Body and more january 2014 by The Sentinel

sunday, february 2, 2014

PREPARING • INFORMING • RAISING AWARENESS •

HEART HEALTH

G2 • The Sentinel

Body and More

Sunday, February 2, 2014

7 heart disease factors

For the first time, the American Heart Association has defined what it means to have ideal cardiovascular health. Its goal comes from the heart. The organization is focused on improving heart health of all Americans by 20 percent while reducing deaths from cardiovascular disease – all by the year 2020.

3 2

Maintain healthy weight e k o m s Don’t

reases eatly inc your r g g in k smo alk to Cigarette heart disease. T courage r n e fo r k your ris bout quitting o stop as doctor a e who smokes to someon on as possible. so

Doctors often calculate body mass index (BMI) to determine if a person’s weight is within a healthy range. It is a good number to know because being overweight or obese can increase your risk for heart disease.

Prevention. Prevention. Prevention.

Exercise

And not just for a few minutes each day. The Surgeon General recommends that adults engage in moderate-intensity exercise for at least 30 minutes of most days of the week. This regular activity can help you maintain a healthy weight and lower your cholesterol and blood pressure.

Continued on G4

Dr. Colette Lasek Dr. David Kann Cardiologists

David Kann, M.D., and Colette Lasek, M.D., have practiced preventive cardiology in Carlisle for more than 15 years. We find nothing more gratifying than preventing heart disease and are cheerfully accepting new patients.

Most patients don’t need a referral. Call us at 717-258-8862 so we can help.

Members of the medical staff

Sunday, February 2, 2014

Body and More

The Sentinel • G3

- PAID ADVERTISEMENT -

A new you for the Half empty, too full new year! BY LEO D. FARRELL, M.D.

Featuring... � Breast augmentation � Breast lift Free consultations for a limited time! Call for details.

717-732-9000 Performed by Leo D. Farrell M.D. Board Certified Plastic Surgeon

A common complaint among women is their breasts are either too large or too small. Advanced plastic surgery procedures can address both problems. There are many aspects, which are similar and some are different. According to the American Society of Plastic and Reconstructive surgeons, the most popular surgical procedure in 2012 was breast augmentation with over 330,000 procedures performed. The majority of patients were between 19 and 50 years of age and 72% of patients chose silicon filled implants, and 28% saline filled implants. Breast reduction surgery was the 8th procedure on the list with over 112,000 procedures performed. Breast reduction patients usually have large, heavy pendulous or disproportional large breasts. Newer techniques for breast reduction involve repositioning the nipple areola on a pedicle of tissue and removing the excess tissue re-approximating the remaining breast tissue through a lollipop shaped incision. Breast reduction surgery with short scar techniques, result in better long-term shape, more fullness and less scars along the bra line. The long-term projection and shape of the breasts are improved and there is also a very high satisfaction rate among patients - over 90%. Regarding breast augmentation, there are new implants available, which are anatomically shaped and have a “gummy bear” fill to decrease the risk of implant rupture and other complications. Overall, breast augmentation has been found to have a 93% satisfaction rate. The breast augmentation procedure usually involves placing an implant through a short horizontal incision in the breast fold, placing the implant partially under the major chest muscle. There are differences in the procedures. Breast augmentation is considered a cosmetic procedure and not covered by insurance. Breast reduction is usually covered by insurance if symptoms exist such as back pain, shoulder grooving from bra straps, and skin irritation under the breast folds. National average fee was about $4,000.00 for breast augmentation and $5,000.00 for breast reduction, in addition to anesthesia and facility fees. Each person is unique and the procedures must be modified accordingly. Depending upon the patient’s age, screening for breast cancer may be indicated. However, the incidents of breast cancer are not increased by either procedure. Reference: Cosmetic surgery national data bank statistics 2012

G4 • The Sentinel

Diet

Mixing in plenty of vegetables and fruits in into your diet can help you avoid heart disease. Opt for foods low in saturated fat, trans fat and cholesterol for optimum health.

Body and More

Sunday, February 2, 2014

Cholesterol Manage blood pressure Keep an eye on your blood pressure regularly. You can check it at a pharmacy, a doctor’s office or even at home. Doing so can help you stay heart-healthy.

The Centers for Disease Control and Prevention urges adults to have their cholesterol checked at least every five years. It is a simple blood test that can help alert your doctor of any increased risk factors for heart disease.

Glucose levels

Especially for people with diabetes, it is crucial that blood sugar levels are kept in check. Talk with your doctor about how to best monitor your levels and reduce your risk for heart disease.

Cumberland County’s Long and Short Term Skilled Nursing Care Center • Skilled Nursing • Rehabilitation Services • Consulting Physician on Site • Dieticians on Staff • Heritage Harbor, a Secure Dementia Care Unit

A Community of Care

1000 Claremont Road • Carlisle, PA • 717-240-1963 • www.ccpa.net/cnrc

Sunday, February 2, 2014

Body and More

1 50 YEARS AFTER GETTYSBURG, THE WORDS THAT FLOWED FROM ITS TIP ARE STILL RECITED. BUT THE PEN DIDN’T REDEFINE EQUALITY. THE PRESIDENT WIELDING IT DID.

AN INSTRUMENT CAN CHANGE LIVES. THAT’S WHY AT HOLY SPIRIT HEALTH SYSTEM, DOCTORS SEE MORE THAN DATA. COMPASSION IS HIGH-TECH. AND HOPE BECOMES HEALTH.

W W W. H S H . O R G

The Sentinel • G5

Body and More

G6 • The Sentinel

Sunday, February 2, 2014

Save the date!

American Heart Month

ebruary doesn’t devote only one day to the heart anymore. Yes, you can still spoil your sweetie on Valentine’s Day, but medical professionals are hoping that a month-long campaign of awareness will convince you to help your own heart, too. American Heart Month is sponsored by the American Heart Association, which devotes February to community outreach, marketing initiatives and educational programs – all aimed at bringing attention to American heart health.

ute to men and women affected by heart disease. Wearing red is also a symbol of recognizing dedicated health care professionals and honoring researchers working toward uncovering medical innovations. The color also symbolizes you and your personal effort toward ensuring your optimum health, and the health of those around you.

Simple steps

The American Heart Association and its partners spend a lot of energy in February explaining the simple National Wear Red Day steps that Americans can take to imAmerican Heart Month kicks off on prove their heart health. Feb. 1 with National Wear Red Day, Their message is clear: Heart disan initiative designed to pay trib- ease is the leading cause of death in

the U.S. but is highly preventable. Healthy choices and proper management of health conditions can go a long way to reducing heart disease, as can an informed public dedicated to helping their fellow Americans reach peak heart health.

Spread the word

You can do your part to help American Heart Association in its efforts. Do a little research on heart health and spread the message with your friends and family members. You can also take your voice to social media by tweeting, posting and broadcasting heart-healthy tips and tricks. See Heart Month, G8

Body and More

Sunday, February 2, 2014

The Sentinel â&#x20AC;˘ G7

New Cardiologists

Accepting New Patients

(717) 217-6944 SummitHealth.org/Heart

Award Winning

Heart Care SummitHealth.org

Dr. Michael Adenaike

Dr. Yaser Elnahar

Body and More

G8 • The Sentinel

Sunday, February 2, 2014

Heart Month Continued from G6 The U.S. Department of Health and Human Services’ website, HealthFinder.gov, features an American Heart Month toolkit full of sample tweets and informational resources that can help you share the message.

American Heart Month February doesn’t devote only one day to the heart anymore. Yes, you can still spoil your sweetie on Valentine’s Day, but medical professionals are hoping that a month-long campaign of awareness will convince you to help your own heart, too. American Heart Month is sponsored by the American Heart Association, which devotes February to community outreach, marketing initiatives and educational programs – all aimed at

Preparing for heart surgery

bringing attention to Amer- take to improve their heart health. ican heart health. Their message is clear: National Wear Red Day Heart disease is the leading American Heart Month cause of death in the U.S. kicks off on Feb. 1 with Na- but is highly preventable. tional Wear Red Day, an Healthy choices and propinitiative designed to pay er management of health tribute to men and women conditions can go a long way affected by heart disease. to reducing heart disease, as Wearing red is also a sym- can an informed public dedbol of recognizing dedicat- icated to helping their fellow ed health care professionals Americans reach peak heart and honoring researchers health. working toward uncovering Spread the word medical innovations. You can do your part to The color also symbolizes you and your personal effort help American Heart Assotoward ensuring your opti- ciation in its efforts. Do a litmum health, and the health tle research on heart health and spread the message of those around you. with your friends and family Simple steps members. The American Heart AsYou can also take your sociation and its partners voice to social media by spend a lot of energy in Feb- twe e t i n g , p os t i n g a n d ruary explaining the simple broadcasting heart-healthy steps that Americans can tips and tricks.

The thought of undergoing any type of heart surgery can be overwhelming. Although you may be nervous, it is important to remember that doctors perform successful heart surgeries every day all over the world. Doing your part to be prepared for the operation can go a long way in calming your nerves. Talk early and often to your physician about the procedure and focus your thoughts on the end goal: to have a healthier, stronger heart.

Before surgery You will most likely arrive to the hospital the day before See Surgery, G10

Your Bridge From Hospital To Home.

MedBridge is located at:

We realize choosing where to go for post-hospital rehabilitation and skilled nursing is a monumental decision. It’s important to choose the facility that understands your needs and is focused on helping you meet your goals. If you would like to learn more about MedBridge, please contact our admission team for more information or to set up a tour.

1070 Stouffer Avenue • Chambersburg, PA 17201 717.263.0436 • www.manorcare.com

Sunday, February 2, 2014

Body and More

The Sentinel • G9

Does Your Child Have a Healthy Heart? Sudden Cardiac Arrest in Youth… Be Aware – it’s NOT so Rare! YOU Make the Difference WARNING SIGNS & SYMPTOMS OF A HEART CONDITION Fainting (syncope) or seizure during or after physical activity Chest pain or discomfort/racing heart Fainting (syncope) or seizure resulting from emotional excitement, emotional distress or startle Unexpected fainting or seizures Family history of heart disease Unusual shortness of breath Unusual fatigue/tiredness Dizziness/lightheadness during or after physical activity Family history of unexpected death during physical activity or during a seizure or any other unexplained sudden death of an otherwise healthy family member under the age of 50

Consult a physician promptly if you or someone you know has one or more of these signs and/or symptoms!

Nicholas Ryan Over Foundation South Central Pennsylvania Heart Safe Program

www.nrofoundation.org

Body and More

G10 • The Sentinel

WARNING! Face Drooping: If either side of the face is drooping or numb, it’s time to call 911. The American Stroke Association advises that if it is hard to display a straight smile, then face drooping is probably occurring. Arm Weakness: Strokes can cause weakness or numbness in the arms, making it difficult to raise them. Don’t brush this issue off as common aches and pains, like so many stroke victims in the past have done. Speech Difficulty: Slurred and hard-to-understand speech a re d e f i n i te warning signs of a stroke. If re p e a t i n g a simple phrase like “How are you today?” is difficult, a stroke could be taking place. Don’t spend very much time assessing the situation, call 911 immediately.

A S

Surgery Continued from G8

Time to call 911: Even if any of the above symptoms go away, call 911 immediately if you think either you or someone else may be having a stroke.

your surgery, depending on whether you are undergoing an emergency or planned procedure. Be ready for potential Xrays, blood tests and continuous monitoring as your surgical team gathers all pertinent patient information. Be sure to ask any questions you may have regarding the operation, hospital facilities or potential effects after surgery.

Other symptoms

During surgery

Remembering the FAST acronym is a great place to start, but you should also be aware of other symptoms of strokes. They include sudden numbness or weakness of the leg, sudden confusion, sudden difficulty seeing in one or both eyes, dizziness, loss of balance and severe headache with no known cause. Do not wait for these symptoms to dispel; seek immediate medical attention.

You will be given anesthesia to cause deep sleep and freedom from pain,

Stroke ahead

Stroke is the fourth-leading cause of death in the United States, and if you’ve had heart issues in the past, you may be at greater risk. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked or bursts. This cuts off vital blood and oxygen to the brain and causes cells to die. People who have had heart attacks may be at increased risk for stroke, which is also linked to hereditary factors and lifestyle choices. It is important to act quickly if you feel that you or someone else is experiencing a stroke. “Time lost is brain lost,” says the slogan of the American Heart Association. Be sure to make note of what time the symptoms start, as this information could be crucial to medical professionals. The American Stroke Association wants people to remember the acronym FAST for situations involving a potential stroke. Read what each letter stands for below, and remember to always call 911 immediately if you see these signs and symptoms.

Sunday, February 2, 2014

which generally means you will remember nothing of the operation. Depending on the scope, heart surgeries usually take three to five hours, according to American Heart Association. Family members and friends are usually allowed to stay in the waiting room, and can be notified shorty after your surgery. After the operation, you will be transported to the intensive care or recovery unit to begin your rehabilitation from surgery.

filled with certain challenges, especially if you’re used to exerting yourself physically. You will most likely be under strict doctor’s orders to rest and avoid even moderate exercise while your heart and body heal from surgery. Again, remember your end goal. You have made it through all of the preparation, as well as the actual surgery, and must be cautious not to take on extra physical or mental stress. After surgery Depending on what type Doing so can set back your of surgery you have, the recovery time and even road to recovery can be cause complications.

need a ride? Cumberlink.com/autos

��

be our friend.

Cumberlink’s on Facebook

Physical Therapy Occupational Therapy Speech Therapy Wound Care Management IV Therapy Orthopedic Rehabilitation

Speeding your path from hospital to home. 700 Walnut Bottom Road, Carlisle, PA 17013

717-960-7700 • ForestParkHealthCenter.org

��

Peter J. Sakol, M.D., LLC • Suite 205, 2025 Technology Parkway Mechanicsburg, PA 17050-9497

Sunday, February 2, 2014

Body and More

The Sentinel • G11

Controlling your blood pressure M

aintaining a healthy blood pressure is a constant battle for some people, but it is a fight that they shouldn’t have to face on their own. There are a network of professionals, family members and friends all ready to help you reach and sustain your health goals.

Team up Two minds are often better than one when trying to tackle any major issue. The same is true for anyone seeking expert medical advice related to keeping their blood pressure at a safe level. The U.S. Preventive Services Task Force recommends a team-based care approach for blood pressure control, meaning a physician supported by a pharmacist, dietician, nurse See Blood pressure, G12

Our Privilege. Your Choice Exemplary personalized care for those who entrust the end of their lives to us.

Respectful, considerate and heart-felt care that assures comfort of patients and families.

Professional clinical and bereavement staff available to provide compassionate support.

A Community Co it Outreach Ou Outr ch off Homeland Ho land Center C te

Adams, Cumberland, Dauphin, Serving Adam Perry & York Counties Lebanon, P 2300 Vartan Way

Suite 115 • Harrisburg Su (717) 221-7890

www.homelandhospice.org ww

Patti Social Worker

Kim Nurse

Body and More

G12 • The Sentinel

Sunday, February 2, 2014

Heart health screenings You know the risk factors associated with heart disease: high blood pressure, high cholesterol and high blood glucose. But how do you know which risk factors you have? Enter heart health screenings. All regular cardiovascular screening tests should begin at age 20, according to American Heart Association. The frequency of follow-up will depend on you risk levels and the strategy your physician recommends. Regular screening can help you detect risk factors in their earliest stages, allowing plenty of time for lifestyle changes or medication that can reduce the chance for heart disease. Check the list below to see what screenings you should

be taking.

Blood pressure High blood pressure generally has no symptoms and cannot be found without measurement. That’s why it is labeled the silent killer. Sixty-eight million Americans (one in three) have high blood pressure, according to the Centers for Disease Control and Prevention, and it is important to monitor because of its link to an increased risk for heart disease and stroke.

Cholesterol The American Heart Association recommends that you undergo fasting lipoprotein testing every five years starting at age 20. This blood test measures total cholesterol – both bad and good – and triglycerides.

Men over 45 and women over 50 may need to be tested more frequently, as could people with other cardiovascular risk factors. Things like high blood pressure, cholesterol and triglycerides can be improved through changes to diet, exercise and medication.

Blood glucose High blood glucose levels put people at a greater risk of developing Type 2 diabetes, which can increase the chance of heart disease and stroke. Check with your doctor about undergoing a blood glucose test, especially if you are 45 or older. The American Heart Association urges people to have their level checked at least every three years.

Blood pressure Continued from G11 and/or a community health worker. This multi-faceted app roa c h , t h e ta s k fo rce suggests, improves the management of major cardiovascular risk factors in outpatients, as opposed to a single physician alone.

Talk to your physician Your physician is a wealth of information when it comes to finding ways to beat high blood pressure. He or she can provide diet and

exercise tips that are customized to your body and medical history. If you have issues keeping your numbers down through healthy diet and physical activity, your physician can prescribe specific medicines targeted at mitigating high rates. It is important to be transparent with your doctor about your eating, smoking and drinking habits if you want effective results. The more they know, the more they can help you stay healthy.

Keep a journal We all need help remembering things sometimes. Medication schedules, blood pressure measurements and doctor’s appointments, for example, can be hard to keep track of when you’re busy with daily life. A journal can help you keep notes on all of these important items and more. It can also be a valuable tool in sharing your medical history and concerns with your doctor, providing a solid source of crucial, up-todate information.

beauty weness where

and come together.

Home of Pennsylvania’s First Himalayan Salt Cave

257 Penrose Place, carlisle (717) 218-8732

20 off

your first hair replacement piece + free hair replacement consultation School Closings and Delays @ www.cumberlink.com

Our non-surgical hair replacement recreates the look & feel of natural hair!

expires 2/26/14

salt cave

10 per session $

expires 2/26/14

TranquiliTysalonandWellnesscenTer.com

Sunday, February 2, 2014

Body and More

The Sentinel • G13

Heart attack proof How to give yourself a cardiac makeover It’s not cancer, accidents or even old age - the leading cause of death in both men and women in the United States is cardiovascular disease, which includes heart attack and stroke. The good news is that this killer is highly preventable and controllable. By taking the right steps and working closely with your doctor, you can help prevent heart attack and stroke at any age. Bestselling author Dr. Michael Ozner, a board-certified cardiologist, a Fellow

of the American College of Cardiology and of the American Heart Association, and medical director of Wellness and Prevention at Baptist Health South Florida, knows when it comes to your heart, a proactive approach is best. Here are some of his top tips to help you start your own cardiac makeover:

cause it mainly consists of fruits, vegetables, olive oil, whole grains, legumes, nuts, fish and poultry. It is low in saturated fat and contains more of the healthy fats that support heart function. -When embracing a heart-healthy diet, it’s also best to limit sugar, salt, red meat, trans fats or processed foods.

than one drink for a woman and two drinks for a man in a 24-hour period. One drink equals 12 ounces of beer, 5 ounces of wine or 1.5 ounces of spirits.

Catch heart health with fish oil

adequate intake. Remember, not all fish oil supplements are created equal - when shopping, get a certificate of analysis from the company and compare results for purity, freshness and potency. For example, Nordic Naturals provides this information to customers, which includes guidelines from leading organizations on toxins, oxidation and heavy metals.

Fish oil supplements are clinically proven to support cardiovascular health. Since the typical American Eat the Mediterranean Drink to heart health doesn’t consume enough way If you drink alcohol, the omega-3s from healthy food A Mediterranean diet is key is to do so in modera- sources, a quality fish oil is Know your biomarkers Comprehensive blood ideal for heart health be- tion. Consume no more the best option to ensure

tests by a health care professional reveal important biomarkers that can help you understand your heart health and where to make improvements. Biomarkers go beyond standard cholesterol tests to reveal hidden risks. When it comes to heart health, knowledge is power, and when you and your doctor know your biomarkers, you both can come up with an intervention and therapy plan to correct See Cardiac, G14

Welcome Home!

COTTAGES OF SHIPPENSBURG Rent a worry-free lifestyle!

e Apartments Availabl for immediate Move-In!

Applicants must be 55 years or older and meet eligibility and income requirements

1-877-714-3818

300 Dwelling Court, Shippensburg

Garage with 800-654-5984(TTY) every home! Hours: Mon-Fri 9-5, Weekend Hrs By Appointment Only Pet-friendly! www.cottagesleasing@hrehllc.com One Level Convenience!

G14 • The Sentinel

Body and More

Sunday, February 2, 2014

Heart-healthy diet Eat nutritious foods. It’s a simple statement, indeed, but not always easy to live by. As the obesity rate in America continues to bulge, doctors and researchers plug along at educating the masses about the link between bad diet and heart disease – the No. 1 killer in the United States.

Quantity matters A study published in the American Journal of Clinical Nutrition found that the quantity of fruit and vegetables in diets was more important than the variety. Researchers followed 120,000 people for more than 20 years, during which about 6,000 developed heart disease. The people who ate the most fruits and vegetables had a 17 percent lower risk, particularly the people who added more citrus fruit and green leafy vegetables. The chart below with recommendations from the

SAVE MONEY THIS WINTER with Allegany Optical!

Cardiac Continued from G13 any abnormalities.

Step up for heart health Make it your goal to walk 10,000 steps each day - the equivalent of 60 minutes of moderate-intensityexercise. Track your progress with a pedometer. It can become addictive to check that little device and see the number increase. If you’re not very physically active, start slow and work your way up. Start by walking at least 30 minutes per day and boost your steps by walking during your lunch break, tak-

American Heart Association offers a global glance into what you should – and shouldn’t – be eating to help your chances of avoiding heart disease. Fruits and Vegetables: At least four-and-a-half cups per day Fish (preferably oily fish): At least two three-and-ahalf-ounce servings a week Fiber-rich Whole Grains: At least three one-ounceequivalent servings a day Sodium: Less than 1,500 mg a day Sugar-sweetened Beverages: No more than 450 calories (36 ounces) a week Nuts, Legumes and Seeds: At least four servings a week Processed Meats: No more than two servings a week Saturated Fat: Less than seven percent of total energy intake

ing the stairs rather than cise and music. Breathing the elevator, and walking in calmly is one of the simplace while watching TV. plest - yet best - ways to reduce stress and stay in Melt away stress control. Don’t forget to get Stress is an enemy of adequate sleep each night heart health, but we all too. know that it’s difficult to Heart health should be a avoid stress completely. priority for every American That’s why it’s important at any age, and with a few to understand your per- important tips from experts sonal stress triggers and like Dr. Ozner, giving yourlearn new ways to manage self a cardiac makeover has them. Retrain your mind to never been easier. For fursee daily stressors for what ther information, read Dr. they are and learn to calm Ozner’s bestselling book yourself down in healthy “Heart Attack Proof - A Six ways. Practice relaxation Week Cardiac Makeover techniques like meditation, For a Lifetime of Optimal yoga, visualization, exer- Health.”

we have:

158 =

Eye Exam + 2 boxes of Hydroflex 100 contact lenses!

Complete eye exams for glasses just

Check out our wide variety of

designer frames starting at just

54! 139!

+ many more!

Come visit us at our locations!

Carlisle Commons 319 York Road Carlisle

218-6656

Carlisle

258-4422

341 Baltimore Rd Shippensburg

532-8806

Sunday, February 2, 2014

Body and More

The Sentinel • G15

Ask the pharmacist Understanding dangers of low blood sugar T h e n u m b e rs a re a stounding - nearly 400 million people worldwide suffer from diabetes and many patients may not realize they are at risk for a condition known as hypoglycemia. Hypoglycemia is characterized as dangerously low blood sugar levels that could cause serious side-effects including hospitalization. Jay Belcher, is a specialist pharmacist in Express Scripts Diabetes Therapeutic Resource Center, and counsels patients who may not be aware of their risk for hypoglycemia. “Normally, our body has a natural response that is triggered when blood sugar levels drop below a normal level,” says Belcher. “However, in some people with diabetes, this response is impaired. Certa i n m e d i ca t i o n s u se d to treat diabetes, such as insulin, can also prevent glucose levels from easily returning to the normal range.” There are certain people at increased risk for hypoglycemia - including those with chronic diabetes and type 1 diabetes patients. “People with type 1 diabetes are at increased risk because they may not show early warning signs of low blood glucose, a condition called hypoglycemia unawareness,” says Belcher.- “This means an

individual no longer experiences early warning symptoms such as shakiness, sweating, anxiety and hunger; raising their risk of lapsing into severe hypoglycemia.” It’s important for all diabetes patients to remember that hypoglycemia is usually mild and can be treated quickly and easily by consuming a small amount of a glucose-rich food or drink. Unfortunately the condition can rapidly worsen causing confusion, clumsiness or fainting; in fact, severe hypoglycemia can lead to seizures, coma and even death. Belcher offers the following tips to help prevent hypoglycemia:

Timing is everything As with all medications, always take your diabetes medications in the recommended dosage and at the recommended times. Some diabetes medications can cause hypoglycemia. If you have questions, talk to your physician or specialist pharmacist who can help explain how and when to take these medications.

Watch what you eat Following a meal plan is important for managing diabetes. Have enough food during each meal, avoid skipping meals and try healthy snacking (if

recommended). If you are struggling with your food intake, work with a registered dietician who can help design a meal plan that fits your personal preferences and lifestyle. Eating right will help you manage your diabetes.

Exercise responsibly Check your blood glucose before sports, exercise, or other physical activity and adjust medication if necessary. Plus, have a snack handy if your levels fall below 100 milligrams per deciliter (mg/dL). Also, check blood glucose at regular intervals during extended periods of physical activity and periodically after physical activity and adjust medications if necessary.

Limit alcohol consumption Drinking alcoholic beverages, especially on an empty stomach, can cause h y p o g l yc e m i a . H e a v y drinking can be particularly dangerous for people taking insulin or medications that increase insulin production. Only consume alcohol with a snack or meal. For more information and additional ways to become a more engaged and empowered patient, visit Express Scripts’ Healthcare Insights blog at lab. express-scripts.com.

Cherish your

Independence! No Entrance Fee, Month to Month Rentals Independent Living Cottages & Apartments ✟ United Church of Christ Homes

Sarah A. Todd Memorial Home 2 Bedroom, Private Cottages with Full Kitchens and 1 & 2 Bedroom Apartments

ALL COTTAGES AND APARTMENTS INCLUDE: Kitchen Appliances • Ample Closet Space Emergency Call System • Washer/Dryer • Private Patio

1000 W. SOUTH STREET, CARLISLE, PA 17013 (717) 245-2187 • Fax (717) 245-9733 Visit us at UCC-HOMES.ORG and take a virtual tour!

G16 • The Sentinel

Body and More

Sunday, February 2, 2014

94,000 patients trusted their hearts to us last year. Our multi-disciplinary team of cardiologists, surgeons, nurses, physicians’ assistants and rehabilitation specialists work seamlessly delivering the broadest range of traditional and highly specialized procedures in the region. Our conveniently located offices, emergency departments and rehabilitation facilities offer advanced diagnosis and treatment—from heart attacks to leading-edge surgical advances using minimally invasive techniques. Additionally, PHCVI is expanding, including a new CTICU, services at the West Shore Hospital and innovative clinical trials.

Accessible. Experienced. Quality Cardiac Care.

pinnaclehealth.org/heart