Putting the Brakes on Diabetes
Facing a diagnosis of prediabetes? The good news is, you can thwart diabetes.
Hearing that you have prediabetes is scary, but you can choose to use the diagnosis as motivation to make important lifestyle changes. Think of it as a wake-up call.
**If you haven’t met with a doctor, but think you may be at risk of diabetes or prediabetes, take this quick assessment to find out: Click Here
What is Prediabetes?
There are two main types of diabetes. Those with type 1 can’t produce insulin, the hormone that helps the body use glucose (sugar) for fuel. Type 2, the more common, results from the body’s inability to process insulin. If the glucose can’t go to the cells, it builds up in the blood, which is why blood glucose levels are used to diagnose the disease.
Prediabetes, which affects 57 million people in the U.S., according to the American Diabetes Association (ADA), is the precursor to type 2 and is defined by high blood glucose levels that aren’t high enough to be classified as diabetes.
Left unmanaged and untreated, type 2 diabetes can lead to complications such as heart disease, blindness and kidney damage.
“Being diagnosed with prediabetes is a warning sign. At this stage of blood glucose abnormality, people can definitely make a difference for their future health and whether or not it will include type 2 diabetes,” says Angelo Capricchione, M.D., an Endocrinologist and Diabetes Specialist at Bingham Memorial Hospital.
Studies show that you can lower your risk of type 2 diabetes by 58 percent by losing 7 percent of your body weight. The takeaway? Get active and watch what you eat.
1. Get Moving
Method: Aerobic or cardio exercise to strengthen your heart.
Try: Brisk walking,swimming, or cycling.
When: 30 minutes a day, five days a week.
2. Build Muscle
Method: Resistance training, which improves and maintains blood sugar levels.
Try: Bands, free weights or gym circuit machines.
When: The other two days.
3. Swap Foods
Method: Reduce intake of added sugar; eat more vegetables.
Try: A salad or a vegetable-rich soup for lunch. For dinner, opt for a chicken option with plenty of veggies.
Dr. Angelo Capricchione, Diabetes Specialist
Dr. Capricchione is a board certified Endocrinologist at Bingham Memorial Hospital. He specializes in the treatment of diabetes and can help you manage your diabetes care. If you feel you are at risk for diabetes or prediabetes, please contact Dr. Capricchione’s office at 785-3865.
**If you haven’t met with a doctor, but think you may be at risk of diabetes or prediabetes, take this quick assessment to find out: Click Here
Symptoms you had when you were younger may mean something different years later. Learn what you need to know.
Ah, youth. When you’re a female in your teens or early adulthood, so much can be written off to, well, youth.
The sight of your latest crush quickens your heartbeat or flushes your face. Too many late nights studying or socializing causes fatigue.
Of course, older women sometimes experience the same things. The causes could be identical or they might be different, often as a result of hormonal changes.
Ladies, here are a few common symptoms you might want to take note of as you age (gracefully, of course), and what to do next.
1. Mood Swings
Then: What teenager isn’t moody? It’s usually the result of normal hormone fluctuations but could be a sign of bullying or peer pressure, says Dr. Sushila Arya of the Bingham Memorial Women’s Center.
Now: Hormones may be the culprit again, especially as levels change before and during menopause.
What to do: If you’re experiencing menopause-related mood swings, talk to your doctor to rule out depression. Physical activity and adequate rest typically reduce mood-aggravating stress. Hormone replacement therapy also may be an option.
2. Broken Bones
Then: Teenage and young adult athletes are at risk for broken bones, as are young women who don’t get enough calcium, according to Dr. Arya. A combination of the two makes young women even more prone to fractures.
Now: After menopause, women go through a phase of rapid bone loss. The rate of bone loss slows but continues as they age, making women more likely than men to develop osteoporosis, which can lead to bone fractures.
What to do: Most bone mass is created by age 20. From childhood on, you need to get plenty of calcium—about 1,200 milligrams a day. Bone density testing identifies bone loss, and medications can slow bone loss or help maintain bone density. Regular aerobic and weight-training exercise is important, too.
3. Frequent Urination
Then: Drinking too much of any beverage can keep you running to the bathroom regardless of your age.
Now: As you get older, your pelvic wall may weaken, causing bladder irritation and uterine prolapse. “Your pelvic wall is like a hammock, and if it droops, then your bladder and uterus will droop along with it,” says Dr. Arya. “This can lead to urinary tract infections and increased urinary frequency.”
What to do: Do Kegel exercises to strengthen your pelvic floor. Squeeze and relax your pelvic muscles, then your rectal muscles, whenever you think of it. If that doesn’t help, talk to your doctor about medications or outpatient procedures to relieve urinary incontinence.
4. Sleep Troubles
Then: Sleep issues could be as simple as caffeine-induced insomnia during exams or extreme fatigue brought on by mononucleosis.
Now: Many women have sleep disruptions before and during menopause due to fluctuating hormones. Hot flashes don’t make it easy to get a good night’s sleep, either.
What to do: Proper sleep hygiene may help you sleep better if hormones are keeping you awake. Make sure your bedroom is dark and quiet, and avoid caffeine and alcohol close to bedtime. Try keeping a cloth with a bowl of ice next to your bed to cool down quickly when hot flashes hit. A low-dose hormone replacement therapy or other non-hormonal methods may also ease your symptoms.
Periodic Problems: Something else to consider as you age
Some changes in your menstrual period are normal, especially as you age. Others, however, could be the sign of a potential problem.
Heavy bleeding. If you’re changing your pad or tampon every hour or two, that’s excessive, says Dr. Arya. Especially if it goes on more than a few days, talk to your doctor. Prolonged heavy bleeding could be a sign of uterine fibroids and might lead to anemia.
Bleeding after menopause. Arya doesn’t consider menopause official until 12 months have passed without a period. If you begin bleeding again after that, see your doctor to rule out uterine cancer or other issues.
Skipping periods. Other than a possible pregnancy, missing one period isn’t usually a big deal, Arya says. If you skip two periods, that warrants a checkup. But if you miss a period and have abdominal pain, don’t wait. It could be a tubal pregnancy, which is very serious
Spotting between periods. Stress or taking birth control pills improperly may cause occasional spotting. If spotting continues for more than a month or so, have it checked out.
Dr. Sushila Arya is an OB/GYN at Bingham Memorial Women’s Center. She knows how important it is for you to feel comfortable with your healthcare provider, which is why she is now offering a Free Get Acquainted Visit. To schedule an appointment to meet Dr. Arya, call her office at 782-3900.
Angelo Capricchione, M.D., is excited to join the caring team of physicians at Bingham Memorial Hospital.
Dr. Capricchione is an Internist, who is board certified in Endocrinology. Endocrinology involves (but is not limited to) the study of diabetes, thyroid, osteoporosis, and the management of high blood pressure.
He began his career in the medical field as a pharmacist, and after four years of retail pharmacy, decided to further his education and become a doctor. Dr. Capricchione completed a three year residency at State University of New York – Downstate, in Internal Medicine, followed by a two year Endocrine, Diabetes, and Hypertension fellowship.
Dr. Capricchione chose to study internal medicine because of the opportunities he would have in helping people with some of the most common disorders people face, like hypertension, osteoporosis, and diabetes. Dr. Capricchione’s study of the endocrine system has given him further insight into these common ailments.
“I’m a good listener,” says Dr. Capricchione. “I receive a lot of information by listening to each patient.” By taking the time to listen, Dr. Capricchione is able to individualize the care of each patient. “I encourage my patients to speak openly and honestly about their questions and concerns.”
Dr. Capricchione grew up in New York and is proud of his Italian roots. He speaks Italian fluently and understands a substantial amount of Spanish. In his free time he enjoys biking, skiing, kayaking, and spending time outdoors.
If you’re looking for a caring doctor to help you manage your adult medical needs, schedule your next appointment with Dr. Angelo Capricchione of Bingham Memorial Hospital by calling 785-3865
2 c old-fashioned rolled oats
¼ c ground flaxseed
¾ tsp ground cinnamon
¼ tsp ground cloves
¼ tsp salt
½ c almond butter
¼ c honey
1 tsp vanilla extract
½ c finely chopped and pitted Medjool dates
½ c dried cherries or goji berries
1. PREHEAT the oven to 350°F. Coat an 8″ x 8″ pan with canola oil cooking spray.
2. COMBINE the oats, flaxseed meal, cinnamon, cloves, and salt in a large bowl.
3. COMBINE the almond butter, honey, and vanilla in a small bowl. Add to the dry ingredients and stir to combine. Stir in the dates and cherries until well combined.
4. PRESS the mixture firmly into the prepared pan.
5. BAKE for 25 minutes, or until the edges are browned. Let it cool completely before cutting into eight bars.
6. STORE in an airtight container.
SkinSmart Question of the week:
True or False: Warts will go away on their own in months, if left alone?
The answer is: TRUE!
Dr. Wray says that, “Even though the immune system will eventually get rid of warts, I recommend treating them to prevent their spread.”
Date: Saturday, May 10th
Time: 9:00AM – 11:00AM
Location: Bingham Memorial Hospital Medical Plaza – 98 Poplar Street, Blackfoot
Shriners Hospitals for Children is offering their Biannual Free Screening Clinic at Bingham Memorial Hospital.
The Clinic Treats:
- Problems with Bones, Joints, or Muscles
- Cerebral Palsey
- Spina Bifida
- Scoliosis (Curvature of the spine)
- Hip Disorders
- Hand or Foot Disorders
- Back Problems
- Club Foot
- Skeletal Growth Abnormalities
- Cleft Lip/Palate
- Burn Scars
- Bowed Legs
If you know a child (18 years of age or under), with any of these conditions – Shriners Hospital for Children would like to help.
No appointment is necessary. For questions regarding the clinic, call 785-3800.
Myth #1 Fruit is too sugary for diabetics.
Even though fruit contains carbohydrates and can affect your blood sugar, it can be a very healthy part of your diet, even if you are diabetic. Fruit has a milder effect on blood sugar and offers valuable nutrients and fiber,” says Dr. Jared Kam, a board certified Family Medicine provider at Bingham Memorial Hospital. “Two or three servings of whole fruit each day should be a regular part of a diabetic’s diet.” Choose whole fruit over processed fruits like applesauce, fruit cocktail, or fruit juice.
Myth #2 Diabetics count carbohydrates, not protein or fat.
Limiting carbohydrate intake will help keep your blood sugar levels in check, but it’s also important to be sure that your total calorie intake is appropriate. “Eating too much protein or fat can lead to weight gain, which alter medication dosages and diet,” says Dr. Kam. “Regular visits with your doctor will help you stay properly balanced.” Diabetics also have an increased risk of heart disease, so watching your saturated fat intake is important.
Myth #3 All diabetics have the same diet.
Until 1994, the American Diabetes Association suggested that all diabetic meals should be comprised of at least 60% carbohydrates for regulation of their disease. Studies have shown that low-carbohydrate diets can be very effective in helping diabetics lose (or maintain) weight and improve insulin sensitivity. The American Diabetes Association now acknowledges that lower carbohydrate diets may be helpful in some patients and recommends that diets be individualized.
Myth #4 All Type 2 diabetics need to take insulin or other anti-diabetic drugs for life.
False! Even if you are currently using insulin or anti-diabetic medications to manage your Type 2 diabetes, you may be able to reduce or even eliminate your need for drugs by losing weight, exercising, and sticking to your diet plan. (No-one should discontinue any medications without consulting their physician).
Myth #5 If I’m using insulin or anti-diabetic medications, I can eat what I want.
“Taking medications does not excuse eating right, exercising, and maintaining a healthy weight,” cautions Dr. Kam. “Manage your diabetes with healthy lifestyle habits–even if you are taking diabetes medication. The medications will work better, you’ll need to take less of them, and you’ll be healthier in the long run.”
Myth #6 If it runs in the family, you will eventually be diagnosed with Type 2 diabetes.
Not at all. If your doctor has told you that your blood sugar levels are “borderline” or that you have “pre-diabetes,” you have received your warning! “Becoming serious about losing weight, eating a healthy diet, and exercising can very likely help you avoid developing diabetes,” explains Dr. Kam. “Having a family history of Type 2 diabetes also doesn’t mean that you will also get the disease. Remember that you’re in control!”
If you have questions about type 2 diabetes or your health, schedule an appointment with Dr. Jared Kam today by calling 478-7900.
Indulge with this sweet sip that does more than tickle your tastebuds. Just half a cup of strawberries provides more than half of the daily value of vitamin C, a potent antioxidant that boosts production collagen fibers to help keep skin smooth and firm.
1 c low-fat vanilla yogurt
½ c sliced strawberries
¼ c vanilla soy milk or 1% milk
2 vanilla wafers, crumbled
Combine the banana, yogurt, strawberries, and milk in a food processor or blender and puree until thick and smooth. Add a half cup of ice if you are looking for a way to cool down. Spoon into a glass and sprinkle the wafer crumbs over the top and enjoy!
You’ve run yourself down and desperately need a night of quality Zzzs. But when you hit the pillow, your mind is racing, you’re tossing and turning, and you wake up feeling sluggish all over again.
We may not like to admit it, but having trouble sleeping may be a result of what we do – or don’t do – during the day and before bed.
1. Eating too much protein before bed
Avoid eating calorie-dense food, especially protein, right before bed. Protein takes longer to digest, making your body work hard while you’re trying to sleep. “I recommend that people have dinner for breakfast,” says Dr. Ash. A larger meal in the morning will you give you the energy you need for the day and allow your body to focus on sleeping at night.
2. Taking a hot shower before bed
Your body’s core temperature should drop around bedtime to signal it’s time to sleep. If you take a hot shower right before bed, you’re silencing that signal. Don’t want to give up that steamy shower? Take it at least 1.5 to 2 hours before sleeping.
3. Bad posture during the day
Improved posture sets the stage for good sleep. Stand up straight during the day, and sleep on your back to minimize muscle aches and pains. Use a foam roller five minutes before bed. Place it between your shoulder blades and lie on it to stretch your back muscles. This will increase flexibility and reinforce a better posture.
4. Thinking exercise interferes with sleep
The National Sleep Foundation 2013 poll showed exercise any time of day will improve the quality of your sleep.
5. Tossing and turning thinking at least I am getting sleep
This only increases anxiety, making it even harder to fall asleep. Get out of bed and only return when you’re tired. This stops the brain from associating the bedroom with worry.
Source: Sarah, Bourassa. “5 sleep mistakes you may have made last night.” Today Health. N.p., 01 Apr 2014. Web. 1 Apr. 2014. <http://www.today.com/health/5-sleep-mistakes-you-may-have-made-last-night-2D79468133>.
“Adult acne is caused by a combination of oil and dead skin,“ explains Julia McGee, PA-C, a member of the dermatology department at Bingham Memorial Hospital. “When pores become clogged from oil and dead skin, they can attract bacteria and become inflamed.”
For some adults, breakouts are a result of hypersensitivity or overproduction of male hormones. Yet an imbalance in both male and female hormones, like estrogen, can also cause breakouts. For women, this can happen during pregnancy and even menopause. Some medications and cosmetics can also contribute to the development of acne.
How Is Adult Acne Treated?
“The majority of acne medications are geared towards treating the oily skin of a teenager, which would be a bad choice for drier adult skin,” says McGee. Effective treatment often requires a trial-and-error approach that takes patience and time.
McGee recommends the following products:
Cleansers: Cetaphil and CeraVe are the most gentle. Avoid strong gels and products containing beads or granules, which can irritate and inflame sensitive skin.
Creams and lotions: Use an over-the-counter retinol product to clean pores and help reduce fine wrinkles. Find a lotion with a salicylic and glycolic acid to prevent skin discoloration and fade acne scars. To treat overnight breakouts, use a product with benzoyl peroxide, which helps kill bacteria.
Prescription medications: Oral and topical medications, when used with benzoyl peroxide creams, provide great results in clearing acne. Combinations of medicine with multiple active ingredients are catered to the specific skin and acne types of each patient. If you are ready to try a prescription, schedule an appointment with you physician.
A Skin-Care Regimen for the Acne Prone
“There is an art to washing the face,” instructs McGee. “Wash your face twice daily with a gentle cleanser.” Julia recommends using only warm water because of the drying effects of hot water on the skin. “Wash for just 1-2 minutes, and use your hands instead of a rough washcloth.”
If you suffer from adult acne or have questions about the condition of your skin, schedule an appointment with Julia McGee at the Bingham Dermatology center in Blackfoot or Pocatello. Call 782-2930 for Blackfoot, or 233-4455 for Pocatello.