According To A Study By CNN, Drinking 2 To 4 Cups Of Coffee Per Day Lowers Your Risk Of Death By 18%
Erin Cannington, M.D. Allergy & Asthma Clinics of Georgia
Lisa Seymour Integrity Hospice
Anthony Burke, D.O. Cardiology Affinity Clinic
James Palazzolo, M.D. Sleep Apnea Centers of America
Keisha Callins, M.D. Mercer University School of Medicine
Kelly Miller, FNP-BC Georgia Dermatology & Skin Cancer Center
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RISK FACTORS FOR TYPE 2 DIABETES AND PRE-DIABETES INCLUDE: • over age 45 • family history of diabetes • overweight • do not exercise regularly • Certain racial and ethnic groups • Women who had gestational diabetes, or That adds up to close to who have had a baby 30 million Americans who weighing 9 pounds or have diabetes and another more at birth 79 million of us who have
Heather O’Conner
pre-diabetes. It’s an especially serious problem in our region. The diabetes rate is southwest Georgia is nearly 13%, significantly higher than the state and national averages. So, what is diabetes? Are there different types? How do I know if I am at risk for prediabetes or diabetes? If I am diagnosed, then what happens?
If you are diagnosed with any of the types of diabetes, getting educated on how to take care of yourself is crucial. Classes at the Diabetes Resource Center are designed to help you manage your blood glucose numbers with our help and support. Topics include monitoring, medications, exercise, healthy eating, and preventing long term complications just to name These are all great a few. For those with questions we should ask ourselves and questions we prediabetes, the focus is on moderate weight loss and help to answer at the Diabetes Resource Center increasing exercise. Along at Phoebe. The American with treatment from your healthcare provider, we can Diabetes Association guide you to a path of well defines diabetes as a managed blood glucose problem with your body levels and a healthy life that causes blood glucose with diabetes. levels to rise higher than normal. The most common type of diabetes, Type 2, occurs when your body does not use insulin properly or cannot make enough insulin to keep up with your body’s needs. Type 1 diabetes, more commonly diagnosed in children and younger adults, happens when the body stops making insulin all together. Prediabetes is our warning sign that blood glucose levels are higher than normal, but not yet high enough to be diagnosed with Type 2 diabetes.
Julie Joiner
Meditate To Be A Better Athlete After taking over as head coach of the Chicago Bulls in 1989, Phil Jackson (he’d won two NBA championships in 1970 and 1973 playing with the New York Knicks) introduced mindful meditation to the team. They won six NBA Championships. In 1999, as coach of the Los Angeles Lakers, he again introduced mindful meditation to his team. They won five NBA championships. “As much as we run and we pump iron to build our physical strength up, we need to build our mental strength up,” Jackson later said. Michael Jordan admitted “that Zen Buddhist stuff” helped him become a better player. And at the end of game five of the 1989 Eastern Conference First Round, Jordan made what’s known as “the shot,” considered one of the most Zen-like baskets ever, to cinch the Bulls’ 101-100 victory. Now, according to a study in the Journal of Cognitive Enhancement, there’s more evidence that Coach Jackson is spot-on: Researchers found that University of Miami football players who practiced mindfulness for 12 to 15 minutes a day were more able to withstand emotional and mental demands of hours of strenuous physical training. They had greater resilience and more sustained focus. Your takeaway? Whether it’s walking 10,000 steps a day, training for a charity bike ride or enjoying your daily workout at home, you can use
mindful mediation to keep up your resolve and maximize your enjoyment. In short, you’ll increase mental and physical toughness and become your best athlete, by finding time for mental clarity. ADVERTISING inRead invented by Teads ======== Mehmet Oz, M.D. is host of “The Dr. Oz Show,” and Mike Roizen, M.D. is Chief Wellness Officer and Chair of Wellness Institute at Cleveland Clinic. To live your healthiest, tune into “The Dr. Oz Show” or visit www.sharecare.com. (c) 2017 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc. (c) 2017 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.
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Hospice is a set of services that we all may need someday – if not for ourselves, for our parents. While death is not an option for any of us, we do have choices about the services we use at the end of life. Hospice is undoubtedly the best option in the last months of life because it offers a whole variety of benefits, not only to those of us who are dying, but also to those we leave behind.
Until hospice quality data is readily and easily available to all of us, the experts at American Hospice Foundation have pulled together some tips for choosing the most appropriate hospice. Answers to these questions will give you clues about quality of care and help you make an informed assessment.
Get references both from people you know and from people in the field – e.g., local hospitals, nursing homes, clinicians. Ask anyone that you have connections to if they have had experience with the hospice and what their impressions are. Geriatric care managers can be a particularly good resource, as they often make referrals to hospices and hear from families about the care that was provided. Anecdote and
word of mouth won’t paint a full picture but they are still valuable data points.
the home at 3AM on a Saturday, where would that person come from? What is their average response time?
Caring for someone with a serious illness can be exhausting and, at times, challenging. In Medicare addition to home hospice care and inpatient care when symptoms prove unmanageable at certification is essential if the patient is a Medicare beneficiary to permit reimbursement. home, hospices also offer “respite” care (periodic breaks for the caregiver of up to 5 days during which the patient is moved to an inpatient bed) and “continuous” nursing care at home for brief periods at the patient’s home See if what the hospice expects from family when family caregivers are unable to manage members is consistent with what the family is on their own. Ask the hospice under what able to do. conditions the hospice provides these types of care. If it has been around for a while, that’s an indication of stability.
Not having it doesn’t mean the staff is not competent as experience counts for a lot but having this credential is an indication of specialized study in palliative medicine/ nursing.
Mention any concerns the family or patient have about care and ask the hospice staff how they will address those concerns.
Lisa Seymour, RN and Integrity Hospice CEO, Robert Reed
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Some services fall in a gray area. They are not required by Medicare but may be helpful to improve the comfort of a patient. An example is radiation and/or chemotherapy for a cancer patient to reduce the size of a tumor and ameliorate pain. Some hospices would not be able to afford to do this but others with deeper pockets could.
If the family needs someone to come to
Is there a clear process for sharing concerns with appropriate hospice staff and making sure they are addressed, including a process for escalation if the concern is not adequately addressed at lower levels?
You are not looking for a lot of technical detail, just a response that indicates that the hospice evaluates its own performance in order to improve it.
Types of grief support can vary widely and may include individual counseling, support groups, educational materials and outreach letters. Choosing a Hospice: Questions to Ask by Naomi Naierman and Marsha Nelson was originally published on the website of the American Hospice Foundation. © American Hospice Foundation. All rights reserved.
Robert Reed, RN, Managing Partner Integrity Hospice RReed@IntegrityHospiceGA.com www.IntegrityHospiceGA.com Like us on Facebook - Integrity Hospice
Let’s Talk WOMEN’S HEALTH
with Keisha R. Callins, MD. MPH Mercer University School of Medicine
GRIEF
AND GRATITUDE: COPING WITH THE DEATH OF A PARENT
One of the things that we fear the most is the Grief is a natural and normal process. It is one of death of a loved one. Death is difficult whether the most powerful emotions and it is common to expected or unexpected. It can be mixed with experience more hurt when you lose someone that feelings of relief after wrestling with prolonged you love more. There is no immediate solution for suffering, while the shock of a sudden severe sadness but over time, you will learn to cope and illness produces different intense emotions. heal while the traumatic memories of their last Although we know that death is inevitable as we days are displaced by happier memories. If grow older and as our parents age, I do not think however, your grief begins to impact your ability to that we are ever truly prepared for coping with the fulfill your daily responsibilities, interact with others, death of parents. We are forced to embrace a new and seems to persist longer than expected, you reality and confront the void created by the loss of should seek the help of a healthcare provider. You a person who understands you, supports you, and may explore options for counseling and in some who you have witnessed having an impact on the cases a course of medication may be helpful in lives of many other family and friends. your recovery. There is no single best way to cope with grief but I Coping with your loss may be more difficult if there suggest you consider the following thoughts: 1) were feelings of regret, unresolved conflict, or Grief allows you to set your own timeline; 2) Your missed opportunities. Even if these feelings do parent would probably prefer that you keep moving occur, in order to heal you should purposefully despite your pain; 3) Make the most of your memories; 4) Don’t forget to take care of your body choose not to be distracted by them. Focus your energy on celebrating your gratitude for their while your heart heals; 5) Know that your pain may impact on your life. Be determined to practice the become more difficult on certain occasions/ lessons learned from your parent. Live your life as holidays; 6) Avoid making drastic decisions; 7) a tribute to their legacy. Reach out to reliable family and friends; 8) Find comfort in your faith; 9) Try getting back to/ changing your routine; 10) Don’t hide your tears or your emotions; 11) Forgive yourself if you have trouble staying on task; and 12) Seek the help of a medical profession if it becomes too much to handle (not sleeping, not eating, panic attacks, or nightmares).
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By John Draper, Ph.D. In observing Suicide Prevention Month, perhaps the first place to start is our understanding that suicide is — in fact — preventable. Yes, it is true that there are more people dying each year in the U.S. by suicide than there are people dying in car accidents. In the shadow of these tragic deaths (now exceeding over 39,000 yearly), federal surveys reported that over 11.5 million people seriously considered suicide, 4.8 million planned to kill themselves, and over 2.5 million people attempted to kill themselves. That is a lot of people suffering pain so intolerable that they wish they were dead. But what these data also tell us is that, in the overwhelming majority of cases, most people gripped by intense suicidal periods do not die by suicide. They find help and get through it, and go on to experience life in ways that their despairing mind could never have imagined. These seemingly miraculous but typical stories of hope and recovery are the stories of suicide prevention, and are the ones we rarely hear about. So what do we know works to prevent suicide? Local and international research in our field has suggested some consistent findings that can collectively guide our efforts to create “suicide-safe” communities. First, we know that making it harder for people to kill themselves prevents suicide. There is clear evidence that “reducing access to lethal means” prevents suicides, such as making it harder to ingest poisons or large doses of pills, locking or removing firearms, and erecting bridge barriers on “suicideprone” bridges.
assistance was a significant factor in reducing suicides in the health regions where these services were implemented. Third, we know that continuing to support people who report feeling suicidal can save lives. “Follow-up care” — whether it is in the form of crisis team outreach, telephone calls, or even “caring postcards or letters” — can make a big difference in promoting safety. The lessons from this research can be simply put: “I’m here when you need me (immediate access); I care enough about you to remove things that could threaten your safety (reducing access to lethal means); and I care enough about you to stay with you, check on you from time to time, and let you know that I am thinking about you” (follow-up care).
service doubled in a day, and remain higher today than ever before. It is remarkable that one legacy of the terrible loss of Robin Williams is that the media mounted a public awareness campaign that is currently allowing for approximately 1,000 more callers in crisis daily to get help from a service they might not have otherwise known about. However, we now need to support these local crisis centers that are creating this national public safety net. Most of them are seriously under-resourced and stretched to their limits. But when people do reach them, they can save lives. If our local systems and funders better support them, they can better support our communities.
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So what can you do to prevent suicide? You can read about the warning signs for suicide and how to help someone at suicidepreventionlifeline.org. Another thing So what can we do? We need to support you can do is make a 15- to 30-second video, Second, we know that making it easier to get systems, policies and funding streams that like the one included here. Share a hopeful immediate help in suicidal crisis — enhance access to care (and crisis services), message, and make a promise to the people “promoting access to lifesaving means” — that reduce access to lethal means in times you care about that, when they are in crisis, reduces suicidal thoughts and behaviors. of crisis, and promote continuous follow-up you will let them talk, vent, and let it out, Federal evaluations of crisis hotlines show care for persons “at risk.” For example, in the and you will be there for them. Upload the that they can significantly reduce suicidal and wake of Robin Williams’ tragic suicide, the video to Facebook, using the hashtags emotional distress in callers, and findings media effectively promoted the number to #suicideispreventable, #letitout and from England show that 24/7 access to crisis the National Suicide #preVENTable. You can read the guidelines Prevention Lifeline, here. a network of 165 locally funded crisis A friend of mine told me that he loves centers supported working in suicide prevention because it by a grant from the reminds him of the reasons that life is worth Substance Abuse living. And most of the time, those reasons and Mental Health are about having meaningful connections Services with others. There is something we can all do Administration to promote that in our lives and in the lives (SAMHSA) and of others around us. administered by our When you purchase EIGHT or more gallons of fuel from any of our organization, Have a story about depression that you’d like Link2Health to share? Email locations, you will be eligible to win (2) tickets to the Atlanta Falcons’ Solutions. As a strongertogether@huffingtonpost.com, or give home opener in the new Mercedes Benz Stadium! result of these us a call at (860) 348-3376, and you can Write your name along with your contact information on the back of widespread public record your story in your own words. Please health messages for be sure to include your name and phone your receipt and drop it in one of our submission boxes inside. persons to call the number. We will announce the winner on Thursday, Lifeline (800-273Need help? In the U.S., call 1-800-273-8255 SEPTEMBER 14! 8255), calls to the for the National Suicide Prevention Lifeline XNSP4798
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how well a patient can see objects twenty feet away compared to the average human eye. For small children and people who can’t read the letters of our alphabet, a similar Have you ever wondered where that chart chart known as the “Tumbling E” chart with the big E in every eye doctor’s office (because it depicts rows of capital E’s came from? pointing in different directions) is used instead. The famous eye chart is actually called the Snellen Chart. It was named for the 19th-century Dutch ophthalmologist who first developed it.
20/20 In Hindsight: The Snellen Eye Chart
If you can’t even read the big E on top, that means your vision is 20/200 or worse. In other words, you have to be twenty feet away to see what most people can see from 200 feet, which is the point where you’d be considered legally blind.
As useful as they are, Snellen’s eye chart and ratio are no longer the only factors in determining the right prescription for your glasses. Even though we still use the chart, optometry has evolved in many other ways. Your eyes might need to be tested for how well they perceive contrast, color, depth, and peripheral sight. The Snellen chart also can’t test the overall health of your eyes, like pressure, glaucoma risk, and retina shape.
Glasses were invented in Italy around 1286, though they were fairly crude. It wasn’t until two centuries later that concave and convex lenses were being crafted and sold to customers. From there, it would still be four more centuries before the field of optometry was advanced enough for vendors and eye doctors to realize that not everyone experiences vision problems the same way.
In the mid-19th century, various eye doctors began developing charts to gauge their patients’ visual acuity more precisely, and in 1862, Hermann Snellen came up with the chart optometrists everywhere still use today. The chart, called the Snellen Eye Chart, determines
lines of letters, you could have unusually good vision like 20/10 (meaning that you can see at twenty feet what most people have to be ten feet away to see), or you could need glasses to correct poor vision.
Snellen is also the mind behind the concept of “20/20 vision,” or the Snellen Ratio eye doctors use to describe how well patients read the chart. Depending on how successfully you can read the
If it’s been a while since your last appointment, it might be a good time to schedule one and have another look at that eye chart—especially now that you know its history. We’d love to see you!
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The “Un-Diet.� Yes, that’s sort of a made up word. In our metabolic and weight loss surgery program, Phoebe Bariatrics, we like to focus on what we consider mindful eating. Take a moment and imagine you are on a diet. An endless cycle of planning ahead, calculating calories, carbohydrates, fat grams, obsessing over when your next meal is, did you exercise enough, etc. What’s the first thing you want to do?
first-hand how hard it is. I struggled with my weight since I was a child. By the age of 19, I was already in what was considered the overweight category on the BMI scale. I was able to lose 30 lbs and have kept it off successfully for over 10 years. I didn’t go on any particular diet. I made positive changes such as 20-30 minutes of exercise 3-5 times per week, drinking only water or 0 calorie beverages, eating more fruits and vegetables and lean protein. Don’t be fooled into thinking that I eat perfectly or that I am what most patients like to consider dietitians - “The Food Police!�
You don’t have to run from me in the grocery store. I promise next to my baby spinach, lean chicken breast and strawberries, you may also find a box of brownies or package of bacon. As a dietitian, I want my patients to learn for successful weight loss, the most practical approach is to implement lifestyle changes. Use the 85/15 rule which means 85% of your diet should be nourishing foods in which you can identify why the food is good for you and the other 15% may be pleasure foods in moderation. Follow these simple guidelines (NOT RULES!) below to move toward a healthier lifestyle:
Over 95% of you reading this will answer with: Eat. I would too. We want to teach you that diets don’t work. Most people will have tried multiple diets by the time they enter our program to have only gained back equivalent lost pounds or possibly more with discontinuation of said “diets.� You can guess this leaves them frustrated as any normal person would be. Losing weight and keeping it off is without a doubt not easy. I understand
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over the same time period in 2016. Cyclospora infections or cyclosporiasis are caused by ingestion of the parasite Cyclospora cayetanensis in food or water. Cyclospora infect the small intestine and most commonly cause watery diarrhea; other symptoms include abdominal cramping, nausea and weight loss.
Cyclosporiasis: An intestinal infection caused by the cyclospora cayetanensis parasite, seen here on a stool sample through a microscope on a slide. Cyclospora infect the small intestine and most commonly cause watery diarrhea; other symptoms include abdominal cramping, nausea and weight loss.
PARASITIC CYCLOSPORA INFECTIONS UP 134% THIS SUMMER (CNN) There were 206 cases of cyclospora infections reported by the US Centers for Disease Control and Prevention from the first of May to the beginning of August, a 134% increase from the 88 cases reported
Those with cyclospora infections start to experience symptoms about seven days after ingesting the parasite and usually need to be treated with an antibiotic. If untreated, the illness may last over a month and could continue over a recurring cycle. To test for the presence of cyclospora, stool specimens must be collected and sent to a laboratory.
cyclosporiasis is to avoid food or water that could be contaminated and follow food safety guidelines. Cyclospora are usually not killed by chemical disinfection or sanitization. “Because cyclospora is a challenging parasite to work with, we don’t have any other specific advice that we can give on it until more research has been done,� Parise said. The agency is investigating why the number of cyclosporiasis cases has jumped in 2017, but no specific food item has been tied to the infections. It is also unclear whether the cases are linked across states. However, Parise said that though the numbers of cyclospora cases are high this year, last year’s cases were actually low.
“The numbers from this year were probably not outside the range that we’ve Cases have been reported across 27 states seen for the last five years,� she said. this summer. Only 18 cases resulted in “Even so, we put out this notice because hospitalization, and no deaths have been the more complete the case reporting we reported. can get, the easier it will be to figure out Cyclospora is most common in tropical why this is happening.� and subtropical countries, and previous US outbreaks have been linked to Because cyclospora infections are a imported fresh produce such as basil, nationally notfiable disease, the CDC cilantro, lettuce, raspberries and snow urges health care providers and local peas. Most cases in the US have been health departments to be on the lookout reported in the spring and summer. for new cases, especially if a patient has prolonged or recurring watery diarrhea. Dr. Monica Parise, director of the CDC’s In addition, if physicians suspect that a Division of Parasitic Disease and Malaria, patient could be infected with cyclospora, advises that the best way to prevent they should consider ordering a test.
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Healthy Living Habits that Work (Family Features) When it comes to advice about healthy living, there are opinions nearly every place you turn. Unfortunately, a great deal of that information is based on fad diets and trendy workouts that may deliver quick results but don’t promote a sustainable, healthy lifestyle. The medical community generally agrees that slow and steady is the way to win the race toward healthy living. Adopting a broad set of healthier habits can deliver results over time and foster a new way of living that promotes your overall health and wellbeing. Aim for balance. A diet that combines healthy levels of protein and carbohydrates from all the food groups is the surest way to deliver your body the vitamins and nutrients you need for optimal health. The Dietary
Guidelines for Americans call for an eating plan that is centered on fruits, vegetables, whole grains and reducedfat dairy foods, rounded out by lean meats, poultry, fish, beans, eggs and nuts for protein. When planning your meals, be sure to limit saturated fats, trans fats, cholesterol, sodium and added sugar.
of moderate activity or 75 minutes of vigorous activity a week for most adults.
Replace what you lose. A strong workout may help you shed calories, but it also can deplete your body of essential fluids. Staying hydrated is crucial to keep your body functioning properly, from regulating your body temperature to providing the Know when to say when. Building a lubrication your joints and muscles healthy lifestyle is about more than need to keep you in motion. eating the right foods. It also means Rehydrating during and after exercise keeping your calorie count in check. is important for getting the most out That means keeping the amount you eat and the portion size in mind. Work of your workout. For example, try incorporating an electrolyte beverage, with your doctor or a nutritionist to such as Propel Electrolyte Water, determine your body’s true caloric which helps replace what is lost in needs, which can vary depending on sweat and supports hydration by numerous factors such as your age, activity level and overall health. Then stimulating thirst and promoting fluid get smart about the portion sizes that retention. The 10 flavors contain no calories and provide B vitamins to will help you stay within those parameters. Initially, you may want to support metabolism as part of a daily diet and antioxidant vitamins C and weigh out portions but soon you’ll be E. Learn more at PropelWater.com. able to recognize and adjust your portions on sight. Give yourself a break. Most experts agree it’s OK to indulge and enjoy Set your body in motion. Increasing your activity level not only helps burn your favorite treat occasionally. Skipping a day at the gym won’t end calories and boosts your metabolism, your efforts either. The key is to make it also helps tone your muscles and those allowances an exception rather improve overall body condition by than the norm, skipping one day promoting healthy blood flow. The exact amount of exercise you need will instead of three or eating a sliver of vary depending on your goals, age and pie, not a giant slice. Rewarding physical ability. You may need to work yourself within reason is a good way to stay motivated and create a up to the optimal level, which sustainable healthy lifestyle. according to the Centers for Disease Control and Prevention is 150 minutes Photo courtesy of Getty Images #13854 Source: Propel
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At the Alzheimer’s Association Walk to End Alzheimer’s®, people carry flowers representing their connection to Alzheimer’s — a disease that currently has no cure. But what if one day there was a flower for Alzheimer’s first survivor? What if there were millions of them? Help make that beautiful day happen by joining us for the world’s largest fundraiser to fight the disease. Register today at alz.org/walk.
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&ĞĞůŝŶŐ >ŝƩůĞ hŶĚĞƌ dŚĞ tĞĂƚŚĞƌ͍ tĞ͛ůů ^ĞĞ zŽƵ dŽĚĂLJ ƚ KƵƌ ,Žƚnj ^ĐŽŐŐŝŶƐ &ĂŵŝůLJ DĞĚŝĐĂů ĞŶƚĞƌ &ĞĞůŝŶŐ ƐŝĐŬ ĂŶĚ ŶĞĞĚ ƚŽ ƐĞĞ Ă ĚŽĐƚŽƌ ƋƵŝĐŬůLJ͍ dŚĞ ƐƚĂī Ăƚ ŽƵƌ ,Žƚnj ^ĐŽŐŐŝŶƐ &ĂŵŝůLJ DĞĚŝĐĂů ĞŶƚĞƌ ŬŶŽǁƐ ƚŚĂƚ ǁŚĞŶ LJŽƵ ĂƌĞ ŝůů͕ LJŽƵ ǁĂŶƚ ƚŽ ĨĞĞů ďĞƩĞƌ ƋƵŝĐŬůLJ ĂŶĚ ǁŝƚŚŽƵƚ Ă ůŽƚ ŽĨ ŚĂƐƐůĞ͘ KƵƌ ĞŶƚĞƌ ƉƌŽǀŝĚĞƐ ƚƌĞĂƚŵĞŶƚ ĨŽƌ Ăůů ŽĨ LJŽƵƌ ƉƌŝŵĂƌLJ ĐĂƌĞ ŶĞĞĚƐ͕ ƐƵĐŚ ĂƐ ĐŽůĚƐ͕ ƐŽƌĞ ƚŚƌŽĂƚƐ͕ ƌĂƐŚĞƐ͕ ĞĂƌĂĐŚĞƐ ĂŶĚ ŵŽƌĞ͘ tŚLJ ǁĂŝƚ ƚŽ ƐĞĞ Ă ĚŽĐƚŽƌ ǁŚĞŶ ǁĞ ĐĂŶ ƐĞĞ LJŽƵ ƌŝŐŚƚ ŶŽǁ Ăƚ ƚŚĞ ,Žƚnj ^ĐŽŐŐŝŶƐ &ĂŵŝůLJ DĞĚŝĐĂů ĞŶƚĞƌ͍
AAPHC’s Hotz Scoggins Family Medical Center 401 S. Madison Street Albany, Georgia 31701 Monday - Friday 8:30 a.m. - 5:00 p.m. Walk-ins Welcome
229-405-6959
^ƚŽƉ ďLJ ŽƵƌ ,Žƚnj ^ĐŽŐŐŝŶƐ &ĂŵŝůLJ DĞĚŝĐĂů ĞŶƚĞƌ͊ tĞ͛ůů ƐĞĞ LJŽƵ ƚŽĚĂLJ͘ EŽ ĂƉƉŽŝŶƚŵĞŶƚ ŶĞĞĚĞĚ͘
Want to learn more about Albany Area Primary Health Care ; W, Ϳ͍ tĞ ŚĂǀĞ ŵĞĚŝĐĂů ŽĸĐĞƐ ůŽĐĂƚĞĚ ĂĐƌŽƐƐ ^ŽƵƚŚǁĞƐƚ 'ĞŽƌŐŝĂ͘ sŝƐŝƚ ƵƐ ŽŶ ƚŚĞ tĞď Ăƚ ǁǁǁ͘ W, ͘ŽƌŐ͘
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CAN FREQUENT, MODERATE DRINKING WARD OFF DIABETES?
an email. “However, there is no reason to think that results would be different had we had more years of follow-up.” A very long follow-up, for instance, 10 years, would result in drinking and other habits changing and this could “cause more ‘noise’ in results,” said Tolstrup.
Why a key diabetes test may work differently depending on your race In terms of frequency, the lowest risk of diabetes was found among those who drank three to four By Susan Scutti, CNN days each week. The team also looked at diabetes risk in relation Updated 6:05 PM ET, Thu July 27, 2017 to what people drank. How to beat pre-diabetes_00020428 When it came to beer, men who drank between one and six each week reduced their risk of How one man beat pre-diabetes 02:35 diabetes by 21% compared to men hoisting less Story highlights than one beer each week. For women, the association between beer and diabetes risk was not clear and the same was true for men and spirits. Women, though, appear to have a problematic relationship with spirits. Seven or more drinks of liquor each week was associated with an 83% increased risk of diabetes for women, when compared to women drinking less than one drink of spirits. (CNN)It’s not every day that medical studies say There shouldn’t be much emphasis placed on alcohol could be good for you. People who drink the results for spirits, Tolstrup said, “because few moderately often have a lower risk of developing people were drinking a lot of spirits, most were diabetes than those who never drink, according drinking wine and beer.” With 70% of all alcohol to a new study published in Diabetologia, the drunk by women being wine, the beer results for journal of the European Association for the Study women are also “unsure.” of Diabetes. The ‘French paradox’ Men and women who hoist a few glasses three Crunching the numbers for wine drinkers, the to four days a week have the lowest risks of team found that moderate to high wine drinking developing diabetes, Danish researchers found. was associated with a lower risk of diabetes. Compared to people drinking less than one day each week, men who drink frequently had a 27% lower risk while women had a 32% lower risk, the researchers said. Diabetes is a disease in which blood glucose -sugar -- levels are high. When we eat, most of our food is turned into glucose to be burned as energy, with a hormone called insulin helping our cells absorb glucose. People who have diabetes either don’t make enough insulin or don’t use it effectively. As a result, sugar builds up in their blood, leading to health problems. Past studies consistently showed that light to moderate drinking carried a lower risk of diabetes compared to sobriety, while heavy drinking had an equal or greater risk. Though the World Health Organization reports “harmful use of alcohol” contributes to more than 200 diseases and injuries, it also acknowledges that light to moderate drinking may be beneficial with respect to diabetes. Since an important relationship exists between drinking and diabetes, Professor Janne Tolstrup and her colleagues from the National Institute of Public Health of the University of Southern Denmark studied the specifics.
Dr. Etto Eringa and Dr. EH Serné of VU University Medical Center Amsterdam said “moderate consumption of red wine has been shown to be related to a lower risk of type 2 diabetes (and cardiovascular disease)” in other population studies, as well. Eringa and Serné, who have researched how red wine relates to insulin resistance, were not involved in the current study. “The potential benefit of red wine on diabetes and heart attacks has been proposed as a solution to the so-called ‘French paradox,’ the lower risk of heart attacks and diabetes in France despite high consumption of saturated fats (e.g. French cheese),” Eringa and Serné wrote in an email. Studies examining the effects of red wine components on risk factors for type 2 diabetes (such as glucose absorption by muscle tissue) have “largely produced negative results. Therefore the relationship between red wine and
health can be explained by a healthier life style of people who drink in a disciplined manner, by unhealthy effects of non-alcoholic beverages such as soda or juices, or both.” Health effects of red wine: Where do we stand Eringa and Serné believe it is the healthier lifestyle of drinkers, rather than lower consumption of juice and soda, that accounts for the “French paradox.” “People in the Danish study that drank alcohol more frequently had a healthier diet and had a lower BMI,” they observed. Since few participants reported binging, the researchers say their finding of no clear link between binge drinking and diabetes risk may be due to low statistical power. Dr. William T. Cefalu, chief scientific, medical and mission officer of the American Diabetes Association, said the new study’s strengths include the large number of people surveyed, but its weaknesses include an inability to control for other risk factors such as diet. Among people with diabetes, excessive drinking increases the risk of high blood sugar and weight gain, he said. “The Association does not recommend that people with or at risk for diabetes consume alcohol if they don’t already, but if they do, moderate consumption is recognized as generally safe and potentially of some benefit,” said Cefalu. Dr. Len Horovitz, an internist at Lenox Hill Hospital in New York City, found the report “unsurprising.” Moderate drinking may alter brain, study says “It’s been kind of a dictum for quite a number of years that people who don’t drink at all don’t live as long as people who drink mildly or moderately,” said Horovitz, who added that “the theory behind that was that mild drinking, at least, was good for lower blood pressure, dilated blood vessels,” and both of these outcomes translate to better overall circulation. “We have to remember that diabetes is not just a problem with blood sugar, it is a problem of microvascular,” said Horovitz. Microvascular, which relates to the smallest blood vessels, is positively impacted by alcohol. In terms of research flaws, there’s always the issue of honesty and truth when people selfreport their habits, said Horovitz. The authors are also not clear about the “stream of input” -- how much body mass index and diet, for example, were taken into account. “And what about recreational substances?” Horovitz said. “Drinking, recreational drug use, recreational marijuana use, medicinal marijuana use, these are all things that need to be looked at a little more closely, especially as marijuana becomes something that’s more and more legal and more and more medical in its uses.”
They began by gathering data from Danish citizens 18 years old or older who completed the Danish Health Examination Survey. The data set included 28,704 men and 41,847 women -- more than 70,000 participants total -- who self-reported their drinking habits and other lifestyle details beginning in 2007-2008 and continuing through 2012. Diabetes Fast Facts During the study period, 859 men and 887 women developed diabetes. Overall, those with the lowest risk of developing diabetes were people who drank moderately on a weekly basis, Tolstrup’s analysis showed. In terms of volume, 14 alcoholic beverages each week for men and nine beverages each week for women yielded the best results: a 43% and 58% lower risk, respectively, compared to nondrinkers, the researchers found. “In principle we can only say something about the five-year risk from this study,” said Tolstrup in
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