DIABETES, OBESITY, AND COVID-19

AVEON HEALTH

Diabetes Experts

Without a doubt you have heard that one of the groups that is in particular risk regarding the Coronavirus is Diabetics. This is based, in part, on several studies, including but not limited to:

• A small study reported in the March 2020 issue of Diabetes Metabolism Research and Reviews, based on 174 people in Wuhan, China, concluded that people with COVID-19 and Diabetes were at a higher risk for Pneumonia.
• In the April 2020 Journal of Diabetes Science and Technology a link was drawn between Diabetes and the risk of dying from COVID-19.
• A similar study to the one above was published online in the May 2020 issue of Cell Metabolism.

Knowing where the idea that Diabetics are at high risk comes from next leads us the question of how Diabetics are affected by COVID-19. To understand the response to the ailment by Diabetics, the Thriving Insights Panel surveyed some 20,000 individuals and ascertained the following information:

• 90% reported that they “Know what they should do” if they think they have contracted COVID-19.
• Over 85% have changed their daily routine due to COVID-19.
• Over 50% reported they are “very concerned” about the COVID-19 outbreak.
• 25% reported it is negatively affecting their Diabetes management.
• 23% have “talked to a healthcare provider” in regard to COVID-19.
• 8% reported having experienced symptoms of COVID-19.

Compounding the Diabetes/COVID-19 connection is yet another problem area where the Pandemic is concerned – Obesity! As a degree of clarification, it is imperative to understand what “Obesity” really is. Per the National Heart, Lung, and Blood Institute, “Severe Obesity” is defined as having a Body Mass Index (BMI) of 40 or higher. Obesity (BMI of 30 – 39), in general, plagues some 42.4 % of the U.S. population.

The issue of Obesity is often a combination of nurture and nature, according to the Obesity Medicine Association (OMA). In many cases, those who suffer from Obesity grew up in a family where large portions of calories at meal time and emotional eating are par for the course. However, the OMA notes that there is also a gene that can trigger reduced control in eating, increased caloric intake, and even a propensity of sedentary behavior.

Even if one possesses the “Obesity Gene” it does not mean that they are destined to be Obese. The issue can help be minimized with proper diet and exercise, and a concentrated effort to remain healthy!

Explaining that Diabetics really are at greater risk than the general public is one thing, but how to deal with this situation is what is really beneficial to us. As a result, here are several Tips to help us contend with the Coronavirus.

1. Follow the CDC Guidelines
2. Avoid touching your eyes, nose and mouth with unwashed hands.
3. Call ahead regarding medical attention unless it is a medical emergency.
4. Clean your hands often with soap and hot water, or use sanitizer that is at least 60% alcohol.
5. Cover up with a tissue when you sneeze or cough.
6. Stay home if you are sick.
7. Wear a face mask outside of your home and when you are around people.
8. Keep Your Prescriptions Filled and Stock Up on Extra Supplies.
9. Know that Some Over-the-Counter Medication can Affect Blood Glucose.
10. Advil (Ibuprofen), which can increase the hypoglycemic effect of insulin.
11. Aspirin in large doses.
12. Cough Syrups, except those that are labeled sugar-free.
13.  Decongestants, such as phenylephrine and pseudoephedrine.
14.  Pills that contain the same ingredients as syrups and do not have carbohydrates.
15. Maintain a Healthy Lifestyle by Prioritizing Diet, Exercise, and Sleep.

We trust that this will both help you understand that Diabetics are at greater risk, and provide you with some insights as to how you can reduce that risk. While this is a trying time, we all need to know that we can not only survive, but even thrive, by following a Healthy Lifestyle and communicating with our Health Care Providers when conditions deem it prudent!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in great part, with information gleaned from the following sources:

https://www.everydayhealth.com/diabetes/care-tips-during-the-coronavirus-pandemic/

https://www.diabetesdaily.com/blog/study-how-covid-19-is-affecting-people-with-diabetes-648318/

https://www.everydayhealth.com/coronavirus/how-obesity-may-increase-the-risk-for-covid-19-complications/

DIABETES & DIABETIC NEUROPAHY

AVEON HEALTH

Diabetes Experts

When most of us think of Diabetic Neuropathy we immediately think of our feet. And, while this is a major part of the problem, there are other areas of the body that can, and often are, also affected by Diabetic Neuropathy. In this brief dissertation we will take a look at these other areas, and also discuss ways to minimize the effect of Diabetic Neuropathy.

It is probably best if we first make sure that we have a common understanding as to what Diabetic Neuropathy is. First and foremost, Diabetic Neuropathy is a type of nerve damage created by long term blood-sugar levels that are above normal. Typically, it is slow developing, often taking several decades to manifest itself. One of the major concerns regarding Diabetic Neuropathy is the fact that vulnerability to infections or injuries is a major reality.

When it comes to detecting Diabetic Neuropathy there are a host of symptoms to be aware of, including but certainly not limited to:

• Burning sensation in feet, especially at night
• Difficulty with coordination when walking
• Increased heart rate
• Nausea, indigestion, vomiting, diarrhea, constipation
• Sensitivity to touch/Lack of sensation of touch
• Vision problems, such as double vision

As easily determined by surveying these symptoms, there is more than one type of Diabetic Neuropathy. The four major ones include:

1. Autonomic Neuropathy – There are a number or our organs and muscles that are controlled by the Autonomic Nervous System, including:

• Cardiovascular System
• Digestive System
• Sex Organs and Bladder
• Sweat Glands

2. Focal Neuropathy – Also known as Mononeuropathy, this ailment is indicative of the fact that there is damage to one specific nerve, or group of nerves, causing weakness in the affected areas. Typically, this takes place in areas such as the hand, head, torso, or leg, with the most common being carpal tunnel syndrome.
3. Peripheral Neuropathy – The most common form of Diabetic Neuropathy, this is manifested most often in the legs and feet, though it can also be experienced in the arms or hands. Symptoms can range from mild to extreme, and often include:

• Extreme sensitivity to touch
• Insensitivity to hot and cold temperatures
• Loss of balance and/or coordination
• Muscle weakness
• Numbness
• Sharp pain or cramping
• Tingling or burning sensations

4. Proximal Neuropathy – Somewhat rare, this form of Diabetic Neuropathy is most likely to affect the hips, buttocks, or thighs. The good news is that that those with Proximal Neuropathy usually recover, and many do so with no treatment.

While Diabetic Neuropathy is not curable, there are some effective ways to treat it – and, most of the treatments are considered proper protocols for Diabetics in general. This includes maintaining proper blood-sugar levels through diet and exercise; making sure not to smoke; and avoiding obesity. Pain from Diabetic Neuropathy can be managed with proper medications, which should, of course, be prescribed by a physician.

It is commonly accepted that to catch Diabetic Neuropathy in its early stages that the Diabetic should always be aware of the condition of their feet. This mandates that the feet are inspected daily, with special attention to any sores or ulcers that might appear, and that the feet be washed and moisturized daily. As soon as a problem is discovered, or even suspected, it is imperative that your doctor be contacted immediately.

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in great part, with information gleaned from the following sources:

https://apollosugar.com/world-of-diabetes/diabetes-complications/everything-you-should-know-about-diabetic-neuropathy/

DIABETES: PROS & CONS

OF APPLE CIDER VINEGAR!

AVEON HEALTH

Diabetes Experts

There are a number of surprising allies in the fight against Diabetes, and, surprisingly!, Apple Cider Vinegar (ACV) may very well be one of them! In fact, purportedly there are a number of Health Benefits of Apple Cider Vinegar, including, but not necessarily limited to:

• Can Help Kill Harmful Bacteria – Traditionally, Vinegar has been used for cleaning and disinfecting. This includes being used in the treatment of nail fungus, ear infections, and even warts. At other times it has also been used to battle acne.
• High in Healthful Substances – ACV provides small amounts of potassium, amino acids, and antioxidants.
• May Aid Weight Loss – Always something Diabetics seem to strive for, ACV is helpful in this realm as its use can increase the feeling of fullness. The positive effect of this, of course, is that leads to lower caloric intake.
• May Boost Skin Health – Topical use of ACV can assist in the rebalance of natural pH of the skin. This helps to improve the protective skin barrier. ACV use can, in theory, also prevent skin infections.
• May Help Lower Blood Sugar Levels and Manage Diabetes - Research shows ACV may provide the following benefits:

1. May improve Insulin Sensitivity.
2. May improve Insulin Function and lower Blood Sugar Levels after meals.

As with so many other things that we encounter in our quest to remain healthy, while ACV has many positive attributes there are some side effects that cannot be ignored. Some of these include, but are not limited to:

• Delayed Stomach Emptying – While preventing Blood Sugar Spikes by reducing the rate at which food leaves the stomach, thus slowing down the absorption rate into the blood stream, ACV may adversely affect the symptoms of gastroparesis.Gastroparesis is a condition where the food stays in the stomach too long and is not emptied into the lower Digestive Tract at a normal rate.
• Drug Interactions – There are several drugs which may interact with ACV:

1. Certain Diuretic Drugs
2. Digoxin (Lanoxin) – Used to lower Potassium Levels, when combined with ACV it can create a dangerous drop in Potassium.
3. Diabetes Medication: Those who take Insulin or Insulin-stimulating meds may experience dangerously low Blood Sugar Levels when ingesting ACV.

• Erosion of Tooth Enamel – This is an extreme side effect, but one that is real. One case found this manifesting itself when a fifteen year old girl consumed a cup of ACV daily in attempt to expedite weight loss!
• Throat Burns – Damage to the esophagus is a potential issue if too much ACV is consumed at any given time, or in too strong of a “dose.”

The key to enjoying the benefits and avoiding the plights of ACV is to simply be aware of the proper way to use it. This includes, but is not limited to:

1. Be aware of any allergies you may have.
2. Consider avoiding it if you have gastroparesis.
3. Dilute the ACV to limit exposure to Acetic Acid.
4. Limit the amount you consume, especially at any one time.
5. To further minimize exposure to Acetic Acid, rinse your mouth after ACV consumption.

We trust that this will encourage you to consider adding ACV to your arsenal against your Diabetes, as it can truly be a worthwhile tool. We don’t, however, necessarily suggest that you drink pickle juice, though that would be one way of acquiring your ACV!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in part, with information gleaned from the following sources:

https://www.healthline.com/nutrition/6-proven-health-benefits-of-apple-cider-vinegar

https://www.healthline.com/nutrition/apple-cider-vinegar-side-effects

DIABETES: TYPE 2 REMISSION

AVEON HEALTH

Diabetes Experts

It is pretty much understood that Type 1 Diabetes is for life, but such may not be the case where Type 2 Diabetes is concerned. When we refer to “Remission” we are discussing the fact that if we can lower A1C numbers it means we are, in effect, allowing the natural production of Insulin to increase and are, in fact, achieving Remission.

To understand how this can be accomplished we must examine the “Twin Cycle Hypothesis,” which theorizes that when extra fat is deposited in the liver due to weight gain, fat accumulates in the pancreas and adversely affects the insulin-producing beta cells located there. It is believed that fat reduction in the pancreas via weight loss can help restore normal Insulin production.

Understanding that Diabetes is effected by both Genetics, Lifestyle and Weight Control, we can contribute to Remission by changing our Lifestyle in a positive way. The reason it is imperative that we do so is because if we don’t, Type 2 Diabetes can lead to an increase in risk to Kidney Failure, Strokes, Blindness, Heart Attacks and even Lower Limb Amputations.

Inasmuch as Weight Control is a major element in Remission, many experts suggest both a Low Carb and Low Calorie Diet! The reason a Diet change is beneficial is due to the fact that when we cut our caloric intake the body gets the energy it needs by burning fat that is stored under the skin. Conversely, when we consume too much food our body naturally increase the amount of fat stored to the point that the “overflow” ends up accumulating in the liver.

As important as Diet is, in itself it cannot lead to meeting the Remission Goal. Other Lifestyle Changes that will help include, but are not necessarily limit to:

• Aim for concentrated periods of exercise, which can consist of such low-level intensity activities as walking. Preferably, we should have no more than two days of inactivity at any time.
• Aim for a minimum of seven hours sleep per night. Also, whenever possible, have the same bed – and wake up time each day.
• Check Blood Sugar frequently to determine how the different foods you eat affect the results.
• Establish a low carb, healthy fat diet when possible.
• Find additional motivations for your efforts, such as increased energy as well as weight loss.
• Have healthy snacks available (Preferably low carb).
• When Blood Sugars are high take a walk and drink a glass of water!

Studies show that the longer you have had Type 2 Diabetes the less chance Remission can take place. Too, the more severe the A1C scores, the less chance for Remission as well. It should be noted that once Remission has been accomplished, resorting back to your “old” life style may prove detrimental, especially if it should result in weight gain.

Positive Lifestyle Changes are beneficial in general, and especially for those who have Type 2 Diabetes. As a result, we strongly suggest that you take the necessary steps to implement them to your daily regimen at your very earliest convenience!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in part, with information gleaned from the following sources:

https://diatribe.org/type-2-diabetes-remission-what-it-and-how-can-it-be-done

https://www.everydayhealth.com/type-2-diabetes/study-sheds-light-on-how-fat-loss-can-put-type-2-diabetes-in-remission

TIPS FOR COPING WITH WILDFIRE SMOKE

AVEON HEALTH

Diabetes Experts

As unbelievable as 2020 has been regarding health conditions, the Wildfires on the West Coast have added even more concerns for us to be aware of, specifically Wildfire Smoke. To fully understand the risk, it is imperative that we know what, exactly, Wildfire Smoke is: A complex mixture of fine particulate matter (PM 2.5) and gases such as volatile organic compounds, nitrogen oxides, and carbon monoxide.

While the effects of Wildfire Smoke can be extremely hazardous, there are ways to know if you are being affected, including but not necessarily limited to:

• A Scratchy Throat
• An Asthma Attack
• Chest Pain
• Coughing
• Fast Heartbeat
• Headaches
• Irritated Sinuses
• Runny Nose
• Stinging Eyes
• Tiredness
• Trouble Breathing Properly
• Wheezing and Shortness of Breath

It is highly conceivable that you may be at risk of suffering from Wildfire Smoke, especially the closer you live to the West Coast. While distance does present some protection, it is estimated that this year’s Wildfire Smoke has drifted as far East as Europe, some 5,000 miles away! As a result, we all should be aware of the ways we can minimize the effect. These include, but are not limited to:

1. Avoid Smoke Exposure During Outdoor Recreation – Refrain from going to Parks or Forests near Wildfires, OR that may be planning a Prescribed Burn.
2. Consider Wearing a Protective Mask – This is made more palatable by the fact that, due to COVID 19, many of us are already doing so.
3. Do not Maximize the Problem by Adding to “Indoor Pollution” – Avoid the utilization of:

• Candles
• Fireplaces
• Tobacco Products
• Even the Vacuum Cleaner

4. Drink Plenty of Water – Proper

Hydration allows the Kidneys and Liver to

effectively eliminate toxins.

5. If you are told to stay indoors, STAY INDOORS!!! - See #3!
6. Know Where to Find Information – Two key places are Local Air Quality Reports and the US Air Quality Index External .
7. Listen to Your Body – If you experience one or more of the symptoms, take the necessary steps to reduce your exposure.
8. Seek Comfortable Spaces in the Community – These include, but are not limited to, Community Centers, Libraries, and Malls. For the most part, these have Large Filtration Systems that improve Air Quality.
9. Take it Easy – The harder you work, or work out, the more air/smoke you breathe.
10. Understand how Susceptible YOU Are – Individuals who are at “High Risk” include:

• Asthmatics
• Diabetics
• Those with Heart Issues
• Pregnant Women
• Infants
• Older Adults

1. Use a Portable Air Cleaner – Those with HEPA Air Filters are especially beneficial. In the case of an Emergency, a high quality Furnace Filter taped to a Box Fan can provide some protection as well. (Author’s Note: For Safety Reasons, be sure to never leave unattended!)

The bright side is that winter is on its way and, hopefully, the effects of the Wildfires will be greatly reduced. Until then, take the necessary steps to stay healthy, even if it does “cramp your style” more than you would like!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in part, with information gleaned from the following sources:

https://theconversation.com/10-tips-for-coping-with-wildfire-smoke-from-a-public-health-expert-146015

https://www.cdc.gov/disasters/wildfires/smoke.html

COVID 19 AND THE FLU

AVEON HEALTH

Diabetes Experts

To say that 2020 has been a challenging year would be more than somewhat of an understatement! Our actions during the past six months have been dictated by our combined effort to halt the tide of the spreading of the COVID 19 Virus, and now we enter into what is perhaps the most difficult time of the year where Health is concerned – Flu Season! As winter draws closer and closer we face yet another possible ailment: The Common Cold! With all of this in mind, we thought it might be beneficial if we took the time to do a “Symptoms Chart,” if you would, to help better understand what to look for with each malady!

Symptoms Chart Key:

C = Common

N= No

R = Rare

S = Sometimes

* Additional Comments Below

May Occur in Some, More Common in Children

To date, there is no vaccine that can keep you safe from the COVID 19 Virus. However, such is not the case with Influenza. It is felt by most in the Medical Profession that the best time to get a Flu Shot is from September to November, allowing your body its best chance to build up immunity to the upcoming Flu season.

If you have not yet made arrangements to take this precaution this year, please feel free to contact AVEON HEALTH at 480-300-4663 to do so.

As is so often the case, we suggest you take pro-active steps to keep yourself as healthy as possible at all times. The steps we suggest you take at this juncture in time include, but are not limited to:

• Avoid close contact with people who are sick
• Avoid touching your eyes, nose, or mouth
• Cover your mouth and nose when sneezing or coughing
• Get a Flu Shot
• Stay home when you are sick
• Wash your hands frequently

If you are one of those who battle with Diabetes, you undoubtedly already know that you are, unfortunately, in the “High Risk” Group regarding COVID 19. As a result, we strongly suggest that you adhere to the six preventive steps above to the nth degree!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in great part, with information gleaned from the following sources:

https://www.bannerhealth.com/healthcareblog/teach-me/covid-19-and-the-flu-know-the-symptoms?utm_source=newsletter&utm_medium=email&utm_campaign=consumer%20blast

DIABETES AND ITS EFFECTS ON

YOUR BODY

AVEON HEALTH

Diabetes Experts

If you have Diabetes, or know someone who does, you undoubtedly realize that it is not a “Stand Alone” ailment. Rather, it can have an adverse effect on a variety of other organs and systems in the body. In some instances, these other issues can help you detect the fact that you do, in fact, have Diabetes. Just as often, the Diabetic must strive diligently to control their Diabetes so that the additional issues don’t create complications that can, unattended to, lead to real poroblems! Today we are going to take a quick look at a few of these other issues, describing what the problem may be and offering advice as to how to cope with them.

CENTRAL NERVOUS SYSTEM

Diabetes can lead to Diabetic Neuropathy, which occurs when damage is done to nerves. This oft time manifests itself by affecting one’s perception of heat and cold. As a result, you may be more susceptible to injury, as the natural “alarms” don’t warn you of impending danger.

CIRCULATORY SYSTEM

The two immediate concerns here are the possibility of High Blood Pressure and the creation of Fatty Deposits in the Blood Vessel Walls. Unfortunately, experts tell us that having Diabetes may actually double one’s propensity for Heart Risks and Strokes. As we so often advise our readers, proper diet and exercise can effectively help lower the risk of high Cholesterol Levels and high Blood Pressure.

ENDOCRINE, EXCRETORY & DIGESTIVE                

                           SYSTEMS

Without an adequate amount of usable Insulin, the body opts to use alternate hormones for “fat into energy” conversion. This process can result in the creation of high levels of toxic chemicals such as acids and ketones, which can result in Diabetic Ketoacidosis. One of the more serious of the “side effects” of Diabetes, this often manifests itself with extreme thirst, excessive urination and fatigue.

INTEGUMENTARY SYSTEM

Though seldom thought of as an “organ,” the skin is actually the largest organ in our body! Diabetes affects the skin is several ways, including but not necessarily limited to:

• Dehydration
• Dry and Cracked Skin on the feet
• Eruptive Xanthomatosis – Hard Yellow Bumps with Red Rings
• Digital Sclerosis – Thick Skin on Hands or Feet
• Diabetic Dermopathy – Brown Patches on the Skin (No cause for concern, no treatment necessary)

KIDNEY DAMAGE

An issue that doctors are most concerned about in regard to the Kidneys is Microalbuminuria, which results when there is an elevated amount of Protein in your urine. When such is the case, it may very well be indicative of the fact that the Kidneys are not functioning properly.

REPRODUCTIVE SYSTEM

Hormonal changes during pregnancy may create Gestational Diabetes, which may result in High Blood Pressure. Generally speaking, controlling Gestational Diabetes is not a problem, and the patient usually returns to normal after the pregnancy. While the symptoms are typical to regular Diabetes, and additional situation often includes infections in either the bladder or vagina.

Two other issues to be aware of include the fact that if you do have Gestational Diabetes your baby may have a greater birth weight, which can, of course, make the birthing process more difficult. Further, it is not unusual to develop Type 2 Diabetes several years after the pregnancy if you do, in fact, have Gestational Diabetes.

As if having Diabetes isn’t enough on its own, we also need to be aware of these other issues as well. The key, of course, is working closely with your health care provider to ensure that none of these situations develop into a major concern!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in great part, with information gleaned from the following sources:

https://www.healthline.com/health/diabetes/effects-on-body?slot_pos=article_1&utm_source=Sailthru%20Email&utm_medium=Email&utm_campaign=diabetes&utm_content=2020-09-03&apid=35041135#9

DIABETES: INJECTABLES FOR TYPE 2

AVEON HEALTH

Diabetes Experts

Medications are often an important part of the treatment for Type 2 Diabetes. A common aspect of this treatment is the utilization of Injectable Meds known as Glucagon-like peptide-1 receptor agonists (GLP-1 RAs). Typically, these are used in conjunction with other anti-diabetes treatments.

Rather than just one type of product, there are numerous varieties of GLP-1 RAs, including but not necessarily limited to:

Lixisenatide (Adlyxin)

Exenatide (Byetta)

Liraglutide (Victoza)

Dulaglutide (Trulicity)

Semaglutide (Ozempic)

Of these, the only one that needs to be administered twice daily is Byetta, while the others are used either once daily or once weekly.

Unlike Insulin injection, which may result in weight gain, the GLP-1 RAs may actually assist in weight loss. As a result, those who struggle with being overweight, or even obesity, find this to be a welcomed form of treatment.

As with all Medications, it is imperative that one be informed regarding the possible side effects of GLP-1 RAs. These include such gastrointestinal issues as diarrhea, nausea, and vomiting. Another area you might want to be aware of is skin reactions near the injection sites. This seems to be especially the case with Byetta.

Due to its importance, we feel it to be imperative to stress that Medications alone are not the only key to controlling Type 2 Diabetes. Rather, one must embrace Lifestyle Changes to enhance your chance of success. This includes, but is not necessary limited to:

• Not Smoking
• Modifying Diet
• Limiting Alcohol use
• Losing 5 – 10% of Body Weight if one is over-weight, especially if Obesity is an issue
• Monitoring Blood Sugar Levels on a Regular Basis
• Exercising for 150 Minutes per week

One of the main issues in regard to Diet is carbohydrate intake. When possible, it is best to consume carbs that are Nutrient Dense; Minimally Processed; and High in Fiber.

For some, the Cost Factor of GLP-1 RAs may be a real concern. To date, there are no “Generic Options” available. As a result, a monthly dosage may range in price from $850 to $2,600, depending on the Medication Type and brand used. In some cases a patient’s Insurance Company may cover the cost. It might be best to confer with your Insurance Provider before choosing with GLP-1 RA you want to have prescribed for you.

As with all forms of treatment for better health, it is important to confer with your Diabetes Team when determining which GLP-1 RA you should use, or if it is a viable form of treatment at all. If you have any questions, we here at AVEON HEALTH would be more than happy to meet with you and discuss this in much greater detail!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in great part, with information gleaned from the following sources:

https://www.healthline.com/health/type-2-diabetes/ask-the-expert-injectables-for-type-2-diabetes

 DIABETES AND YOUR TEAM OF EXPERTS

AVEON HEALTH

Diabetes Experts

Diabetes is, without a doubt, one of the more unique ailments 21^st Century Americans have to deal with. One of the elements that makes it so unique is the fact that it is not a “stand alone” issue. While the “root problem” is the fact that Diabetes impacts, and is impacted by, the Pancreas, it also has the propensity to adversely affect the Eyes, Kidneys, Feet, and even your Mental Health. Today we are going to take a quick look at the experts who deal with these issues, and why they are important to the Diabetic.

PANCREATIC ISSUES

Inasmuch as the Pancreas is part of the Endocrine System, it is understandable that one of the Medical Experts you may have dealings with is an Endocrinologist. Whether you are a Type I or Type II Diabetic, it may not be surprising if you have reasons to frequent an Endocrinologist in the course of Diabetes Treatment.

EYE ISSUES

These may include, but are not limited to, Diabetic Retinopathy, Cataracts and Glaucoma. It is recommended that Type I patients have an annual Dilated Comprehensive Eye Exam beginning five years after diagnosis. Type II Diabetics should have their Annual Eye Exam annually at time of diagnosis.

FOOT PROBLEMS

Often the issue with feet is the result of circulatory problems. This may lead to problems in your body healing blisters and cuts, which can result in major issues, up to including gangrene which can lead to amputation. As a result, it is imperative that the Diabetic visit a Podiatrist, who can monitor your feet to avoid serious infections.

KIDNEY ISSUES

Over time, people with Diabetes may be at risk for Kidney Disease. While your Primary Doctor may conduct the annual test for identifying Kidney Problems, they may then recommend that you visit a Nephrologist. They will help you maintain proper Kidney care, up to and including Dialysis when needed.

MAINTAINING YOUR MENTAL HEALTH

Diabetes is a life long struggle, and as such can create periods of frustration and even depression. It has been determined that it is often beneficial to involve one’s self with a Support Group. If this isn’t the way you would prefer to deal with these issues, there are specialists who can help you on a “one on one” basis.

PERSONAL TRAINERS

As Exercise is an important element in maintaining Diabetes, it is often beneficial to go to someone who can help you design and maintain a proper Exercise Regimen.

SUMMARY

As you can imagine, it is imperative that you communicate frequently and truthfully with your Primary Care Giver so they can evaluate your situation and determine if, in fact, you will need to visit one of these specialists. It is most important to never assume that any symptoms or problems will “just go away!”

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in part, with information gleaned from the following sources:

https://www.healthline.com/health/diabetes-doctors

DIABETES AND INSULIN

Facts You Need to Know

AVEON HEALTH

Diabetes Experts

Virtually everyone with an even a micron of knowledge about Diabetes is familiar with “Insulin.” However, it just might be one of those things that while everyone knows about it, they don’t really know about it! As a result, we have decided that it might be a good idea to discuss Insulin in more than just a cursory over-view.

To begin with, it is imperative that we know that Insulin is the “key” that allows glucose to enter your body cells. Its next task is to assist in your body in making energy out of the glucose. Finally, it also helps you to store that energy.

The main source of Insulin is the Pancreas. In Type 1 Diabetes the Pancreas no longer produces Insulin, while in Type 2 Diabetes the Pancreas provides the Insulin, but your body cells are no longer able to make good use of the Insulin. This is referred to as “Insulin Resistance.” When our Diabetes is unmanaged, glucose builds up in the blood rather than being distributed to our cells or being properly stored. This can lead to complications that may result in stomach problems, kidney disease, eye problems, nerve damage and even issues with our heart.

There are various types of Insulin, and each has distinct characteristics:

Long-Acting: Starts working within a few

hours; works up to 24 hours.

Intermediate-Acting: Begins to work in in

2-4 hours; effective for up to 18 hours.

Short-Acting: Enters the bloodstream in 30

minutes, good for up to 6 hours.

Rapid-Acting: In the bloodstream in 15

minutes; keeps working for up to 4 hours.

The impact of Insulin is recognized when we realize that without it, cells must seek alternative sources for energy. As mentioned, one of the tasks of the Insulin is to assist muscle and fat cells store extra glucose so it doesn’t overwhelm your bloodstream.

A somewhat intricate part of the Insulin task is that in helping your cells use glucose for energy it prevents the dangerous buildup of chemicals known as Ketones. The body eliminates these Ketones via our urine, but isn’t always successful in doing so. When the urine can’t keep up, we experience Diabetic Ketoacidosis (DKA), which can be life threatening. Symptoms for this particular condition include dry mouth, nausea, sweet-smelling breath and vomiting!

As mentioned earlier, when our cells stop responding to Insulin in the way they should we have a situation known as “Insulin Resistance.” It results in high Insulin levels in the blood, which is referred to as “Hyperinsulinemia.” It is this condition that leads to a rise in Blood Sugar levels.

One of the main contributors to Insulin Resistance is increased levels of fat in the blood. This is perpetrated by ingesting too many calories and carrying excess body fat. It is not surprising, then, that obesity is linked to Insulin Resistance. Other things that might add to Insulin Resistance include, but are not necessarily limited to:

• Gut Microbiota: Disruption in the Bacterial Environment in the Gut.
• Inflammation: Throughout the body.
• Fructose: From “added sugar” and fruit.
• Inactivity: Activity increases Insulin Sensitivity.

The good news is that one need not worry that Insulin Resistance is an enemy that can’t be fought against. In fact, there are a number of ways to reduce Insulin Resistance, and all it takes are a few minor Life Style adjustments. These include, but are not limited to:

• Exercise – Even Moderately!
• Stop Smoking
• Reduce Sugar Intake
• Get a proper amount of Sleep
• Eat Well
• Reduce Stress
• Donate Blood – Helps with the reduction of iron, and improves Insulin Sensitivity!

As you will note, it is generally accepted that these Life Style adjustments are associated with a long, healthy and productive life!

As you can see, Insulin is an important element in the well-being of us all, and is especially important to a Diabetic. Hopefully, with this little deeper insight into its importance, you will be encouraged to pursue the Life Style changes that will help you live a long, healthy and productive life!!!

If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in part, with information gleaned from the following sources:

https://www.healthline.com/health/diabetes/insulin-effects-on-body#Ketone-control

https://www.healthline.com/nutrition/insulin-and-insulin-resistance#bottom-line