Showing posts with label preventive medicine. Show all posts
Showing posts with label preventive medicine. Show all posts

Tuesday, August 13, 2013

Diabetic Neuropathy and Amputations


by Dr. Margaret Aranda


When I was finally diagnosed with dysautonomia, it was a relief to have a name to put on my condition. When I was diagnosed with Pre-Diabetes, I stared at the lab value in shock. It was then, that I remembered that my Grandmother, who was not obese, died from diabetes and kidney failure.  

Why didn’t I title this blog just ‘Diabetes’? It’s because I want you to know that just taking a little extra insulin for that ice cream isn’t going to make your diabetes better. It’s going to make it worse as your body acquires insulin resistance. When your blood is constantly circulating with high levels of insulin in it, you can’t burn fat. Read that again. The only way to keep your insulin level down is to not eat carbohydrates or sugars. Then POOF! Just like magic, there’s no reason for your pancreas to make any insulin, and your body can’t become immune to it. And the glucose molecules can’t damage your eyes to make you blind. The glucose molecules can’t mess up your delicate glomeruli or nephrons in your kidneys, so your kidneys won’t fail. Who wants to spend 4 hrs/day, 3 days/week getting to dialysis? With a headache afterward? Who wants to lose their foot after waking up to green pus on the sheets? 

Hey, I don't want any of this for you; that's why I'm letting you know what millions before you have undergone. You aren't immune to disease, no matter how much money you have.  But if you are at risk, you can do everything you can to decrease your individual risk factors. And that is what it is all about. Looking at You as an Individual and not applying Protocols to you. Providing you with some 'necessities' of life with dysautonomia, for example would be to get a loved one to give you a Medi-Basket(TM) with supplies and an armamentarium for your defense.

I didn't know that black licorce increases blood pressure for a good two years after I was diagnosed with dysautonomia. I sure wish I had a package of 'stuff' for my home that would have made me feel less alienated, less isolated, and more connected. Maybe that's how I ended up with over 7,000 Facebook friends. It has been a positive network for me and many others with the same disease, both for advice and practical questions affecting Quality of Life, but also for just socialization with someone who understands. We can't just live at home alone and never get out unless it's a doctor's appointment. We have to keep socially adjusted so that our mental well-being is optimized. We aren't looking for a cure, although that will undoubtedly come in time as we learn more about the brainstem. So in the meantime, we have one another.

Diabetes is an Invisible Disease. There are an estimated 25.8 million Amerians with diabetes, which is about 8% of the population. About 7 million Americans are undiagnosed and continuing to sustain damage to internal organs due to diabetes. About 80 million Americans have Pre-diabetes.  For diabetes and Pre-diabetes, obesity, fat distribution in your body, and fat percent in your body matter.

Diabetes and ethnicity matter, affecting 7% of Caucasians, 8% of Asians, 12% of Hispanics, and 13% of African-Americans. Some (not all) complications include heart disease, "silent" heart attacks that you can't feel, stroke, high blood pressure, blindness, kidney failure, neuropathy or nerve damage, which can lead to foot, lower leg, or full leg amputations. Both genders doubled their rates of diabetes from 1980 to 2011.

So put down that cake and get rid of that ice cream in the freezer. Get the Medi-Bag ™ for grocery shopping, and fill it with groceries that include plenty of apples and vegetables, salmon or tuna rich in omega-3 fatty acids, and little in the way of processed food. Some say, “Shop the perimeter of the grocery store”. Stay out of the soda (even diet soda with aspartate eats away at the bones, leading to early osteopenia and osteoporosis) and potato chip aisle. Don’t bring it home, and you can’t eat it. You have to be strong. It’s your life and you can choose to live healthy so your grandchildren can enjoy you more. So start now. Get your blood lab, your Hemoglobin A1C level down, as it reflects 3 months of glucose (sugar) on your red blood cells. Watch every spoon that goes into your mouth. Not every meal. Ask your doctor for a referral to a Nutritionist.

Live long, live healthy. We’re trying to keep you in the Community with both your legs, your eyesight, and your kidneys. Wear anti-microbial socks, check your feet in the mirror daily for scratches or cuts, and use a hand-held mirror. We don’t want to see you in the hospital. We want to see you stay in the Community with the people you love at the places you love to be (like home).

And we don’t want to see your children growing up obese and with diabetes, either. So welcome to your new world of lifestyle change. We do hope you learn to enjoy being well. After a lifestyle change leading to Pre-diabetes going away, or the need for insulin going away, most people say, “I’m never going back to the way I used to be.” Those words can come out of your mouth, too. And, “Thank you no, my doctor said I can’t eat that.” You have to get used to saying that and then walking away. 

We want you to feel so good with your new lifestyle changes, and to know that you will never go back to what you were. You won’t want to. You must live the second half of your life differently than the first half, so that you are not overcome by disease. You can do it. If I can do it after a diagnosis of Pre-diabetes, you can do it. One Spoon at a Time.

Women, American men gained in life expectancy compared to us over the last couple of years. Why is that? It's time to take a close look at every spoon you eat, and evaluate everything in your world. Is it positive? Does it contribute to make your life easier? It is good and not evil? Let's learn to be good to ourselves. We are so good at taking care of others. It's time for a change.

Let's focus on Women for a while. There's a huge gap in health care information dissemination for Women, and it is common knowledge that research and studies on women have been questionable (like the Women's Health Initiative, the WHI). I figuratively shred that article apart in my newest book on Women's Health, and it behooves every single perimenopausal woman to know her individual risk for hormone replacement therapy (HRT). You just look at the Chart that lists the risk factors, you put yourself down where you 'land', and make a decision from there (in conjunction with your doctor and possibly a second opinion). C'mon women, your life matters, and so does the Quality of your life. 

And spoon by spoon, every food, every bite you put in your mouth can either strengthen you, or it can be your slowest form of poison. What you eat matters. 

We can get it together.

I know we can.


REFERENCES:




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Contact Information:
Aranda MD Enterprises, LLC
26500-102 Agoura Road
Suite 656
Calabasas, CA 91302
www.MyPerseverance.com

Copyright (c) 2013  Aranda MD Enterprises, LLC. All rights reserved. 

Monday, August 12, 2013

Why a Medi-Basket(TM)?

by Dr. Margaret Aranda



Medi-Baskets(TM): Diagnosis-driven, Individual Care Packages 

are a Novel Method to Prevent Complications and Optimize Quality of Life 

at the Time of a New Diagnosis




When a person is given a new diagnosis, many times there is a lag of time between the day of diagnosis and the time that the patient acquires key ingredients and supplies that are tailored to the diagnosis. For bad arthritis, one may need a grabber to get things off of high shelves. Or, the patient may have a new diagnosis of Heart Disease or Diabetes. It may or may not have taken months or years to get that diagnosis, and that is why we exist. We are here to cater to your individual needs, because every patient is different.




In the former days of medicine, the doctor gives the diagnosis, the patient may or may not receive a Brochure, peruse websites, talks to another doctor, and/or participate in an Educational Clinic or two. These are all great avenues to become educated about a Diagnosis and how important it is to watch the blood glucose levels, but they stop short from bringing practical and useful items into a patient's home and every-day life. These items are chosen for everyday use, to prevent complications or to optimize health and Quality of Life. Either way, we hope you have a little fun with it, and mostly, we hope you use it!

With MediBaskets(TM), we go beyond this continuum. We strive to supply you with key ingredients that are specific for your diagnosis. So, for diabetes, your insurance will pay for your a glucometer to check your blood glucose (sugar) levels, and you take it home with the insulin bottle and syringes. These are  standard items that most people obtain to check their sugar levels. We don't just stop there.

If you are new to a diagnosis of diabetes, perhaps you do not know that a great pair of softening socks may help you keep your feet from cracking. It doesn't matter if you are rich or poor; diabetes will cause amputations in people of all societies. Foot cracking can lead to bleeding, infection, and gangrene. With diabetes, foot and leg sores can develop into severe lesions complete with eaten-away skin. In the worst case scenario, foot lesions can lead to gangrene and the need for emergency amputation. That is a medical fact. I've seen it in the Operating Room too many times. Then people suffer from phantom limb pain. And it all started with what you ate. What you put in your mouth. How much of it was green? How much of it came out of a box? Do you have abdominal obesity, putting you at risk of heart disease, chronic inflammation, metabolic syndrome, and death? What can you do now, today?

Some prevention or delay of kidney failure may be possible. Even if you don't have high blood pressure, studies from 20 years ago show that if you are simultaneously placed on an anti-hypertensive ACE-inhibitor, you will 'spill' less protein into your urine, protecting the kidneys. You're not supposed to spill any protein into your urine. So let's keep your kidney functioning normally for as long as possible, ok? We need you to visit your grandchildren or your children instead of spending 4 hours/day, 3 days/week going to a dialysis center. You'll have to have an iv port in, but you can buy special clothes that have zippers so you can hook your dialysis catheter up to the machine. But we don't think that was in your head as a real idea of a fashion statement. Your blood pressure goes down during dialysis, and the most common complaint after dialysis is a headache. Do you see how your Quality of Life will change? It's not funny. It's serious. And it's pretty much All in Your Hands.

So we try to think ahead for you. Whether you have a new diagnosis of heart disease, menopause, diabetes, dysautonomia, traumatic brain injury, hypertension, or you have a friend, relative, or co-worker who has a list of diagnoses we now serve, we can send them a MediBasket (from you or a group of co-workers, or a group of friends) to fit their needs. We know what it feels like to be suddenly athletic and then to be suddenly bed-ridden and sick, and we think we can make things better. 
So our President and CEO, Dra. Margaret Aranda vowed to make use of what we do know, and to pass it along to you!




Sample Medi-Basket(TM) for Diabetes. Individually made per patient, the Medi-Basket(TM) comes in four ascending sizes. The goal is for Preventive Medicine to rule, providing the patient with needed supplies for the mind, body, and soul. Perhaps a dash of humor here, and some body-soothing products will ease the physical and mental aspects of a new diagnosis. A physician is available to ask questions, but please realize that the answers are not meant to provide a medical diagnosis, treatment, advice, or cure.
But we think you are sure to feel loved by the person(s) that sent it to you, because our CEO knows what it's like to be a patient, having been bed-ridden from dysautonomia for 6 years. She was getting better until she sustained another head injury, giving her DI. But she pushes ahead on the Medi-Basket (TM) because of you. Because Keeping you in the Community and Out of the Hospital?
That's our goal. 


We are doing our part to Keep You in the Community by sharing information and education with you, your loved ones, friends, and/or co-workers. This is only by your request or the request of a Caring Friend that you know. So, how wonderful is it to know that you are not alone. Others are rooting for you, so you keep up the good fight, and persevere!

How wonderful it is that people are helping people? We think that It's About Time! Of course we want to see you well, and we wish you all the Best in your Recovery. If you get bored, tune in to Medibaskets.com for some brainteasers and information, or comment, critique, or just be cranky. Don't let anyone tell you not to be yourself. There's nothing wrong with you; it's your injured body that you are living in that's just a little broken right now.

Medical Disclaimer: Remember that your new diagnosis needs to be managed by your doctor, to keep you In the Community and not in the hospital. Nothing is meant as medical advice, treatment, or cure. A doctor has to see you in person for a thorough examination, if needed.



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Just Click on the Link!





Contact Information:
Aranda MD Enterprises, LLC
26500-102 Agoura Road
Suite 656
Calabasas, CA 91302
www.MyPerseverance.com

Copyright (c) 2013  Aranda MD Enterprises, LLC. All rights reserved.