Osteoporosis and Women: How to Prevent Weak Bones

Osteoporosis is a medical condition in which the bones become brittle and fragile from loss of tissue, typically as a result of hormonal changes, or deficiency of calcium or vitamin D. Osteoporosis develops gradually, usually without symptoms. A broken bone that occurs with minor trauma, such as a slight blow to the wrist, for example, is typically the first symptom. Approximately one in two women and one in four men over age 50 will have an osteoporosis-related fracture in their remaining lifetime.

Bone Density Testing

If you are age 65 or older, you should get a bone density test to screen for osteoporosis. If you are younger than 65 and have risk factors for osteoporosis, ask your doctor or nurse if you need a bone density test before age 65. Bone density testing is recommended for older women whose risk of breaking a bone is the same or greater than that of a 65‑year‑old white woman with no risk factors other than age. 

A bone mineral density (BMD) test measures the strength of your bones to help assess your future risk of fractures. This test is not usually performed until after menopause unless you have an unusual clinical situation or are at high risk for osteoporosis. It is quick, painless and noninvasive.

Preventing Weak Bones

The best way to prevent weak bones is to work on building strong ones. No matter how old you are, it is never too late to start. Building strong bones during childhood and the teen years is one of the best ways to keep from getting osteoporosis later. As you get older, your bones don’t make new bone fast enough to keep up with the bone loss. And after menopause, bone loss happens more quickly.

But there are steps you can take to slow the natural bone loss with aging and to prevent your bones from becoming weak and brittle. There are five simple steps to reduce your risk for osteoporosis:

  • Increase the amount of calcium and vitamin D in your diet.
  • Exercise regularly; bones and muscles respond to physical activity by becoming stronger. Weight-bearing exercises like walking and weight lifting are the most beneficial.
  • Maintain a healthy body weight. Being underweight or losing weight increases your risk of bone loss and fracture, and ultimately, of developing osteoporosis.
  • Quit smoking. Cigarette smoking (nicotine) can reduce bone mass and increase the risk of fracture, thus increasing your risk for osteoporosis. Ask your health care professional to recommend methods to help you quit.
  • Drink alcohol in moderation, if you drink. Excessive consumption of alcohol increases your risk of osteoporosis and fractures from falls.

For some women, medication may also be helpful for preventing additional bone loss. Ask your health care professional what the best osteoporosis prevention strategy is for you.

Finally…

The importance of beginning bone loss prevention at a very young age is now well understood. Bone health programs are being developed and implemented that targets girls as young as nine to 12 years of age and their parents, focusing on promoting good nutritional choices and participating in regular physical activity. Contact us if you have any questions or to schedule an appointment.

(Some information provided by Healthywomen.org)

How Sleep Deprivation is Inhibiting You From Your Full Potential

If you’re getting less than eight hours of sleep each night, chances are you’re sleep deprived. What’s more, you probably have no idea just how much lack of sleep is affecting you.

How is it possible to be sleep deprived without knowing it? Most of the signs of sleep deprivation are much more subtle than falling face first into your dinner plate. Furthermore, if you’ve made a habit of skimping on sleep, you may not even remember what it feels like to be truly wide-awake, fully alert, and firing on all cylinders. Maybe it feels normal to get sleepy when you’re in a boring meeting, struggling through the afternoon slump, or dozing off after dinner, but the truth is that it’s only “normal” if you’re sleep deprived.

You May Be Sleep Deprived if You:

  • Need an alarm clock in order to wake up on time
  • Rely on the snooze button
  • Have a hard time getting out of bed in the morning
  • Feel sluggish in the afternoon
  • Get sleepy in meetings, lectures, or warm rooms
  • Get drowsy after heavy meals or when driving
  • Need to nap to get through the day
  • Fall asleep while watching TV or relaxing in the evening
  • Feel the need to sleep in on weekends
  • Fall asleep within five minutes of going to bed

Side Effects of Sleep Deprivation

While it may seem like losing sleep isn’t such a big deal, sleep deprivation has a wide range of negative effects that go way beyond daytime drowsiness. Lack of sleep affects your judgment, coordination, and reaction times. In fact, sleep deprivation can affect you just as much as being drunk.

The effects include:

  • Fatigue, lethargy, and lack of motivation
  • Moodiness and irritability; increased risk of depression
  • Decreased sex drive; relationship problems
  • Impaired brain activity; learning, concentration, and memory problems
  • Reduced creativity and problem-solving skills; difficulty making decisions
  • Inability to cope with stress, difficulty managing emotions
  • Premature skin aging
  • Weakened immune system; frequent colds and infections; weight gain
  • Impaired motor skills and increased risk of accidents; hallucinations and delirium
  • Increased risk of serious health problems including stroke, diabetes, high blood pressure, heart disease, Alzheimer’s disease, and certain cancers

How to Get The Sleep That You Need

Whether you’re looking to resolve a specific sleep problem, or just want to feel more productive, mentally sharp, and emotionally balanced during the day, experiment with the following sleep tips to see which work best for you:

Rule out medical causes for your sleep problems. A sleep disturbance may be a symptom of a physical or mental health issue or a side-effect of certain medications.

Stick to a regular sleep schedule. Support your biological clock by going to bed and getting up at the same time every day, including weekends.

Get regular exercise. Regular exercise can improve the symptoms of many sleep disorders and problems. Aim for 30 minutes or more of activity on most days—but not too close to bedtime.

Be smart about what you eat and drink. Caffeine, alcohol and sugary foods can all disrupt your sleep, as can eating heavy meals or drinking lots of fluids too close to bedtime.

Get help with stress management. If the stress of managing work, family, or school is keeping you awake at night, learning how to handle stress in a productive way can help you sleep better at night.

Improve your sleep environment. Keep your bedroom dark, quiet, and cool, and reserve your bed for just sleeping and sex.

Develop a relaxing bedtime routine. Avoid screens, work, and stressful conversations late at night. Instead, wind down and calm your mind by taking a warm bath, reading by a dim light, or practicing a relaxation technique to prepare for sleep.

Postpone worrying. If you wake during the night feeling anxious about something, make a brief note of it on paper and postpone worrying about it until the next day when it will be easier to resolve.

Finally…

The quality of your sleep directly affects your mental and physical health and the quality of your waking life, including your productivity, emotional balance, brain and heart health, immune system, creativity, vitality, and even your weight. No other activity delivers so many benefits with so little effort.

Sleep isn’t just a “time out” from daily life. It is an active state important for renewing our mental and physical health each day. If you’re failing to get a good night’s sleep, contact us to schedule an appointment or answer any questions.

Some information provided by Help Guide).

Problem Sleepiness and Teenagers: How Much Sleep is Actually Needed

Research shows that most teenagers and do not get the sleep that they need on a daily basis. Teens are at an important stage of their growth and development. Because of this, they need more sleep than adults. The average teen needs about nine hours of sleep each night to feel alert and well rested.

There are many factors that keep teens from getting enough sleep. Causes for their lack of sleep include the following:

  • Rapidly changing bodies
  • Busy schedules
  • Active social lives
  • A wrong view of sleep

Teen sleep problems can begin long before they turn 13. The sleep habits and changing bodies of 10 to 12-year-olds have a close link to the teen years. The sleep patterns of teens are also firmly set in their lives. It is not easy for them to change the way they sleep. Thus teen sleep problems can continue well into their years as adults. For these reasons, the information found here may apply to anyone from 10 to 25 years old.

Sleep-Wake Cycle

Sleepiness can be due to the body’s natural daily sleep-wake cycles, inadequate sleep, sleep disorders or certain drugs. Many U.S. high school and college have signs of problem sleepiness such as:

  • Difficulty getting up for school
  • Falling asleep at school
  • Struggling to stay awake while doing homework

The need for sleep may be 9 hours or more per night as a person goes through adolescence. At the same time, many teens begin to show a preference for a later bedtime, which may be due to a biological change. Teens tend to stay up later but have to get up early for school, resulting in their getting much less sleep than they need.

Many factors contribute to problem sleepiness in teens and young adults, but the main causes are not getting enough sleep and irregular sleep schedules. Some of the factors that influence adolescent sleep include:

  • Social activities with peers that lead to a later bedtime
  • Homework to be done in the evenings
  • Early wake-up times due to early school start times
  • Parents being less involved in setting and enforcing bedtimes
  • Employment, sports or other extracurricular activities that decrease the time available for sleep

Teens and young adults who do not get enough sleep are at risk for problems such as:

  • Automobile crashes
  • Poor performance in school and poor grades
  • Depressed moods
  • Problems with peers and adult relationships

Many adolescents have part-time jobs in addition to their classes and other activities. High school students who work more than 20 hours per week have more than 20 hours per week have more problem sleepiness and may use more caffeine nicotine and alcohol than those who work less than 20 hours per week or not at all.

Sleep – There is no substitute! 

The amount of sleep needed each night varies among people. Each person needs a particular amount of sleep in order to be fully alert throughout the day. Many people simply do not allow enough time for sleep on a regular basis. A first step may be to evaluate daily activities and sleep-wake patterns to determine how much sleep is obtained. If you are consistently getting less than 8 hours of sleep per night, more sleep may be needed.

Finally…

Try to help your teen have a proper view of sleep. Sleep is not something to fight off or try to avoid. Sleep greatly benefits teens who make it a priority. They feel more alert and have more energy. They think more clearly and make better decisions. They will be happier and enjoy life more. There are simply too many benefits of good sleep for a teen to miss out on them. If you think you are getting enough sleep, but still feel sleepy during the day, check with your doctor to be sure your sleepiness is not due to a sleep disorder. Contact us if you have any questions or to schedule an appointment.

(Some information provided by UCLA Health).

Hepatitis A: Staying Mindful During Summer Travels

Hepatitis A is a highly contagious viral disease that attacks the liver. It can cause jaundice (yellowing of the skin), body aches and pain, nausea, vomiting, and diarrhea, and leave you feeling physically weak for weeks – in some cases, even months.

If you’re traveling in regions where hepatitis A outbreaks occur, peel and wash all fresh fruits and vegetables yourself and avoid raw or undercooked meat and fish. Drink bottled water and use it when brushing your teeth. Don’t drink beverages of unknown purity, with or without ice. If bottled water isn’t available, boil tap water before drinking it.

Who’s In Danger?

Traveling first-class may guarantee greater accommodations and service, but it doesn’t mean that you’re protected from disease. The bathrooms may look more sanitary, and the restaurants may serve gourmet cuisine, but if you think staying at a four-star hotel means that you are protected from hepatitis A, you’re wrong. That’s because everyday activities, such as using a restroom or diapering a baby and forgetting to wash your hands afterward can put you at risk. According to the World Health Organization, most cases of hepatitis A in travelers occur in those who stick strictly to staying in the middle – and – upper-level hotels and resorts.

Symptoms

The older you are, the worse you’re going to feel if you get infected with hepatitis A. Hepatitis A signs and symptoms, which typically don’t appear until you’ve had the virus for a few weeks, may include:

  • Fatigue
  • Nausea and vomiting
  • Abdominal pain or discomfort, especially in the area of your liver on your right side beneath your lower ribs
  • Clay-colored bowel movements
  • Loss of appetite
  • Low-grade fever
  • Dark urine
  • Joint pain
  • Yellowing of the skin and eyes (jaundice)

If you have hepatitis A, you may have a mild illness that lasts a few weeks or a severe illness that lasts several months. Not everyone with hepatitis A develops signs or symptoms.

When to See a Doctor

Make an appointment with your doctor if you have signs or symptoms of hepatitis A. If you’ve been exposed to hepatitis A, having a hepatitis A vaccine or immunoglobulin therapy within two weeks of exposure may protect you from infection. Ask your doctor or your local health department about receiving the hepatitis A vaccine if:

  • You’ve traveled internationally recently, particularly to Mexico or South or Central America, or to areas with poor sanitation
  • A restaurant where you recently ate reports a hepatitis A outbreak
  • Someone close to you, such as someone you live with or your caregiver, is diagnosed with hepatitis A
  • You recently had sexual contact with someone who has hepatitis A

The symptoms of hepatitis a are more severe in adults than in children. And, as is the case with most viruses, there is no specific treatment or cure once you get infected. The only thing you can do is get a lot of rest. Some people are required to take it easy for up to 6 weeks, which can pose a problem to your boss, co-workers and others who depend on you.

Prevent the Disease.

In order to avoid getting hepatitis A and other illnesses that commonly affect travelers, you have to know how you can get infected in the first place.

  • Do NOT eat food that is handled by someone who has not properly washed his or her hands and is infected with the Hepatitis A virus.
  • Do NOT eat food that comes from contaminated water-shellfish, like mussels, clams or any other types of foods many people enjoy while on vacation.
  • Do NOT eat food that is washed in contaminated water (this means that eating even a seemingly healthful salad can make you sick).
  • You can even get Hepatitis A by unknowingly picking up the virus on your own hands (by shaking hands with someone who is infected, for example) and then transferring it to your mouth. Be sure to wash your hands as often as possible.
  • Drinking contaminated water, or brushing your teeth with it, can put you at risk for illnesses other than Hepatitis A (don’t forget that this also means avoiding ice in your beverages that you drink).

Finally…

You’re most likely to contract hepatitis A from contaminated food or water or from close contact with someone who’s infected. Mild cases of hepatitis A don’t require treatment and most people who are infected recover completely with no permanent liver damage. Practicing good hygiene, including washing hands frequently, is one of the best ways to protect against hepatitis A. Vaccines are available for people most at risk. Contact us if you have any questions or to schedule an appointment.

(Some information provided by the Mayo Clinic).

Healthy Aging: 10 Benefits of Staying Active in Your Senior Years

Physical activity or exercise has countless benefits, even for seniors. Fitting in regular exercise into day-to-day life routine can have immediate and long-term health benefits. Most importantly, regular activity can improve your quality of life.

Why Should Seniors Workout?

  1. Arthritis: Exercise is one of the most crucial options for arthritis management. Regular activity helps lubricate the joints and can help reduce overall pain and stiffness that is often present among individuals with arthritis. Moreover, obesity is a risk factor for the disease, and increasing physical activity levels can help better manage the debilitating symptoms of arthritis.
  2. Heart disease: Heart disease is one of the biggest causes of death in the United States. The Centers for Disease Control and Prevention state that about one in every four deaths is attributed to heart disease. More people exercising later in life can help reduce the number of individuals with heart disease through the management of blood pressure and blood glucose and decreasing LDL cholesterol.
  3. Metabolic Dysfunction (type II diabetes and obesity): Type II diabetes and obesity are two closely related diseases in which the body is in metabolic dysfunction. Exercise can help maintain proper body weight and help regulate blood glucose and insulin levels to make the body more efficient.
  4. Cancer: Exercise has been shown to help improve overall cancer risk among a variety of different forms of cancer. Studies have shown a 30 to 40 percent reduction in breast cancer risk among women who perform moderate to regular exercise.
  5. Hypertension: Exercise can help lower systolic blood pressure significantly through moderate-intensity physical activity. Try breaking up exercise into three bouts throughout the day lasting for at least 10 minutes each to receive blood pressure–lowering effects.
  6. Depression: Exercise can have a beneficial effect on personal mood. Studies suggest that group exercise classes among older adults can help reduce symptoms of depression by 30 percent or more in exercising older adults. The modest improvement in depressive symptoms can help maintain an overall greater vitality later in life and help prevent negative feelings or thoughts that are common with aging.
  7. Dementia: Dementia is a disabling condition affecting many older adults. With a wide range of mental disorders categorized as dementia, there is a great need to understand how to prevent the condition. Exercise is one prevention strategy that can help slow the mental decline. A recent study showed a 37 percent reduced risk and a 66 percent reduction in risk of dementia when older adults performed the moderate-intensity exercise, suggesting every adult ought to exercise to help lower the risk of mental decline and to help prevent mental disability later in life.
  8. Quality of life: Maintaining functional independence is something many older adults want. A regular exercise inclusive of strength and balance training can help accomplish this. Aim to be physically active for 30 minutes every day and to strength train at least two non-consecutive days per week.
  9. Insomnia: Certain medications and life events can prevent the body from proper sleep. Higher levels of physical activity can help exhaust the body enough to place it in a position for restful and lasting sleep. Avoid strenuous exercise two hours before bed to obtain these benefits, and aim to meet the daily activity recommendations.
  10. All-cause mortality: Exercise is known to reduce death from all causes. In fact, a recent study showed a 30 to 80 percent reduction in all-cause mortality when individuals exercised at an intensity level greater than 4 METS, suggesting that exercise can help delay premature death from various causes.

Finally…

If you are elderly, we recommend that you get medical clearance from your doctor before starting an exercise program to find out if there are any activities you should avoid. Call 806-358-0200, If you would like to schedule a visit with a physician here at the Amarillo Diagnostic Clinic.

(Some information provided by NIFS).

What is Narcolepsy? Hint: It’s More Than Feeling Tired

Narcolepsy is a chronic disorder in which a person (even with an adequate night’s rest) experiences excessive and overwhelming daytime sleepiness.  Daytime sleep attacks occur repeatedly with or without warning.

This sleep disorder occurs equally in men and women and is thought to affect roughly 1 in 2,000 people. The symptoms appear in childhood or adolescence, but many people have symptoms of narcolepsy for years before getting a proper diagnosis. Left untreated, narcolepsy can cause serious disruptions in a person’s social, personal and professional lives.

Symptoms of Narcolepsy

People with narcolepsy feel very sleepy during the day and may involuntarily fall asleep during normal activities. In narcolepsy, the normal boundary between awake and asleep is blurred so characteristics of sleeping can occur while a person is awake. For example, cataplexy is the muscle paralysis of REM sleep occurring during waking hours. It causes sudden loss of muscle tone that leads to a slack jaw, or weakness of the arms, legs, or trunk. People with narcolepsy can also experience dream-like hallucinations and paralysis as they are falling asleep or waking up, as well as disrupted nighttime sleep and vivid nightmares.

Getting Support

Narcolepsy is diagnosed by a physical exam, taking a medical history, as well as conducting sleep studies. If you do have narcolepsy, the most effective treatment is often a combination of medications and behavioral changes. People who are diagnosed with narcolepsy should seek counseling through educational networks and support groups. Getting a diagnosis of narcolepsy and managing the symptoms can be overwhelming and the disorder is not well understood by the general public. It helps to learn best practices and access support through others who have the disorder.

Currently, there is no cure for narcolepsy, but medications and behavioral treatments can improve symptoms for people so they can lead normal, productive lives. The first step to a sleep study is setting up an initial visit with a sleep specialist who will review your medical and sleep history. You will then schedule an appointment for an overnight visit.

Finally…

The Sleep Disorders Center at Amarillo Diagnostic Clinic is a comprehensive clinic supervised by a physician board certified in Internal Medicine, Pulmonary Diseases and is a Diplomate, American Board of Sleep Medicine. Using the latest technology for diagnosing and treating sleep disorders in a comfortable and home-like atmosphere, our team of sleep professionals is dedicated to providing the highest quality of sleep for our patients. We are here to help! Contact us if you have any questions or to schedule an appointment.

(Some information provided by the National Sleep Foundation).

5 Primary Ways to Keep Your Bones Strong as You Age

A bone density test is the only test that can diagnose osteoporosis before a broken bone occurs. This test helps to estimate the density of your bones and your chance of breaking a bone. Our Diagnostic Imaging Department is equipped to provide a variety of radiology services including BD testing. All studies are interpreted by independent radiologists who are board-certified by the American Board of Radiology.

Knowing Your Family History

A key to understanding your bone health is by knowing your family history. Having a parent or sibling who has osteoporosis puts you at greater risk — especially if you also have a family history of fractures. Additionally, hormone levels also play an important role. Too much thyroid hormone can cause bone loss. In women, bone loss increases dramatically at menopause due to dropping estrogen levels. The prolonged absence of menstruation (amenorrhea) before menopause also increases the risk of osteoporosis. In men, low testosterone levels can cause a loss of bone mass.

Additionally, hormone levels also play an important role. Too much thyroid hormone can cause bone loss. In women, bone loss increases dramatically at menopause due to dropping estrogen levels. The prolonged absence of menstruation (amenorrhea) before menopause also increases the risk of osteoporosis. In men, low testosterone levels can cause a loss of bone mass.

How to Increase Bone Health

Include Calcium in Your Diet

For adults ages 19 to 50 and men ages 51 to 70, the recommended dietary allowance (RDA) is 1,000 milligrams (mg) of calcium a day. The recommendation increases to 1,200 mg a day for women after age 50 and for men after age 70. Good sources of calcium include dairy products, almonds, broccoli, kale, canned salmon with bones, sardines and soy products, such as tofu. If you find it difficult to get enough calcium from your diet, ask your doctor about supplements.

Get More Vitamin D

Your body needs vitamin D to absorb calcium. For adults ages 19 to 70, the RDA of vitamin D is 600 international units (IUs) a day. The recommendation increases to 800 IUs a day for adults age 71 and older. Good sources of vitamin D include oily fish, such as tuna and sardines, egg yolks, and fortified milk. Sunlight also contributes to the body’s production of vitamin D. If you’re worried about getting enough vitamin D, ask your doctor about supplements.

Include Physical Activity in Your Daily Routine

Weight-bearing exercises, such as walking, jogging, tennis and climbing stairs, can help you build strong bones and slow bone loss.

Avoid Substance Abuse

Research suggests that tobacco use contributes to weak bones. Similarly, regularly having more than two alcoholic drinks a day increases the risk of osteoporosis, possibly because alcohol can interfere with the body’s ability to absorb calcium. Don’t smoke. Avoid drinking more than two alcoholic drinks a day.

Bone Density Test

Women ages 65 and up should get tested, the same applies for men 70 and up. You may want to talk with us about the risks and benefits before deciding. Younger women and men ages 50 to 69 should consider the test if they have risk factors for serious bone loss or have a family history of osteoporosis.

We Are Here For You

It’s important to pay attention to your signs and symptoms. Stay updated on which adult health warning signs promote medical attention. Regular physical exams and adult health screening tests are an important part of preventive adult health care. Know which screening tests you need and how often to have them done. Contact us if you have any questions or to schedule an appointment.

(Some information provided by the Mayo Clinic).

4 Important Steps to Managing Your Diabetes

The Endocrinologist at Amarillo Diagnostic Clinic is thoroughly trained in the management of hormonal and metabolic disorders.  With the aid of our experienced staff, our Endocrinology Department can assist in the management of your diabetes, complex metabolic bone disease, or disorders affecting the thyroid, pituitary and adrenal glands.   Patient education services are available for patients in the care and management of these disorders.   We also provide dietary counsel for lowering cholesterol and triglyceride levels.

Diabetes

Diabetes is a condition in which the body is unable to properly utilize blood sugar. Carbohydrate foods create blood sugar and the body needs insulin in order to process the sugar into energy for the body to function properly.

Type I diabetes is a condition in which the body’s immune system damages the pancreatic cells responsible for producing insulin. This form of diabetes is treated with insulin replacement by injection since the body is no longer capable of producing enough of it’s own insulin.

Type II diabetes is a much more common form and is progressive in nature. This form of diabetes causes insulin resistance which means the body still produces insulin, but had difficulty utilizing it. There are various medications in pill form to treat Type II diabetes, but because of the nature of Type II diabetes, sometimes the pancreas wears out and insulin replacement by injection is required.

At this time there is no permanent cure for diabetes. Your physician will determine what medications you may need and should be carefully used daily. You should visit your doctor every three to six months so that the efficacy of treatment can be re-evaluated. Good glucose control is essential in order to prevent or retard the onset of diabetic complications. These include, but are not limited to damage to the small vessels of the eye, kidney damage, coronary artery disease, and peripheral nerve damage. These complications can lead to blindness, heart attack or stroke, dialysis, and amputation. The good news is that with proper self-care and medical expertise you can significantly reduce or avoid these complications altogether.

Exercise

Weight control through diet and exercise is important. If you are overweight, your chances of diabetes increases significantly and you are putting yourself at risk. The Amarillo Diagnostic Clinic has a patient education specialist to assist you in the care and management of diabetes through diet and exercise.

You need to exercise on a regular basis, preferably every day for at least 45 minutes. An exercise program should be initiated slowly and built up gradually to avoid injury and build stamina. Go for the distance rather than intensity. Our patient education specialist can assist you in starting an exercise regimen that will work for you. Be sure and obtain clearance from your physician before starting any exercise regimen.

Check Your Blood Sugar

You can do this with a home glucose monitor regularly. Your physician or diabetic educator will prescribe a routine and frequency that best suits your needs, but many doctors ask that you monitor before breakfast and before supper. Please be sure to record your numbers and to bring your results along with your meter when seeing the doctor. He or she will want to discuss those readings with you.

Periodic Checks

  • Glycohemoglobin: This is a test developed to give information about your average blood sugar level during the past two or three months. It should be checked every three to six months. The American Diabetic Association recommends that the patients diabetic regimen be adjusted to achieve a glycohemoglobin of less than 7%. Any contributing risk factor for vascular disease should be aggressively assessed and treated. Cholesterol, triglycerides, low HDL, high blood pressure, and smoking are all factors that need to be addressed. Your physician or educator can help you understand your results and your treatment options. Some medications typically used to treat elevated blood pressure also have a protective effect in preventing kidney complications of diabetes. Any medication prescribed by your physician should be taken only as directed. Consult your doctor before adding or deleting any medication including over the counter meds.
  • Microalbumin: urine testing should be performed yearly to evaluate the likelihood of diabetic kidney involvement.
  • Ophthalmologist: A visit should be scheduled at least yearly. He or she will evaluate any diabetic retinopathy, cataracts, or other conditions and plan treatment accordingly.

You should have a comprehensive medical exam yearly that includes a treadmill exercise test. Underlying coronary artery disease is often more common in an individual with diabetes and needs early intervention.

Sick Days

Sick days require special consideration. Anything your body perceives as stress can and will increase your blood sugar. This stress can be physical or emotional in nature. If you are ill your blood glucose will rise even if you cannot eat. Rules of thumb for sick days are as follows.

  • Stick to your meal plan if you can eat.
  • Take your diabetes medication unless your physician tells you to stop.
  • Check with your doctor before taking any other medication.
  • Drink at least one large glass of liquid each hour. If you are eating, these liquids should be sugar-free.
  • Test your blood sugar every 4 hours.
  • Ask someone to check in on you or have them call every few hours to make sure you are all right.
  • If in doubt, consult your physician. Early and effective management of sick days will reduce your chances of developing diabetic coma.

Finally…

Taking steps to prevent and control diabetes doesn’t mean living in deprivation; it means eating a tasty, balanced diet, exercising and taking the necessary steps to stay on top of your health. With these tips, you can still take pleasure from life with diabetes without feeling deprived.

We are here to help, please contact us if you have any questions or to schedule an appointment.

Our Top Tips: How To Get the Sleep You Need

Unfortunately, getting a full night’s sleep is not an easy task for some. The good news: ADC is here to help. The bad news: You won’t be able to change your sleep schedule overnight.

The most effective tactic is to make small changes slowly, starting with your sleep schedule. If you’re trying to go to sleep at 10:00pm, rather than midnight, for example, try this: For the first three or four nights, go to bed at 11:45pm, and then go to bed at 11:30pm for the next few days. Keep adjusting your sleep schedule like this. By working in 15-minute increments, your body will have an easier time adjusting.

What Are My Options?

Sleep disorders are diagnosed and treated by many different healthcare professionals, including general practitioners and specialist in neurology, pulmonary medicine, psychiatry, psychology pediatrics, and other fields. As part of its mission, the American Academy Of Sleep Medicine (AASM) strives to increase awareness of sleep disorders in public and professional communities. The AASM is the major national organization in the field of sleep medicine. We represent several thousand clinicians and researchers in sleep disorders medicine. At ADC, we focus on diagnoses and treatment of patients who have difficulties falling asleep or staying asleep at night, problems with excessive daytime sleepiness or other medical problems that may occur or exacerbate during sleep.

What Is Our Advice?

The following guidelines can be used for a variety of sleep disorders. They will help most people sleep better. For more specific guidelines for your particular sleep problem, consult your healthcare professional.

  • Maintain a regular wake time, even on days off work and on weekends.
  • Try to go to bed only when you are drowsy.
  • If you are not drowsy and are unable to fall asleep for about 20 minutes, leave your bedroom and engage in a quiet activity elsewhere. Do not permit yourself to fall asleep outside the bedroom. Return to bed when, and only when, you are sleepy. Repeat this process as often as necessary throughout the night.
  • Use your bedroom only for sleep, sex, and times of illness.
  • Establish relaxing pre-sleep rituals such as a warm bath, light bedtime snack or 10 minutes of reading.
  • Exercise regularly. Confine vigorous exercise to early hours, at least six hours before bedtime, and do mind exercises at least four hours prior to bedtime.
  • Keep a regular schedule. Regular times for meals, medications, chores, and other activities help keep the inner clock running smoothly.
  • While a light snack before bedtime can promote sound sleep, avoid large meals.
  • Avoid indigestion of caffeine within six hours of bedtime.
  • Do not drink alcohol when sleepy. Even a small dose of alcohol can have a potent effect when combined with tiredness.
  • Avoid the use of nicotine close to bedtime or during the night.
  • Sleeping pills should be used only conservatively. Most doctors avoid prescribing sleeping pills for periods longer than three weeks.
  • Do not drink alcohol while taking sleeping pills or other medications.

Talk To Us

A good night’s sleep is within reach. If you suspect that you may have a sleep disorder, contact us for more information or to schedule an appointment.

(Some information provided by Sleep.org).

Breast Cancer: Risks and What to Watch For

Breast cancer is the most common cancer in women. Most cases occur in women over the age of 50 but breast cancer can occur in younger women, especially if they have a family history of it. It’s important to be mindful of your body and stay aware of signs of early detection. If you notice any lump or change to your normal breast then you should see a doctor promptly.

Risk Factors

Women with certain risk factors are more likely than others to develop breast cancer. A risk factor is something that may increase the chance of getting a disease. Some risk factors (such as drinking alcohol) can be avoided. But most risk factors (such as having a family history of breast cancer) can’t be avoided. Having a risk factor does not mean that a woman will get breast cancer. Many women who have risk factors never develop breast cancer.

BRCA: The Breast Cancer Gene

All inherited traits are passed down through genes. Each person has two copies of every gene: one gene from each parent. Since each parent passes down exactly half of their genes to each child, any of the parent’s genetic traits has a 50% chance of being passed on to their offspring.

The name “BRCA” is an abbreviation for “BReast CAncer gene.” BRCA1 and BRCA2 are two different genes that have been found to impact a person’s chances of developing breast cancer.

Every human has both the BRCA1 and BRCA2 genes. Despite what their names might suggest, BRCA genes do not cause breast cancer. In fact, these genes normally play a big role in preventing breast cancer. They help repair DNA breaks that can lead to cancer and the uncontrolled growth of tumors. Because of this, the BRCA genes are known as tumor suppressor genes. However, in some people these tumor suppression genes do not work properly. When a gene becomes altered or broken, it doesn’t function correctly. This is called a gene mutation.

Early Detection: Signs and Symptoms

Most people who have breast cancer symptoms and signs will initially notice only one or two, and the presence of these symptoms and signs do not automatically mean that you have breast cancer.

By performing monthly breast self-exams, you will be able to more easily identify any changes in your breast.  Be sure to talk to your healthcare professional if you notice anything unusual.

  • A Change In How The Breast Or Nipple Feels
  • A Change In The Breast Or Nipple Appearance
  • Any Nipple Discharge—Particularly Clear Discharge Or Bloody Discharge

Women 40 and older should have mammograms every 1 or 2 years. Women who are younger than 40 and have risk factors for breast cancer should ask their healthcare professional whether mammograms are advisable and how often to have them.

Treatment

Do your research. Speak with support groups and breast cancer survivors. The more information you gather about your treatment options, the better decisions you’ll make. Your treatment options depend on the stage of your disease and these factors:

  • The size of the tumor in relation to the size of your breast
  • The results of specific pathology tests (hormone receptors, HER2 receptors, grade of the cells, proliferation rate of the cells)
  • Whether you have gone through menopause
  • Your general health
  • Your age
  • Your family history or other risk factors associated with a predisposition for developing breast or ovarian cancer

Remember that while your doctors can make recommendations and provide options, the final decisions regarding your treatment are yours. With good research, you can have confidence in the path you take. By embracing your part, you’ll give yourself the best odds for a long and healthy life.

Finally…

If breast cancer is diagnosed at an early stage, there is a good chance of a cure. In general, the more advanced the cancer is (the more it has grown and spread), the less chance that treatment will be curative. However, treatment can often slow the progress of the cancer. Her Care encourages women to take charge of their health! Contact us if you have any questions or to schedule an appointment. 

(Some information provided by the National Breast Cancer Foundation).