Diabetes Archives - Page 2 of 3

Can Diabetics be Vegans/Vegeterians

Posted on March 16, 2017 by Zakiya Hazel-Jemmott

Tuesday, March 24 is Diabetes Alert Day, a one-day wake-up call to inform the American public about the seriousness of diabetes, particularly when diabetes is left undiagnosed or untreated. Often times, diabetics wonder if they can be a vegetarian or vegan? The answer is yes, it is possible.

There are many different types of vegetarian diets. The most common types are:

Vegan- This group does not eat meat, eggs, or dairy products.
Lacto-vegetarian- This group does not eat meat or eggs. However, they will eat dairy products.
Lacto-ovo vegetarian- This group does not eat any meat. However, they will eat both dairy products and eggs.

If diabetics decide to become vegetarian or vegan, their diets should be rich in protein, iron, vitamin B12, calcium and vitamin D. Eating a good mix of vegetables, fruits, beans, whole grains, nuts, and low-fat dairy products guarantee the body receives the vitamins and proper fuel required to normally function. As a vegetarian or vegan, this kind of diet should not solely concentrate on simple carbohydrates rich in starches, such as potatoes, white rice and white bread or even fruits, which can have the opposite effect on blood sugar levels for diabetics. A focus on a well-rounded diet can help to improve blood sugar levels and make the body more responsive to insulin. It can also help with weight management which can be a concern to many diabetics.

The key to a healthy vegetarian/vegan diet as a diabetic is balance and planning. Every person who has diabetes has his, or her, own individual energy and nutrient needs. Anyone interested in changing their dietary lifestyle should consult with their health care professional.

Jamaica Hospital Medical Center now offers a free, innovative approach to treat patients at risk of developing diabetes. The hospital’s Diabetes Prevention Program (DPP) was created by the Centers for Disease Control (CDC) and is aimed at managing the health of individuals with prediabetes, or borderline diabetes. The DPP is open to all who meet the basic medical criteria. For more information about eligibility or to sign up for the Diabetes Prevention Program, please call 718-206-7088.

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.

National Birth Defect Prevention Month

Posted on January 6, 2017 by Zakiya Hazel-Jemmott

January is Birth Defects Prevention Month. Among the most common birth defects is cleft lip. Cleft lip is a birth defect that occurs when a baby’s lip or mouth does not form properly in the womb. Collectively, these birth defects commonly are called “orofacial clefts”.

The lip forms between the fourth and seventh weeks of pregnancy. A cleft lip develops if the lip tissue does not join completely before birth, resulting in an opening of the upper lip. The opening in the lip varies in size from a small slit or a large opening that goes through the lip into the nose.

The causes of orofacial clefts among most infants are unknown. However, they are thought to be caused by a combination of genetics or other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy. Recently the Center for Disease Control reported findings from research studies about risk factors that increase the chance of infant orofacial cleft:

Smoking―Women who smoke during pregnancy are more likely to have a baby with an orofacial cleft than women who do not smoke
Diabetes―Women with diabetes diagnosed before pregnancy have an increased risk of having a child with a cleft lip with or without cleft palate, compared to women who did not have diabetes
Use of certain medicines―Women who used certain medicines to treat epilepsy during the first trimester (the first 3 months) of pregnancy are at greater risk

Orofacial clefts, especially cleft lip with or without cleft palate, can be diagnosed during pregnancy during a routine ultrasound. Services and treatment for children with orofacial clefts can vary depending on:

The severity of the cleft
The child’s age and needs
The presence of associated syndromes
Other birth defects

Surgery to repair a cleft lip usually occurs in the first few months of life and is recommended within the first 12 months of life. Children born with orofacial clefts might need other types of treatments and services, such as special dental or orthodontic care or speech therapy.

If you are an expecting mother in need of a doctor, Jamaica Hospital Medical Center’s Obstetrical Division practices family-centered care. The obstetrical unit is furnished with state-of-the-art equipment, including high tech monitors and sonographic equipment. For more information or to schedule an appointment, please call 718-206-6808.

For more hospital events, highlights, health and fitness tips, visit us on Facebook.com/JamaicaHospital and follow us on Twitter @JamaicaHospital

Diabetes and Depression

Posted on December 15, 2016 by Andrew Rubin

Diabetes does not directly cause depression but can contribute to it indirectly for a variety of reasons. Managing diabetes can be very stressful and it does require a modification of eating habits and, to some degree, a modification of lifestyle. Many people have difficulty keeping their blood sugar under control and this can also lead to frustration and potentially be a cause of depression.
Signs of depression include:
• Change in appetite
• Change in sleep pattern
• Loss of interest in doing things that were once enjoyable
• Trouble concentrating
• Lack of energy
• Feeling suicidal
If diabetes is not well controlled then variations in blood sugar level, high or low, can lead to symptoms that are similar to depression.
Similarly, depression can lead to the onset of diabetes. When people are depressed their eating habits tend to be affected and many people will over eat to the point of becoming obese. Some people who are depressed have no desire to be physically active, and many will also smoke. All of these are risk factors for diabetes.
There are ways to manage both diabetes and depression simultaneously. The most important factor is to speak with a physician who has experience and can help you to gain control of these illnesses. A patient who has been diagnosed with diabetes might also benefit from a program that focuses on behavior modification that will lead to a healthier lifestyle. There are medications that can be prescribed which will be helpful in managing these illnesses. Seeking the help of a psychotherapist will also be helpful in gaining confidence in the ability to manage both diseases.
If you would like to schedule an appointment with a physician at Jamaica Hospital to discuss diabetes management please call 718-206-6742.

November is Diabetes Awareness Month

Posted on November 10, 2016 by Andrew Rubin

The month of November has been designated American Diabetes Awareness Month by the American Diabetes Association (ADA). Diabetes affects nearly 30 million people in the United States which is ten percent of the total population. There are 86 million more people who have pre-diabetes and are at risk of developing type II diabetes during their lifetime.

There is no cure for diabetes but there are many ways for people who have been diagnosed with the disease to live long, healthy lives if it is controlled properly. Learning to live with diabetes is one of the most important components for managing the disease. Proper nutrition, regular physical activity, monitoring blood sugar daily and taking medication to control diabetes are some of the ways that complications can be prevented. Uncontrolled diabetes can lead to many complications. It is the leading cause of blindness, non traumatic amputations, kidney disease and also increases the risk for heart attacks.

During the month of November the ADA sponsors events around the country that serve to make people aware of the risk factors and the warning signs of diabetes. For more information on events taking place, please see the American Diabetes Association’s website at www.diabetes.org. It is important to have regular medical exams to manage diabetes successfully. To schedule an appointment with a physician at Jamaica Hospital please call 718-206-6742.

Diabetes and Loss of Vision

Posted on September 7, 2016 by Joann Ariola

Diabetic eye disease is comprised of a number of eye conditions one of which is diabetic retinopathy.

All forms of diabetic eye disease have the potential to cause vision loss or blindness, but diabetic retinopathy is the most common cause of vision loss among diabetics and often goes undetected until vision loss occurs.

If you are a diabetic who has chronically high or uncontrolled blood sugar, you are at risk of damaging the tiny blood vessels in the retina which can lead to diabetic retinopathy. The disease causes blood vessels in the retina to leak fluid or bleed causing a distortion in vision.

The retina detects light and converts it to signals sent through the optic nerve to the brain. Diabetic retinopathy can cause blood vessels in the retina to leak fluid or bleed, causing a distortion in vision.

Diabetic retinopathy may progress through four stages:

Mild non-proliferative retinopathy. Small areas of balloon-like swelling in the retina’s tiny blood vessels, called micro-aneurysms, occur at this earliest stage of the disease. These micro-aneurysms may leak fluid into the retina.
Moderate non-proliferative retinopathy. As the disease progresses, blood vessels that nourish the retina may swell and distort. They may also lose their ability to transport blood.
Severe non-proliferative retinopathy. Many more blood vessels are blocked, depriving blood supply to areas of the retina. These areas secrete growth factors that signal the retina to grow new blood vessels.
Proliferative diabetic retinopathy (PDR). At this advanced stage, growth factors secreted by the retina trigger the proliferation of new blood vessels, which grow along the inside surface of the retina and into the vitreous gel, the fluid that fills the eye. The new blood vessels are fragile, which makes them more likely to leak and bleed. Accompanying scar tissue can contract and cause retinal detachment—the pulling away of the retina from underlying tissue, like wallpaper peeling away from a wall. Retinal detachment can lead to permanent vision loss.

Some ways to delay diabetic retinopathy and vision loss are:

Controlling your diabetes – take medications as prescribed, maintaining a recommended level of physical activity and a healthy diet.
Eye Exam – because diabetic retinopathy often goes unnoticed people with diabetes should get a comprehensive dilated eye exam at least once a year.

Vision lost to diabetic retinopathy is sometimes irreversible. However, early detection and treatment can reduce the risk of blindness by 95 percent. To make an appointment at the Jamaica Hospital Medical Center’s Department of Ophthalmology call, 718-206-5900.

Jamaica Hospital Offers Coordinated Care for Diabetics at St. Albans Center

Posted on June 24, 2016 by Michael Hinck

According to the most recent data from the American Diabetes Association, nearly 30 million Americans are living with diabetes, many of whom are undiagnosed. Diabetes is a serious condition that if not managed properly can lead to a variety of health problems and it is the seventh leading cause of death in the United States.

For many diabetics, living with the disease means juggling medical appointments with various specialists to help them manage their condition. To help those living with diabetes in our community properly maintain their health, Jamaica Hospital has coordinated many services under one roof. The hospital’s MediSys Family Care Center in St Albans recently added ophthalmology, podiatry, and nutritional counseling to its list of services and a schedule was created so that each service would be available on the same day, allowing patients to easily go from one appointment to the next without leaving the building.

DIABETES AND OPTHALMOLOGY
Diabetes can lead to a variety of vision problems. One of the most common diabetic-related eye disorders is glaucoma. People with diabetes are 40% more likely to suffer from glaucoma than people without diabetes. In addition, diabetics are 60% more likely to develop cataracts. If left untreated, these issues can become serious and can even lead to blindness.

DIABETES AND PODIATRY
Uncontrolled diabetes can damage the nerves in your extremities, especially in your feet. This lack of feeling is called sensory diabetic neuropathy. Diabetes also affects the flow of blood. Without good blood flow, it takes longer for a sore or cut to heal. If you have an infection that will not heal because of poor blood flow, you are at risk for developing ulcers or gangrene. For people with diabetes common foot problems can possibly lead to infection and serious complications, including amputation.

DIABETES AND NUTRITION
Healthy eating habits can help keep blood glucose, also called blood sugar, within target range. A nutritionist can help diabetics by teaching them what to eat, how much to eat, and when to eat. For those with diabetes, a proper diet can improve their overall health and reduce the risk of heart disease, stroke and other conditions caused by diabetes.

“We are happy to provide all of these services to our diabetic patients under one roof, especially on the same day” stated Dr. Nicholas Pantaleo Medical Director of the site. “By creating this comprehensive range of services, we are helping those living with diabetes better maintain their health. Our goal is to improve the health of our community and we hope that this coordination of services helps us achieve that goal.”

For more information about the full range of diabetes services at Jamaica Hospital’s MediSys St Albans Family Care Center, including hours of operation, please call 718-206-9888.

Is This Job Killing Me?

Posted on June 6, 2016 by Joann Ariola

Some workplace stress is normal, but excessive stress can interfere with productivity and impact your physical and emotional health. If you are feeling overwhelmed at work, you can lose confidence, and become irritable or withdrawn.

Health issues that can be caused by excessive stress are:

Heart disease
Asthma
Obesity
Diabetes
Headaches
Depression and anxiety
Gastrointestinal problems

How you manage your stress is one way of avoiding the negative health impacts of a stressful lifestyle. By realizing that not being able to control everything in your work environment does not mean you are powerless, you can find ways to manage your workplace stress without rethinking career ambitions.

Some quick, office stress relievers are:

Take a short walk
Drink water
Stretch
Make a plan or to-do list
Unplug from email and social media
Breathe
Act rather than react
Ask for help

One of the best ways of coping with stress is to identify what your stress triggers are. Once you have identified them, you can find ways to resolve them.

If using these steps to relieve your feelings of being stressed is not helping, you may want to consult a mental health professional at Jamaica Hospital Medical Center’s Department of Mental Health and Psychiatry. Call 718-206-7160 for an appointment.

Diabetes Friendly Recipes

Posted on May 23, 2016 by Zakiya Hazel-Jemmott

Living with diabetes is already difficult enough without having to worry about your diet restrictions. You can enjoy healthy meals, even if time is tight in your schedule. Here are some quick, diabetes conscious recipes to keep you going through the day.

Start your morning off with this delicious fruit and almond smoothie. You will need one cup of almond milk, one cup of frozen strawberries and peaches, and 2 ounces of flavored Greek yogurt of your choice. Combine all of the ingredients in a blender, blend until smooth and thick, pour and enjoy! See the full recipe here: http://www.diabetes.org/mfa-recipes/recipes/2012-04-fruit-and-almond-smoothie.html
This healthy chicken and vegetable casserole is cooked in one pan and makes an easy mid-day meal. You will need chicken breasts, broccoli, spinach, wild brown rice, and cheese of your choice. See the full recipe here: http://www.diabeticlivingonline.com/recipe/chicken/chicken-and-wild-rice-casserole
End your day with this orange soy salmon recipe. This heart-healthy meal can be prepared, popped in the microwave, and served in less than 15 minutes. Salmon fillets are cooked over spinach and served alongside a veggie mix, all drizzled with a tangy topping of orange juice, soy sauce, fresh ginger, hoisin sauce, and sesame oil. See the full recipe here: http://www.culinaryarts.com/Recipes/recipefiles/orange_soy_glazed_salmon.htm

Cooking a diabetes-friendly meal doesn’t have to be a time-consuming endeavor that traps you in the kitchen. Whether you have type 1 or type 2 diabetes, are prediabetic, or cook for someone who has diabetes, you can still enjoy a healthy and delicious dish!

Jamaica Hospital provides a support group service for diagnosed diabetics along with prevention programs for those at risk. For more information on managing your diabetes, please call 718-206-7088.

What is Pre-Diabetes?

Posted on January 29, 2016 by Joann Ariola

Are you one of the estimated 54 million people in this country who have pre-diabetes?

Pre-diabetes is a silent health condition that has no symptoms and is almost always present before you develop type 2 diabetes.

It is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as full-blown diabetes. If you haven’t visited your doctor, a good way to see if you are at increased risk for pre-diabetes is to take the American Diabetes Association’s (ADA) Diabetes risk test by visiting www.diabetes.org/risk.

Among those who should be screened for pre-diabetes include overweight adults age 45 and older or those under age 45 who are overweight and who have one or more of the following risk factors:

Habitually physically inactive
Have previously been identified as having impaired fasting glucose (IFG) or impaired glucose tolerance (IGT)
Have a family history of diabetes
Are members of certain ethnic groups (including Asian, African-American, Hispanic or Native American)
Have had gestational diabetes or have given birth to a child weighing more than 9 pounds
Have elevated blood pressure
Have elevated cholesterol
Have polycystic ovary syndrome
Have a history of vascular disease

That said, if you have pre-diabetes, your risk of developing type 2 diabetes can be reduced by a sustained modest weight loss and increased moderate-physical activity, such as walking 30 minutes a day.

Through weight loss and increased physical activity, a dietitian may direct you on how to make food choices that cut down on the amount of fat and carbohydrates by:

Eating more foods that are broiled and fewer foods that are fried
Decrease the amount of butter you use in cooking
Eat more fish and chicken
Eat more meatless meals
Re-Orient your meals to reflect more vegetables and fruit

If you have symptoms such as increased thirst, frequent urination, fatigue and blurred vision, you may have crossed from pre-diabetes to type 2 diabetes.

It’s best to consult a physician if you’re concerned about pre-diabetes or if you notice any type 2 diabetes signs or symptoms. Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. To make an appointment, call 718-206-7001.

Diabetes and Your Oral Health

Posted on October 30, 2015 by Michael Hinck

Living with diabetes can affect your entire body and your mouth no exception. The good news however is that by effectively managing your blood sugar and practicing good oral hygiene habits, you can avoid diabetes-related problems to your teeth and gums.
Diabetes can take a toll on your mouth in the following ways:

• Tooth decay (cavities) – When bacteria in the mouth interact with sugars and starches found in the food we eat, it creates plaque, which destroys the enamel on our teeth and creates cavities. There are more sugars and starches in the mouths of diabetics because they have higher blood glucose levels, and are therefore more susceptible to tooth erosion and damage.

• Gum disease (gingivitis) – Diabetes reduces our bodies ability to fight bacteria, such as plaque. When plaque hardens on the gum line, it creates tartar, which can irritate the gums and cause swelling and bleeding. Gum disease can advance to a condition known as periodontitis, which can result in your teeth falling out.

• Thrush -People with diabetes who take antibiotics to combat infections are more likely to develop this fungal infection of the mouth and tongue, causing a burning sensation. This fungus thrives on the high levels of blood sugar found in the saliva of diabetics.

You can do a lot to avoid these problems, including:

• Manage your diabetes by monitoring your blood sugar and keeping it within your target range

• Take good care of your mouth by brushing at least two times per day with a soft-bristled brush and floss once per day to help remove plaque.

• Schedule regular dental visits and make sure your dentist is aware that you have diabetes and provide him with your doctor’s contact information.

• Look out for early signs of gum disease such as redness, bleeding or swelling. Also alert your dentist of loose teeth or mouth pain.

• Quit smoking as it increases the risk of serious diabetic complications, including gum disease. Ask your doctor about ways to quit if you need help.

If you have diabetes and are experiencing problems with your teeth and gums, make an appointment with your dentist immediately. Jamaica Hospital operates a full-service dental facility on its main campus. For more information or to schedule an appointment, please call 718-206-6980.