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Posts Tagged ‘Diabetes’

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information”

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November is Diabetes Awareness Month

Diabetes is a very common diagnosis in our community…and also in my family. My mother has diabetes, my maternal grandmother had diabetes, my father is teetering close to a diagnosis and my paternal grandmother has diabetes, with a foot ulcer (sore) that is very, very slow to heal. The buck stops with that generation…type 2 diabetes can be prevented! Why are healthcare providers so concern about diabetes?

  • Diabetes is the # 1 cause of blindness in adults 20-74yo
  • Diabetes is the #1 cause of chronic kidney disease, that may lead to Dialysis
  • Diabetes is the #1 cause of foot amputation
  • Neuropathy (numbness in fingers & toes) and much more…
Common locations of Diabetic foot ulcers

Common locations of Diabetic foot ulcers

Diabetes is one of the leading causes of disability and death in the United States. One in 11 Americans have diabetes — that’s more than 29 million people! And, another 86 million adults in the United States are at high risk of developing type 2 diabetes: Pre-diabetes3Diabetes statistics is 1 in 3. Are you pre-diabetic?

  • If you are overweight,
  • If you have high blood pressure, or
  • If you are age 45 or older, you are at higher risk of developing type 2 diabetes.

The good news is that making healthy changes can greatly lower your risk. To help prevent type 2 diabetes:

  • Watch your weight
  • Eat healthy
  • Get more physical activity

Read more HERE – Soo, I’m Diabetic, what’s the big deal about my feet?

Read more HERE – sugar, the bitter side of sweet

10 Ways to Prevent Diabetes

Pre-Diabetes stats

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … http://www.LegacyEducators.org and click on “Cancer Information”

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More than any other substance – SUGAR – is linked to:

  • Obesity
  • Type-2 Diabetes
  • High blood pressure
  • Heart diseases
  • ??Cancer??

In 1822 the average American consumed about;

  • 9 grams of sugar per day
  • ~45 grams every 5days (the amount in ONE 12oz can of soda, in 2015).

We went from 45 grams every 5days to now, we consume 45 grams every 7 hours or approx 150 grams per day!  Consuming 150 grams per day or 756 grams of sugar every 5 days is a lot of sugar (see video below for understanding measurements).  So what is the recommended normal daily intake?

Men = 36 grams per day (not 150+ grams)

Women = 20 grams per day (not 150+ grams)

Children = 12 grams per day (well…the actual grams today is rather large for kids too!)

sugar1How many cans of soda do you drink per day? How many cups of juice? They both have about the same amount of sugar! YES Indeed!

Given the way sugar acts on the brain, research is finding that sugar may be as addictive as cocaine and alcohol, so quitting (or decreasing the amount consumed) may not be as easy as one may imagine (take a moment to watch the videos below).

Sooo….Now you know!

What are you going to do?

Take back control…check the labels of the things you consume (cereal, sodas, milk, bread, etc.,). You would be surprise of the items that contains sugar.  With the recommendation of roughly 30 grams per day…one soda is over the daily limit.  I try to stay below 40 grams per day…it is a challenge, but I’m doing it most days. If you must have some sugar, reach for an apple instead…at least you will have the benefit of the fiber. So, what are you going to do?

And remember – everything in moderation! (Even during your 4th of July Celebration – bummer! ;-)) Enjoy!

sugar-is-addictive

HOW MUCH SUGAR IS IN A CAN OF SODA?

THE SUGARY TRUTH

IS SUGAR TOXIC? 60 minutes

 

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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From the Physician’s Desk….Weekly Blog!

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Greetings! We have covered Diabetes in a few blogs in the past. In honor of American Diabetes Association “ALERT Day” this week, let’s see how much you recall about the basics of Diabetes!

The organ that is “insuffiecient/affected” that lead to the diagnosis of Diabetes is;

  1. Kidneys
  2. Pancreas
  3. Liver
  4. Heart

The “normal” blood sugar level, first thing in the morning, should be?

  1.  70 – 92 mg/dL
  2. 130 mg/dL
  3. Greater than 150 mg/dL
  4. Over 200 mg/dL

What is Heamglobin A1c (Hgb A1c)?

  1. Basically, the amount of sugar on the white blood cells, that reveals what your “average” blood sugar reading was over the past month or so
  2. Basically, the amount of sugar on the blood strip test before you take your medication
  3. Basically, the amount of sugar on the red blood cells, that reveals what your “average” blood sugar reading was over the past month or so.
  4. Basically, the amount of sugar you ate in your last meal

What should be your “goal” Hgb A1c?

  1. ~3
  2. ~6
  3. ~9
  4. ~17

How did you do? Answers are below

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diabetes-01-3-2013To be given a diagnosis of diabetes, the following criteria must be met:

  1. Have symptoms of diabetes (increased thirst, increased urination, and unexplained weight loss) and a blood sugar level equal to or greater than 200 milligrams per deciliter (mg/dL). The blood sugar test is done at any time, without regard for when you last ate (random plasma glucose test or random blood sugar test).
  2. Have a fasting blood sugar level that is equal to or greater than 126 mg/dL. A fasting blood sugar test (fasting plasma glucose) is done after not eating or drinking anything but water for 8 hours.
  3. Have a 2-hour oral glucose tolerance test (OGTT) result that is equal to or greater than 200 mg/dL. An OGTT is most commonly done to check for diabetes that occurs with pregnancy (gestational diabetes).
  4. Have a hemoglobin A1c that is 6.5% or higher.

The diagnosis of diabetes needs to be confirmed by repeating the same blood sugar test or doing a different test on another day.

Pre-Diabetes: your blood sugar is above normal but not high enough to be diabetes.

  1. If the results of your fasting blood sugar test are between 100 mg/dL and 125 mg/dL,
  2. Your OGTT result is between 140 to 199 mg/dL (2 hours after the beginning of the test), or your hemoglobin A1c is 5.7% to 6.4%.

ANSWERS: 2, 1, 3, 2

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

 

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From the Physician’s Desk … weekly blog!

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Last week, we reviewed the basic function of the kidneys and disease processes that may affect them.  End Stage Renal Disease (ESRD) or stage 5 Kidney disease develops when the kidneys are no longer able to function regularly for day-to-day living. You may read more HERE 

The two leading causes of Kidney failures are Diabetes (sugar) and High Blood pressure. If you or someone you know, was diagnosed with either Diabetes or High Blood pressure….please take heed and try to control these disease processes. Talk with your healthcare professional on what lifestyle changes you can make and how to take your medications properly. I know you can make life style changes … your life may depend on it!

A Dialysis procedure typically last about 3-6 hours and must be completed 3 days per week or every other day.  Please see 3 videos below.

  1. Basic information on dialysis
  2. Day in the life of a young (12yo) going through dialysis
  3. Day in the life of an adult during the dialysis procedure

Educational for anyone with or around children!

Please NOTE: Graphic needle insertion

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org  and click on “Cancer Information” Thanks in advance for your support!

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It is ok to “Question” your Doctor!

talking w doctorRemember, you are your own advocate and you have the right to understand (everything) your doctor is recommending… please ask!

Some may argue that there is a difference between “asking questions” vs “questioning” your doctor. Others may say it is just symantics and/or different levels of the same thing. Uncertain if either case is right, but a slight difference between “Asking Questions” and “Questioning” your physician, may exist. While few Docs may be offended by the latter, do not let that deter you … just keep on asking. However, as it is in any situation, being respectful and pleasant also helps! I will attempt to differentiate here;

# 1 – Asking Questions: This would imply that you have some (assumed) knowledge of what is about to happen and is seeking clarification. (Please do not try to “fake” your way through. If the Doc thinks that you have the basic understanding, s/he will most likely speak with you at more advance level…see #2)

  • Well, I understand that there is a nodule in my lung and you have to biopsy it, but what kind of biopsy will you be doing?
  • This is the first time being told that I am diabetic. Why do I have to begin with Insulin?
  • I do not like the idea of taking medication for High Blood Pressure. How long will I have to stay on it? What is the plan to discontinue this medication?

Talk doctor#2 – Questioning your Doc: This would imply that you are not familiar with the diagnosis and you are uncertain of “WHAT” questions you should even ask. This is quite common and you are NOT alone. Start communication on a conversation level with just the basics. Be honest. You have a right to know AND understand what is going on with your body and the recommendations the Doctors are making! Here are a few basic simplified questions from the same examples/scenarios as above;

  • A nodule in my lung? What is a nodule? Is it cancerous? What is a biopsy? Will the biopsy hurt?  I do not understand – What do you mean “a biopsy is a procedure?” What is the difference between a procedure vs a surgery? Will I need to take time off from work?
  • What is Diabetes? Is that the same thing referred to as “sugar”? What is insulin? Can I take it in a pill form? You know Doc, I truly did not understand the differences between type 1 and 2. If I have to take Insulin, do I have Diabetes type 1 or type 2? I do not really feel ill or feel anything, so why should I have to take the medication?
  • What is high blood pressure? Why would I want low blood pressure, I thought that would make me feint? Why do I have to take medication? I do not like taking medications, is there something else I can do to treat this high blood pressure? What if I miss a pill, do I double up or just take the next pill? Should I take it at night or during the day?

Confession – I may speak the “Doctor language” very well but I am definitely, unapologetically in the 2nd category when I am dealing my mechanics about my car, construction workers about a building, lawyers, etc.,  I am admittedly behind the curve ball…and  I have no shame when it comes to asking even the most basic of questions.

In the past, I had to say (quite nicely of course) … “I am sorry. Please help me to understand why I came to do a routine, on schedule, oil change (for my car), but there are 3 other things that I MUST do today? What does the transmission do anyway? Where is the windshield washer fluid? I was trying to give someone a “jump” the other day … but the battery is not under the hood of the truck? (turns out it was in the back … who knew??)

(*wink* smiling sheepishly)

Trust me, no one knows everything! AND KNOW, there is no such thing as a silly or stupid question! Especially when it comes to your health! Ask on…

Click below to watch video

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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From the Physician’s Desk – Weekly Blog!

Dr. Rolle, Guest Blogger

Monique Rolle, M.Ed., DPM – Guest Blogger

Please meet Dr. Rolle, our guest blogger for this week. She is our Podiatrist Guru! She currently practices in Northern Virginia!  

As a diabetic, your feet are very different than those who do not have diabetes. How is it different?  I am glad you asked. Firstly, there is something called diabetic neuropathy. This happens due to blood sugars being elevated for long periods of time which affect the nerves. Your feet can become less sensitive to light touch, pressure and even pain. Neuropathy can also effect the motor function–effecting gait (the way you walk) as well.

DM fwalk on  CoalThe neuropathy can be so profound that one could literally walk barefoot over hot coals or even a bed of vertically positioned needles and feel absolutely nothing at all. This could lead to ulcerations and even loss of a digit or foot due to lack of sensation. Often when neuropathy is profound, wounds, blisters or even foreign bodies are detected much later and damage is so far gone often surgery is the only option to eradicate the problem.

DM GangreneAlso, another part of the long term sequela of diabetes mellitus is small vessel disease. As the vessels become smaller and smaller as they travel further from the heart, they become very tiny. The areas to the fingers, toes, kidneys and eyes receive very little blood which in turn can lead to “gangrene” – see picture.

DM NeuropathyDiabetes can also cause “microangiopathy” in the long-term. In this case, high blood glucose levels become deposited on the blood vessels (glycoprotein) causing the membrane to grow thicker and unfortunately weaker – they can bleed, leak protein, and slows the flow of blood through the body.  Additionally, the nerves are also affected!  If not sufficiently supplied with blood (which brings oxygen), they are also damaged which may lead to loss of function due to this neuropathy.

Diabetes also can cause person to become more prone to infection due to the compromise of the immune system. Most wounds (sores) in a diabetic have multiple organisms present. This would be quite apparent when one these wound are cultured and were  sent to a microbiology lab.

The possibilities of what could potentially go wrong with the feet of a person with diabetes can seem overwhelming. Not to fear! This is why you need to see a podiatrist and make them a part of your team on a regular basis.  Your podiatrist will inspect your feet for all the issues mentioned above! PLUS He or she will check your pulses. Yes! You do have pulses in your feet! Also your feet will be inspected for blisters, foreign bodies, punctures, calluses, corns, blisters, bony prominences such as bunions, hammertoes or anything that could lead to skin breakdown.

You are not able to control all of the above on your own…Prevention is the Key! See your Podiatrist today!

Monique Rolle, M.Ed., DPM

Please click below to watch.

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From the Physicians Desk ...Doc’s Weekly Blog!

Learn more about your health by watching videos – click here!

A Plea from the Nation’s Families …

  • We need the Men in our lives to take better care of themselves.
  • We need the men in our lives to lead by “Health” example.
  • We need the men in our lives to be checked routinely  for preventable health problems and be screened for early detection and have life saving treatment for diseases such as Cancer.
  • We need our men to be around for us … living a long, healthy life.
mens-health-doctor

Visit your Doc today!

JUN 10-16 is National Men’s Health Week…speak to the men in your life about the common chronic diseases listed below. If they answer “NO” to any of the questions, then they should also provide their “NUMBER” and know the DATE of their last exam/lab tests – have them prove it ! Let them show you the papers from the Doctor’s visit – this is serious!  No papers, no evidence, an appointment is necessary – Call for an appointment with his Doctor today! “wink”;

  1. Are you Diabetic?
  2. Do you have High Blood Pressure?
  3. Do you have High Cholesterol?
  4. Are you Obese? What is your BMI?
  5. What is your Prostate Specific Antigen (PSA) number?
  6. Did you have a Colonoscopy? What is the age you should be screened for Colon Cancer?
  7. Do you know your family history for Heart Disease, Cancer, and Diabetes?

visit click HERE to learn more MEN’S HEALTH WEEK

Click below to watch video

Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power

Visit http://www.LegacyEducators.com for more health information!

Your Family Friendly Doc … Dr McGann!  See you next week…

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