Skin Complications When You Have Diabetes

Posted on May 27, 2014 by Natifia Mullings

Believe it or not, skin complications are sometimes the first sign that you may have diabetes. According to the American Diabetes Association (ADA), people with diabetes develop skin diseases much more easily than those without the condition, making them more susceptible to general skin conditions such as bacterial infections, fungal infections, and localized itching. More specifically, styes, boils, jock itch, athlete’s foot, and ringworm.

“When you have too much sugar in the blood for a long time it can cause several complications, including those of the skin,” said Dr. Richard Pinsker, Endocrinologist at Jamaica Hospital. “Your body loses fluid which causes your skin to become dry. Additionally, nerve damage decreases the amount you sweat, which usually helps keep the skin moist. Dry skin can then crack and peel, allowing germs to enter the body to cause an infection.”

Dr. Pinsker added, “a reduced blood supply to the skin and a resistance to insulin can also lead to skin complications.”

There are several skin conditions that mostly affect or only affect people with diabetes, such as diabetic dermopathy and diabetic blisters. Some of these conditions are painful, while others are found to be embarrassing.

Fortunately, most of these conditions can be prevented or easily treated, if caught early. To reduce the risk of developing skin-related complications of diabetes, it is recommended that individuals keep their glucose levels in a safe range by eating healthy, exercising and taking their medication. It is also important that proper skin care is practiced. Individuals with diabetes should consider the following tips for good skin care:

Keep skin clean and moisturized.
Avoid very hot baths and showers, and use moisturizing soap and mild shampoos.
Treat cuts right away. Wash minor cuts with soap and water.
During cold, dry months, keep your home more humid. Bathe less during this weather, if possible.

If not cared for properly, these conditions, in a person with diabetes, can turn into a serious problem with potentially severe consequences. If you have diabetes and have noticed changes to your skin, please call 718-206-6742 to schedule an appointment with an endocrinologist or dermatologist.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Importance of Prenatal Vitamins

Posted on May 22, 2014 by Andrew Rubin

Proper nutrition during pregnancy is so important to both mom and her developing baby.

Eating well balanced meals should be every expectant mother’s goal, unfortunately it isn’t always possible. In order to make sure that mother and child are getting all the vitamins and minerals necessary, doctors will often prescribe a prenatal vitamin.

One of the key ingredients in a prenatal vitamin is folic acid. This is important because it will help to prevent neural tube defects which lead to abnormalities of the brain and spinal cord. It is also important to have the proper amount of vitamin D and calcium as they are important for bone development and growth.. If an expectant mom doesn’t have a diet with sufficient quantities of dairy products fortified with vitamin D or other calcium rich food, then she could consider a supplement containing them.

Prenatal vitamins should contain iron (30 mg), vitamin C (50 mg), zinc (15 mg), copper (2mg), and vitamin B-6 (2mg)

The best way to take prenatal vitamins is start them before you conceive so there is a proper level of these vitamins and minerals in the body from the very beginning of pregnancy. Continue to take them during the full term of the pregnancy and continue them if you are going to breast feed.

Prenatal vitamins are not meant to substitute for well balanced meals but they certainly serve a very important role in keeping mom and her baby healthy. Before you start taking prenatal vitamins you should consult with your physician.

IS STRESS A “TRIGGER” FOR AN ASTHMA ATTACK?

Posted on May 20, 2014 by Joann Ariola

Stress is a common trigger for asthma. An asthma trigger is anything that brings on asthma symptoms. When you have stress and asthma, you might feel shortness of breath, anxious, and even panicked. Stress may be a reason for your asthma symptoms to worsen and cause you to feel frightened.

When stress levels start to creep upward, asthma symptoms can progress into overdrive. As the wheezing and coughing gets worse, your health becomes one more reason to worry. Asthma, stress, and anxiety make for a vicious cycle, and one that can spiral downward quickly.

Learning how to manage your stress is important to managing your asthma. Since stress is a part of daily life, with or without asthma, it is important to find effective ways to manage your stress. Relaxation and breathing exercises are ways to relax before you feel stressed and can help with shortness of breath and can help avoid an asthma attack.

If the symptoms of asthma persist, you may want to schedule an appointment with your Doctor for further testing. If you do not have a private physician, the Ambulatory Care Center at Jamaica Hospital Medical has convenient hours of operation and an appointment can be scheduled by calling 718-206-7050.

Is Your Thyroid Causing Your High Blood Pressure?

Posted on May 16, 2014 by Michael Hinck

For most, high blood pressure, or hypertension is can be attributed to family history or lifestyle. For some, however, high blood pressure is the result of either an overactive or underactive thyroid.

An overactive thyroid, known as hyperthyroidism, is a condition where the thyroid gland produces too much of the thyroid hormone. When too much of this hormone is produced, the heart is forced to work harder than usual, which increases heart rate and raises blood pressure. Hyperthyroidism is the more common thyroid disorder that can cause hypertension.

Conversely, hypothyroidism occurs when the thyroid gland is underactive and does not produce enough hormones. Hypothyroidism can weaken the heart muscle and heart rate, reducing the heart’s pumping capacity and increase the stiffening of blood-vessel walls. The combination of these changes can lead to hypertension.

If a thyroid disorder is the reason for high blood pressure, adjustments in diet and lifestyle won’t resolve the problem and medications may not be effective. If a patient’s blood pressure does not respond to conventional treatment, a doctor can perform tests to see if the thyroid is the cause.

In cases where hypertension due to a thyroid disorder is diagnosed, medications or supplemental hormones can be prescribed to control the thyroid gland and better control blood pressure.

If you suspect you have a thyroid condition that is affecting your blood pressure, you should speak with a doctor. Jamaica Hospital’s Department of Family Medicine can help. To make an appointment, please call 718-657-7093.

Investing in a Healthier You

Posted on May 14, 2014 by Michael Hinck

Small Steps, Big Changes
Many people feel they do not have the time or energy to live a healthy lifestyle, however, establishing a healthy diet and exercise routine can make a huge difference to your overall health.

What are you eating?
With larger portions being served, it’s no wonder America is experiencing an obesity epidemic. Many restaurants have implemented the ‘bigger is better’ idea, but portion control is a factor in maintaining your weight and creating a healthier lifestyle. When dining out, try choosing appetizers instead of a full meal. Instead of choosing a meal upgrade option, stick to a kids meal which can be more moderate in calories and fat content.

Another factor is the type of foods served in your meals. A good starting point toward healthy eating is to make sure your diet is rich in whole grains, vegetables, fruits and various lean proteins and to eliminate processed sugars. Your body breaks down food and produces the energy it needs. Having too much sugar in your diet doesn’t always provide you with more energy but can cause a list of several health issues including dental cavities, diabetes, energy slumps, hyperactive behavior in some, and weight gain.

Kelly McGuire, Registered Dietician of Jamaica Hospital’s Food and Nutrition Department states, “The occasional slice of cake offered at a party is okay but sweets should be consumed in moderation.”

She adds: “Eating healthy foods doesn’t have to be boring. Find the foods you enjoy and create recipes in advance to help with your goal of healthy living.”

Become Active, Stay Active
Even minor changes in your activity can help. Many people believe they need to have a gym membership and get at least an hour of intense exercise to be healthy, but if your body isn’t used to, an extensive workout can do more harm than good. Begin by adding a simple walk, or extend your current walking routine. A good way to do this is by parking your car a bit further away than usual from your intended destination to get an extra 10-20 minutes of exercise per day. Another way of increasing you exercise routine is to choose the stairs over an elevator. Exercising every day is not necessary. Initially aim for three times a week for at least 20-30 minutes a day and notice your stamina increasing as weeks go by.

Invest in You
Small changes make the biggest impact. Begin your healthy diet exercise routine today and begin to feel the difference in your energy, appearance and overall health with time. Your annual health check-up can be the jumpstart to a new you. Invest in you and meet with your primary care physician prior to beginning any changes in diet and exercise.

Understanding Your BMI

Posted on May 13, 2014 by Natifia Mullings

When discussing weight, the term BMI is often used. Although we hear these letters quite frequently, do we really know what they mean?

BMI Defined
Body mass index (BMI) is a measure of body fat based on height and weight. It applies to both adult men and women and is broken up into the following four categories:

Underweight: < 18.5
Normal weight: 18.5 – 24.9
Overweight: 25 – 29.9
Obese: 30 or greater

Why is BMI Important?

BMI is an estimate of body fat and can be used to determine one’s risk for weight-associated diseases. Adults with a BMI of 25 or greater are typically at risk for developing conditions such as heart disease, high blood pressure, type 2 diabetes, gallstones, breathing problems, and certain cancers.

It is recommended that adults who are obese or overweight lose weight, especially if they have a family history of heart disease, smoke cigarettes, are sedentary, or have high blood pressure. Simply losing between five and 10 percent of your current weight can help lower your risk of developing diseases associated with obesity.

If you are concerned about your weight and would like to know your BMI click or download a BMI calculator app for your phone. If you would like to consult with a physician to discuss your BMI and other risk factors for weight-related diseases, call Jamaica Hospital’s Ambulatory Care Center at to schedule an appointment.

TRUTH OR MYTH – ARE ELECTRIC HAND DRYERS MORE SANITARY THAN PAPER TOWELS?

Posted on May 7, 2014 by Joann Ariola

MYTH!!!
After washing your hands in a public restroom, you are likely to find 2 options for drying: a paper towel dispenser or an automatic air or jet hand dryer.
Jet dryers are also advertised as a more sanitary alternative to paper towels. In truth is, jet hand dryers can spew germs 6 feet for more!! An old-fashioned paper towel (used sparingly!) may be the better health option despite environmental concerns.

INEXPENSIVE WAYS TO EXERCISE AT HOME

Posted on May 7, 2014 by Joann Ariola

When you’re starting a home workout program it can be hard to figure out what exercises you should perform, particularly if you don’t have the budget for pricey equipment or personal training.
Most experts will tell you that a home training program for fitness should target all your major muscle groups are targeted at least once each week. It is recommended that your program includes 30 to 60 minutes of moderate to vigorous aerobic exercise no more than three to five times a week.”
Most importantly, stretching should be a part of the workout regime. Stretching helps with both strength and flexibility.
Some proven home exercises that won’t break your piggy bank are:
• Squats. Standing upright, feet wider than shoulders apart. With your arms extended forward or your hands on your hips for balance, squat down. Push your knees outward as you descend until your thighs are parallel with the floor. Continue pushing your knees outward as you stand.
• Partial-body push-ups (with knees on the floor).
• Modified jumping jacks. Instead of moving your arms over your head, do these while you press the palms of your hands together at chest level, holding your elbows out to make a straight line.
• Chair crunches. Sit on a chair with your hands under your behind, arms straight, and fingers facing inward toward one another. Contract your pelvis and lower abs, and, keeping your knees bent at a 90-degree angle, lift your feet off the floor and tuck your knees in toward your chest while bending your upper body slightly toward your knees. Do as many as you can until you reach fatigue.
• Chair dips. Place your hands on the side of the chair and wrap your fingers around the edge. Scoot forward until your bottom is on the edge of the chair and your arms are fully extended. Keep your feet about 3 inches apart with your legs extended, so your knees are at approximately a 150 degree angle with your heels grounded. With your elbows pointed back and tucked in tight alongside your body, do 15 to 20 dips, 3 seconds down and 1 second up. Keep your chest up and your shoulders back.
It is important to speak with your Physician before beginning any exercise program, even if it is an at home program.

Can Prenatal Massage Help During Pregnancy?

Posted on May 1, 2014 by Michael Hinck

Having a baby is a beautiful time in a woman’s life, but the pregnancy itself isn’t always a pleasant experience. Can a prenatal massage help?

The goals of a prenatal massage are the same as a regular massage – to relax tense muscles, improve circulation, offer relaxation, and to re-energize the body and mind.

Many women experience joint pain, neck and back pain, leg cramping, and sciatica during pregnancy. Massage therapy addresses the inflamed nerves by helping release tension in nearby muscles.

A prenatal massage also improves blood circulation and reduces the risk of edema, or swelling of the joints during pregnancy by stimulating soft tissue. This reduces fluid build-up around joints. Improved blood flow also helps the body’s lymphatic system work more efficiently by aiding in the removal of toxins and tissue waste.

By ridding the body of certain stress hormones, a prenatal massage can reduce anxiety and improve an expecting mother’s overall mood. Other benefits include the alleviation of headaches, reduced instances of insomnia, decreased levels of depression, and even improved labor outcomes.

When choosing a massage therapist, be sure to pick one who is certified in prenatal massage. Certified Prenatal Massage Therapists are trained to provide relief to known sore spots and also know to avoid applying pressure to very sensitive pressure points. They know the appropriate techniques to use and positions to recommend and may even have a specially designed massage table for pregnant women.

A prenatal massage may not be for everyone. Women with certain conditions, such as preeclampsia, pregnancy induced hypertension or with a history of pre-term labor should not receive a prenatal massage. All women should consult with their prenatal care provider before scheduling a massage.

If you have questions about prenatal massage or would like to schedule an appointment with an OB/GYN at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

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Asthma and Exercise

Posted on April 30, 2014 by Joann Ariola

Maintaining an active lifestyle is important for both physical and mental health. With proper diagnosis and effective treatment, you should be able to enjoy the benefits of an exercise program without experiencing asthma symptoms.
When searching for an exercise program, you should research activities that involve short, intermittent periods of exertion, such as volleyball, gymnastics, baseball, and wrestling, are generally well tolerated by people with asthma.
Swimming, which is a strong endurance sport, is also well tolerated by many people with asthma because it is usually performed while breathing warm, moist air. It is also an excellent activity for maintaining physical fitness.
Before starting an exercise program, it is important that you talk to your doctor. Your medical professional can assist you in creating an asthma action plan, which will tell you what type of exercise is best suited for you and what to do if you have symptoms during exercise.