Diabetes Archives - Health Beat

Weight Loss Solutions for the New Year

Posted on January 9, 2023 by Jacob Lobosco

One of the most common resolutions people make at the beginning of each year is to lose weight. However, many people may have a hard time sticking to this goal if they cannot find a weight loss method that offers long-term results and maintains a balanced, healthy quality of life.

The right approach to weight loss may be different for everyone, but a natural approach that emphasizes consistency and moderation when it comes to your diet and exercise may offer the results you’re looking for. When you attempt to lose weight through this method, you should:

Incorporate single-ingredient and high-protein foods into your diet
Cut back on fried food, fast food, and other processed foods
Drink more water (about 15.5 cups per day for men and 11.5 cups per day for women)
Reduce your intake of liquid calories through soda, sugary drinks, alcohol, and other beverages
Perform at least 150 minutes of moderate aerobic exercise (about 22 minutes each day if you exercise throughout the entire week) and at least one set of resistance exercises that target all major muscle groups

While most people may achieve their weight loss goals by following these guidelines throughout the year, they may not be sufficient for people with extreme obesity or those who suffer from chronic conditions related to obesity. Certain prescription medications recommended by a doctor can often help, but for some people, bariatric surgery may be the right path forward.

Bariatric surgery is performed on the stomach and intestines to reduce food absorption. It includes several different types of procedures, such as:

Sleeve gastrectomy
Gastric bypass
Gastric revision
Lap band
Duodenal switch
Obalon balloon

Bariatric surgery is best suited for people who are:

Over a body mass index (BMI) of 40
Over 100 lbs. above their ideal weight
Experiencing severe pain in weight-bearing joints
Suffer from obesity-related chronic conditions such as high blood pressure, diabetes, sleep apnea, or degenerative joint disease

At Flushing Hospital Medical Center’s Bariatric Surgery Center, procedures are performed using the da Vinci robotic surgical platform. This technology allows for a minimally invasive approach and reduces scarring, pain, and recovery time. To schedule an appointment and learn more about our approach to bariatric surgery, please call us at 718-408-6977 or 718-670-8908.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Which Drug-Free Dieting Strategy is Right for You?

Posted on December 2, 2022 by Jacob Lobosco

Rapid weight loss, though not typically recommended as a healthy method of slimming down and keeping weight off, is sometimes necessary for severely obese people. In many cases, this kind of weight loss is overseen by a doctor and aided by prescription medications such as Ozempic, a drug primarily intended to treat diabetes.

However, recent shortages in this drug and others that are typically used to medically assist rapid weight loss may restrict availability for people trying to reach a healthy weight, making it necessary to consider other potential options.

Two particular dieting strategies, with the assistance of a doctor, can offer a safe means of rapidly losing weight when necessary and preserving your health. These include:

Intermittent Fasting: This strategy involves alternating between eating on a regular schedule and severely restricting calories. One popular example, the 16:8 approach, involves eating within an eight-hour window each day and fasting for the remaining 16. Another, the 5:2 approach, involves eating only one 500-600 calorie meal for two days of the week, eating normally for the remaining five days.

Low-Calorie Dieting: A low-calorie diet involves restricting daily calories to between 1000-1200 for women and 1200-1600 for men. An even stricter version of this approach can restrict calories to as little as 800 per day and is often used before weight loss surgery and can result in as much five pounds of weight loss per week.

Consult your doctor to determine whether these approaches are safe for you. They should be performed in conjunction with a regular exercise routine and a healthy, balanced diet. If you’re considering including herbal remedies or other types of supplements into your diet, talk to your doctor to determine whether these may cause complications with any foods you typically eat or medications you take.

If diet and exercise aren’t enough to help you adequately lose weight, other options are also available. Flushing Hospital Medical Center offers a non-invasive FDA-approved weight loss procedure that can help patients who are not candidates for bariatric surgery. For more information, please call (718) 670-8909. If you are a candidate for bariatric surgery, you can receive more information by calling (718) 670-6977.

Hyperglycemia

Posted on October 25, 2022 by Xavia Malcolm

The American Diabetes Association defines hyperglycemia as the technical term for having high blood glucose or high blood sugar.

High blood sugar can occur in people with diabetes as a result of eating certain foods, skipping, or not taking the correct dosage of insulin. Other causes are taking certain medications, infections, or severe illnesses.

Symptoms of hyperglycemia do not present immediately in most cases. They typically develop slowly, over several days or weeks. According to the Mayo Clinic, hyperglycemia usually doesn’t cause symptoms until blood sugar (glucose) levels are high — above 180 to 200 milligrams per deciliter (mg/dL), or 10 to 11.1 millimoles per liter (mmol/L).

Symptoms of hyperglycemia can include:

Increased thirst
Dry mouth
Fruity-smelling breath
Frequent urination
Blurred vision

It is important to pay attention to symptoms because hyperglycemia can become a serious health problem if left untreated. Ongoing high blood sugar levels can lead to nerve damage as well as damage to blood vessels and organs. Potentially life-threatening complications such as ketoacidosis (diabetic coma) could also occur.

If you are experiencing symptoms of hyperglycemia, consult your physician right away. To schedule an appointment with a doctor at Flushing Hospital Medical Center, please call 718-670-5486.

Diabetic Guideline for Cold and Flu Care

Posted on October 13, 2021 by Flushing Hospital

People who are diabetic must be very cautious when taking any medications when they have a cold or the flu. Some medications may have a negative effect on their health.

What medications are considered safe for a person with diabetes to take if they should get a cold or the flu? Most times taking a non-steroidal anti-inflammatory medication when taken as prescribed is safe. All medications, cough syrups and decongestants must be sugar-free. Often the pill form of a cold or flu medication might be a better choice to take because they may not contain any carbohydrates. If you are a diabetic, you should always consult with your physician before taking any over-the-counter medications.

In addition to taking medication as prescribed or recommended by a doctor, the most important thing for a diabetic patient to do is to keep their blood sugar well controlled. This will help their immune system fight off colds and the flu.

It is also recommended that people with diabetes check their blood sugar more frequently, every four hours, should they get a cold or the flu.

According to the Centers for Disease Control and Prevention (CDC) guidelines for “Sick Day Guidelines for People with Diabetes” a person should call their doctor or go to an emergency room if they experience vomiting, difficulty breathing, diarrhea, fever greater than 101 degrees Fahrenheit for over 24 hours, glucose level over 250mg/dl or lower than 70 mg/dl on two separate checks or cannot eat for more than 6 hours.

The American Diabetes Association recommendations for cold and flu care can be found here:

American Diabetes Association Guidelines for Colds and Flu

Most importantly, people with diabetes should get the annual flu vaccine to prevent or lessen the effects of the flu.

If you would like to schedule an appointment with a physician at Flushing Hospital Medical Center, please call 718-670-5486.

Understanding How Diabetes Can Affect Your Digestion

Posted on January 31, 2020 by Michael Hinck

Nausea and vomiting are two unpleasant feelings that most everyone has encountered at some point in their life, but for many diabetics, these are symptoms that they live with every day as a result of a condition known as diabetic gastroparesis.

Gastroparesis, also known as delayed gastric emptying, is a known complication of both the type 1 and type 2 forms of diabetes. It occurs because high blood glucose levels associated with diabetes often leads to nerve damage throughout the body. One such nerve is the vagus nerve. It controls the movement of food from the stomach into the small intestine. When it is damaged, food cannot move as quickly through the digestive system because the stomach muscles aren’t working well or stop working completely. When undigested food remains in the stomach for too long it can lead to a variety of problems such as bacterial overgrowth and the build-up of hardened, solid masses.

It is estimated at as many as 50% of all people living with diabetes develop some level of gastroparesis during their lifetime, but symptoms can vary greatly from person to person.

The most common symptoms associated with diabetic gastroparesis include:

Nausea after eating
Vomiting after eating
Fullness after eating small amount of food
Bloating
Pain in the upper section of your stomach
Lack of appetite
Heartburn
Unexplained weight loss

Diabetic gastroparesis can affect lead to many complications including dehydration and malnutrition. It can also make it hard for someone with diabetes to manage their blood sugar levels as well as maintain a healthy weight.

Unfortunately, there is no cure for gastroparesis, but there are some medications that have shown temporary relief. There are also some alternative food delivery methods available, such as feeding tubes and IV nutritional therapy for those with severe symptoms.

The best way to reduce the symptoms of diabetic gastroparesis involves adjusting your lifestyle through:

Maintaining a low fat / low fiber diet
Drinking plenty of water
Reducing stress levels
Quitting smoking
Avoiding alcohol and carbonated beverages
Eating small meals and chewing your food slowly
Taking walks after meals

It is also recommended that you talk to your doctor about any medications you are taking as they can also worsen gastroparesis symptoms.

If you would like to make an appointment with a diabetes specialist at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

Can A Glycemic Index Help Diabetics Control Their Blood Sugar

Posted on October 4, 2019 by Michael Hinck

If you have diabetes, you probably already know that eating certain carbohydrates can raise your blood sugar levels dramatically and quickly.

That’s because carbohydrates such as refined sugars and breads are easier for your body to convert into glucose, (the sugar your body uses for energy) than more slowly digested carbohydrates like those in vegetables and whole grains.

If you are diabetic and consume too much of the wrong type of carbohydrates you may have a difficult time controlling your blood sugar. To help diabetics make better choices a guide known as the glycemic index (GI) has been developed. This index assigns numbers to carbohydrate-containing foods based on how much and how quickly they can increase your blood sugar. The glycemic index provides diabetics with a way to distinguish slower-acting “good carbs” from the faster “bad carbs.” Many utilize this tool to refine their carbohydrate intake and to help them maintain steady blood sugar levels.

According to the glycemic index, carbohydrates with a low GI value are more slowly digested, absorbed and metabolized, resulting in a lower and slower rise in blood glucose. GI values are divided into three categories:

55 or less = Low (good)
56- 69 = Medium
70 or higher = High (bad)

Research has indicated that for most diabetics, the best tool for managing blood glucose is carbohydrate counting. Some clinical studies also suggest that a low GI diet can help people with diabetes control blood glucose levels, but there are warnings.

While the glycemic index can be a helpful tool to assist diabetics, most healthcare professionals agree that it shouldn’t be the only guide used to determine what to eat. One of the reasons for this is that the glycemic index only takes the carbohydrate value into account and doesn’t consider other nutritional values. The glycemic index also does not take into consideration the portion size of the carbohydrates being eaten, how they are being prepared, and what other foods are being consumed at the same time.

The glycemic index is also used by individuals who are trying to lose weight as well as those trying to adopt a healthier diet. Regardless of the reason however, doctors maintain that even though it can be helpful, the glycemic index should not be used in isolation as other nutritional factors, such as calories, fat, fiber, vitamins, and other nutrients should be considered.

If you have diabetes and are considering adopting the glycemic index into your diet, it is important to speak to your doctor first. If you would like to schedule an appointment with a diabetes specialist at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

Learn How to Properly Store Your Insulin in the Summer

Posted on July 5, 2019 by Michael Hinck

We would never waste our food or allow it to become spoiled by the heat, but what about medicines? Medicines should not be the exception, specifically insulin.

Insulin is a protein which is dissolved in water and is required to manage blood sugar levels in diabetics. As with any protein, bacteria can grow in insulin, making it susceptible to become spoiled. Bacteria can also break down the proteins in insulin and makes it less effective. Keeping insulin cool can help prevent it from spoiling and maintain its effectiveness. The recommended temperature for storage, once opened, should be anywhere from 59-68 degrees Fahrenheit. For insulin not in use, store between 36-46 degrees Fahrenheit. For many diabetics, insulin is most comfortably administered at room temperature.

Some other storage tips include:
• Do not freeze or use thawed insulin. The freezing temperature will break down the proteins and will not work to lower blood sugar levels.
• Do not leave in sunlight. This can break down the proteins in insulin as well.
• Inspect insulin prior to each use. Ensure that there are no clumps, crystals or particles in the bottle or pen. Insulin should be clear.
• Write the ‘start use’ date on the insulin vial and discard after 28 days or if it’s been opened.
• Never use expired insulin.
• Be wary of any unusual smells. Insulin should never have an odor or bad smell.

Insulin is administered in many forms including injections, pens or cartridges. Each may have different recommended storage times based on their manufacturer. It is important to check with a pharmacist, package insert, or the manufacturers’ website to ensure proper storage temperature of insulin.

What you should know about Type 1 (T1D) Diabetes

Posted on March 18, 2019 by Joann Ariola

Diabetes is on the rise and what has significantly increased is the rate of type 1 diabetes (T1D), formerly known as “juvenile” or “juvenile onset” diabetes. The Centers for Disease Control and Prevention (CDC) has found that more than 13,000 children and young people are diagnosed with type 1 diabetes each year.

T1D is often first diagnosed in children, teenagers, or young adults. However, people may develop T1D at any age. The exact cause of T1D is unknown, there is no cure and it cannot be outgrown. In most cases of T1D, the body’s own immune system, which normally fights harmful bacteria and viruses, mistakenly destroys the insulin-producing cells in the pancreas. Doctors believe genetics may play a role in this process, and exposure to certain environmental factors, such as viruses, may trigger the disease.

Symptoms for T1D include:
• Increased thirst
• Frequent urination
• Bedwetting in children who previously didn’t wet the bed during the night
• Extreme hunger
• Unintended weight loss
• Irritability and other mood changes
• Fatigue and weakness
• Blurred vision
• In females, frequent vaginal yeast infections

The good news is that it can be controlled with insulin therapy, exercise and diet. A simple blood test can identify type 1 diabetes. Be sure to consult with a physician if you or a family member is experiencing any of the above symptoms by contacting Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486.

How Does Weight Loss Surgery Affect Diabetes?

Posted on March 12, 2019 by Xavia Malcolm

Type 2 diabetes mellitus (T2DM) is the most common form of diabetes. Complications from this disease can lead to more serious health conditions such as hypertension and stroke. Type 2 diabetes can also lead to premature death; in fact, studies show that the risk of premature death can be increased by as much as 80% in patients with T2DM.

According to the American Society for Metabolic and Bariatric Surgery, “Obesity is the primary cause for type 2 diabetes.” Therefore, most patients diagnosed with T2DM can improve their health by losing weight.

One of the most effective forms of weight loss treatments for obesity is bariatric surgery. It has been found that undergoing bariatric surgery and adhering to a prescribed diabetes treatment plan can improve blood sugar levels and cause remission of the disease in most patients. The American Society for Metabolic and Bariatric Surgery reports that “Nearly all individuals who have bariatric surgery show improvement in their diabetic state.” Surgery may improve type 2 diabetes in approximately 90% of patients by either lowering blood sugar, reducing the dosage of medication needed or improving health problems associated with diabetes.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy procedure, a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created. During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. Both surgeries can offer excellent long-term results and positive outcomes in most patients. They are typically performed laparoscopically, utilizing a minimally invasive approach. Laparoscopic surgery can offer patients several benefits including shorter hospital stays, shorter recovery time and less scarring.

Although bariatric surgery is considered safe, it is important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

At Flushing Hospital’s Bariatric Surgical Center, procedures are performed utilizing minimally invasive techniques including robotic surgery. The Center also provides many compassionately delivered services to help patients succeed in every step of their weight loss journey including close physician monitoring, pre and post-surgical psychological evaluations, personalized diet and nutritional counseling as well as ongoing education and support groups.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

Diabetes and Depression

Posted on June 19, 2018 by Andrew Rubin

Diabetes does not directly cause depression but can contribute to it indirectly for a variety of reasons. Managing diabetes can be very stressful and it does require a modification of eating habits and, to some degree, a modification of lifestyle. Many people have difficulty keeping their blood sugar under control and this can also lead to frustration and potentially be a cause of depression.
Signs of depression include:
• Change in appetite
• Change in sleep pattern
• Loss of interest in doing things that were once enjoyable
• Trouble concentrating
• Lack of energy
• Feeling suicidal
If diabetes is not well controlled then variations in blood sugar level, high or low, can lead to symptoms that are similar to depression.
Similarly, depression can lead to the onset of diabetes. When people are depressed their eating habits tend to be affected and many people will over eat to the point of becoming obese. Some people who are depressed have no desire to be physically active, and many will also smoke. All of these are risk factors for diabetes.
There are ways to manage both diabetes and depression simultaneously. The most important factor is to speak with a physician who has experience and can help you to gain control of these illnesses. A patient who has been diagnosed with diabetes might also benefit from a program that focuses on behavior modification that will lead to a healthier lifestyle. There are medications that can be prescribed which will be helpful in managing these illnesses. Seeking the help of a psychotherapist will also be helpful in gaining confidence in the ability to manage both diseases.
If you would like to schedule an appointment with a physician at Flushing Hospital to discuss diabetes management please call 718-670-5486.