Diabetic care— managing the numbers

When addressing diabetes, it is all about numbers. That is because early signs of diabetes are silent, making glucose testing even more critical to prevention and care.

Diabetes is a result of the body having high blood glucose, or blood sugar, because the body is not producing enough insulin or the body’s cells are not responding to insulin. One critical number related to diabetes is 86 million — this is the number of adults and children in the U.S. that are undiagnosed and pre-diabetic. That is approximately 28 percent of the population.

So, is there good news behind staggering statistic?

Anis Shahmiri, M.D., who is a physician at the Institute of Medical Excellence, says there is.

“I catch it early by way of diet, exercise, weight loss, and lifestyle changes,” he says. “Diabetics are managed with medication, and thankfully, we now have access to a larger range of medications, which allows customization of treatment.”

At the Institute of Medical Excellence, the primary and family medicine division of the Institute of Cardiovascular Excellence (ICE), a tailored plan includes tools such as logbooks and smartphone apps, access to a dietician, and

Source: Centers for Disease Control and Prevention other resources that help patients manage their numbers. And because it is housed in the same facility as ICE, diabetes patients can receive necessary vascular testing and care under one roof — a winning number for patients.

When it comes to orthopaedic procedures as complex as total ankle replacements, reverse shoulder replacement and joint replacements of the hip and knee, why trust anyone besides a specialist?

Our board certified orthopaedic surgeons are specialists who are fellowship trained in their areas of expertise. They are known for their advanced skill, training and experience. It’s their names you will find scrawled on referral notes from physicians from across the state or featured on the front covers of a surgeon’s training manual. From conservative care for sports injuries to advanced ankle, shoulder, hip and knee replacements, trust the specialists trusted by other surgeons.