OCTOBER 10th – HEALTH FAIR with lab work available at Augusta Church of Christ
For more information contact Bonnie Cox at 304-822-7866
OCTOBER 14th – HEALTHY HARVEST- 5-7 pm – Christ Community Church- a diabetes education program with cooking demonstrations and tasting
October 28th- DIABETIC SUPPORT GROUP – 1 pm at the Romney Senior Center.
DID YOU KNOW?
A WORD ABOUT SUGAR: in 1994, the American Diabetes Association lifted its absolute ban on sugar from it’s recommended dietary guidelines. Under these guidelines, you can exchange 1 tablespoon sugar for a slice of bread for example, because each is considered a starch exchange. The guidelines for sugar are based on scientific studies that show carbohydrate in the form of sugars does not raise the blood sugar levels more rapidly than other types of carbohydrate containing foods. What is important is the total amount of carbohydrate eaten, not the source.
However, sweets and other foods high in sugar may also be high in fat and low in nutrients. So the better choice between an apple and a doughnut is still an easy one to make. Sugar can be eaten in modest amounts as part of a balanced diet, whether or not the person has diabetes. When figured into your meal plan, a small amount of sugar enhances the foods flavor and texture without being harmful
DIABETES- DEPRESSION AND STRESS
If you have diabetes and you have had symptoms of depression, you’re not alone. That’s because people with diabetes are more likely to have depression and people without diabetes. This may be due:
-The strain of managing diabetes on a daily basis
-Feeling alone and different from family and friends
-Feeling out of control if you’re having trouble keeping your blood sugar in your target range
Depression can make managing your diabetes for difficult. If you’re depressed you may not have the energy to prepare anything meals, get regular physical activity, take diabetes medicines, or check your blood sugar.
Let your health care provider or care team know how you are feeling. There is help available.
FUNGAL FOOT INFECTIONS ARE RISKY IN DIABETES PATIENTS
According to Clinical Endocrinology News, fungal foot infections and diabetic patients are often ignored and are far more than a cosmetic problem.
In Patients with diabetes, Fungal infections triple the likelihood of a secondary bacterial infection such as cellulitis or osteomyelitis. Further they boost up to fivefold the risk of life and limb threatening gangrene.
Fungal infections of the foot are three times more common among diabetic individuals than the general population. Reasons for this includes impaired circulation, a compromised immune system, neuropathy and the inability to maintain good foot hygiene because of obesity, impaired vision or advanced age.
The organisms that cause Fungal infections in Diabetic patients are the same as those seen in the general population. So are the recommended first -line treatments. But
.treatment response is generally poor– much worse than in nondiabetics.
In nondiabetic patients first line treatment typically a topical anti-fungal.
Until new and better treatment come along- the key to preventing relapse of fungal foot infection in diabetic patients is to choose the simplest and most effective therapy, stress to diabetics the importance of completing the treatment course and daily self inspection inspection.
HOW MUCH DO YOU KNOW ABOUT METFORMIN?
Shana Cunningham RN CDE shares the following information regarding METFORMIN:
Metformin was originally synthesized in the 1920s and was known to reduce blood sugar. But the drug was ignored for nearly 30 years as researchers looked elsewhere for ways to address symptoms of diabetes. Today in large part because of its use for individuals with Pre-diabetes and Type 2 Diabetes, it’s one of the most widely prescribed anti-diabetic drugs in the world.
Individuals with Type 2 Diabetes often experience over production of glucose by the liver, which causes elevated blood glucose levels, particularly in the morning.
Metformin’s main mode of action is to decrease or suppress the livers production and release of glucose. Metformin also causes muscles to use more glucose which increases insulin sensitivity and decreases insulin resistance.
Metformin is not generally known to cause hypoglycemia in individuals when taken alone with no other diabetic medications.
Metformin’s most commonly known side effects are GI or gastrointestinal. Some individuals may experience diarrhea, nausea, vomiting, gas, indigestion or abdominal pain or cramping. These GI effects tend to lessen when Metformin is taken with food. Symptoms decrease over time, usually over 2 to 3 weeks.
Metformin is also known to cause a rare side effect of lactic acidosis, condition in which lactic acid builds up in the body. Because of the association between metformin and lactic acidosis, individuals with renal impairment or individuals who drink alcohol in excess should avoid taking it. As always, anyone who experiences side effects from metformin should report and discuss these findings with her primary care provider.
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Metformin is a medication that is primarily excreted or passed through an individual’s kidneys. Anyone receiving IV contrast dye and taking metformin is at risk for developing the rare side effect of lactic acidosis- especially people with underline kidney damage. Therefore individual should always discuss and list metformin as a home medication.