Primary Care, Diabetes and Chronic Care
Primary Care, Diabetes and Chronic Care
The American Diabetes Association statistics posted that “208,000 Americans under age 20 are estimated to have diagnosed diabetes, approximately 0.25% of that population.
In 2008—2009, the annual incidence of diagnosed diabetes in youth was estimated at 18,436 with type 1 diabetes, 5,089 with type 2 diabetes.” ADA states in article that the number of youth with diabetes projected to rise substantially by year 2050.
Click on the link http://www.letsmove.gov/healthy-families for some great tips for a healthy family!
According to choosemyplate.gov “People who eat more fruits and vegetables as part of an overall healthy diet are likely to have a reduced risk of some chronic diseases. Fruits provide nutrients vital for health and maintenance of your body…such as potassium, dietary fiber, vitamin C, and folate (folic acid).” Most fruits are naturally low in fat, sodium, and calories and none have cholesterol.
Diabetic Living online article states, “researchers have found that people with diabetes have higher rates of hearing loss than people without …and believe that damaged nerve and blood vessels in the ear are to blame for the hearing loss.”
The article suggests to be proactive in managing your diabetes for prevention and if you experience any symptoms, such as difficulty hearing on the telephone or straining to hear a conversation, talk to your primary care physician about scheduling a hearing test.
During these hot summer months, it’s important to make sure you’re drinking enough water to stay hydrated. And while most advice says to drink around eight 8- ounce glasses of water per day, you also can meet that level by eating certain fruits and vegetables.
There are many different foods that you can eat that are over 90 percent water and that will help keep you hydrated all summer long. Here’s a list of foods with high water content that are refreshing and nutrient dense:
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Among your best snack options are real, unprocessed foods such as fruits, vegetables, nuts, and seeds to help boost mood and energy levels, stabilize blood sugar, and keep you feeling full.
So next time before grabbing for that “sugar free” cookie try substituting for a delicious ripe fruit, a vegetable with hummus dip, or even blend up your own natural frozen fruit ice cream or smoothie!
According to a study released June 2016 by the Health Care Cost Institute (HCCI) spending on people with diabetes reached $16,021 per capita in 2014, an $897 increase from the year before, and over $10,000 higher than per capita spending for people without diabetes.
While people with diabetes had twice as many doctor and ER visits and took over five times more prescription drugs than those without diabetes, they also used more services related to mental health and cardiovascular disease at higher rates.
Each year of the study period, people with diabetes spent two and a half times more out of pocket than those without diabetes.
According to the World Health Organization approximately one-third of cancer cases are preventable. The American Institute for Cancer research states that an estimated 340,000 cancer cases per year can be prevented with a healthy diet, physical activity, and a consistently healthy weight. At DiamC we focus on simple lifestyle changes to make a positive impact on health.
You’ve probably experienced numbness in your lower extremities if you sat in one position for too long, or if you fell asleep in an unusual position. But if you notice have it regularly or maybe even wounds that won’t seem to heal, it could be a sign of something else.
These symptoms could be due to lack of blood flow in the area with Peripheral Arterial Disease or Neuropathy, the nerve damage related to Diabetes. If you have any of these issues or concerns talk to your primary care physician.
To keep a healthy blood flow to your lower extremities and help prevent type 2 diabetes, be sure to get regular, consistent exercise and make healthy food choices daily!
According to the National Institute of National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) , those diagnosed with Gestational Diabetes Mellitus can have up to 60 percent chance of developing diabetes in the next 10 to 20 years. NIDDK suggests women who have had gestational diabetes to be tested for diabetes 6 to 12 weeks after their baby is born. If the test results show that blood sugar is higher than normal, but not high enough to be diabetes, women should get tested every year. If the test is normal, women should get tested for diabetes again in 3 years.
Cortisol is a stress hormone released by the adrenal glands to help body get energy needed during times of stress.
In stressful situations, cortisol tells the body to increase blood glucose, to resist insulin’s signals to absorb blood glucose to keep it available for muscles to burn, and prompts cravings for high-calorie foods.
In a constant high stress state, over time, the pancreas struggles to keep up with the high demand for insulin by the glucose deprived cells, causing the blood glucose to remain high and the cycle continues.
Research shows that sitting for long periods of time increases your risk of many health problems. The American Diabetes Association’s Standards of Care recommend that everyone, including people with diabetes, limit the amount of time they spend sitting to no more than 90 minutes at a time. Held the first Wednesday of May each year, National Get Fit Don’t Sit Day℠ is a powerful wake-up call about the dangers of excessive sitting and the importance of getting up and moving throughout the day—especially at work. Read more here.
The better a person keeps diabetes and blood pressure under control, the lower the chance of getting kidney disease.
Lifestyle modification such as eating more vegetables and fruit, losing weight, cutting back on sodium and alcohol, taking medications as prescribed, and having a consistent exercise regimen can all help. Also, if you haven’t had your yearly kidney function screening by your doctor for kidney disease, let March be your month to make the appointment!
Diabetes can cause nerve damage that can make heart attacks painless or “silent.” Chest pain that doesn’t go away after resting may signal a heart attack.
Warning signs of a heart attack can be:
If you have warning signs of a heart attack, call 911.
Knowing the signs and symptoms of a stroke and thinking F.A.S.T can be lifesaving!
F- Face (Facial numbness or weakness, especially on one side)
A: Arms (Numbness or weakness, especially on one side)
S: Speech (slurred speech or difficulty speaking)
T: Time (Time to call 911)
A recent article Standards of Medical Care in Diabetes -2016 states a high increased risk of dementia for individuals with diabetes compared with individuals without. This article also states “In those with type 2 diabetes, the degree and duration of hyperglycemia (high blood sugar) are related to dementia. More rapid cognitive decline is associated with both increased A1C and longer duration of diabetes.”
According to the ADA Type 2 Diabetes can go undiagnosed for many years because high blood glucose develops gradually, and at earlier stages is often not severe enough for the individual to notice the classic symptoms. Yet, these individuals are at elevated risk of developing macrovascular and microvascular complications related to high blood glucose. The ADA recommends testing for at risk individuals to be done at a clinic such as DiAMC where follow up and treatment can take place.
Nutritious legumes are naturally low in fat and are cholesterol free. Evidence shows that legumes can play an important role in the prevention and management of some health conditions such as Type 2 Diabetes, high cholesterol and triglycerides in the blood, and high blood pressure. Despite the well-documented health benefits of legume consumption, the actual intake of legumes by adults remains low.