including riding her bike to school. But her parents won't allow it.\u003c/p>\n\u003cp>The 2-mile ride from her home to school is over busy roads with scary intersections and no bike lanes, Ruiz says.\u003c/p>\n\u003cp>\"It's basically too dangerous,\" she says. \"A lot of cars don't even stop when they see us, so it would be too dangerous for us to be just riding in the streets.\" Instead, Joanna's mom drives her and her three siblings to school and most destinations.\u003c/p>\n\u003cp>The family's fears are founded. They live in south Fresno, \u003ca href=\"http://www.fresno.gov/NR/rdonlyres/5DBFAA2D-5352-47D2-84BA-3A9BEDC99351/0/FresnoBMP.pdf\" target=\"_blank\">where the majority \u003c/a>of the city's car collisions with bicyclists and pedestrians take place.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Public health advocates say unsafe streets discourage people from being active, and lack of activity in turn can drive up rates of Type 2 diabetes and obesity. South Fresno is majority Latino and African-American -- people who suffer disproportionately from these conditions.\u003c/p>\n\u003cp>Joanna Ruiz's ZIP code in south Fresno has a higher incidence of diabetes among adults than Fresno as a whole, according to\u003ca href=\"http://www.fresno.gov/NR/rdonlyres/5DBFAA2D-5352-47D2-84BA-3A9BEDC99351/0/FresnoBMP.pdf\" target=\"_blank\"> data \u003c/a>from the UCLA Center for Health Policy Research. Fresno County's death rate from diabetes is one of the highest in California.\u003c/p>\n\u003cp>Officials in Fresno are now aiming to boost public health and safety for bicyclists and pedestrians by creating more transportation options that do not involve driving.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/264731777&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/264731777'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Fresno Earns 'Bike-Friendly Community' Award \u003c/strong>\u003c/p>\n\u003cp>Fresno has already moved to become more bike-friendly, according to the League of American Bicyclists. The league cited Fresno's bike-friendly laws and public education outreach in awarding it a \"\u003ca href=\"http://www.bikeleague.org/sites/default/files/bfareportcards/BFC_Fall_2015_ReportCard_Fresno_CA.pdf\" target=\"_blank\">bronze designation\u003c/a>.\"\u003c/p>\n\u003cp>The city is pushing ahead with a transportation plan that includes more biking and pedestrian options. Fresno city officials are collecting public comment, with the\u003ca href=\"http://www.fresno.gov/NR/rdonlyres/4A9F5C32-4306-4BB4-9B55-12E10193FA45/34446/FresnoATPWorkshops05180519.pdf\" target=\"_blank\"> first two workshops open to the public\u003c/a> scheduled for tonight and Thursday. Residents can also suggest where the city should make streets safer for bicyclists and pedestrians through an online \u003ca href=\"http://gis.fehrandpeers.com/FresnoATPSurvey/\" target=\"_blank\">mapping\u003c/a> tool.\u003c/p>\n\u003cp>\u003cstrong>Infrastructure Lacking in Fresno's Older Neighborhoods\u003c/strong>\u003c/p>\n\u003cp>Since 2010, Fresno has dramatically extended its bike lane network by more than a third, to about 155 miles, say city officials.\u003c/p>\n\u003cp>Most of those improvements have been focused in the wealthier and newer neighborhoods in the city's north, says Genoveva Islas, who directs Cultiva la Salud. The health nonprofit organizes free bike repair events and group rides with Latin American cumbia music to promote exercise and prevent chronic illnesses among local Latino families.\u003c/p>\n\u003cp>\"Unfortunately, when you come south where there are census tracts of lower-income residents, that’s where you really begin to see a deficit in both bicycle and pedestrian infrastructure,\" says Islas, who was born in Fresno. \"So the protective factors that north Fresno has are clearly not available for residents who are living in south Fresno.\"\u003c/p>\n\u003cp>Islas says unsafe streets discourage residents from opting to be more physically active in their daily routines, while going to the store or work. That in turn hurts obesity and diabetes prevention efforts.\u003c/p>\n\u003cp>\"We understand that in order for our communities to bike more, they need the infrastructure that keeps them safe and doesn't put their lives or their children's lives at risk,\" says Islas.\u003c/p>\n\u003cfigure id=\"attachment_185736\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-185736 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19526_IMG_9891-qut.jpg\" alt=\"Genoveva Islas prepares to begin a group bike ride in Fresno. Islas directs Cultiva la Salud, a local non-profit pushing to create 'healthier environments' in Fresno and other parts of the San Joaquin Valley as a way to prevent chronic illnesses.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19526_IMG_9891-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Genoveva Islas prepares to begin a group bike ride in Fresno. Islas directs Cultiva la Salud, a local nonprofit pushing to create 'healthier environments' as a way to prevent chronic illnesses in Fresno and other parts of the Central Valley. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>'New Idea' for City Planning\u003c/strong>\u003c/p>\n\u003cp>City officials say newer housing developments have paid fees toward building biking and pedestrian facilities in the north. By contrast, many of the city's older neighborhoods were built several decades ago when city planning prioritized car travel, says Randy Bell, who manages infrastructure projects for the city of Fresno.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Fifty years ago, city planning had a different idea of how to develop the city,\" says Bell, so the focus was on cars. \"\u003c/span>Today we have a new idea to get people more active, and to not use their cars as much.\"\u003c/p>\n\u003cp>Bell says the city wants public input to help prioritize projects.\u003c/p>\n\u003cp>\u003cstrong>Central Valley Cities Adding Bike Lanes, Sidewalks\u003c/strong>\u003c/p>\n\u003cp>Caltrans' \u003ca href=\"http://www.dot.ca.gov/hq/LocalPrograms/atp/\" target=\"_blank\">Active Transportation Program\u003c/a> is the biggest source of funding for localities statewide, with a pool of $120 million available annually, and is funding projects in Fresno, Bakersfield and Modesto.\u003c/p>\n\u003cp>Public health issues in particular are a rallying cry among community-based groups and city officials alike for Central Valley cities to become more bikable, says Jeanie Ward-Waller, policy director for the California Bicycle Coalition.\u003c/p>\n\u003cp>She says many in the Central Valley want to have more opportunities for physical activity built into their communities.\u003c/p>\n\u003cp>\"They definitely have high demand for more bikable and walkable places to live,\" she says.\u003c/p>\n\u003cp>North of Fresno on Highway 99, Modesto added 4 miles of additional bike lanes last December.\u003c/p>\n\u003cp>\"E\u003cspan style=\"font-weight: 400\">very time we do a road project now,\" says Michael Sacuskie, Modesto's \u003cspan style=\"font-weight: 400\">bicycle program coordinator, we \"\u003c/span>incorporate bike lanes when possible.\" Sacuskie is a life=long Modesto resident who regularly bikes 3 miles to work. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_185738\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-185738 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut.jpg\" alt=\"Bikers use new lanes opened last year in the Modesto Junior College area. The city paid $1.5 million in local funds to complete the project.\" width=\"1920\" height=\"1627\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-400x339.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-800x678.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-768x651.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-1440x1220.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-1180x1000.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19528_Modesto-Junior-College-M.-Sacuskie-qut-960x814.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Bikers use lanes opened last year in the Modesto Junior College area. The city paid $1.5 million in local funds to complete 4 miles of bike lane additions. \u003ccite>(Courtesy of Michael Sacuskie, city of Modesto)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bakersfield is about to break ground on 20 miles of bike lanes, additional sidewalks close to schools in a disadvantaged neighborhood and more bicycle parking and wheelchair ramps, said Christopher Gerry, an analyst in the city manager's office.\u003c/p>\n\u003cp>Back at the Fresno bike repair event, Magdalena Barrios, Joanna Ruiz's mother, says she is planning to weigh in at one of the meetings with Fresno officials this week.\u003c/p>\n\u003cp>\"The city could help us with more bike lanes and street lights so that people can be out and about freely without being worried,\" says Barrios, 32. \"We also need parks.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Residents in south Fresno have complained for years about a lack of parks and other open space recreational areas in their neighborhoods. On parkland area, Fresno ranks close to the bottom when compared to 18 cities of similar size nationwide, according to a recent Trust for Public Lands \u003ca href=\"https://www.tpl.org/sites/default/files/files_upload/2015-City-Park-Facts-Report.pdf\">report\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/183797/fresno-aims-to-boost-health-through-biking-walking","authors":["8659"],"categories":["stateofhealth_11","stateofhealth_14","stateofhealth_2746"],"tags":["stateofhealth_2741"],"featImg":"stateofhealth_185735","label":"stateofhealth"},"stateofhealth_174784":{"type":"posts","id":"stateofhealth_174784","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"174784","score":null,"sort":[1461957902000]},"guestAuthors":[],"slug":"how-fresno-man-started-biking-and-reversed-type-2-diabetes","title":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","publishDate":1461957902,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>FRESNO -- Jaime Rangel holds a bike tire and begins checking with his hands for thorns and other sharp objects that might be puncturing the tire's rubber tread. His fingers, stained with black patches of oil, move quickly and seamlessly. He's done this type of work dozens of times before.\u003c/p>\n\u003cp>All around him, a steady stream of kids line up to get their bikes' flat tires and faulty brakes fixed at this free event at a park in southeast Fresno.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/261604685\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The free bike repairs are a preamble to the Cumbia Ride, a group bike ride with Latin American dance music started last year by Fresno's \u003ca href=\"http://www.cultivalasalud.org/news-and-media/\" target=\"_blank\" rel=\"noopener\">Cultiva la Salud\u003c/a> to promote biking and a healthier lifestyle among Latino families.\u003c/p>\n\u003cp>Rangel, 26, says he's here fixing bikes because he relates to many of the young riders at the event -- kids who can't afford to have their bikes repaired.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"When I was a kid, no one showed me how to fix a bike,\" he says. \"My mom never took me to a bike shop because we grew up low income, so everything I had to learn from scratch.\"\u003c/p>\n\u003cfigure id=\"attachment_177121\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177121 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg\" alt=\"Eloise Betancourt, 37, chats with Jaime Rangel as her son Lorenzo, 11, works on his bike with mechanic Chris Eacock. Betancourt lost her kids' bikes and most of the family's belongings after she couldn't afford to pay for storage, but Lorenzo saved money from running errands and bought three beat up bikes at a garage sale for him and his sisters.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eloise Betancourt, 37, brought her son, Lorenzo, 11 (R) to repair his bike. Biking is a main mode of transportation for the Betancourt family, but they lost their bikes and most of their belongings after they couldn't afford to pay for storage. Lorenzo worked mowing lawns and saved $25 to buy bikes in need of repairs at a garage sale for himself and his sisters. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rangel makes a point of showing those skills to the kids and parents lingering by their bikes. He wants young people and adults, especially in working-class neighborhoods like southeast Fresno, to be able to bike more to fend off chronic illnesses such as diabetes.\u003c/p>\n\u003cp>Rangel speaks from personal experience.\u003c/p>\n\u003cp>\u003cstrong>Facing Type 2 Diabetes as a Teen\u003c/strong>\u003c/p>\n\u003cp>Rangel was just 14 and living with his family in Los Angeles when he was diagnosed with Type 2 diabetes. Obesity and a sedentary lifestyle are risk factors for the illness. While he was tall -- 6-foot-1 -- he weighed 260 pounds.\u003c/p>\n\u003cp>It's been a dozen years since he was diagnosed, but he clearly recalls how frightened he was. The disease had already transformed the lives of his mother, two sets of grandparents and other relatives. He knew what he was facing.\u003c/p>\n\u003cp>\"I was really scared,\" says Rangel. \"I was seeing there were only certain foods they would eat, taking their insulin shots. And I was like, 'Nah, that can't happen. I'm too young!'\"\u003c/p>\n\u003cp>Until about two decades ago, Type 2 diabetes in children and teens was practically unheard of. But the number of adolescents living with the disease has\u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\" rel=\"noopener\"> gone up in recent years,\u003c/a> in large part because of the \u003ca href=\"http://care.diabetesjournals.org/content/34/Supplement_2/S161.full#ref-8\" target=\"_blank\" rel=\"noopener\">obesity epidemic\u003c/a>.\u003c/p>\n\u003cp>As with adults, rates of Type 2 diabetes are higher among Hispanic, African-American and Asian-Pacific Islander youth than non-Hispanic whites, \u003ca href=\"http://templatelab.com/national-diabetes-report-2014/\" target=\"_blank\" rel=\"noopener\">according to data from the Centers for Disease Control and Prevention\u003c/a>. Uncontrolled diabetes can lead to blindness, heart disease, amputations, kidney failure and other serious complications.\u003c/p>\n\u003cp>Rangel's doctor had said he needed to lose weight and give up foods he loved. But he didn't know how to start. He loved the idea of biking, but his family couldn't afford to buy him one.\u003c/p>\n\u003cp>Instead, a close friend stepped in with a gift of a BMX bike. He didn't know how to ride and at first it was scary. He fell a lot the first couple of times he tried.\u003c/p>\n\u003cp>\"I was a big dude riding a really small bike, so I didn’t know how to balance my weight,\" Rangel says. \"But I just kept going. I didn’t want to stop, and I just kept doing it so I could get better.\"\u003c/p>\n\u003cp>With each trip he took, he ventured longer distances. Rangel says he enjoyed the independence he felt while crossing large swaths of the traffic-jammed city. Under the power of his own legs pushing down on his bike's pedals, he would travel from his home in the Lincoln Heights neighborhood to the beach at Santa Monica -- 20 miles away.\u003c/p>\n\u003cp>Within a year, Rangel had reversed his Type 2 diabetes. His blood sugar levels returned to a normal range. It's surprising to many, but children and young adults can beat the disease through exercise, say medical experts.\u003c/p>\n\u003cfigure id=\"attachment_177119\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177119 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg\" alt=\"Jaime Rangel, 26, helps Gustavo Ruiz, 12, fix the flat tire on his bike at the Mosqueda Community Center park. Rangel says he makes a point of showing kids and adults who may not have funds to repair their bikes at a shop, how to fix their bikes on their own. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jaime Rangel helps Gustavo Ruiz, 12, align a tire on his bike at the Mosqueda Community Center park in southeast Fresno. As manager for Bici Projects, Rangel teaches kids and adults 'in the barrio' how to repair bikes, part of a larger effort to promote biking among local Latino families. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experience marked Rangel deeply. He had managed to rid himself of the illness without taking medication while having fun, too.\u003c/p>\n\u003cp>\"Biking changed my life. I lost a lot of weight,\" says Rangel, who now weighs about 220 pounds.\u003c/p>\n\u003cp>Rangel's family noticed the change in the way he looked and the dramatic improvement in his health. At Rangel's insistence, his mom, cousins and uncles began biking -- a dramatic change for his family, he says.\u003c/p>\n\u003cp>\"We all got rid of our diabetes, pretty much,\" says Rangel, who recently moved to Fresno. \"Now when I'm in L.A., about 20 of us go bike riding together. So it changed not just me, but my whole family at the same time.\"\u003c/p>\n\u003cp>Rangel wants to promote biking and a more active lifestyle to create positive change in his new home in Fresno. The most recent \u003ca href=\"http://www.cdph.ca.gov/programs/ohir/Documents/OHIRProfiles2016.pdf\" target=\"_blank\" rel=\"noopener\">state data\u003c/a> show the county had the fourth-highest death rate from diabetes. Central Valley counties Kern and Kings also top the list.\u003c/p>\n\u003cp>Using his personal experience and love for biking as a mantra, Rangel coordinates youth engagement for the San Joaquin Valley Latino Environmental Advancement & Policy Project and manages the group's Bici Projects (short for \"bicicleta\" -- bicycle in Spanish).\u003c/p>\n\u003cp>\u003cstrong>How Can Type 2 Diabetes Disappear?\u003c/strong>\u003c/p>\n\u003cp>Type 2 diabetes is an illness affecting a person's ability to use insulin, and not everyone can beat the disease through exercise and weight loss. But there's \"tremendous hope\" for young people and others diagnosed with the disease early on, says Dr. Saleh Adi, medical director of the Madison Clinic for Pediatric Diabetes at UCSF.\u003c/p>\n\u003cp>Insulin is a hormone that allows the body to use sugars from carbohydrates. Patients with Type 1 diabetes, an irreversible autoimmune disorder, must take insulin medication for life because their bodies are no longer able to produce it.\u003c/p>\n\u003cp>In contrast, people with Type 2 diabetes are still able to make insulin for the most part, but their bodies don't respond to it properly, and they develop what's called insulin resistance. Exercise can change that because active muscle \"is the biggest site of insulin action,\" says Adi.\u003c/p>\n\u003cp>\"Exercising increases your sensitivity to insulin, and that’s true in everybody,\" says Adi, whose pediatric clinic tries to get patients to engage in physical activity for six months before prescribing them medication.\u003c/p>\n\u003cp>\"We've seen quite a few cases where the disease disappears,\" he says. \"If you catch it early enough and do what it takes, which is exercising and losing the weight.\"\u003c/p>\n\u003cp>Adi readily acknowledges squeezing more exercise into daily routines is not easy, but he says even 10 more minutes of walking can begin to make a difference.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Don’t give up. You can really get rid of Type 2 diabetes if you change your lifestyle,\" says Adi. \"I'm talking about moderate exercise, that will really help.\"\u003c/p>\n\n","blocks":[],"excerpt":"When he was just 14, Jaime Rangel was diagnosed with Type 2 diabetes and weighed 260 pounds. Then he started biking.","status":"publish","parent":0,"modified":1524884682,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1368},"headData":{"title":"How Fresno Man Started Biking and Reversed Type 2 Diabetes | KQED","description":"When he was just 14, Jaime Rangel was diagnosed with Type 2 diabetes and weighed 260 pounds. Then he started biking.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","datePublished":"2016-04-29T19:25:02.000Z","dateModified":"2018-04-28T03:04:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"174784 http://ww2.kqed.org/stateofhealth/?p=174784","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/29/how-fresno-man-started-biking-and-reversed-type-2-diabetes/","disqusTitle":"How Fresno Man Started Biking and Reversed Type 2 Diabetes","path":"/stateofhealth/174784/how-fresno-man-started-biking-and-reversed-type-2-diabetes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>FRESNO -- Jaime Rangel holds a bike tire and begins checking with his hands for thorns and other sharp objects that might be puncturing the tire's rubber tread. His fingers, stained with black patches of oil, move quickly and seamlessly. He's done this type of work dozens of times before.\u003c/p>\n\u003cp>All around him, a steady stream of kids line up to get their bikes' flat tires and faulty brakes fixed at this free event at a park in southeast Fresno.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/261604685&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/261604685'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The free bike repairs are a preamble to the Cumbia Ride, a group bike ride with Latin American dance music started last year by Fresno's \u003ca href=\"http://www.cultivalasalud.org/news-and-media/\" target=\"_blank\" rel=\"noopener\">Cultiva la Salud\u003c/a> to promote biking and a healthier lifestyle among Latino families.\u003c/p>\n\u003cp>Rangel, 26, says he's here fixing bikes because he relates to many of the young riders at the event -- kids who can't afford to have their bikes repaired.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"When I was a kid, no one showed me how to fix a bike,\" he says. \"My mom never took me to a bike shop because we grew up low income, so everything I had to learn from scratch.\"\u003c/p>\n\u003cfigure id=\"attachment_177121\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177121 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg\" alt=\"Eloise Betancourt, 37, chats with Jaime Rangel as her son Lorenzo, 11, works on his bike with mechanic Chris Eacock. Betancourt lost her kids' bikes and most of the family's belongings after she couldn't afford to pay for storage, but Lorenzo saved money from running errands and bought three beat up bikes at a garage sale for him and his sisters.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19203_IMG_9791-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Eloise Betancourt, 37, brought her son, Lorenzo, 11 (R) to repair his bike. Biking is a main mode of transportation for the Betancourt family, but they lost their bikes and most of their belongings after they couldn't afford to pay for storage. Lorenzo worked mowing lawns and saved $25 to buy bikes in need of repairs at a garage sale for himself and his sisters. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Rangel makes a point of showing those skills to the kids and parents lingering by their bikes. He wants young people and adults, especially in working-class neighborhoods like southeast Fresno, to be able to bike more to fend off chronic illnesses such as diabetes.\u003c/p>\n\u003cp>Rangel speaks from personal experience.\u003c/p>\n\u003cp>\u003cstrong>Facing Type 2 Diabetes as a Teen\u003c/strong>\u003c/p>\n\u003cp>Rangel was just 14 and living with his family in Los Angeles when he was diagnosed with Type 2 diabetes. Obesity and a sedentary lifestyle are risk factors for the illness. While he was tall -- 6-foot-1 -- he weighed 260 pounds.\u003c/p>\n\u003cp>It's been a dozen years since he was diagnosed, but he clearly recalls how frightened he was. The disease had already transformed the lives of his mother, two sets of grandparents and other relatives. He knew what he was facing.\u003c/p>\n\u003cp>\"I was really scared,\" says Rangel. \"I was seeing there were only certain foods they would eat, taking their insulin shots. And I was like, 'Nah, that can't happen. I'm too young!'\"\u003c/p>\n\u003cp>Until about two decades ago, Type 2 diabetes in children and teens was practically unheard of. But the number of adolescents living with the disease has\u003ca href=\"http://www.diabetes.org/diabetes-basics/statistics/\" target=\"_blank\" rel=\"noopener\"> gone up in recent years,\u003c/a> in large part because of the \u003ca href=\"http://care.diabetesjournals.org/content/34/Supplement_2/S161.full#ref-8\" target=\"_blank\" rel=\"noopener\">obesity epidemic\u003c/a>.\u003c/p>\n\u003cp>As with adults, rates of Type 2 diabetes are higher among Hispanic, African-American and Asian-Pacific Islander youth than non-Hispanic whites, \u003ca href=\"http://templatelab.com/national-diabetes-report-2014/\" target=\"_blank\" rel=\"noopener\">according to data from the Centers for Disease Control and Prevention\u003c/a>. Uncontrolled diabetes can lead to blindness, heart disease, amputations, kidney failure and other serious complications.\u003c/p>\n\u003cp>Rangel's doctor had said he needed to lose weight and give up foods he loved. But he didn't know how to start. He loved the idea of biking, but his family couldn't afford to buy him one.\u003c/p>\n\u003cp>Instead, a close friend stepped in with a gift of a BMX bike. He didn't know how to ride and at first it was scary. He fell a lot the first couple of times he tried.\u003c/p>\n\u003cp>\"I was a big dude riding a really small bike, so I didn’t know how to balance my weight,\" Rangel says. \"But I just kept going. I didn’t want to stop, and I just kept doing it so I could get better.\"\u003c/p>\n\u003cp>With each trip he took, he ventured longer distances. Rangel says he enjoyed the independence he felt while crossing large swaths of the traffic-jammed city. Under the power of his own legs pushing down on his bike's pedals, he would travel from his home in the Lincoln Heights neighborhood to the beach at Santa Monica -- 20 miles away.\u003c/p>\n\u003cp>Within a year, Rangel had reversed his Type 2 diabetes. His blood sugar levels returned to a normal range. It's surprising to many, but children and young adults can beat the disease through exercise, say medical experts.\u003c/p>\n\u003cfigure id=\"attachment_177119\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177119 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg\" alt=\"Jaime Rangel, 26, helps Gustavo Ruiz, 12, fix the flat tire on his bike at the Mosqueda Community Center park. Rangel says he makes a point of showing kids and adults who may not have funds to repair their bikes at a shop, how to fix their bikes on their own. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/04/RS19210_IMG_9853-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jaime Rangel helps Gustavo Ruiz, 12, align a tire on his bike at the Mosqueda Community Center park in southeast Fresno. As manager for Bici Projects, Rangel teaches kids and adults 'in the barrio' how to repair bikes, part of a larger effort to promote biking among local Latino families. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The experience marked Rangel deeply. He had managed to rid himself of the illness without taking medication while having fun, too.\u003c/p>\n\u003cp>\"Biking changed my life. I lost a lot of weight,\" says Rangel, who now weighs about 220 pounds.\u003c/p>\n\u003cp>Rangel's family noticed the change in the way he looked and the dramatic improvement in his health. At Rangel's insistence, his mom, cousins and uncles began biking -- a dramatic change for his family, he says.\u003c/p>\n\u003cp>\"We all got rid of our diabetes, pretty much,\" says Rangel, who recently moved to Fresno. \"Now when I'm in L.A., about 20 of us go bike riding together. So it changed not just me, but my whole family at the same time.\"\u003c/p>\n\u003cp>Rangel wants to promote biking and a more active lifestyle to create positive change in his new home in Fresno. The most recent \u003ca href=\"http://www.cdph.ca.gov/programs/ohir/Documents/OHIRProfiles2016.pdf\" target=\"_blank\" rel=\"noopener\">state data\u003c/a> show the county had the fourth-highest death rate from diabetes. Central Valley counties Kern and Kings also top the list.\u003c/p>\n\u003cp>Using his personal experience and love for biking as a mantra, Rangel coordinates youth engagement for the San Joaquin Valley Latino Environmental Advancement & Policy Project and manages the group's Bici Projects (short for \"bicicleta\" -- bicycle in Spanish).\u003c/p>\n\u003cp>\u003cstrong>How Can Type 2 Diabetes Disappear?\u003c/strong>\u003c/p>\n\u003cp>Type 2 diabetes is an illness affecting a person's ability to use insulin, and not everyone can beat the disease through exercise and weight loss. But there's \"tremendous hope\" for young people and others diagnosed with the disease early on, says Dr. Saleh Adi, medical director of the Madison Clinic for Pediatric Diabetes at UCSF.\u003c/p>\n\u003cp>Insulin is a hormone that allows the body to use sugars from carbohydrates. Patients with Type 1 diabetes, an irreversible autoimmune disorder, must take insulin medication for life because their bodies are no longer able to produce it.\u003c/p>\n\u003cp>In contrast, people with Type 2 diabetes are still able to make insulin for the most part, but their bodies don't respond to it properly, and they develop what's called insulin resistance. Exercise can change that because active muscle \"is the biggest site of insulin action,\" says Adi.\u003c/p>\n\u003cp>\"Exercising increases your sensitivity to insulin, and that’s true in everybody,\" says Adi, whose pediatric clinic tries to get patients to engage in physical activity for six months before prescribing them medication.\u003c/p>\n\u003cp>\"We've seen quite a few cases where the disease disappears,\" he says. \"If you catch it early enough and do what it takes, which is exercising and losing the weight.\"\u003c/p>\n\u003cp>Adi readily acknowledges squeezing more exercise into daily routines is not easy, but he says even 10 more minutes of walking can begin to make a difference.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Don’t give up. You can really get rid of Type 2 diabetes if you change your lifestyle,\" says Adi. \"I'm talking about moderate exercise, that will really help.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/174784/how-fresno-man-started-biking-and-reversed-type-2-diabetes","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_118","stateofhealth_2741","stateofhealth_2519"],"featImg":"stateofhealth_178198","label":"stateofhealth_2363"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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