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One November night two years ago, State Police found Daniel Fried slumped behind the wheel of his van along Route 72 in Burlington County. He may have looked drunk or like he was on drugs, but doctors say these are classic symptoms of diabetic shock. On the tape, Fried can be heard screaming and telling troopers they are hurting his arm, while they yell at him to stop resisting. As the number of Americans with diabetes soars toward 26 million, there is growing concern around the country among diabetes advocates and medical experts that too many police officers don’t know how to recognize people in diabetic shock or how to help. One person who does know all about that is Fried: after all, he wrote the book on it for the Philadelphia Police Department. When the American Diabetes Association settled a class-action lawsuit against the city in 2003, alleging diabetics were denied care while in police custody, it asked Fried, an award-winning director and producer, to make the training video for officers. Two sources familiar with a State Police internal investigation said the allegation of excessive force was determined to be unfounded. In the recordings obtained by The Star-Ledger, Brown’s uniform microphone was not working, making it impossible to know exactly what was said between him and Fried. In State Police reports and court depositions, Brown, who was first on scene, said he suspected Fried had diabetes but did not call paramedics because he could not rule out drugs or alcohol. Video interview with Pennsylvania man who went into diabetic shock and was accosted by New Jersey State Police in Woodland, N.J.
Before the struggle, Brown did not tell Tetzlaff about his conversations with Fried, the strange behavior and his suspicion of diabetes. Tetzlaff said in his report Fried would not take his hands out of his pockets, and when he did, he put them back. Fried was charged with disorderly conduct and resisting arrest in Woodland Township Municipal Court.
A diabetic since he was 8 years old, Fried said he has been active with the Juvenile Diabetes Research Foundation, helping educate the public and diabetics about the disease and how to best manage it. He said he has worn a medical bracelet since his childhood, keeps a jug of fruit punch and insulin in his car, and has never before had a problem with the police. The symptoms Fried displayed were some of the most common, said Lorber, who has been treating people with diabetes for 35 years.
The symptoms were also the same portrayed by the actress in the training video made by Fried around 2005.
In their depositions, Brown, Tetzlaff and a third trooper on scene, Brian Oliver, said they received no specific training on how to identify and help people in diabetic shock. Three sources with knowledge of State Police procedures said differentiating diabetes from intoxication was mentioned during first aid training, but they could not remember any specific instructions on identifying diabetic shock, its symptoms and how to help someone suffering from it. Alan Yatvin, chair of legal advocacy for the American Diabetes Association and the attorney who filed the class-action lawsuit against Philadelphia, said a lot of police departments across the country are stepping up training to help those with diabetes.
Katharine Gordon, staff attorney for the American Diabetes Association, said she receives several calls every month from diabetics who had bad encounters with police. But Fabrice Czarnecki, chairman of the police physicians section of the International Association of Chiefs of Police, said officers should not be diagnosing diabetes, but should recognize medical emergencies and act appropriately, such as calling paramedics. Czarnecki said the association was working on a model "extremely agitated persons" policy that would cover some of the issues related to people in diabetic shock. Fried said he does not remember what happened from when he pulled over to when he was in the patrol car. Once in the patrol car, the recording reveals, Fried became more coherent and asked for sugar.
Oliver said he never asked Brown or Tetzlaff about the juice because he assumed they were looking for it and had things under control. Tetzlaff said in a deposition he searched the van but only found fruit, and was told that would not suffice.

Lorber, the New York doctor, said one way the body increases blood sugar is through adrenaline, and the struggle could have caused it to surge. Fried said in an interview his fractured wrist required multiple surgeries and he has constant pain. A training video created by Daniel Fried for the American Diabetes Association and Philadelphia Police shows how someone in diabetic shock can act and how officers should respond. From local news to politics to entertainment and sports, the twice daily Right Now eNewsletter has all of the New Jersey news you need!
For proper viewing of Glogster use Macromedia Flash Plug-in.Download a new plug-in, if your system is not playing correctly. Cardiovascular exercise improves blood circulation, helps strengthen the heart and lungs and works to remove excess blood sugar to help manage and prevent diabetes. High-impact cardio exercise is performed when both feet are off the ground at some point during the exercise.
Non-impact cardio exercise such as swimming and cycling do not have any benefit toward improving bone density and preventing osteoporosis, but can be beneficial in providing a safe alternative exercise for individuals recovering from an injury or have foot problems in which they are unable to exercise on their feet. Paramedics found Fried’s blood sugar was so low he could have suffered a coma, seized or died, according to State Police records.
Fried said in court records he suffered cuts, bruises and a broken wrist, and despite repeated requests, troopers refused to fetch the fruit punch he kept in his van. 20, 2010, Daniel Fried, 46, of Springfield, Pa., was driving home from his shore house on Long Beach Island when he suffered low blood sugar and pulled over. The sources were not allowed to discuss internal disciplinary matters and requested anonymity. None of the interactions between troopers and Fried were captured on video because his van blocked the camera’s view. About 38 minutes passed from when the first trooper arrived on scene until Fried received medical care. He said he asked Fried to get out of the van, but did not frisk him and left him alone when Tetzlaff arrived.
He told his colleague "this guy’s giving me the runaround" and suggested Fried was being purposefully evasive, records show.
He owns an independent production company and has worked on everything from medical training videos to Discovery Channel shows, major network broadcasts and concert events. 20, 2010, while suffering from diabetic shock caused by dangerously low blood sugar, Daniel Fried pulled over along Route 72 in Burlington County. Brown tells him Fried is giving him "the runaround" and being evasive, but says nothing about his observations, questions or suspicion of diabetes. Tetzlaff decides to call paramedics and tells Fried if he had said he had diabetes and needed help, "this could have all been avoided." Fried asks to explain his condition, but Tetzlaff ignores him.
But even those who manage the disease best can suffer from low blood sugar, said Daniel Lorber, associate director of research at New York Hospital Queens and volunteer for the American Diabetes Association. The city has faced several lawsuits, including one in 2010 that led to a $17.5 million jury award for a man who suffered brain damage after being refused insulin while in custody.
Some have cost taxpayers thousands of dollars and prompted reviews of use-of-force policies and led to improved training to recognize medical distress. Tetzlaff said in court documents Fried briefly took his hands from his pockets but put them back. He tried to explain his medical condition to troopers, who sometimes ignored him or told him to shut his mouth. When paramedics arrived, records show, they determined Fried’s blood sugar to be 26, a level that required immediate attention. Seven years after producing it, Fried, a diabetic since childhood, exhibited the same symptoms minutes before New Jersey State Police troopers wrestled him to the ground and arrested him.

Symptoms include sweating, shakiness, anxiety, confusion, difficulty speaking, uncooperative behavior, paleness, irritability, dizziness, trouble swallowing, seizure and loss of consciousness.
Extra time should be taken to determine if someone needs medical attention before escalating a situation. An increasing number of police agencies across the country are implementing training, but a lack of awareness continues to cause problems when police encounter people in diabetic shock or hold diabetics in custody. All rights reserved (About Us).The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of New Jersey On-Line LLC. Therefore, only glogs which represent valuable content, a great use of media, and are clearly structured, will be accepted. Determining the best form of cardio exercise for you is dependent upon your needs, goals and abilities. Walking, low-impact aerobics, elliptical machines and stair-stepping machines are examples of low-impact exercise.
Non-impact cardio is beneficial for improving heart health, weight loss and reducing the risk for developing disease.
The current recommendation for achieving health benefits is at least 30 minutes of moderate-intensity aerobic exercise five days a week, according to the American College of Sports Medicine. The struggle was captured by a microphone on one of the troopers, and the recording was obtained by The Star-Ledger. State Police Trooper Paul Brown responded to a report of an erratic driver, found Fried's van on the side of Route 72 in Woodland Township and suspected he may be suffering from diabetes. He said they were not trained to recognize diabetic shock, used excessive force and violated his civil rights.
A State Police trooper responded and suspected Fried had diabetes, but 38 minutes passed before he received medical care. Fried’s blood sugar tests at 26, a critically low level that requires immediate attention and can cause seizures, coma or death.
Jim Gould of the Philadelphia Police Department explains how officers should handle someone who appears to be in diabetic shock. He planned to meet his brothers at a nearby diner, but just before the exit, he said in court documents, he became disoriented and eventually pulled over. Just sit down, be quiet, first aid’s coming," Oliver said he told Fried, according to his deposition.
Low-impact cardio is a safer option for individuals who have osteoporosis or who are at risk for breaking a bone. Increasing the intensity of the exercise will offer greater health benefits, as well as burn more calories in a shorter amount of time. But when a second trooper, Scott Tetzlaff, arrived, Brown did not mention his suspicion of a medical problem or the odd symptoms Fried was displaying. High-impact weight-bearing exercises help build bones and keep them strong, but if you have broken a bone because of osteoporosis or are at risk of breaking a bone, you should avoid high-impact exercises, according to the National Osteoporosis Foundation. Cross training with low-impact exercise also can help reduce the risk for developing injuries associated with high-impact exercise such as stress fractures. Because it's so demanding, high-intensity exercise is often performed in intervals such as sprinting for 30 seconds, followed by 60 seconds of walking.
You can perform interval training by running, cycling, swimming or using an elliptical machine. A regular daily walk will burn fat and help maintain normal blood circulation, particularly in the extremities.

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