“Your Diabetes To-Do List”

By On Juli 03, 2019

November is Diabetes Awareness Month, and it’s a good time to review your diabetes list of “Things to Do.”  Taking your medications, having diabetes education classes, and checking blood sugars are very important, but not the only things that people with diabetes need to remember.  Whether you have type 1 or type 2 diabetes, you have to do some regular “maintenance” to reduce your chance of having complications develop. 

Here are a few things that you should be doing as part of your regular diabetes care plan:

Have you had you had your eye exam?
Diabetes is a leading cause of vision loss.  You should have a dilated eye exam once a year

Do you check your feet daily or see a Podiatrist?
Daily foot care decreases the chance of infections, which can lead to amputations.  If you don’t know how to care for your feet, then seeing a Podiatrist for care is helpful.

Have you seen the dentist?
Regular dental visits reduce the chance of gum disease and tooth loss from high blood sugars.

Did you get your flu vaccine?
We recommend everyone with diabetes get the flu vaccine yearly.

Are you do for any other vaccine?
You may benefit from vaccines against other medical conditions.  Check with your doctor or health care provider to see if this applies to you.

It is important not only to do these things in November but all year long. Make sure your are keeping up with all of these and continue living a healthy life! 

Private Conversations with Children Both in Public and At Home

By On Juni 26, 2019

Our Analog Parents Had Private Conversations, Both in Public and At Home

Our fogeys, as a minimum within the Western world, had a correct to dangle inner most conversations face-to-face, whether out in public or in the sanctity of their domestic. here is all but long gone for our digital little ones.
now not long ago, it was the element of horror books and flicks that there would truly be widespread surveillance of what you observed inside your personal home. Our analog fogeys literally had this as frightening experiences helpful of Halloween, mixing the horror with the utter disbelief.

“There turned into of path no way of realizing no matter if you have been being surveilled at any given moment. How commonly, or on what gadget, the concept Police plugged in on any person gadget was guesswork. It became even imaginable that they listened to everybody the entire time. but at any fee they could take heed to you each time they wanted to. You needed to are living — did live, from addiction that grew to be instinct — within the assumption that every sound you made become overheard.” — from Nineteen Eighty-four within the West, we prided ourselves on now not being the East — the Communist East, principally — who considered their personal citizens as suspects: suspects who vital to be cleansed of dangerous innovations and bad conversations, to the diploma that typical buildings had been wiretapped for average conversations.

There were microphones under each café table and in each residence. And notwithstanding there weren’t within the literal sense, simply there and then, they may still be any place, so you had to reside — did reside, from addiction that became intuition — within the assumption that each sound you made became overheard.
“Please talk loudly and naturally into the flower pot.” — a common now not-joke concerning the Communist societies all through the cold battle push aside phonecalls and other far off conversations for now, for the reason that we already understand them to be wiretapped across most commonplace platforms. Let’s examine conversations in a non-public domestic.

We now have Google Echo and Amazon Alexa. And while they might have intended to preserve your conversations to themselves, out of the attain of authorities, Amazon has already handed over front room recordings to authorities. during this case, permission grew to become a moot point since the suspect gave permission. within the subsequent case, permission might not be there, and it might happen anyway.

Cell phones are already listening, the entire time. We recognize as a result of when we say “good enough Google” to an Android cell, it wakes up and listens extra intensely. This, at a extremely minimum, capability it’s at all times listening for the phrases “ok Google”. IPhones have an identical mechanism listening for “hello Siri”. whereas nominally possible to turn off, it’s a type of things which you can not ever make sure of. And we raise these governmental surveillance microphones with us all over the place we go.

If the Snowden documents showed us anything else in the regular feel, it changed into that if a certain variety of surveillance is technically viable, it is already occurring.
And despite the fact that Google and Apple aren’t already listening, the German police obtained the green light to damage into phones and plant Bundestrojaner, the flower-pot equivalent of hidden microphones, anyway. you may think that Germany of all nations has in fresh reminiscence what a bad theory here's. It could — might be even should — be assumed that the police forces of other international locations have and are already the usage of identical tools.

For our analog parents, the conception of a non-public conversations was as self-evident as oxygen in the air. Our digital toddlers might also on no account be aware of what one appears like.

Diabetes & Heart Disease : Key Issues for Women

By On Mei 15, 2019

Patients with type 2 diabetes are more likely to die from heart disease compared to adults without diabetes. Adults with diabetes are also 2-4x more likely to have heart disease. In women especially, diabetes is a serious risk factor for heart disease.

Why does diabetes increase risk of heart disease?
Even patients with well-controlled diabetes are at an increased risk of heart disease. This is because patients with diabetes, especially those with type 2 diabetes, often have other comorbid conditions that increase their risk of developing heart disease. These conditions include hypertension, hyperlipidemia and obesity.

What does this mean for women with diabetes?

Women with diabetes are more likely to have heart disease. Even premenopausal women, who normally have  protection due to estrogen against heart disease, lose that protection once they develop diabetes.

Women with diabetes who have heart disease also have poorer outcomes after heart attacks. In the first year after a heart attack, women are more likely to die compared to men who have heart attacks. Women are also more likely to have a second heart attack compared to men.

What can women with diabetes do about their heart disease risk?
  • Control your diabetes: A1C - measure of your average blood glucose control for the last 3 months. Measure at least twice a year. ADA recommends a A1C of 7% although your doctor will may recommend more or less stringent goals
  •  Quit smoking!
  • Maintain a healthy weight: Obesity is associated with insulin resistance
  •  Exercise: In addition to helping to maintain a healthy weight, exercise
  • Control your blood pressure: The American Diabetes Association (ADA) recommends lowering your blood pressure to 130/80 or lower
  •  Lower your LDL (bad cholesterol) level and raise your HDL (good cholesterol) level: The ADA recommends a LDL level less than 100, and with therapeutic lowering agents, a goal of 70 is recommended for patients with multiple risk factors. An HDL level greater than 45 is recommended, although the higher the better!

  •  Know the atypical presentation of a heart attack: Heart attack symptoms in women often are different from those experienced by men. Although chest pain remains the most common symptom, women often also experience a burning sensation in their upper abdomen as well as lightheadedness, upset stomach or sweating.

And always be sure to talk with your doctor about concerns and changes you may need to make. Remember, taking control is the first step toward prevention!
For healthy tips and resources, visit: http://www.diabetes.org/

Cholesterol Normal Level

By On April 20, 2019

How to lower cholesterol naturally

Cholesterol is made on your liver and has many crucial functions. for instance, it enables hold the walls of your cells flexible and is needed to make several hormones. Like fat, ldl cholesterol does no longer dissolve in water. as a substitute, its delivery inside the body relies upon on molecules known as lipoproteins, which carry cholesterol, fats and fats-soluble vitamins within the blood. Doing this requires a two-pronged method: upload meals that decrease LDL, the dangerous ldl cholesterol-sporting particle that contributes to artery-clogging atherosclerosis. at the same time, cut returned on ingredients that enhance LDL. without that step, you are carrying out a conserving action in place of a steady — and engaging — victory.Adopting healthy habits, inclusive of consuming a healthy balanced food plan and exercising, can even help to save you your cholesterol levels from turning into excessive within the first vicinity.it is crucial to hold ldl cholesterol in take a look at because excessive cholesterol levels growth your risk of heart sickness and stroke.The Royal Australian university of preferred Practitioners recommends that you often evaluation any medicines you’re taking for high blood pressure or excessive ldl cholesterol with your doctor or professional. they will be able to check, with you, the continuing advantages and risks.

1. Oats. An easy first step to enhancing your cholesterol is having a bowl of oatmeal or cold oat-based totally cereal like Cheerios for breakfast. It gives you 1 to 2 grams of soluble fiber. upload a banana or a few strawberries for any other half of-gram. contemporary nutrition hints endorse getting 20 to 35 grams of fiber an afternoon, with at least five to 10 grams coming from soluble fiber. (The common American receives approximately half that quantity).

2. Barley and other whole grains. Like oats and oat bran, barley and other entire grains can assist lower the risk of coronary heart ailment, especially through the soluble fiber they deliver.

3. Beans. Beans are specially rich in soluble fiber. additionally they take awhile for the body to digest, which means you feel complete for longer after a meal. this is one motive beans are a useful meals for parents seeking to shed pounds. With such a lot of choices — from navy and kidney beans to lentils, garbanzos, black-eyed peas, and past — and so many methods to put together them, beans are a totally versatile food.discover the first-class methods to control your ldl cholesterol and decrease your danger of heart attack and stroke!
4. Eggplant and okra. these two low-calorie vegetables are correct resources of soluble fiber.

5. Nuts. A bushel of research indicates that consuming almonds, walnuts, peanuts, and different nuts is right for the heart. ingesting 2 oz. of nuts an afternoon can barely decrease LDL, on the order of 5%. Nuts have additional vitamins that protect the coronary heart in different ways. 6. Vegetable oils. using liquid vegetable oils consisting of canola, sunflower, safflower, and others in vicinity of butter, lard, or shortening while cooking or on the desk enables decrease LDL.

7. Apples, grapes, strawberries, citrus end result. these end result are wealthy in pectin, a kind of soluble fiber that lowers LDL.eight. foods fortified with sterols and stanols. Sterols and stanols extracted from plant life gum up the frame’s capability to take in cholesterol from food. businesses are including them to foods starting from margarine and granola bars to orange juice and chocolate. they are additionally to be had as supplements. Getting 2 grams of plant sterols or stanols a day can lower LDL ldl cholesterol via approximately 10%.

Placing collectively a low cholesterol food regimen on the subject of making an investment cash, professionals advise creating a portfolio of various investments instead of putting all of your eggs in one basket. The identical holds true for consuming your manner to lower cholesterol. including several foods to decrease cholesterol in extraordinary ways ought to work higher than focusing on one or two. A largely vegetarian “dietary portfolio of ldl cholesterol-reducing foods” significantly lowers LDL, triglycerides, and blood stress. the important thing dietary components are plenty of culmination and greens, entire grains in preference to quite subtle ones, and protein on the whole from vegetation. upload margarine enriched with plant sterols; oats, barley, psyllium, okra, and eggplant, all wealthy in soluble fiber; soy protein; and entire almonds.Of course, shifting to a ldl cholesterol-lowering weight loss program takes more attention than popping a every day statin. It method increasing the type of foods you usually put in your purchasing cart and getting used to new textures and flavors. however it’s a “natural” way to lower ldl cholesterol, and it avoids the danger of muscle troubles and other facet effects that plague some people who take statins.

just as essential, a weight-reduction plan that is heavy on end result, veggies, beans, and nuts is right for the body in ways beyond lowering cholesterol. It maintains blood pressure in take a look at. It helps arteries live bendy and responsive. it’s exact for bones and digestive fitness, for imaginative and prescient and intellectual fitness.

Baby Steps to Overcome Postpartum Depression

By On Maret 21, 2019

It’s hard to know exactly how many women in the United States suffer from postpartum depression—estimates range anywhere from 10-20%. The challenge is that there is currently no widely used blood test or other objective test for diagnosing postpartum depression. Physicians typically use tools like the Edinburgh Postnatal Depression Scale (EPDS) to identify whether a mother’s self-reported symptoms are significant enough to be labeled as postpartum depression. But, sometimes, when women are told that the birth of a baby is supposed to be a joyous occasion, they don’t always feel comfortable sharing that something is amiss.

Concerted efforts are underway to change the national dialogue on postpartum depression with celebrities like Chrissy Teigen and Hayden Panettiere speaking out about their experiences. As [future] physicians, regardless of specialty, we too need to normalize such conversations. And a little technology doesn’t hurt either.Recently, I worked on a project examining postpartum depression in developing countries, particularly in South Asia. We soon realized that before such a sensitive topic could be addressed, many cultural barriers had to be overcome, including the fact that there isn’t even a word for depression in many South Asian languages! However, for all of our Western advancements and openness in dialogue, mental health is still relatively a taboo here too.

The Glow Nurture app, named one 10 Best iPhone Apps, is a pregnancy and postpartum companion app that allows women to check-in with themselves and connect with a supportive community of other new moms. The app tracks the user’s daily emotions and provides additional insights based on how the user is feeling. By also noting the number of other users who feel the same way, it ensures that a mother doesn’t feel alone.
MGHPDS, an app developed by Massachusetts General Hospital, combines elements of EPDS with other symptoms specific to postpartum depression to help bring screening directly to women. If a user screens positive, she is presented with referral sources and additional guidance. The developers plan to couple the app with a digital treatment tool in a future version.

Of course, nothing beats human support and medications when needed. But first, we have to start talking about it.


Postpartum depression is characterized by symptoms such as depressed mood, weight changes, sleep disturbances, excessive anxiety, and possibly even negative feelings towards the baby. If ignored, mothers may progress to more severe depression and greater suicidal tendencies.

                                                                                                           Aleesha Shaik   DUCOM 2019


By On Maret 14, 2019

Lesbian and bisexual women are at a higher risk for mental health issues and substance use disorders when compared to their heterosexual peers. In general, sexual minority women engage in substance use including alcohol, tobacco and illicit drug use more often. This population also reports higher rates of depression and anxiety than their counterparts. Although the reason for these increased rates remains unknown, there is one possible explanation - minority stress - that helps begin the process of understanding the unique health and mental health needs of this population. Minority stress theory explains and predicts how stressors related to one’s minority identity status impacts lesbian and bisexual women in deleterious ways. These stressors are thought to then impact mental health and substance use outcomes such as the ones described.

Minority stressors can be separated into two categories. The first type is distal stress. Distal stressors are stressors that are present in one’s environment and tend to occur at the social or interpersonal level. Examples include - discrimination, real or perceived stigma, harassment or any type of violence involving or thought to be involving one’s sexual identity. The second category of stressors are proximal stressors. These stressors manifest internally and include feelings of rejection, internalized homophobia or identity shame. The two types of stressors work in tandem impacting one’s mental health and substance use behaviors.

According to the minority stress theory, distal and proximal stressors can be moderated by the presence of social support. Social support has been shown to decrease the magnitude in which stressors are internalized thereby decreasing the likelihood of adverse mental health and substance use issues from developing or worsening. Increasing social support is seen as one of the primary intervention techniques in reducing the risk of mental health issues and substance use disorders among lesbian and bisexual women as explained using the minority stress theory. It is therefore critical for medical providers to ask their patients who identity as a lesbian or bisexual about their experiences with minority stressors to assess risk, as well as to provide support in the form of a provider-patient relationship and/or social resources. Open conversation helps develop meaningful relationships and fosters a supportive environment where these women can disclose their identity comfortably and receive the support and resources to help mitigate the presence of minority stressors.

  • Lehavot, Keren, and Simoni, Jane M. "The Impact of Minority Stress on Mental Health and Substance Use among Sexual Minority Women." Journal of Consulting and Clinical Psychology 79, no. 2 (2011): 159-70.
  • Meyer, Ilan H. "Prejudice, Social Stress, and Mental Health in Lesbian, Gay, and Bisexual Populations: Conceptual Issues and Research Evidence. (Author Abstract)." Psychological Bulletin 129, no. 5 (2003): 674-697.

 Luke Schmidt                                                                                                                                                      DUCOM 2018

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