Health & Wellness - December 2016

PLEASE TAKE ONE

&

Vol.

M A G A Z I N E

14 • Issue 3 • December 2016

Diabetes is

on the Rise

DISEASE HAS REACHED

EPIDEMIC PROPORTIONS

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DECEMBER 2016: DIABETES

CONTENTS

FEATURES

Overview: Diabetes is on the Ris

Diabetes and Stomach Pain

Gut Bacteria Can Affect Your Mood

Diabetes Affects the Eyes

Working with a Diabetes Educator

What is Gestational Diabetes?

7 Good Fruits for People with Diabetes

What You Need to Know About Insulin Delivery

Seasonal Mood Swings

Psychological Factors May Accompany Diabetes

Be Alert for Symptoms of Type 1 Diabetes

Antibiotics and You

The Science of Singing

14 Hints for a Festive Holiday

DEPARTMENTS

Events Calendar

FROM THE

EDITOR

Dear Friends,

As another year comes to a close, I hope

you can look back and remember times when

you took your health and wellness in your

own hands and made a difference for yourself.

Did you finally run a 5K? Did you cut back on

soft drinks and incorporate more vegetables

into your diet? Did you see your primary care

physician for a check-up? Did you have your

mammogram or colonoscopy? These are all

practices we continually emphasize in the

pages of this magazine. We know the road

to wellness is long, sometimes twisting and

difficult, but it is true that when you have your

health, the rest of your life falls into place. So

12

18

21

22

28

30

31

34

35

40

42

M A G A Z I N

COLUMNS

INTEGRATIVE MEDICINE

Stress and Diabetes

HEARING

Common Mistakes When

Choosing a Hearing Aid

FAMILY DOC

Dilated Eye Exam Important for

People with Diabetes

FITNESS

Seniors and Resistance Training

SENIOR LIVING

A Social Senior is a Healthier Senior

FAMILY VISION

Sensory Integration Important for Balance

NEWS MAKERS

Clips from Current Health News

FOOD BITES

NATURE'S BEAUTY

Peas

RECOVERY

What to Expect from an Inpatient

Recovery Program

Tanya J. Tyler, Editor | Share your story:

editor@healthandwellnessmagazine.net

&

INJURY CARE

Cerebral Concussion from Auto Collision

even if you didn’t get to do all those healthful

things you planned (getting a bike is still on my

list), you will have a chance to do them in the

coming year. Don’t berate yourself if you didn’t

keep up with your health resolves for 2016;

stress is a definite health wrecker to be avoided

at all costs. Be gentle with yourself and stay

positive and focused. We’ll get back on board

in 2017!

Here’s to your health,

Tanya

December 2016 & 5

STAFF

Angela S. Hoover

Jean Jeffers

Dr. Tom Miller

WRITERS

Harleena Singh

Tanya J. Tyler (editor)

COLUMNISTS/GUESTS

John A. Patterson MD, MSPH, FAAFP

MIND BODY STUDIO

Dr. Brewer

AUDIOLOGY ASSOCIATES

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ROCK POINT PUBLISHING

Brian Lord / Publisher

Kim Blackburn / Sales Representative

Jennifer Lord / Customer Relations Specialist

Barry Lord / Sales Representative

Anastassia Zikkos / Sales Representative

Janet Roy / Graphic Designer

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© Copyright HEALTH&WELLNESS Magazine 2016.

All rights reserved. Any reproduction of the material in

this magazine in whole or in part without written prior

consent is prohibited. Articles and other material in this

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Health&Wellness Magazine will not knowingly publish

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December 2016 & 7

By Harleena

Singh, Staff Writer

Diabetes has

reached epidemic

proportions in the

United States. It is partly due to a

lack of exercise and sugary diets.

According to the American Diabetes

Association, diabetes kills more

than 71,000 people a year. If the

current state continues, one in three

Americans will have diabetes by

the year 2050. The condition over

time can lead to limb amputations,

blindness and kidney failure, among

many other complications.

Over 29 million American adults

have diabetes. And a quarter of them

don’t even know it. That’s up from

26 million in 2010, according to the

Centers for Disease Control and

Prevention (CDC), and represents

more than 9 percent of the population.

According to Ann Albright, director

of the division of diabetes translation

at the CDC, these new numbers

are alarming and underscore

the need for an increased focus on

reducing the burden of diabetes in

this country. The CDC makes its

estimates based on a national sample

of Americans who are asked whether

they have been diagnosed with

diabetes and give blood samples.

They are not asked specifically what

type of diabetes they have, but the

vast majority have Type 2 diabetes,

which is often caused by poor diet

and lack of exercise.

Type 1 diabetes, usually diagnosed

in childhood, is an autoimmune

disease in which the body mistakenly

attacks the pancreatic cells

that make insulin. It affects about 5

percent of all people with diabetes.

Over 29

million

American

adults have

diabetes.

And a

quarter of

them don’t

even know it.

According to the CDC, diabetes and

its related complications rack up

$245 billion in medical costs, lost

work and wages, up from $174 billion

in 2010.

Similarly, more than 3 million

people in the United Kingdom

are being treated for diabetes, an

increase of nearly 60 percent in the

past 10 years. According to the charity

Diabetes UK, the figures show

the majority there also have Type 2

diabetes.

Dr. Joan St John, a GP in Brent in

northwest London, where diabetes

levels are some of the highest in

the country, said the condition had

become incredibly widespread. She

told the BBC News Web site, “It’s

very noticeable in that not a week

goes by that you don’t make a new

diagnosis of diabetes, at least one

if not two or three; previously that

might have been one a month.”

About the Author

Harleena Singh is a professional freelance

writer and blogger who has a

keen interest in health and wellness.

She can be approached through her

blog (www.aha-now.com) and Web

site, www.harleenasingh.com. Connect

with her on Twitter, Facebook and

Google+.

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There are many natural remedies

you can use to soothe tummy

troubles. Try ginger tea.

Diabetes and Stomach Pain

Time to discuss this serious problem

One guarantee

that comes

with diabetes is

change, including

changes in what

you eat, when you eat and how much

you eat at a sitting, in addition to taking

new medicine(s). And one thing

the stomachs and digestive systems

don’t like is immediate change. The

way the stomach feels, sounds and

responds to these changes and the

discomfort and pain in the gut caused

by diabetes are not often discussed.

Changes in Eating

Foods rich in fiber are often added

to a diabetic diet. Fiber can help

improve abnormal cholesterol levels

and can also be filling without adding

unwanted calories. Rapidly increasing

fiber to your diet can cause gas and

bloating. To counter this, gradually

increase your fiber intake. Legumes –

By Angela S. Hoover, Staff Writer

beans and lentils – are good choices

for adding more fiber. When using

dry legumes and beans, soak them in

water and rinse them twice. This will

decrease gas and bloating.

Blood Sugar Levels

Blood glucose, whether extremely

high (hyperglycemia) or extremely

low (hypoglycemia), can contribute

to gastrointestinal distress.

Hyperglycemia can cause two very

serious conditions: diabetic ketoacidosis

(DKA) for patients with Type

1 diabetes and hyperosmolar hypoglycemic

state (HHS) for patients

with Type 2 diabetes. DKA occurs

when the body has too little insulin.

This causes stored fats to be broken

down as an alternative fuel source,

which creates a build-up of toxic acids

(ketones) in the bloodstream. HHS is

essentially profound dehydration that

causes confusion in thought, speech

and/or motor skills. Hypoglycemia

can also cause thought confusion, but

also adds an emotional component

– feeling panicked, anxious, overwhelmed,

paranoid, depressed, etc.

HHS is more common in the elderly

and those who have undiagnosed

Type 2 diabetes. Both DKA and HHS

symptoms can include abdominal

pain or cramping, nausea and vomiting.

Both conditions require emergency

medical care.

Nausea is a symptom of hypoglycemia.

Skipping meals when taking

certain blood glucose-lowering medications,

such as sulfonylureas or insulin,

or taking too much rapid-acting

insulin can also lower blood glucose.

If you struggle with hypoglycemia,

ask your doctor about a glucagon

injection kit if you are unable to keep

down food or liquids.

Injectables

A newer class of injectable medications,

GLP-1 agonists (Byetta and

Victoza), can cause nausea and vomiting.

This is often dose related, so you

should start low and go slow with this

type of injectable and take it 30 to 45

minutes before eating. GLP-1 agonists

slow down the emptying of the

stomach, which can cause a feeling of

fullness.

Other Medications

Several medications used to lower

blood glucose levels in Type 2 diabetes

can upset the stomach. As with

the injectables, it’s best to start with a

low dose and slowly increase it until

it is at the level you need. Metformin,

one of the most frequently prescribed

medicines for Type 2 diabetes, can

cause heartburn, nausea, diarrhea and

abdominal discomfort. In general, 5

percent to 10 percent of the population

cannot tolerate metformin.

Others report they must first have a

full meal, not just a snack, prior to

taking it so they do not experience

abdominal and digestive difficulties.

Extended-release metformin is usually

more tolerable when you gradually

increase the dosage over a one- to

two-week period.

What Can You Do?

There are many natural remedies

you can use to soothe tummy troubles.

Top your food with raw parsley,

which helps digestion. Incorporate

ginger into your diet, either as flavor

to dishes or as a tea. Drink peppermint

tea. Add a tablespoon of pumpkin

puree to dishes. But take note

– most canned pumpkin is actually

squash, so read the ingredients.


Gut Bacteria Can

Affect Your Mood

RESEARCHERS TRY TO DISCOVER SPECIAL

PROPERTIES OF MICROBES


In 2007, scientists announced plans

for a Human Microbiome Project to

catalog the micro-organisms living in

the body. The profound influence of

these organisms has grown rapidly with

each passing year.

Bacteria in the gut produce vitamins

and break down food. Their presence

or absence has been linked to obesity,

inflammatory bowel disease and the

toxic side effect of prescription drugs.

Biologists now believe much of what

makes us human depends on microbial

activity. The 2 million unique bacterial

genes found in each human microbiome

can make the 23,000 genes in the

cells seem insignificant in comparison.

“It has enormous implications for the

sense of self,” said Tom Insel, director of

the National Institute of Mental Health.

“We are, at least from the standpoint

of DNA, more microbial than human.

That’s a phenomenal insight and one

we have to take seriously when we think

about human development.”

Considering the extent to which

bacteria influence human physiology,

scientists are interested in learning how

bacteria may affect the brain. Microorganisms

in the gut secrete a profound

number of chemicals, some of which

are the same substances used by neurons

to communicate and regulate

mood, such as dopamine, serotonin and

gamma-aminobutyric acid (GABA).

These, in turn, appear to play a function

in intestinal disorders, coinciding with

high levels of major depression and

anxiety. Norwegian researchers examined

the feces from 55 people in 2014

and found certain bacteria were more

likely to be associated with depressive

patients. Overall, researchers have

linked anxiety, depression and several

pediatric disorders, such as autism and

hyperactivity, to gastrointestinal abnormalities.

Research conducted by scientists at

the University College Cork in Ireland

and McMaster University in Ontario,

published in the Proceedings of the

National Academy of Science in 2011,

has become one of the best-known

experiments linking gut bacteria to

the brain. Ten years before designing

this study, neuroscientist John Cryan

thought about microbiology in terms

of pathology: The brain is anatomically

isolated and guarded by a blood-brain

barrier that allows nutrients in but

keeps out pathogens and inflammation,

the immune system’s typical response

to germs. This led Cryan to believe

there are certain fields that just don’t

seem to interact well.

“Microbiology and neuroscience, as

whole disciplines, don’t tend to have

had much interaction, largely because

the brain is somewhat protected,” he

said. His study added to the growing

evidence that signals from beneficial

bacteria nonetheless find a way through

the barrier. The 2011 research could

not pinpoint exactly how the barrier is

traversed. It appears micro-organisms

in the gut tickle a sensory nerve ending

in the fingerlike protrusions lining

the intestine and carry that electrical

impulse up the vagus nerve and into

the deep-brain structures thought to

be responsible for elemental emotions

such as anxiety. Cryan and co-author

Ten Dinan published a theory paper

in the journal Biological Psychiatry,

calling these potentially mind-altering

microbes “psychobiotics.”

It has long been known that much

of the body’s supply of neurochemicals

– an estimated 50 percent of its dopamine,

for example, and a vast majority

of its serotonin – originate in the

It seems safe to

assert there is a

proven link to

gut bacteria and

mental health.

intestines, where these chemical signals

regulate appetite, feelings of fullness

and digestion. But only in recent years

has mainstream psychiatric research

given serious consideration to the role

microbes might play in creating those

chemicals. Although the exact mechanism

that breaks the barriers are not

yet known, it seems safe to assert there

is a proven link to gut bacteria and

mental health.

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By Harleena Singh, Staff Writer

Diabetes Affects the Eyes

THREE MAIN PROBLEMS MAY DEVELOP

Diabetes is one of the leading

causes of irreversible blindness

worldwide. In the United States, it

is the most common cause of blindness

in people younger than 65

years of age. High blood pressure

can lead to many eye problems such

as cataracts, blurry vision, glaucoma

and retinopathy. Regular visits to an

eye doctor are required if you have

diabetes.

If you have blurry vision, don’t

buy a new pair of glasses immediately.

It could just be a temporary

eye problem that develops with

diabetes. It is caused by high blood

sugar levels, which make the lens

of the eye swell, thus changing the

ability to see. To correct this problem,

you need to get your blood

sugar back to the target range.

This may take a few weeks to a few

months. Blurred vision could also

be a symptom of more serious eye

problem in people with diabetes.

Here are the three main eye problems

people with diabetes should

be aware of:

1. Cataracts.

Many people without diabetes

develop cataracts, but people with

diabetes are 60 percent more likely

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Diabetic eye damage is

sometimes called a silent

disease.

to develop this condition. They

also get cataracts at a younger age

and the cataracts progress faster.

With a cataract, the eye’s clear lens

clouds and blocks light. You may

need to wear sunglasses more often

and use glare-control lenses in

your glasses to help deal with mild

cataracts. But when cataracts interfere

with vision, doctors usually

remove the lens and sometimes

replace it with a new one.

2. Glaucoma.

In people with diabetes, retinopathy

can get worse after the

removal of the lens, and glaucoma

may develop. People who have

diabetes are 40 percent more likely

to develop glaucoma than those

without diabetes. Glaucoma occurs

when pressure builds up in the

eye, causing drainage of the aqueous

humor to slow down so that it

builds up in the anterior chamber.

The pressure pinches the vessels

carrying blood to the retina and

optic nerve. Vision is gradually

lost because the nerve and retina

are damaged. Glaucoma risk also

increases with age.

3. Retinopathy.

Diabetic retinopathy is the term

used for all disorders of the retina

caused by diabetes. There are

two types of diabetic retinopathy.

Background retinopathy is the

most common form. It is caused

by various problems with existing

blood vessels within the eye. The

problems involve bleeding and the

leakage of fats and fluids into the

tissue of the eye. If these problems

occur in the macula, they result

in reduced vision. Normally, this

form of glaucoma has no effect on

vision and needs no treatment, but

sometimes it can lead to a more

serious form. Proliferative retinopathy

starts out as background retinopathy.

It is caused by the growth

of very fine, delicate blood vessels

that tend to bleed very easily. The

bleeding itself can cause vision

problems, and so can the scar tissue

that may form at the point

where the bleeding occurs. Nearly

everyone with Type 1 diabetes

will eventually have background

retinopathy, and most people with

Type 2 diabetes will also develop

it. However, the retinopathy that

can destroy vision (proliferative

retinopathy) is far less common.

Diabetic eye damage is sometimes

called a silent disease

because the damage can be occuring

a long time before you notice

any change in your sight. By then,

the damage is often very bad.

Don’t wait until you notice your

vision changing before you have

your eyes properly checked. It’s

very important to get a comprehensive

eye exam when you first

find out you have diabetes. Be sure

to have regular eye exams every

two years after that. If you already

have any diabetes eye damage,

discuss treatment options with an

eye-care specialist.

Even Superheroes

Need to Get Their

Vision Checked

Call

Today!

Schedule an appointment for:

Complete Eye Exam

Dry Eye Clinic

Low Vision

Visual Rehabilitation/ Therapy:

• eye alignment,

• reading difficulties,

• school performance,

• athletic performance,

• balance, and

• headaches

Dr. Graebe Dr. Callihan Dr. Swartzentruber

Family Eyecare Associates

105 Crossfield Drive, Versailles KY 40383

(859) 879-3665

www.myfamilyvision.com


INTEGRATIVE MEDICINE

–COLUMN PROVIDED BY–

Mind Body

Studio

859.373.0033 | www.mindbodystudio.org

517 Southland Drive, Lexington

Stress and

Diabetes

I will never

forget my

patient who

developed Type

1, insulin-dependent

diabetes after her spouse was

violently murdered. While there

is no research supporting a causal

link between the two, it seemed to

us both that the intense emotional

trauma of this sudden, tragic, lifealtering

loss was a contributing factor

to the onset of her diabetes.

Since stress is a natural consequence

of life, it cannot be reduced

to zero, but effective management

of stress can help prevent the onset

of diabetes and help manage diabetes

once it develops. Although we

hear a lot about stress and intuitively

know what it is, it isn’t easy to

define. The American Institute of

Stress says, “While everyone can’t

agree on a definition of stress, all

of our experimental and clinical

research confirms that the sense of

having little or no control is always

distressful – and that’s what stress is

all about” (www.stress.org).

Stress can involve your physical,

By John A. Patterson MD, MSPH, FAAFP

mental, emotional and behavioral

reactions to perceived danger. Even

perceptions of danger that you are

not consciously aware of can have

an adverse impact on your physical,

mental and emotional health. You

are hard-wired to feel threatened

by things that seem uncontrollable

in your work life, home life

and environmental surroundings.

This lack of control often involves

interpersonal relationships with

other people and their behaviors,

attitudes and positions of power or

control over certain aspects of your

life. But stress can also be an internal,

intra-personal reaction that may

be primed by your genetic inheritance

or life experiences in family,

at school and in adult life.

Due to our very old evolutionary

hard-wiring, human beings respond

to perceived threats by a set of

responses, simplistically referred to

as “fight, flight or freeze.” This hardwiring

was critical to our ancestors’

survival long ago. It helped them

escape hostile predators and warring

tribes. But today we can have

this same reaction to our bank

account balance, traffic, deadlines,

co-workers, bosses, family members,

computer hassles and our own

internal experience of ourselves and

the circumstances of our lives.

The short-term effects of the

stress hormones cortisol and

adrenaline include increases in

certain bodily functions required to

fight or flee, including blood flow to

muscles and increased blood pressure,

heart rate and breathing rate,

as well as overall metabolic activity.

If the stress is temporary, these

changes usually return to normal

without adverse health impacts.

However, the long-term effects of

elevated stress hormones include

increased blood sugar (sometimes

leading to or aggravating diabetes),

high blood pressure, weight gain or

loss, anxiety, depression, anger and

irritability, muscle tension, headaches,

digestive problems, over- or

under-eating, sleeping too much or

too little, impaired memory, teethgrinding

and many more symptoms.

Fortunately, there are several

ways we can manage stress skillfully

and effectively. Belonging to

a supportive group of like-minded

people who take health seriously

and support one another is important.

These groups may have special

interests, such as physical activity,

nutritional approaches to stress

management or emotional wellbeing.

Sleep loss is a modern epidemic

made worse by constant

electronic connectivity and overcommitments.

The most common

complaint I hear from people who

are having trouble sleeping is “I

can’t turn my mind off.” Unlike our

prehistoric ancestors who returned

to baseline metabolic normality

after the immediate threat was over,

we can carry our internal and external

stressors around in our head

24/7/365. You can learn to control

this internal mental chatter. Several

respected meditation programs can

help you turn it down. There is

increasingly good research supporting

these programs’ effectiveness in

stress management.

Transcendental meditation is

a mantra-based technique that

employs a silently repeated sound

to gently focus the mind. Benson’s

“relaxation response” is a similar

approach that employs several

mental and physical techniques to

train the mind to remain focused

and calm. Mindfulness-based

stress reduction (MBSR) is a set

of practices that utilize focused

attention on the body, the breath,

thoughts and emotions to train

the mind to pay attention to the

present moment. All three of these

programs are highly regarded and

highly recommended for relieving

anxiety, depression, pain and the

stress response that can aggravate

diabetes.

The incidence of diabetes grew in

every U.S. state between 50 percent

and 100 percent between 1995 and

2010. This is a major public health

problem, partly aggravated by

stress. Thankfully, we have effective,

non-drug approaches for managing

stress. You can learn more from

these sources:

December 2016 & 13

• National Institute of Mental Health Fact Sheet on Stress

• www.nimh.nih.gov/health/publications/stress/fact-sheeton-stress.shtml

• Transcendental Meditation

• www.tm.org

• Benson-Henry Institute for Mind Body Medicine (relaxation

response)

• www.bensonhenryinstitute.org

• Center for Mindfulness in Medicine, Health Care and

Society

• www.umassmed.edu/cfm/

About the Author

Dr. John Patterson is past president of the Kentucky

Academy of Family Physicians and is board certified in

family medicine and integrative holistic medicine. He is on

the family practice faculty at the University of Kentucky

College of Medicine and the University of Louisville School

of Medicine, Saybrook University’s School of Mind Body

Medicine (San Francisco) and the Center for Mind Body

Medicine (Washington, D.C.). He operates the Mind Body

Studio in Lexington, where he offers integrative medicine

consultations. He can be reached through his Website at

www.mindbodystudio.org.

The long-term effects of elevated

stress hormones include increased

blood sugar (sometimes leading to or

aggravating diabetes).

Hamburg

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Behind Sportsman’s Warehouse

(859) 258-2200

Extra Bold

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116 Marketplace Drive

In front of Walmart

(859) 899-2300

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630 Euclid Ave. Suite 105

Next to Euclid Kroger

(859) 281-1218

GET FIRST DIBS ON LIVING

LIFE TO ITS FULLEST.

People do better when they’re active, engaged, and in comfortable surroundings. It also

doesn’t hurt to have a safe place with highly trained medical staff. That’s why we’re here.

Call today and ask about becoming one of our first residents and a member of our Founder’s Club.

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PERSONAL CARE

AND SO MUCH MORE

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2710 Man O’War Blvd.

Lexington, KY 40515

willowsatfritzfarm.com

LIVING INDEPENDENTLY

IS EVEN BETTER WHEN

YOU HAVE A LITTLE HELP.

Living in a comfortable community with staff always on-hand to help you with

the tasks of daily living can go a long way in reducing the amount of time you

spend worrying. That’s why we’re here.

PERSONAL CARE,

Schedule a tour of our community today!

SHORT-TERM REHAB

AND SO MUCH MORE

The Willows at Hamburg

859-543-0337 • 2531 Old Rosebud Road • Lexington, KY

The Willows at Citation

859-277-0320 • 1376 Silver Springs Drive • Lexington, KY

Cedar Ridge Health Campus

859-234-2702 • 1217 US Highway 62E • Cynthiana, KY

trilogyhs.com •

16 & December 2016

Awareness

of the

problem of

diabetes and

receiving

proper

education is

vital.

Working with a

Diabetes Educator

Learning how to deal with an elusive illness

By Charles Sebastian, Staff Writer

Diabetes is an elusive illness.

Whether you have Type 1 or Type 2

(adult onset) diabetes doesn’t matter:

Both can kill. Proper education

becomes imperative for success in

dealing with this silent killer. If the

body is unable to produce insulin,

elevated glucose levels in the blood

can mean drastic life changes – and

sometimes even a shortened life.

Kathleen Stanley, a certified diabetes

educator and registered dietician

with Baptist Health Lexington’s

Diabetes Education Program, has

been teaching the public about

diabetes for the past 25 years at

several locations in Lexington and

Louisville.

“The No. 1 issue is that people

don’t know the programs exist,” she

said. “They may have a diabetes

diagnosis, but they don’t know to

seek out a program run by someone

who knows what they’re talking

about.”

Stanley, who is part of a program

with 15 educators, knows awareness

of the problem of diabetes and

receiving proper education is vital.

“It’s not something you can put

on a shelf,” she said. “You have to be

informed about the consequences

of decisions made. There are some

things you can’t change: lifestyle factors,

rates of obesity, lack of physical

activity. But we’ve done a better job

of detecting diabetes these days.”

Still the problem remains: Many

people don’t even know these diabetes

education programs exist.

“We hope people are good advocates

for themselves,” Stanley said.

“If they’re struggling, they [can] just

ask their provider, ‘Is there some

place I can go for diabetes education?’

It’s individualized to the person,

not just rubber-stamped or off

the Web.”

Stanley says many things have

changed over the years regarding

diabetes.

“When I started over 25 years

ago, I was seeing a lot of senior citizens,”

she said. “Now, we see people

in their 30s. Type II [patients are]

younger than [they were] before,

though it can occur at any age.”

Stanley has advice for people who

are in danger of developing diabetes.

“The average person, if they cut

500 calories a day, they can see

major changes,” she said. “For most

people, it’s been a long time since

they’ve exercised, so movement is

good. It can be just doing household

chores or chair exercises – things to

accommodate those who may have

physical restrictions. We recommend

what the American Diabetes

Association says: working up to 115

minutes a week of quality exercise.”

People with diabetes also have to

be careful of their diet.

“For people with diabetes, the

focus is on the carb family,” Stanley

said. “For some people, we may

suggest caloric restrictions. This

depends on the person, with the

ultimate goal being to get the right

balance.”

Stanley recommends using the

USDA meal plan, which is available

online, as a good way to develop

a diet strategy. Portion control is

another key for achieving success.

“There are many methods for

reducing food intake and developing

portion control,” Stanley said. “Use

smaller plates and counting while

you’re chewing. Most people don’t

realize satiety comes from chewing

foods.”

The diabetes education program

at Baptist Hospital is one of

the finest in the country. To find

out more, visit the CB Diabetes

Education Facebook page at

http://www.facebook.com/

pg/Central-Baptist-Hospital-

Diabetes-Education-Nutrition-

Education-282039071835645/

about/?ref=page_internal or call

(859) 260-5122.


What is Gestational

Diabetes?

Mothers and babies can be at risk


Women who have never had

diabetes but who have high blood

glucose levels during pregnancy are

diagnosed with gestational diabetes.

Hormones from the placenta help

the baby develop, but these hormones

also block the action of the

mother’s insulin. This is called insulin

resistance. It makes it hard for the

mother’s body to use insulin. She

may need nearly three times as much

insulin than before. Gestational

diabetes starts when the body is not

able to make and use all the insulin

it needs for pregnancy. Without

enough insulin, glucose cannot

leave the blood and be changed into

energy.

According to a 2014 analysis by

the Centers for Disease Control

and Prevention, the prevalence of

gestational diabetes is as high as 9.2

percent. Blood sugar usually returns

to normal soon after delivery, but if

you have had gestational diabetes,

you’re at risk for developing Type 2

diabetes later.

Gestational diabetes may increase

your chances of having high blood

pressure and too much protein in the

urine, a condition called preeclampsia.

You may require a Caesarean

(C-section) to deliver your baby

because it may be large. Gestational

diabetes usually develops during the

last half of pregnancy, sometimes

as early as the 20th week. It does

not cause the kinds of birth defects

sometimes seen in babies whose

mothers had diabetes before pregnancy.

However, untreated gestational

diabetes can harm your baby. The

baby may grow larger than usual,

leading to difficulty during delivery,

or there is the possibility of giving

birth prematurely. You could have

polyhydramnios or too much amniotic

fluid (the fluid that surrounds

the baby) in the womb, which can

cause premature labor or problems

at delivery.

Any woman can develop gestational

diabetes, but you are at

increased risk if you had gestational

diabetes in a previous pregnancy,

your body mass index (BMI) is

about 30, you previously had a baby

who weighed 9 pounds or more at

birth and one of your parents or siblings

has diabetes.

Pregnant women can help control

gestational diabetes by eating a balanced,

healthy diet based on whole

grains, lean proteins, vegetables and

other foods that release sugar slowly;

exercising; and, if necessary, taking

medication. About 15 percent of

women with gestational diabetes

need to take anti-hyperglycemic

medication to balance their blood

sugar. Controlling blood sugar can

prevent a difficult birth and keep

you and your baby healthy.

“Better Outcomes through Better Care”

1019 Majestic Drive #160, Lexington

(Beaumont Center) M–F 9am–7pm

Saturday mornings by appointment

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plimentary hearing consultation!

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HEARING


Lexington • 259 Southland Dr

859.963.2958 | kyhearing.com

259 Southland Drive, Lexington, KY

Other convenient locations:

Prestonsburg • 1428 N Lake Dr

Pikeville • 5425 N Mayo Trail, Ste 201

Common Mistakes When Choosing a Hearing Aid

With all of the

advertisements

and promises

from hearing care

providers and hearing aid manufacturers,

many individuals experience

much confusion when it comes to

deciding what hearing aid is best

for them. In my years as a practicing

Audiologist I have seen patients

love their hearing aids, some hate

them and some feel like they wasted

their money. What I want most

is for my patient to never experience

discontent when choosing the

appropriate hearing aid so here are

some common mistakes to avoid

when making that selection:

1. Basing a decision on looks

rather than what you need the

hearing aid to do

If we are being honest, no one

wants a hearing aid. The reason

many finally seek a hearing aid

for help is to improve their communication

issues and relationships.

Food for thought: if you or

someone you know has hearing

loss, suggest they make of list of

the most important issues they

want resolved. Not only will it help

direct the investment in a way that

is meaningful for the lifestyle, it will

also help set up realistic expectations

for those involved which in

turn creates greater benefit!

2. Letting the investment take

precedent over the benefit

It’s what’s on the inside that

counts! We have heard that time

and time again and the same is true

with hearing aids. What the hearing

aid looks like on the outside does

not fully dictate how much benefit

By Dr. Brewer, Audiology Associates

will be provided. Digital hearing

aids have many programs internally

to provide the most benefit in many

situations and many will automatically

adjust according whether you

need more or less volume, speaking

with men or women or are in quiet

vs noise. The important thing to

remember is that two hearing aids

that look exactly the same on the

outside can work extremely different

internally.

Another note to consider is the

professional fees and expertise

included in the investment. Ever

heard the saying, “you get what you

pay for”? The better the technology

and the more knowledge the hearing

care professional, the more the

investment will be. That also means

the better the end results will be.

While not everyone needs premium

technology; everyone can benefit

from having a knowledgeable and

experienced professional helping

them in the decision making and

fitting process.

3. Believing that immediately

after the hearing aids are put

on, all problems and issues

will be resolved

For most types of hearing loss,

there was a gradual decline in

hearing capabilities. It is common

knowledge that hearing loss

declines for approximately seven

years before an individual will

begin to seek help. During that

time, the gradual decline begins

to affect how the brain recognizes

sounds and understanding. Just as

it took time for the hearing loss to

become apparent enough to seek

help, it will take time for the brain

to adjust to that stimulation again.

Think of hearing aids like the

first time you were learning to drive

a car. Just because the car was there,

didn’t mean you knew how to work

it. Driving might have started off

in the neighborhood only, then

moving to more populated streets

and even the highway once you

were comfortable. It’s a process

and it takes time. But after hours

and weeks of practice, it eventually

became second nature and

you passed your driving test. The

same is true with hearing aids. Your

brain needs weeks to acclimate to

the increased volume it hasn’t been

used to hearing. The key to success

- consistently wear the hearing aids!

4. Only having an appointment

for the fitting and not

having any follow-up care

Obtaining hearing aids is a

process. The fitting appointment,

where you take the hearing aids,

home is very important. However,

in my opinion, the appointments

that follow are more important.

The settings the hearing aids are

originally prescribed at are not likely

to be where they will stay; they

are merely a starting point. Followup

appointments should include

verification to ensure the units

are performing as they promise. It

also allows changes to be made as

the brain acclimates and adjusts to

the new information. The process

of adjustment can take anywhere

from two weeks to two months on

average; which means the appointments

taking place during that time

are crucial for the hearing aid users

overall success.

I say all of that to say the biggest

mistake people make is buying a

hearing aid instead of buying better

hearing. Here’s another analogy:

when someone goes car shopping,

they go with a specific need

for the vehicle they want, whether

it’s hauling kids to and from soccer

practice, using it as a work vehicle or

wanting something to take road trips

in. People know what they want the

vehicle for and then they narrow

down which vehicle will actually

do the job at hand. So why is it so

different with hearing aids? Before

you start looking at the size or brand

of hearing aids, figure out what you

want them to help with. Do you

struggle communicating with the

family, hearing at church, speaking

to a physician? Can you hear okay

on the telephone or when watching

the television? What about restaurants?

Are you still a part of the conversation,

or do you find that you

are sitting back and laughing when

others laugh? Once you know why

you want to pursue hearing aids,

let the guidance of a well-trained

professional help you narrow down

your options.

About the Author

Dr. Brewer completed her Doctor of

Audiology degree at the University

of Louisville’s School of Medicine and

her undergraduate degree in Speech

Pathology and Audiology at Miami

University in Oxford, OH. She is licensed

by the state of Kentucky as an audiologist

and hearing instrument specialist.

She is also a member of the American

Academy of Audiology, Academy

of Doctors of Audiology, Kentucky

Academy of Audiology and American

Speech-Language-Hearing Association.

Dr. Brewer specializes in diagnostic

audiologic evaluation as well as hearing

aid services, including selection,

fitting, and follow-up care. Her passion

is to provide her patients with the most

appropriate form of treatment for their

hearing health care.

COGNITIVE DECLINE

Those with untreated

hearing loss experience

A 30%–40% GREATER

DECLINE in thinking

abilities compared to those

without hearing loss.

TINNITUS

OF PEOPLE WITH TINNITUS

90% ALSO HAVE HEARING LOSS.

Tinnitus affects 1 in 5 people.

Tinnitus can be caused by

hearing loss, an ear injury,

or a circulatory system disorder.

December 2016 & 19

EYE HEALTH

VISION HELPS YOU IDENTIFY WHERE

A SOUND IS COMING FROM.

If you have vision and hearing loss,

your ability to target sound location is

compromised. The amplification from

hearing aids helps compensate for

the vision loss.

SAFETY/BALANCE

PEOPLE WITH MILD

HEARING LOSS (25 dB) ARE

3

TIMES

more likely to have a

history of falling. Every

additional 10 decibels of

hearing loss increases the

chances of falling by 1.4.

HYPERTENSION

THERE IS A SIGNIFICANT

ASSOCIATION BETWEEN

HIGH BLOOD PRESSURE

AND UNTREATED

HEARING LOSS.

Hypertension can be an

accelerating factor of

hearing loss in older adults.

OBESITY

HIGHER BODY MASS INDEX

(BMI) AND LARGER WAIST

CIRCUMFERENCE ARE

ASSOCIATED WITH

INCREASED RISK OF

HEARING LOSS IN WOMEN.

OSTEOPOROSIS

HEALTHBEGINS WITH

A study linked osteoporosis and hearing

loss, theorizing that demineralization of

the three middle-ear bones may contribute

to a conductive hearing impairment.

TOTAL-BODY

BETTER HEARING

HEALTH

259 Soutland Dr • Lexington

859.277.0491

HEART HEALTH

THE INNER EAR IS EXTREMELY

SENSITIVE TO BLOOD FLOW.

Studies show that a healthy

cardiovascular system — a person’s

heart, arteries, and veins — has a

positive effect on hearing. Inadequate

blood flow and trauma to the blood

vessels of the inner ear can

contribute to hearing loss.

SMOKING

CURRENT SMOKERS HAVE

A 70% HIGHER RISK OF

HAVING HEARING LOSS

THAN NONSMOKERS.

DIABETES

HEARING LOSS IS TWICE AS COMMON

IN PEOPLE WITH DIABETES

COMPARED TO THOSE WITHOUT.

Adults whose blood glucose is higher than

normal but not high enough for a diabetes

diagnosis have a 30% higher rate of

hearing loss compared to those with

normal blood sugar.

OTOTOXICITY

THERE ARE MORE THAN 200 MEDICATIONS

ON THE MARKET TODAY THAT ARE KNOWN TO

CAUSE HEARING LOSS (TOXIC TO THE EARS).

The list of known ototoxic drugs includes:

• Aspirin

• Some anticancer drugs

• Quinine

• Some anesthetics

• Water pills • Environmental chemicals

• Certain antibiotics like carbon monoxide,

hexane, and mercury

Sources:

The National Institutes of Health (NIH) | National Institute on Deafness and Other Communication Disorders (NIDC) | National Council on Aging (NCOA) | Sergei Kochkin, Ph.D. The Impact of Treated Hearing Loss on Quality of Life - Better Hearing Institute, Washington, D.C. Retrieved

from: www.betterhearing.org/hearingpedia. Frank Lin, M.D. (2014 January 22) Hearing Loss Linked to Accelerated Brain Tissue Loss. Johns Hopkins Medicine News Release. | Ha-Sheng Li-Korotky, Au.D., Ph.D., M.D. (2012) Age-Related Hearing Loss: Quality of Care for Quality of Life.

The Gerontologist, Volume 52, Issue 2: 265-271 | Karen J. Cruickshanks, Ph.D.; Ronald Klein, M.D.; Barbara E. K. Klein, M.D.; Terry L. Wiley, Ph.D.; David M. Nondahl, M.S.; Ted S. Tweed, M.S. (1998) Cigarette Smoking and Hearing Loss: The Epidemiology of Hearing Loss Study. JAMA.

998;279(21):1715-1719. doi:10.1001/jama.279.21.1715 | Hull RH, Kerschen SR. (2010) The influence of cardiovascular health on peripheral and central auditory function in adults: a research review. Am J Audiol. 2010 Jun;19(1):9-16. doi: 10.1044/1059-0889(2010/08-0040). | De

Moraes Marchiori LL, de Almeida Rego Filho E, Matsuo T (2006) | Hypertension As a Factor Associated with Hearing Loss. Braz J Otorhinolaryngol. Jul-Aug;72(4):533-40. Babich M., Hoffmeister D. & Doughty, A. (2009). Osteoporosis and Conductive Hearing Loss: A Novel Model of

Clinical Correlation. Retrieved from: PHILICA.COM Article number 148. | American Tinnitus Association, ATA.org | www.mayoclinic.com/health/tinnitus/DS00365

© 2016 Audigy Group LLC. All rights reserved. 81705-820 2/15 POST3101-01-EE-AY

www.AGXhearing.com

APPOINTMENTS AVAILABLE WITH FPA PROVIDERS AT BOTH LOCATIONS

CHECK US OUT ON THE WEB

fpalex.com 859.278.5007



FAMILY DOC

1175 Alysheba Way, Lexington KY

859.278.5007 | fpalex.com

Dilated Eye Exam Important for People with Diabetes

By Joseph E. Gerhardstein, MD, FAAFP,

Family Practice Associates of Lexington, P.S.C.

People who

have diabetes

must be extra vigilant

about their

eyes. Diabetes is the leading cause

of new cases of blindness among

adults between the ages of 20 and

74, and 45 percent of patients with

diabetes develop diabetic eye disease,

which can lead to severe vision loss

or even blindness, according to www.

DiabetesSightRisk.com. One diabetic

complication that affects the eyes is

diabetic retinopathy, in which blood

vessels become blocked and prevent

areas of the retina from receiving

blood and nutrients. This can lead

to diabetic macular edema, which

occurs when the damaged blood vessels

leak fluid into the macula.

To keep tabs on possible diabetic

eye disease, patients with diabetes

are encouraged to get a dilated eye

exam every year. This type of exam

can often detect problems a regular

vision test cannot. Your eye doctor

will put drops in your eyes to dilate

and enlarge the pupils, which are

the openings at the center of the iris.

Enlarging your pupils allows the doctor

to see more of the inside of your

eyes to check for signs of disease.

With a special magnifying lens, the

doctor can examine the retina and

optic nerve for signs of damage.

Sometimes it is necessary for you

to see a retinal specialist, who will

perform additional tests. Using fundus

photography, the specialist will

take color photographs of the retina.

With fluorescein angiography, the

specialist injects a dye into your arm

and takes photos as the dye passes

through your eye. This test helps the

specialist detect any closed, damaged

or leaking blood vessels. A third

special test is an imaging test called

optical coherence tomography. It produces

a cross section of the retina and

is useful for revealing any swelling in

the eye tissue.

The National Institute of Diabetes

and Digestive and Kidney Disorders

(www.niddk.nih.gov) says your eye

doctor will conduct other tests to

measure the pressure in your eyes;

your side or peripheral vision; and

how well you see at various distances.

You may also need to keep seeing a

general ophthalmologist or optometrist

if you have other medical conditions

that affect your eyes, such as

glaucoma, or if you wear eyeglasses or

contact lenses.

After your eyes have been dilated,

your vision may be blurry for several

hours and your eyes may be extra sensitive

to light. This is a small inconvenience

compared to the alternative of

going blind. Even if your vision seems

fine, regular eye exams can help you

protect your vision, and a dilated eye

exam could be the deciding factor in

preserving your sight.

Early detection with a dilated eye

exam, timely treatment and followup

care could reduce your risk of

diabetes-related blindness by 95 percent.

Another way to keep your eyes

healthy is to keep your blood glucose

numbers as close to your targets as

you can. Also, be sure to regulate your

blood pressure. High blood pressure

can damage the tiny blood vessels on

the retina. Follow your doctor’s recommendations

and take your medications

as directed.

About the Author

Dr. Gerhardstein is a native of Fort

Thomas, Ky. He is a graduate of

Northern Kentucky University and

the University of Kentucky College of

Medicine. He joined Family Practice

Associates of Lexington in 2003.

His specialty is family practice. Dr.

Gerhardstein shares Nietzsche’s philosophy:

“That which does not kill us

only makes us stronger.”

22 & December 2016


FITNESS

859.559.0222 | www.prooffitness.com

4101 Tates Creek Centre Drive, Suite 164

AND 230 West Main Street (7th Floor)

Seniors and Resistance Training:

A MUST FOR HEALTH AND LONGEVITY

What

population does

weight lifting and

resistance training benefit most? While

these activities are important for youth

athletes, business professionals, stay

at home moms, and middle aged men

alike, they are imperative for seniors!

Many of the "age related" issues

that the senior demographic seems

chronically plagued by including but

not limited to arthritis, bone breakage,

balance issues, heart disease, diabetes,

poor circulation and obesity, can

be prevented and even alleviated

by introducing a resistance training

program.

Lifting Weights Functionally

At the suggestion of "weight lifting

for seniors", many people bring to

mind the image of a grandma with her

hair in rollers in the lock out position

of a split jerk. Although power-lifting

is not something totally out of the

realm of possibility for a select group

of the 60+ age demographic, if health

and wellness are the main concerns,

functional fitness training is the best

place to start. Functional training is

classified by the Mayo Clinic as a way

to "train your muscles to work together

and prepare them for daily tasks by

simulating common movements

you might do at home, at work or in

sports. While using various muscles

in the upper and lower body at the

same time, functional fitness exercises

also emphasize core stability." 1 This is

key for seniors who want to maintain

By Rachel McCord,

Proof Fitness Personal Training Director

their independence later in life and

be not only self sufficient but to live

efficiently. Functional exercises include

squats, step ups, rotational exercises

and more. The goal of all of these

exercises is to strategically prepare

the client for real world movements

in a safe, controlled environment by

rehearsing movements under various

amounts of resistance that mimic the

clients' lifestyle.

Lean Muscle Mass:

The Fountain of Youth

Anyone who knows me personally

or professionally knows how much

I believe in the power of building

lean mass. According to Dr. Mercola,

without the help of resistance training

seniors can expect to have lost 15%

of their overall lean mass by the time

they reach 80 years old. 2 Fifteen

percent may not sound like a lot of

atrophy but for a 200 pound man

with a body fat percentage of 15%,

that means the loss of a little over 25

pounds of muscle! With that amount

of atrophy an individual would lose

strength, stability, and see a decrease

in metabolism which leads to weight

gain. This vast muscle loss called

sarcopenia opens up door after door to

age related issues and can be avoided

by reasonable

amounts of

strength

training.

Although

starting

strength

training early in life is the best way to

ensure maintenance of muscle mass, it

is never too late to reverse the process

of atrophy.

Functional Resistance Training:

Are You A Candidate?

1. Are you out of breath after scaling

a flight of stairs?

2. Are you able to lift a 25 pound

object off the floor without pain?

3. Do you have difficulty getting in

and out of your vehicle?

4. Do you lose your balance more

than once in a while?

5. Can you carry your

groceries in from the

car with ease?

If you answer

"yes" to 4 or more of

the questions above

you may be in

need of functional

resistance training!

I recommend

consulting with

a qualified fitness

professional that has

experience with both

seniors and functional

fitness.

SOURCES AND RESOURCES

1. http://www.mayoclinic.org/healthylifestyle/fitness/in-depth/functionalfitness/art-20047680

2. http://fitness.mercola.com/sites/

fitness/archive/2015/01/23/weighttraining-older-adults.aspx


7 Good Fruits

for People with Diabetes

YOU’LL HAVE MANY DIFFERENT WAYS TO

INCORPORATE FRUIT INTO YOUR DIET


According to guidelines put in

place by nutritionists and medical

institutions, everyone needs to eat at

least four to five servings of fruit daily.

The American Diabetes Association

(ADA) says fruits are loaded with

fiber, minerals and vitamins and

should be part of a diabetes-friendly

diet. If you have diabetes, you need

to keep an eye on portion sizes and

avoid fruits canned in syrups or any

other type of added sugar.

The following fruits are recommended

for people with diabetes:

1. Berries

According to the ADA, blueberries,

strawberries and other types of

berries are packed with antioxidants,

fiber and vitamins; they are low-glycemic

index (low-GI) fruits. You can

try eating berries in a parfait, alternating

layers of fruit with plain non-fat

yogurt, which makes a great breakfast

or dessert.

2. Pears

They are an excellent source of

fiber and a good source of vitamin K.

They make a wise addition to your

diabetes meal plan. Store pears till

they are ripe and ready to be eaten.

Slice a pear and toss it into your next

spinach salad.

3. Apricots

This summer fruit is a wonderful

part of a diabetes meal plan and a

good source of fiber. Four fresh apricots

equal one serving and provide

more than 50 percent of your daily

vitamin A requirement. Try mixing

diced fresh apricots into hot or cold

cereal or add some to a salad.

4. Peaches

This fruit contains vitamins A

and C, fiber and potassium. They

are delicious on their own or used

in iced tea for a fruity twist. For a

quick snack, whip up a smoothie by

pureeing sliced peaches with low-fat

buttermilk, crushed ice and a pinch of

ginger or cinnamon.

5. Cherries

These, too, are low-GI, especially

tart cherries, which are packed with

antioxidants that may help fight cancer,

heart disease and other diseases.

Cherries are good at fighting inflammation.

They can be purchased fresh,

dried, frozen or canned. However,

be sure to check the labels because

many canned and dried fruits contain

added sugar.

6. Oranges

If you eat just one orange a day,

you will get all the vitamin C you

need. This low-GI fruit also contains

folate and potassium, which may help

normalize blood pressure. Another

great citrus fruit choice is grapefruit.

7. Guavas

These are considered a superfood.

They are high in vitamins A and C

and contain high amounts of dietary

fiber, which is good for constipation.

Other fruits to try include jackfruit,

papaya, watermelon, kiwi, pomegranate,

pineapple and apples.


What You Need to Know

About Insulin Delivery

Numerous options available from

pens to inhalers

By Dr. Tom

Miller, Staff Writer

Diabetes is a chronic

disease that affects

the body’s ability to

use the energy we get

from the food we eat. Glucose fuels the

cells in the body. These cells need insulin,

a hormone made in the pancreas,

in order to take in the glucose and use

it for energy. Insulin allows the body to

use the glucose from the carbohydrates

in food for energy. The pancreas plays

an essential role in maintaining energy

levels by regulating this vital part of the

digestive system. It is also a critical controller

of blood sugar levels.

When the pancreas fails to produce

enough insulin, a pharmaceutical

insulin product is needed. This failure

results in high levels of blood glucose,

which may damage the blood vessels in

the eyes, heart, nervous system and kidneys

and can eventually lead to complications

such as neuropathy, blindness,

stroke and kidney disease.

To prevent these complications,

consider finding a suitable insulin delivery

system. Educational commercials

appear regularly on radio and television,

offering people who have diabetes

a number of insulin delivery systems.

The options include insulin pens,

syringes, pumps, jet injectors and inhalers.

Patients with diabetes and their

physicians should consider a number of

factors, including body metabolism and

what the patient’s health insurance will

cover, when choosing a delivery system.

December 2016 & 25

boost of insulin, called a bolus. The

pump is an option primarily for people

with Type 1 diabetes who haven’t

reached their target blood sugar level

using other delivery methods. The

insulin pump is a safe, valuable treatment

option for those who have poorly

controlled blood sugar despite multiple

daily insulin injections. There are a

number of advantages to the insulin

pump. It provides good control and

prevents glucose-level spikes. They are

efficient and easy to use so a patient can

use less insulin than they would with a

syringe or pen. Multiple injections are

not necessary because the pump delivers

insulin automatically. Insulin pumps

are expensive and may require justification

for insurance coverage.

Jet injectors use high pressure to

push a fine spray of insulin through the

pores of the skin. One downside is it

may deliver insulin unevenly. Because

they send insulin into the body through

the pores, jet injectors may not always

deliver an accurate dose. Another down

side is it may be more painful than

injections. It also puts a considerable

amount of pressure on the nerves close

to the surface of the skin. Jets allow

patients to inject insulin without using

any kind of needle. Most jets require

the patient to load the insulin, sterilize

the device and change reusable parts.

Inhaled insulin delivery is a rapidacting

inhaled insulin approved by the

Food and Drug Administration for use

before meals. The inhaler reduces sugar

in the blood in about 15 to 20 minutes

and clears the body in two to three

hours. Users place a dose of powdered

insulin into a small, whistle-sized inhaler.

Inhaled insulin can be used for both

Type 1 and Type 2 diabetes. Patients

with Type 1 diabetes must use it in

combination with long-acting insulin.

When it comes to making a decision

about insulin delivery, get help from

your diabetes management team, which

often includes your family physician, a

diabetes educator, a registered dietician,

an endocrinologist and other allied

health professionals.

Sources and Resources

WebMD (2016). Diabetes Care and

Treatment: When Your Diabetes

Treatment Isn’t Working For You. Available

at: http://www.webmd.com/diabetes/

controlling-diabete s-15/insulin-deliverysystems?page=3

Some insurance may only pay for one

type of insulin delivery system.

Among the most used and most

popular delivery systems are insulin

syringes. They inject insulin directly

into the body with a very fine needle.

The wide variety of needles and

syringes are more likely than other

delivery system to be covered by health

insurance. Syringes require training and

certain competencies in their use, such

as being aware of unit measurements,

avoiding getting air in the syringe and

then drawing the correct dose of insulin

into the syringe.

Insulin pens work much like a

syringe, but they are easy to carry, come

pre-filled and do not require the same

kind of care as insulin syringes. The pen

and needles are disposable. Reusable

models have a cartridge filled with insulin.

Some types of insulin aren’t available

in pen form and insulin pens often

cost more than syringes.

An insulin pump is good for patients

who need reliable delivery of insulin

day and night. The pump delivers a

steady stream of insulin to the body

24 hours a day. Whenever you eat, the

pump measures and injects the needed

About the Author

Thomas W. Miller, Ph.D., ABPP, is a professor

emeritus and senior research scientist,

Center for Health, Intervention and

Prevention, University of Connecticut;

retired service chief from the VA Medical

Center; and tenured professor in the

Department of Psychiatry, College of

Medicine, University of Kentucky.

events

DECEMBER 2016


Ongoing

Al-Anon

Free support group for anyone

affected by someone else’s drinking.

Local meetings and information at

www.LexingtonAl-Anon.org or call

859.277.1877.

Thursdays:

Mindfulness-Based Stress

Reduction (MBSR)

8 week Thursday series beginning

with orientation October 13th. The

"gold standard" mindfulness course.

Learn to promote resilience, prevent

burnout, cultivate compassion and

manage stress-related chronic conditions.

Instructor: John A. Patterson

MD, MSPH, Mind Body Studio 517

Southland Drive, Lexington, KY 859-

373-0033. Full details at www.mindbodystudio.org/?page_id=1262

UK employees see Wellness Program

benefits here- https://www.uky.edu/hr/

wellness/bewell/mindfulness-basedstress-reduction

Mondays

Free Yoga Classes for Vets,

Servicemembers and their

Family Members

Every Monday from 9:30am–10:30am

at Ageless Yoga Studio, 611 Winchester

Rd., Suite 200. 859-303-6225. Preregister

online at agelessyogastudio.

com. Click “class” tab to sign up now!

Email info@agelessyogastudio.com for

more info.

Mondays & Wednesdays

MELT Method Hand, Foot and

Body Healing Class by Shayne

Wigglesworth

Mondays and Wednesdays at 12pm

- Discover pain-free living at any age!

Enjoy a gentle foam roller class to

reduce pain, inflammation, stress, anxiety

and more! MELT Method certified

instructor Shayne Wigglesworth will

teach you healing techniques you can

use for self care at home. All materials

and rollers are provided. Perfect for all

ages, body types and experience levels.

Learn more at www.centeredlex.com or

call 859-721-1841

Tuesdays

Community Flow

This weekly restorative class integrates

gentle yoga, breathing techniques,

meditation and wellness tips for all

ages and levels of physical condition.

10:30am–11:30am. Donation only

(great portion of all donations go to

the Backpack Food Program at Ashland

Elementary.) Inspiring, Educating

& Supporting our World through the

Moving, Visual & Healing Arts! Daily

classes, therapies, workshops & a

great spot to host your next event!

309 N Ashland Ave Ste.180, Lexington,

KY 40502. 859-721-1841. www.centeredlex.com

Tuesdays

Swing Lessons

Every Tuesday, starting September 30:

8pm–10pm at Tates Creek Recreation

Center, 1400 Gainesway Dr. $5.00 per

person per lesson. Call for more information:

Glenn and Rosalee Kelley 859-

233-9947; OR Peter and Robin Young

859-224-3388.

Tuesdays

Community Yoga Class with

Lauren Higdon

Every Tuesday 10:30am–11:30am at

Centered Studio, 309 n Ashland ave

suite 180 in Lexington. This weekly

restorative class integrates gentle

yoga, breathing techniques, meditation

and wellness tips for all ages and

levels of physical condition. Classes

may include chair yoga, restorative,

yin yoga, tai chi, and more. Perfect for

beginners as well as experienced yogis!

Donations-based class.

1st Tuesdays

Lupus Support Group: Living &

Coping with Lupus

The Lupus Foundation of America support

groups are intended to provide a

warm and caring environment where

people with lupus, their family members,

caregivers and loved ones can

share experiences, methods of coping

and insights into living with chronic

illness. Imani Baptist Church, 1555

Georgetown Road, Lexington from

7:00pm–8:00pm first Tuesday of

every month. 877-865-8787.

www.lupusmidsouth.org

2nd Tuesdays

PFLAG Support for LGBTs

and Families

We are a support group of family members

and allies united with LGBTQ* individuals.

Our meetings provide a safe,

confidential space where you can feel

respected and accepted wherever you

are in your journey or family struggle.

Monthly speakers help us to broaden

our understanding of these issues in

our families and in society. Lexington

meetings are held the 2nd Tuesday

of each month, 6:30 at St. Michael’s

Episcopal Church, 2025 Bellefonte

Drive. Frankfort chapter meets the

3rd Monday of the month, 5:30 at the

Unitarian Community, 316 Wilkinson

Blvd. More information and resources

at www.pflagcentralky.org For questions,

call 859-338-4393 or info@pflagcentralky.org.

*lesbian, gay, bisexual,

transgender, queer and questioning.

Wednesdays

Mindfulness and

Relaxation for Health

6:30-8:00pm (come as early as 6:00

to slow down and relax). No prior

experience of yoga or meditation

required. Mobilize your inner resources

for promoting health, self care and

managing the stress of caregiving,

burnout and chronic disease, cultivate

your innate happiness, peacefulness

and compassion, study and practice

in a supportive group. Gentle yoga,

mindful movement, deep relaxation,

sitting meditation and discussion. Cost

$5–$10. Instructor- John Patterson MD,

MSPH, FAAFP. Mind Body Studio 517


373-0033. Full details at http://www.

mindbodystudio.org/?page_id=1055

Fridays

Argentine Tango

“Dance of the Heart”

Passionate and Romantic, mindful and

Meditative, a uniquely transformative

social skill, art form and movement

therapy, no partner or dance experience

required, Friday evening 7:30-9:00

PM. You may drop-in to any class- this

is not a series. Cost $10. Instructors:

Dr. John Patterson and Nataliya

Timoshevskaya. Mind Body Studio 517


373-0033. Full details at http://www.

mindbodystudio.org/?page_id=214

Nov 8 – Dec 31

23rd Annual

Southern Lights

The 23rd Annual Southern Lights

includes a self-guided four mile journey

through a dreamland of fabulous

light displays including never-beforeseen

displays and traditional favorites.

Following the driving tour, families are

encouraged to park and visit the holiday

craft merchants, the KHP Gift Shop, seasonal

entertainment and activities for

children, petting zoo, pony and camel

rides and so much more! From: 5:30 PM

to 10:00 PM at the Kentucky Horse Park

Admission: Monday–Thursday $15 per

car, Friday–Sunday $25 per car.

RENT THIS CABIN

In the Beautiful Red River Gorge

CAMPING CABINS AND

PRIMITIVE CAMPSITES

ALSO AVAILABLE

Call or visit website for

reservations.

(606) 668-2599

ksbrown@mrtc.com

www.kentuckywildflowersllc.com

December 1

The Ghosts of Christmas Eve

The Trans-Siberian Orchestra (TSO)

will perform one of the group’s most

beloved stories in its own renowned

audio visual manner at Rupp Arena at

7:30pm. Admission is $41–$71. Visit

Rupp Arena’s website for details and to

purchase tickets.

December 1

Annual Lighting of the Trace

Come out to the gardens of Buffalo

Trace for their annual Lighting of the

Trace. While you are there you can visit

the George T. Stagg Gallery featuring

historic photos and bourbon artifacts

and listen to the Kentucky State

University Choir. And, of course, the Gift

Shop! Arrive at 5:30pm for a candlelight

tour of the distillery. Santa will arrive at

6:30pm. Santa will stop by the Visitor

Center on December 9, 10, 16, and 17

from 6pm – 8 p.m. in case you don’t get

a chance to tell him what you want on

December 1!

December 2-4

Annual Lighting of the Trace

At Waveland State Historic Site, you can

see what the holiday season was like on

a Bluegrass plantation. This year, relive

Christmas of the past with scenes from

the Dicken’s classic, “A Christmas Carol”.

Follow from room to room as the drama

plays out right in front of you. Santa

will be in the barn each performance

an hour before the first scheduled performance,

for story time and photos.

Additional performances December 9 -

11. Reservations required. $10 adults, $5

children. 859.272.3611 for details.

December 4

Breastfeeding 101

4-6 p.m. Baptist Health-Lexington

Education Center, 1720 Nicholasville

Rd. (Building E, lower level), FREE, only

for those delivering at Baptist Health-

Lexington, registration not required. Call

EVENTS Continued on page 29


ONGOING EVENTS

Bluegrass Ovarian Cancer Support

Exists to assist Central Kentucky women and

their loved ones during diagnosis, treatment

and survival of ovarian and other gynecological

cancers. Come meet with us the third

Wednesday of every month at 6:30pm at

Joseph Beth Booksellers, Bronte Bistro Cafe

meeting room.

Perinatal Loss Grief Group

First Tuesday of the month, 7pm, Center for

Grief and Education. A group for parents

who have experienced loss due to miscarriage,

stillbirth or infant death. Contact

Debbie Mueller at (859) 260-6904 for more

information.

Compassionate Friends

Support Group

A support group for parents, siblings, or

grandparents who have lost a child regardless

of the child’s age or length of time that

has passed since that day. The meeting is the

1st Tuesday of every month 6:30pm–8:30pm

at Hospice of the Bluegrass, 2312 Alexandria

Drive, Lexington. Also meets the 1st Tuesday

of every month 7pm-9pm at Hospice East,

417 Shoppers Drive, Winchester. Doors open

one-half hour before meeting times to provide

the opportunity to visit with old friends

and acknowledge new ones.

Spouse Loss Support Group

Tuesdays 6-7:30pm. Hospice of the Bluegrass.

A five-week support group for individuals

who have experienced the loss of a spouse

or significant other. Contact Lexington office

at (859) 277-2700 for more information or

to register.

Coping After Loss

First Wednesday of the month, 5:30-7pm,

Center for Grief and Education. A brief educational

program offering an introduction to

grief information and hospice bereavement

services. Contact the Lexington office at

(859) 277-2700 for more information or to

register.

Free Transportation to

Cancer Screening

Fayette County residents can receive free

transportation through HealthLink Transit,

a partnership between Kentucky Pink

Connection & the Lexington--Fayette Urban

County Government. Transportation provided

by taxi or gas cards to cancer screening.

Call (859) 309-1700 to arrange a ride.

2nd Chance Ambassadors

Lexington: a support/volunteer group comprised

of organ transplantation recipients,

donor family members, those on the waiting

list and community members interested

in transplantation meets the 3rd Sunday

of each month at Word of Hope Lutheran

Church, located at the corner of Man

O’War and Armstrong Mill Road. Meetings

begin at 4:30. For questions, please contact

Charlotte Wong, Education Coordinator,

Kentucky Organ Donor Affiliates Lexington

office at (859) 278-3492 or toll free (800)

525-3456.

Center For Women’s Health

Center Classes

Held at Frankfort Regional Medical

Call Mediline at 502-226-1655 or toll-free

800-242-5662 to register or for more information.

Classes include:

• Prepared Childbirth

• Baby Care For The Early Weeks

• Breast Feeding Basics

• “That’s My Baby”

• Sibling Classes

Cancer Classes

The American Cancer Society offers women

undergoing cancer treatments the opportunity

to attend the Look Good...Feel Better

workshop. This free workshop helps women

deal with the appearance-related side-effects

of cancer treatment in a private setting. Each

participant receives a complimentary custom

cosmetic kit. The American Cancer Society

offers Prostate Cancer Educational and

Support Classes called Man to Man for men

with prostate cancer. This is an educational

and networking program that provides

information about prostate cancer and treatments

options. For more information about

these classes, please call Kristy Young at 859-

260-8285. For cancer information 24 hours

a day, please call 1-800-ACS-2345 or go to

www.cancer.org.

Survivors of Suicide

First & third Tuesday of the month, 6-7:30pm,

Center for Grief and Education. For adults

affected by the loss of someone by suicide.

Contact the Lexington office at (859) 277-

2700 for more information or to register.

Bosom Buddies

A support group designed to meet the

ongoing needs of women with breast

cancer. The purpose of Bosom Buddies is

to create a safe and comfortable environment

in which women diagnosed with

breast cancer can receive information and

emotional support during and after treatment.

Meets are the third Thursday of every

month 6:00pm at the Frankfort Regional

Hospital: Frankfort Medical Pavilion,

Conference Room C. 279 King’s Daughters

Drive, Frankfort, KY.

BRCC Volunteer Opportunities

The Bluegrass Rape Crisis Center provides a

24-hour crisis line, hospital and court advocacy,

crisis intervention counseling, longterm

therapy, and information and community

referral to victims of sexual assault

as well as family members and friends.

Volunteers at BRCC have the unique opportunity

to provide valuable direct services to

those impacted by sexual assault. Volunteer

opportunities: Crisis Line Volunteer,

Medical/Legal Advocate. For more information,

please call: (859) 253-2615.

Stop Smoking Class Series

5:30-6:30, weekly until April 17. Tates Creek

Library, 3628 Walden Dr. Based on the

Cooper-Clayton method. $10/week for 10

weeks covers the cost of nicotine replacement.

Call 288-2457.

GrassRoots Yoga Classes

Chair yoga: 10:30–11:30am Tuesday and

Thursday. Hatha Vinyasa Flow: 5:30–6:30pm

Thursday. Yoga Basics for Stress Relief:

5:30–6:30pm Friday. Partial proceeds from

all yoga classes benefit the Latitude Artist

Community for adults considered to have

disabilities. All instructors certified through

Yoga Alliance. For more information,

visit www.grassrootsyoga.org.

ANAD Overcoming Eating

Disorders Support Group

Free support group for people who want

to improve their relationship with food

and body image. Safe, comfortable place.

Facilitated by Megan Roop, RYT, supervised

by Tina Thompson, MS, RD, LD, Bluegrass

Nutrition Counseling, sponsored by ANAD.

Introduction meeting on October 3 from

7:15-8:30pm at Bliss Wellness Center, 2416

Sir Barton Way, Ste 125. 8 week session Oct

17-Dec 5 from 7:15-8:30pm. Contact Megan

Roop 561-779-0290 for details.

Diabetes CHATS

Nathaniel Mission Health Clinic CHAT:

1109 Versailles Road, Suite 400 from 4pm to

5:15pm the 4th Tuesday of each month. The

Refuge Clinic: New Location, 2349 Richmond

Road-Suite 220, Lexington, KY, 40502. 859-

225-4325. Free. Sponsored by the Lexington-

Fayette Co. Health Dept and UK Healthcare.

Free Cardio Classes

9-10am. Every Saturday morning in the

month of February at Body Structure

Medical Fitness Facility, 2600 Gribbin Drive,

Lexington. This class will increase your heart

rate and respiration while using large muscle

groups repetitively and rhythmically to create

a great workout. (859) 268-8190.

Taoist Tai Chi Society

We offer classes in Louisville and Lexington.

All classes are led by nationally accredited

volunteer instructors in a friendly and helpful

environment. The meditative movements

of taijiquan can reduce tension, increase

flexibility and strength, and improve circulation

and balance. To contact us, phone

502.614.6424 or e-mail kentucky@taoist.org.

Consumer Support Groups

(Individuals with a Mental Illness)

Every Sunday, 869 Sparta Court, Lexington.

2:30-4:00pm. 859-309-2856 for more info.

NAMI Lexington is a local affiliate of NAMI,

the “National Alliance on Mental Illness” we

provide numerous support groups and

recovery programs for families and

Individuals living with mental illness.

Yoga • Meditation • Stress

Reduction

The Yoga Health & Therapy Center offers

daytime and evening Yoga classes with slow

stretch, breathing awareness and relaxation

training. Small classes provide personalized

instruction. New yoga students receive

a series discount. Meditation classes and

ongoing group practice sessions available

for all levels. Stress-Reduction classes based

on Yoga principles and practical skills also

offered. Free parking provided for most classes.

For information, please call 859-254-9529

or visit www.yogahealthcenter.org.

Mind Body Studio

The Mind Body Studio is a service of John A.

Patterson MD, MSPH, FAAFP, certified in family

medicine, integrative medicine, mind body

medicine and integral yoga, Dr. Patterson

specializes in stress-related chronic disease

and burnout prevention for caregivers and

helping professionals. Mind body skills and

lifestyle behaviors may help prevent and

provide safe, effective and affordable relief of

chronic conditions that are often poorly controlled

by conventional medicine alone.

Our integrative medicine consultations,

group classes, workshops and coaching can

help you meet your unique health and wellness

needs through experiential education

to help you mobilize your natural healing

ability by integrating mind, body, spirit and

our relationship to each other and the earth.

Visit our website to schedule an appointment

with Dr. Patterson or see a schedule

of classes in yoga, mindfulness, meditation,

Pilates and dance. “Mindful, empowered self

care is the heart of healing” 517 Southland

Drive, Lexington 859-373-0033

www.mindbodystudio.org

Monthly Reiki Classes

Turn your hands into healing hands!

Reiki is Universal Life Force Energy

Learn to improve your mind, body, and

spirit! Classes taught by Robert N.Fueston,

Reiki Master/Teacher and Acupuncturist, 17

years of experience and Member of The Reiki

Alliance. Approved for Continuing Education

hours (CE hours) for Massage Therapist. CE’s

for nurses pending. Register online at www.

robertfueston.com. 859-595-2164.

Ongoing Journey Circle

This circle meets the 4th Sunday of every

month and is for those who are experienced

in the practice of journeying OR are interested

in learning more about this ancient spiritual

practice. Join us every month as we will

be journeying on different topics that will be

discussed at time of circle. Please feel free to

bring drums, rattles etc. Questions or need

directions or have questions? Please feel free

to email/call me: 859-492-2109,info@jennifershawcoaching.com

Overeaters Anonymous

Overeaters Anonymous (OA) is not a diet

club. We do not count calories or have scales

at meetings. OA is based on the 12 steps of

Alcoholics Anonymous. There are no dues or

fees. OA is self-supporting through member

contributions. The only requirement for

membership is the desire to stop eating

compulsively. Please go to oalexingtonky.

org for meeting dates and times. OR are

interested in learning more about this ancie

SENIOR LIVING


highgrove

at TATES CREEK

4251 Saron Drive, Lexington, KY

859.245.0100 | HighgroveAtTatesCreek.com

A Social Senior is a Healthier Senior

HOW COMMUNITY LIVING CONTRIBUTES TO OVERALL WELLNESS

by Lauren Ashley German, Highgrove at Tates Creek

Selecting a

senior living

community for

yourself or the

senior in your life can be a stressful

and overwhelming process beginning

with the initial decision to

move. Perhaps you want peace of

mind that Mom is getting the nutrition

and medication reminders she

needs. Maybe lack of transportation

is keeping Dad isolated and he is

becoming withdrawn. Or, it could

be that you just aren’t up to the yard

work and maintenance that owning a

home typically requires. Regardless

of the primary reason for moving, it’s

important for families and individuals

to understand all the benefits that

come from being in a community of

like-minded individuals with programs,

activities and environments

specifically designed for older adults.

The National Wellness Institute

identifies six dimensions of wellness

that everyone needs to achieve a happier,

healthier self:

1. Emotional

In order to thrive emotionally, individuals

need a support network and

engaging activities that seniors often

lack when they are isolated from

friends and family. Senior living communities

provide an opportunity for

residents to interact on a daily basis,

allowing personal relationships to

form which creates a support system

outside of the family unit. And don’t

underestimate the value of peer-topeer

bonding. Building interpersonal

connections with others who share

your challenges can help reduce

symptoms of depression.

2. Physical

Regular physical activity can

lead to significant health benefits

in seniors, such as reduced risk of

falling, stroke and heart disease.

Wellness programs found in senior

living communities may offer activities

like yoga to help with balance,

tai chi to improve coordination or

gardening to provide strength training.

Studies show that exercise does

not have to be intensive in order to be

beneficial, but indicate that moderate,

daily activity is key to receiving maximum

results.

3. Spiritual

Community life and worship is an

important wellness component to

many lives. Lack of transportation

or mobility can keep seniors from

attending their place of worship.

Senior communities often have a chapel

onsite with a chaplain to provide

spiritual enrichment or may provide

transportation to the resident’s own

church, temple or synagogue.

4. Intellectual

Studies suggest that engaging in

brain boosting activities do more

than just keep your mind sharp.

Keeping your brain active every day

by exploring new hobbies, playing

games or working puzzles may help

you live longer and possibly reduce

the risk of Alzheimer’s. Senior living

communities offer a wide-variety of

on-campus and off-campus activities

to help keep cognitive skills intact by

creating an environment centered on

lifelong learning.

5. Social

Socialization can improve both

quality and length of life and staying

socially connected grows increasingly

difficult with age. Isolation due

to living alone, having a small social

network or lack of participation in

social activities can have a direct

impact on one’s health, increasing

the likelihood of chronic health

problems. Community dining like

those found in senior living communities

not only create opportunities

for socialization, but also give

seniors access to well-balanced

meals. A poor diet can lead to a

weakened immune system, but communities

provide the convenience

of on-site dining with chef-prepared

meals so it’s easier to eat well.

6. Occupational

The opportunity to stay engaged

in the community while utilizing

your unique set of skills is a crucial

step to achieving overall wellness.

Many senior living communities

offer volunteer opportunities for

their residents based on their interests

and abilities. Seniors can get

involved with local charities, host

support groups or mentor children.

Volunteerism is beneficial for seniors

in a number of ways – not only does

it have mental and physical benefits,

but it also helps improve the perception

of seniors in society.

The advantages of belonging

to a senior living community are

too important to ignore. Seniors

who choose to live in communities

designed with their interests and abilities

in mind will be healthier, happier

and will live longer. Combine that

with the maintenance-free living, care

and safety that senior residences offer

and the decision to move into a community

just became much easier.

About the Author

Lauren Ashley German is the

Community Relations Director at

Highgrove at Tates Creek, a premier

senior living community opening fall

of 2016. Formally with the Alzheimer’s

Association, Lauren Ashley has had

the privilege of working with families

across Kentucky dealing with all levels

of dementia as well as the senior living

communities that serve them. Lauren

Ashley can be reached at 859-245-0100

or lagerman@traditionsmgmt.net.


EVENTS continued from page 26

(859)260-6357 or (859)260-4354 for

questions regarding classes.

December 6

Eat, Move, Lose Weight

Support Group

12 – 1 pm, Lexington-Fayette Co.

Health Department PH Clinic South,

2433 Regency Road. Free weightloss

support group appropriate for

anyone wishing to lose weight or

maintain weight loss. Share struggles

and ideas with others. Held first and

third Tuesdays most months. For

more information or to pre-register,

call 288-2446.

December 10

Craft and Vendor Show

Public are welcome to tour the

facilities and enjoy the craft/vendor

show from 11am-3pm. Show

includes Tastefully Simple, Coach

Purses, bags, Mary Kay, Short Stuff

Gifts, jewelry and hand-crafted

items. The Lafayette Senior Living

Center: 690 Mason Headley,

Lexington, KY.

December 11

Grandparents 101

3:00pm – 5:30pm, Baby Moon, 2891

Richmond Rd., $25. Get updates on

new tools and techniques for infant

care. Visit http://www.babymoonlex.

com/ to register.

December 12

Diabetes Support Group

9-10 am, Senior Citizens Center, 195

Life Lane (behind Southland Christian

Church on Richmond Road). Free.

Sponsored by the Lexington-Fayette

Co. Health Dept. For more information,

call (859) 288-2446.

December 17

7th Annual Christmas Event

Public are welcome to tour the

facilities and enjoy the craft/vendor

show from 10am-4pm. Show

includes Tastefully Simple, Coach

Purses, bags, Mary Kay, Short Stuff

Gifts, jewelry and hand-crafted

items. Rabbit Run Clubhouse

Senior Living Center: 1920 Fort

Harrods Drive, Lexington KY.

December 20

Eat, Move, Lose Weight

Support Group

12 – 1 pm, Lexington-Fayette

Co. Health Department PH Clinic

South, 2433 Regency Road. Free

weight-loss support group appropriate

for anyone wishing to lose

weight or maintain weight loss.

Share struggles and ideas with

others. Held first and third

Tuesdays most months. For

more information or to preregister,

call 288-2446.

December 19

LLL of Greater Lexington

Monthly Meeting

LLL of Greater Lexington

Monthly Meeting: 9:30 a.m. at

Centered Holistic Health and

Wellness Center, 309 North

Ashland Avenue, Suite 180,

Lexington. FREE, open to

everyone. For more information,

call a Leader at 859-559-

8488.

December 20

Labor Workshop for Couples

7 – 9:30 pm, Baby Moon, 2891

Richmond Rd., $55. Visit http://

www.babymoonlex.com/

to register.

Send us your event listings

If you are hosting a health-related

event that is free to the public, list it

here for FREE! (Events that are not

free to the public can be posted in our

calendar for $35).

E-mail your event date, location,

description and contact information:

brian@rockpointpublishing.com

It’s time for your

new beginning.

Residential Treatment for Drug and Alcohol Abuse

Intensive Outpatient Program

Medically Assisted Inpatient Detoxification

Home-like Environment

3107 Cincinnati Road,

Georgetown, KY 40324

502-570-9313

Call the Recovery Works Admissions team today!

FAMILY VISION


Family Eyecare Associates

105 Crossfield Drive, Versailles, KY 40383

859.879.3665 | www.myfamilyvision.com

Sensory Integration Important for Balance

THREE SYSTEMS WORK TOGETHER TO KEEP YOUR WORLD IN SYNC

by Dr. Rick Graebe,

Family Eyecare Associates and Vision Therapy

What happened

the

last time you

went on the Mad Tea Party ride at

DisneyWorld? Did you enjoy yourself

initially, but as the ride went on, did

you start to feel sick and disoriented?

When you closed your eyes, however,

you probably felt much better. And

you were immensely glad when the

ride ended and you could get your

bearings again.

Vision plays a significant role in

balance.

There are basically three components

to balance:

1. Vision, which includes much

more than clear eyesight;

2. Vestibular system, which includes

fluid filled canals of the inner ear;

and

3. Somatosensory system, which

includes both proprioception, or

movement of the body, and tactile,

or sense of touch.

These sensory components work

together through a process called sensory

integration.

Sensory integration is the way your

vestibular and somatosensory systems

communicate with and relate to your

vision. The vestibular system is like a

gyroscope that helps orient us spatially.

Fluid in sacs in the inner ear moves

around when you tip your head and it

tells you where your head is in relationship

to your physical environment.

The somatosensory cortex is an area

of the brain that processes input from

various systems in the body that are

sensitive to touch. It lets you feel your

feet touching the floor or your back

resting against a chair. The different

sensory systems are constantly talking

to each other as you move through

space, sending information to the brain

about where you are and how fast you

are moving; and comparing their individual

findings.

The reason you get dizzy on the teacup

ride – or have motion sickness – is

the three systems are telling your brain

different things. The fluid in the vestibular

system whirls in one direction at

a high velocity, so when you stand up,

that system tells you you’re spinning.

But your eyes say you are standing still.

The systems don’t match up. Then

the brain decides there is a neurotoxic

substance in your system that must be

expelled, thus causing nausea. With

motion sickness, your eyes tell you

you’re sitting still, not moving. But

the vestibular system is getting jostled

around and telling the brain you are

moving. When all three systems are

working in sync, motion sickness and

balance problems are reduced and

often alleviated. That’s why in some

instances, closing Closing your eyes

can help you reestablish stability.

Over time, however, the relationship

between the vestibular system

and vision changes. Vision stays relatively

stable but the vestibular system

actually changes with age. The signal

from the system hyperstimulates and it

takes a while for the fluid in the inner

ear to settle down. This is why you

probably don’t enjoy roller coasters

or spinning rides as much as you did

when you were a youngster. Children

love high-velocity spinning, but it’s too

much for us as we get older.

Some Dr. Graebe’s office provides

neuro-visual therapy programs that

help with motion sickness problems.

Their office also works closely with

other specialists when needed. Often

it This is helpful when your balance

issues call calls for the additional skills

of an occupational therapist, who will

work with the vestibular system; or a

physical therapist, who will do more

with midline awareness of the body;

and a vision therapist, who might prescribe

provides neuro-visual therapy or

prisms to help you. The three specialists,

working together, can determine

which of the systems is most at fault

and plan appropriate treatment.

For further information, or to schedule

and appointment, you can reach Dr.

Graebe’s office in Versailles at (859)-

879-3665.

About the Author

Dr. Graebe received both his B.S degree

in Visual Science and Doctorate of

Optometry from Indiana University. He

is a Behavioral Optometrist and learning

expert. He has been in private practice

here in the Bluegrass area for the past

32 years.


MAKERS

CDC: STD Rates in America

at All-Time High

Exploring Detection Bias in

Prostate Cancer

Infections from three sexually

transmitted diseases have hit yet another

record high. More than 1.5 million cases

of Chlamydia were reported in the United

States last year, up 6 percent from the year

before. Nearly 400,000 gonorrhea cases

were reported, up 13 percent. There were

about 24,000 cases of the most contagious

forms of syphilis, up 19 percent. The three

infections are currently treatable with

antibiotics.

Snake Venom = Pain Relief?

Blue coral snakes freeze their prey with a

venom unlike that of any other snake – and

it has the potential to help people.

Researchers from the University of

Queensland found the venom sends an

enormous shock to the entire nervous

system of the snake’s prey, causing victims

to freeze in a state of total paralysis. In

their study “The Snake with the Scorpion’s

Sting,” published in the journal Toxins, the

researchers detail the chemistry behind the

way the venom causes the prey’s nerves to

keep firing rather than shutting down and

how this has implications for improving

pain management in humans.

The Southwest Oncology Group (SWOG) has

found widespread detection bias in prostate cancer

diagnosis. SWOG is the clinical trials network funded

by the National Cancer Institute. SWOG examined

data from the two largest prostate cancer prevention

trials ever conducted in the United States.

“We assumed prostate cancers are diagnosed

uniformly, but that’s not true,” said Catherine Tangen

with the Fred Hutchinson Cancer Research Center

and lead author of the study published in the Nov.

7 editorial in the Journal of Clinical Oncology.

Tangen’s team examined data from the placebo arms

of two major SWOG prevention trials: the Prostate

Cancer Prevention Trial (PCPT), which required

an end-of-study biopsy for all men, regardless of

the results of their annual prostate-specific antigen

(PSA) level test, and the Selenium and Vitamin E

Chemoprevention Trial (SELECT). The SWOG team

found younger, healthier, better-educated men, those

with a family history of prostate cancer and those who

were married were more likely to undergo a prostate

biopsy even after accounting for their PSA level. The

investigators then evaluated the associations of risk

factors with prostate cancer in SELECT (reflecting

treatment of the general population) and in the

PCPT (the gold standard). They found some major

discrepancies. SELECT men who took statin drugs

had a significantly reduced risk of prostate cancer,

but in the PCPT group there was no association.

The researchers concluded biases in who underwent

prostate biopsy probably accounted for these very

different results.

“We found a lot of variation in who got a biopsy,”

Tangen said. “One wrong assumption can have a

huge domino effect. As a public health researcher,

this concerns me. Bias can warp our understanding

of the prostate cancer disease process and misdirect

our efforts to test new risk factors and prevention

strategies in future research.”


The further you live from

the equator, the greater the

likelihood of being affected

adversely as the seasons change.

Seasonal Mood Swings

Radical changes affect the body this time of year


The old Kentucky adage, “If you

don’t like the weather, wait five minutes,”

is as true today as ever. The

weather changes constantly in this

region, no matter the season. To say

our bodies are affected by the weather

is an understatement for some

people. Many people are more prone

than others to environmental shifts.

So many things affect moods, but

one certain variable is the change of

seasons. It is easier for most people

to have “up” moods on days when

there is more sunshine, no snow and

a general feeling of warmth and coziness.

When the temperature lowers

to 40°F and below, snow falls, leaves

change color and drop and there is

less daylight, the body goes through

some radical changes.

Most people are familiar with

Seasonal Affective Disorder (SAD), a

phrase that was first coined by Normal

E. Rosenthal at the National Institute

of Mental Health in 1984. Symptoms

of SAD can include feelings of depression,

low energy, problems sleeping,

appetite shifts, problems concentrating,

tiredness, irritability, weight gain,

hypersensitivity to some issues and

suicidal thoughts. These are different

from the normal feelings most people

have as the winter months approach.

The body is preparing to hibernate,

trying to pack on a few pounds as

our ancestors did to survive the long,

brutal winters without heat and indoor

plumbing. SAD is a legitimate depression,

and some people are more susceptible

to it than others.

Along with the shift in weather patterns

come the holidays, which always

seem to make people a bit more crazy.

Happy jingle bells are everywhere;

there is overindulgence in food and

drink and increased traffic; every store

wants you to buy more; and high

expectations that you must play a part

in all these rituals can be overwhelming.

Add to this the feeling of another

year closing and time passing. These

abrupt seasonal changes tend to throw

us off our game.

The further you live from the

equator, the greater the likelihood

of being affected adversely as the

seasons change. Melatonin, the “sleep

hormone,” tends to be released more

when we are in the dark. When

there is less light, more melatonin is

secreted, which can increase drowsiness

and create more feelings of listless

depression.

Many things can help SAD and

other similar conditions that occur as

a result of seasonal changes. Spending

more time outside in the fresh air and

sunshine can go a long way. SAD can

also be helped through artificial light

therapy or “SAD lights,” which help

shine light on the retina and stimulate

the brain and body. Moderate your

food intake. Keep a set schedule for

sleep and activity. Antidepressants can

be of use to those who feel these other

tactics aren’t fully doing the trick.

There is a difference SAD and vitamin

D deficiency, which also occurs

in winter months when there is less

light. Many people think going to tanning

salons is an effective method of

replacing vitamin D, but according to

Dr. Thomas Kuhn of Holland Hospital

Behavioral Health Services, this is

a fallacy because there are different

types of ultraviolet light.

“The light that one experiences in

tanning beds is UVA, which doesn’t

penetrate the skin in the same way

as UVB, which gives us vitamin D

absorption from sunlight,” Kuhn said.

“You may get a little in the tanning

beds, but not as much as you may

think or is claimed.”

In addition, keeping up with exercise,

monitoring protein intake, drinking

plenty of water and having quiet

time for meditation and relaxation

remains extremely important when

battling moods swings in general,

whatever the season.

INDEPENDENT LIVING 8 ASSISTED LIVING

MEMORY CARE

NOW ACCEPTING

RESERVATIONS

highgrove

at TATES CREEK

Enjoy peaceful living in a carefree environment.

27

NICHOLASVILLE RD

4

27

TATES CREEK

SHOPPING CENTER

MAN Oʼ WAR BLVD

1974

SARON DR

HIGHGROVE

AT TATES CREEK

4

TATES CREEK RD

MAN Oʼ WAR BLVD

1974

Stop in and learn how

community living at

Highgrove at Tates Creek

contributes to

overall wellness while

empowering residents

to be independent

& social.

Call Lauren Ashley

859-245-0100

for your personal

appointment to learn

more about the

amenities that create

a carefree lifestyle

at Highgrove.

VETERANS PARK

4251 Saron Drive Q Lexington, KY 40515 Q

www.HighgroveAtTatesCreek.com


F OD BITES


Labels Confuse People with

Food Allergies

Food allergies affect approximately

8 percent of children and up to 2

percent of adults. Almost 40 percent

of children with a food allergy

have experienced at least one lifethreatening

reaction. A recent study

found consumers with food allergies

often misunderstand food labels

that say “may contain” or “manufactured

on shared equipment.” While

these consumers should avoid such

products, up to 40 percent of them

bought items with precautionary

allergen labels. The study, published

in the Journal of Allergy and Clinical

Immunology: In Practice, surveyed

6,584 consumers in the United States

and Canada on their purchasing

habits of food products with various

labels about possible allergen exposure

due to food processing. Most

participants were caregivers of a

food-allergic child, while the rest had

a food allergy themselves. “Our findings

underscore the challenges people

with food allergies face in deciding

if a food product is safe to eat,”

said senior author Ruchi Gupta, MD,

MPH, pediatrician and researcher at

Ann and Robert H. Lurie Children’s

Hospital of Chicago and associate

professor of pediatrics and medicine

at Northwestern University Feinberg

School of Medicine. “Currently,

precautionary allergen labeling is

voluntary and the statements used

lack consistency, making it more

confusing for consumers. They also

do not reflect how much allergen is

in the product, which is something

consumers need to know to assess

food allergy risk.” Consumers had

many misconceptions about labeling.

One third falsely believed precautionary

allergen statements are

based on the amounts of allergen in

the product. Almost half believed

this type of food labeling is required

by law (it is not). The laws in the

United States and Canada require

labeling if a major food allergen is an

intended ingredient. In the United

States, these include wheat, egg,

milk, peanut, fish and crustaceans,

soy and tree nuts. Canadian regulations

also add sesame, mollusks and

mustard. Neither country requires

labeling about the unintended presence

of allergens in foods as a result

of processing on shared equipment,

although many food manufacturers

include a variety of precautionary

statements. Fewer respondents (11

percent) bought food with “may

contain” labeling, while many more

(40 percent) bought a product with

“manufactured in a facility that also

processes” statement. “There is

clearly a need for regulation and standardization

of precautionary allergen

labeling to help consumers make safe

food choices,” said Gupta. The study

was led by Food Allergy Research

and Education.

Protein in Wheat Linked to

Inflammation in Chronic Health

Conditions

Scientists have discovered a protein

in wheat that triggers inflammation

in people with chronic health

conditions, such as multiple sclerosis,

asthma and rheumatoid arthritis.

This protein also contributes to

the development of non-celiac

gluten sensitivity. Previous studies

have focused on gluten and its

impact on digestive health, but this

new research, presented at United

European Gastroenterology Week

2016, turns the spotlight on a different

family of proteins found in wheat

called amylase-trypsin inhibitors

(ATIs). The study shows consuming

ATIs can lead to the development of

inflammation in tissues beyond the

gut, including the lymph nodes, kidneys,

spleen and brain. Evidence suggests

ATIs can worsen the symptoms

of rheumatoid arthritis, multiple sclerosis,

asthma, lupus and non-alcoholic

fatty liver disease, as well as inflammatory

bowel disease. ATIs make up

no more than 4 percent of wheat proteins,

but they can trigger powerful

immune reactions in the gut that can

spread to other tissues in the body.

ATIs may contribute to the development

of non-celiac gluten sensitivity.

This condition is now an accepted

medical diagnosis for people who do

not have celiac disease but benefit

from a gluten-free diet. Intestinal

symptoms, such as abdominal pain

and irregular bowel movements, are

frequently reported, which can make

it difficult to distinguish celiac disease

from irritable bowel syndrome.

Extra-intestinal symptoms such as

headaches, joint pain and eczema

often support this diagnosis. These

symptoms typically appear after eating

food containing gluten. They

improve rapidly on a gluten-free diet,

yet gluten does not appear to cause

the condition. Clinical studies will

shortly commence to explore the role

ATIs play on chronic health conditions

in more detail.

Scientists have

discovered a

protein in wheat

that triggers

inflammation

in people with

chronic health

conditions.


NATURE’S

BEAUTY

Peas

Little green balls of power should be a mainstay of the diet

By Tanya Tyler,

Editor/Writer

If you were like

most kids, you probably

turned up your

nose at peas when they appeared on

your dinner plate – and held your

nose as you ate them. Hopefully,

you are now mature enough to realize

how very good for you peas are,

and you no longer leave them to roll

around on your plate untouched.

Interestingly enough, pea pods

botanically are fruit because they

contain seeds and developed from

the ovary of a flower. Peas have been

around a very long time. They were

eaten in ancient India, Egypt and

Greece. Back then, they were mostly

grown for their dry seeds. Field peas

were a staple of the diet during the

Middle Ages. Fresh peas were called

garden peas. Apparently these were

quite the rage in 16th-century France.

Today Canada is the world’s largest

producer of peas. The work Austrian

monk Gregor Johann Mendel did

with peas laid the foundation for the

modern science of genetics.

We know them mainly as little

green balls, but peas are also occasionally

yellow and (rarely) purple.

They grown in a single row in pods

that are about 2 to 3 inches long. Of

course we’ve all heard the saying that

some people are “as alike as two peas

in a pod.”

Green peas are one of the most

nutritious vegetables available. They

are full of health-promoting phytonutrients,

minerals, vitamins and antioxidants.

Included in these phytonutrients

are some recently discovered

green pea phytonutrients called saponins.

When coupled with the other

phytonutrients in green peas, these

substances may help lower the risk of

developing Type 2 diabetes, which is

currently becoming epidemic around

the world.

Peas are a good source of vitamin

C, which is known to help the body

build resistance against infectious

agents and eliminate harmful, proinflammatory

free radicals. The abundant

vitamin K in peas helps build

bone mass. Fresh pea pods are an

excellent source of folic acid. Peas are

relatively low in calories and contain

no cholesterol. They have phytosterols

that help lower cholesterol levels.

Other beneficial elements in peas

include antioxidant flavonoids such

as carotenes, lutein, zeaxanthin, vitamin

A and B-complex vitamins such

as pantothenic acid, niacin and thiamin.

Peas are rich in essential minerals

such as calcium, iron, copper, zinc

and manganese. Recent research has

shown green peas are a good source

of omega-3 fats in the form of alphalinolenic

acid (ALA).

Peas contain high amounts of a

polyphenol called coumestrol, which

helps fight stomach cancer. One

cup of green peas contains at least

10 milligrams of coumestrol. The

only people who would not benefit

from including peas in their diets are

those who have problems such as a

kidney disorder or gout. Peas contain

a compound called purines that will

adversely people dealing with these

health issues. However, if you want to

control your weight; strengthen your

immune system; prevent wrinkles,

Alzheimer’s disease, heart disease and

osteoporosis; promote vision and eye

health; regulate blood sugar; reverse

insulin resistance; and prevent constipation,

please pile peas on your plate.

Interestingly

enough, pea pods

botanically are fruit.


“With Today’s Breakthroughs,

You No Longer Have To Live With Type 2 Diabetes,

Obesity, Fatigue, IBS or Hypertension!"

Lisa Hamilton, age 56 started with

Dr. Miller in May 2016. Lisa suffered

with Type 2 Diabetes, Over-Weight,

Hypertension, IBS, Fatigue and

Migraine Headaches. Lisa weighted

over 229 lbs.

When Lisa came to Dr. Miller, her

A1C was 9.6 and she was on oral diabetes

medications.

After just 5 MONTHS, Lisa’s A1C

dropped from 9.6 to 5.4 and she

lost over 40 lbs! Her medical doctor

said..“Wow! Keep doing what you’re

doing with Dr. Miller!”

Q: Lisa, why did you go to Dr.

Miller?

working correctly

inside you?

A: “Dr. Miller has

an amazing blood

panel lab he orders

through Lab Corp.

After he gets the

results, he does a

‘Functional Medicine’

computer assessment

that uncovered exactly

what was causing my

Type 2 Diabetes, IBS,

Fatigue and my Overweight.

I was very

impressed.

LISA HAMILTON, BEFORE

AFTER TRUE HEALTH SOLUTIONS TREATMENT

A: “My husband had heard Jack Pattie,

radio host (on 590 AM), talk of Dr.

Miller and the results he gets with a

variety of conditions. My husband

came to Dr. Miller and then referred

me. My Type 2 Diabetes was getting

worse, my A1C kept going up and I

didn’t like taking the medications. I

had gained weight and was just not

feeling well.”

Q: You’ve been seeing other

medical doctors for your Type 2

Diabetes, what was it about Dr.

Miller that was different?

A: “Dr. Miller really does take the

time to get a complete history of what

exactly was going on in my life history.

He treats you as an individual. From

the start, Dr. Miller made it clear that

something was not working correctly

in my body. He showed me how his

approach is to uncover and reveal

exactly what’s not working right. Dr.

Miller really takes the time to listen.

He makes it very clear that Type 2

Diabetes, IBS, Fatigue and Obesity are

being caused by something. My other

doctors just didn’t take the time to

do this, they never even talked about

what was causing any of these. From

the other doctors, all I got was more

and more medications. I knew medications

were just covering and masking

symptoms and not fixing anything.

Dr. Miller’s approach made complete

sense to me.”

Q: What did Dr. Miller do to

uncover or reveal what was not

Q: After Dr. Miller

finds what is not

working correctly,

then what does he

do?

A: “Dr. Miller just

goes over everything

so clearly. Dr. Miller

really took the time

to make sure I understood

everything and

how it needed to be

corrected. He takes

the time to show

exactly needs to be

done, his approach

and the type of all

natural treatment he

recommends in order to fix what is

causing my Type 2 Diabetes and my

Obesity. It all makes perfect sense

once you see everything in very clear

terms.”

Q: Lisa, what did Dr. Miller

recommend for you to eliminate

your Type 2 Diabetes and

Obesity?

A: “Dr. Miller got started right away.

First, he laid out a very clear plan of

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Q: What are the results of your

treatment from Dr. Miller?

A: “My results are remarkable,

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Psychological Factors May

Accompany Diabetes

Mental health important for coping

with challenges

By Dr. Tom Miller, Staff Writer

Noticing sudden weight loss, periods

of extreme thirst, frequent urination

and feeling tired and fatigued, a

visit to your primary care physician

reveals you have diabetes. This diagnosis

can have both an emotional and

psychological impact. You must deal

with some significant lifestyle changes

and dietary restrictions as integral

components to diabetes management.

The primary purpose of diabetes

management is to restore carbohydrate

metabolism to normal levels. To

accomplish this, people with diabetes

must consider the behavioral management

of their condition. Along this

journey, behavioral changes may lead

to emotional frustration that results

in anger, resentment and difficulties

with interpersonal relationships.

Managing blood sugar levels within

the range recommended by your

primary care physician can be challenging.

It can cause distress because

a variety of factors affect blood sugar

levels. Published data underscore the

prevalence of psychological issues

associated with diabetes. Reported

rates of anxiety and major depressive

disorder, which affects 6.7 percent of

adults in the United States, are twice

as great among individuals with Type

1 or Type 2 diabetes across a lifespan.

Furthermore, depression is higher

among youth with Type 1 diabetes

compared to those without the disease

(Gonzalez 2013).

When psychological factors are

involved, careful monitoring of blood

levels and maintaining healthy eating

habits are the cornerstones of good

management. You will need to adopt

the lifestyle of an astute self-manager.

Knowing how what you eat affects

your blood sugar levels is critical.

It’s not only the type of food you eat

but also how much you eat and the

combinations of food you eat. It is

also important to realize physical and

mental health are closely related and

each affects the other in a person with

diabetes. It’s undoubtedly more difficult

to comply with your diabetes

treatment plan when you feel physically

and emotionally distressed.

Elevated blood sugars can result in

feelings of sluggishness and fatigue,

which in turn impacts psychological

wellness. Stressful life events (Miller

2013) can suppress the body’s

immune function, resulting in high

cortisol levels. For some people with

diabetes, stress levels are compounded

day after day just by living with

the disease. When emotional stress is

thrown into the mix, it becomes even

more important for people with diabetes

to learn how to cope with it and

eliminate any further negative impact

on their physical and mental health.

Furthermore, emotional stress leads

to the secretion of many hormones

that can counteract the actions of

insulin and disrupt blood sugar control.

These stress-induced emotions

often lead to irritability, interfering

with thoughts and feelings, which

leads to displaced anger, impaired

relationships, poor eating habits, lack

of exercise and a neglect of the necessities

of good diabetes management.

There are a few reasons for the

behavioral changes seen with diabetes.

One is the effect of abnormally

low glucose levels in the bloodstream.

Both anxiety and subsequent depression

can be triggered by a diagnosis

of diabetes. The burden of daily management

and fear of complications

can seriously trouble the patient. Low

glucose levels can cause impaired

judgment, anxiety, moodiness, belligerence,

fatigue, apathy, confusion,

dizziness, blurred vision and a lack of

coordination. The symptoms improve

if blood glucose levels are stabilized.

This is when a patient and his or her

caregivers must recognize the need

to obtain the professional help of a

diabetes educator, registered dietician

or clinical health psychologist.

The American Diabetes Association

is committed to educating the public

about how to stop diabetes and supporting

those living with the disease.

Visit its Web site at www.diabetes.org.

Physical and

mental health

are closely

related and each

affects the other

in a person with

diabetes.

Sources and Resources

• Gonzalez, J.S. (2013). Depression

and Diabetes. In: Peters A., Laffel L.,

eds. Type 1 Diabetes Sourcebook.

169-179.

• Joslin Diabetes Center (2016).

Recognizing Diabetes: General Facts

and Information. www.joslin.org/info/

general_diabetes_facts_and_information.html

• WebMD (2016). Diabetes Care and

Treatment. When Your Diabetes

Treatment Isn’t Working For You.

www.webmd.com/diabetes/controlling-diabetes-15/insulin-deliverysystems?page=3

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Be Alert for Symptoms of

Type 1 Diabetes

Increased thirst, mood swings,

hunger may call for doctor visit


Type 1 diabetes, once known as

juvenile diabetes or insulin-dependent

diabetes, is an autoimmune

condition in which the immune system

tries to destroy the cells in the

pancreas that produce insulin. More

than 700,000 Americans have this

type of diabetes. The symptoms of

Type 1 diabetes are caused by high

blood sugar. Initially, the symptoms

may be overlooked or mistaken for

another illness such as the flu. These

are some signs and symptoms of

Type 1 diabetes:

• Extreme hunger – your body isn’t

using the calories you are eating

so it doesn’t get the energy it

needs.

• Headaches and feeling dizzy.

• Leg cramps.

• Abdominal pain, nausea and/or

vomiting.

• Blurred vision, which occurs

because the lens of your eye

changes shape.

• Increased thirst.

December 2016 & 39

Initially, the symptoms may

be overlooked or mistaken for

another illness such as the flu.

• Slow healing of cuts and scrapes.

• Fatigue and weakness.

• Frequent urination that is more

noticeable at night. The kidneys

try to get rid of excess sugar in the

blood. To do that, they get rid of

more water, which means more

urine.

• Unintended weight loss and loss

of muscle bulk. This happens

because you are dehydrated.

Weight loss may also happen if

you are losing all the sugar calories

in the urine instead of using

them.

• Irritability and other mood

changes.

• Bedwetting in children.

• A vaginal yeast infection or regular

bouts of thrush (a yeast infection).

Although most people with

Type 1 diabetes are diagnosed in

childhood and early adulthood,

the symptoms are the same at any

age. Adults diagnosed with Type

1 diabetes may not recognize their

symptoms quickly, which can prove

detrimental because diagnosis and

then treatment may be delayed.

Adults may develop a specific form

of Type 1 diabetes known as latent

autoimmune diabetes of adulthood

(LADA), which tends to develop

more slowly than Type 1 diabetes in

children and young adults. People

with LADA may sometimes be misdiagnosed

as having Type 2 diabetes.

Type 1 diabetes is managed with

insulin injections several times a day

or the use of an insulin pump. It’s

not easy to ignore the symptoms of

Type 1 diabetes because they appear

very quickly. However, leaving it

untreated can cause serious health

problems such as diabetic ketoacidosis,

which can result in a potentially

fatal coma. Becoming aware of the

symptoms and risks is a great way to

be proactive about your health and

the health of your family members.


RECOVERY

3107 Cincinnati Road, Georgetown, KY 40324

502.570.9313 | RecoveryWorksKY.com

What to Expect from an Inpatient Recovery Program

HELP FOR WHEN YOU’RE READY TO START YOUR JOURNEY TO SOBRIETY

by Dr. Christopher Johnston, Recovery Works

After taking

the important

initial step of

admitting you

have a substance-abuse problem and

deciding to seek help, your options

can include an inpatient recovery

program.

The goal of an inpatient recovery

program is to provide a safe,

therapeutic atmosphere in a homelike

environment as you work towards

getting and staying sober. Treatment

programs can range in length from a

week to a few weeks to a few months.

The length of your stay is based on

your needs as identified in your individual

treatment plan and the progress

you make in treatment. The process

begins with an interview with program

staff, where you will learn about

services, fees and guidelines. Next you

will have a physical exam. This will

help the staff evaluate your needs and

design a program that will be most

beneficial for you. You will need to

bring a photo ID, an insurance card

and all your medications in their original

prescription bottles. Once you are

admitted, you can get ready to move

in to the facility.

There are some things you need to

take care of right away. Because addiction

is considered a serious health

condition, the Family Medical Leave

Act permits eligible individuals to

take a job-protected leave of absence.

Program staff may be able to help you

complete any necessary paperwork

required by your employer. You will

also need to make arrangements to

cover your financial obligations (such

as rent and other bills) during the

treatment period.

If you need legal help, the program

staff can work with attorneys,

judges and probation officers to

ensure you are in compliance with

any current court orders or probationary

requirements.

For some, leaving family and

friends behind is the most difficult

part. Involving family in recovery is

key to success. You will need their

support as you work through recovery.

Take some time before you leave

to apologize for shortcomings or

problems that have arisen from your

addiction and let others know you are

starting a process to help heal your

broken relationships.

You can bring some items with you

to Recovery Works, including nonaerosol

toiletries that do not contain

alcohol; a notebook and pen; and a

week’s worth of seasonally appropriate

clothing. You’ll need pajamas, jeans,

undergarments, sweats, shoes and/

or sneakers. The program provides all

your bedding, such as towels, washcloths,

pillows and blankets.

You may not bring food (including

gum and candy), cellphones,

laptops, iPods, e-cigarettes, alcohol,

drugs or weapons. Do not bring any

items of value.

Your typical day during the treatment

process may include individual

and group therapy sessions, as well as

meditation, recreation, exercise and

educational, support and self-help

groups. You may undergo psychotherapy,

music therapy or art therapy.

Contributing to the wellbeing of the

treatment community, such as performing

assigned chores, is another

important aspect of your recovery. At

the end of the day, you will have time

to reflect on what you have learned.

When you are in a safe environment

with a structured routine, you can

begin the journey towards recovery.

Don’t be afraid to ask for help – and

don’t be afraid to get sober.

About the Author

Dr. Johnston graduated from Medical

School at CMDNJ New Jersey Medical

School in Newark after obtaining a

Bachelor’s Degree from Rutgers Camden

College of Arts and Sciences.

After a three year residency at West

Jersey Hospital in Voorhees he became

Board Certified in Family Practice and

practiced in Camden County for 26 years.

Dr. Johnston is also board certified in

Addiction Medicine as of 2002.

The goal of an inpatient recovery program is to provide a safe,

therapeutic atmosphere in a homelike environment as you work

towards getting and staying sober.


Antibiotics and You

Scientific discoveries have saved countless lives


It staggers the mind to think about

how many people have died throughout

human history prior to the advent

of antibiotics. Also known as antibacterials,

these compounds either eradicate

or slow disease-causing bacterial

growth. Most were developed and

first used between 1907 and 1985.

Alfred Bertheim and Paul Ehrlich

first discovered arsphenamine in

1907. It was effectively used to treat

many cases of then-rampant syphilis.

In 1928, Alexander Fleming discovered

penicillin, which, of course, has

since saved millions of lives. Fleming

received the Nobel Prize in 1945.

Previously, Gerhard Domagk received

the Nobel Prize in 1939 for developing

prontosil, the first antibacterial

drug.

Many discoveries and developments

have followed these innovations

and have saved and helped

countless lives. Like many breakthroughs,

however, antibiotics are a

double-edged sword. When they are

used too much, new strains of bacteria

can develop as the old ones become

resistant to and mutate outside the

antibiotic scope.

It’s necessary to differentiate

between diseases and illnesses caused

by bacteria and those that are more

viral in nature. Antibacterials are just

that: They fight bacteria. If your illness

is viral, your doctor will not prescribe

this range of drugs because they would

have no impact. Many other factors

can affect antibiotics as well, such as

other drugs the patient may be using,

pregnancy, adverse side effects and

how far the infection has progressed.

Dr. Arjun Srinivasan, an associate

director at the Centers for Disease

Control and Prevention, says we are

now moving into a “post-antibiotic”

phase. He says we are quickly running

out of therapies to treat infections that

previously had been eminently treatable.

“There are bacteria we encounter,

particularly in health-care settings,

that are resistant to nearly all the antibiotics

we have available,” Srinivasan

said. “We are thus entering an era that

people have talked about for a long

time. Newspaper stories and covers

of magazines have talked about ‘The

end of antibiotics?’ Now I would say

you can change the title to ‘The end

of antibiotics, period.’”

The answer? We must be careful

not to overuse antibacterials. As

bacteria mutate and become less

manageable and more resistant, those

suffering from even the simplest

infections will not have the option of

treatment, given the resistance built

up over time.

Not long after his discovery of

penicillin, Alexander Fleming said,

“For the birth of something new,

there has to be a happening. Newton

saw an apple fall; James Watt watched

a kettle boil; Roentgen fogged some

photographic plates. And these people

knew enough to translate ordinary

happenings into something new.”

It’s necessary to differentiate

between diseases and illnesses

caused by bacteria and those

that are more viral in nature.

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Cerebral Concussion

FROM AUTO COLLISION

by Howard D. Markowitz, MD,

Bluegrass Injury Care Center

Over 1.5 million

people suffer

for a traumatic brain injury due to a

motor vehicle collision each year. These

injuries are not only from direct trauma,

such as your head sticking to steering

wheel, head rest, or window. They can

also occur from sudden flexion/extension

of one’s neck or a sudden twisting

motion.

The common phenomenon with

these concussion injuries is that the

brain suffers damage despite the normal

protective mechanisms that the

human body puts in place. Normally,

the very hard skull protects the brain

from penetrating injury. The brain

floats in a spinal fluid solution to buffer

and protect it from sudden movement.

However, if the movement is too severe,

even the normal body defenses do not

adequately offer protection.

With direct blows to the head or

sudden motions the brain can impact

the inside of the skull. Or, a sheering

motion can occur within the brain.

This elastic activity, similar to twisting

of a sponge, can internally damage the

brain. The brain may externally appear

to be unharmed but microscopic and

cellular studies have shown that the

delicate fibers of neuronal tissue can be

stretched, torn, or severed.

Depending on which part of the

brain is damaged and the severity of

damage, then different symptoms will

occur. You do not have to be lose consciousness

(knocked out) to have the

automobile collision cause a concussion.

All parts of the brain can be affected

by concussion. Some of the affected

areas are vision, hearing, hand dexterity,

emotions, memory, ability to perform

certain physical activities, and ability to

perform some mental activities.

It is common for people to feel

“funny” for days or weeks after an

auto collision. These people may have

difficulty with short term memory,

making simple math calculations, normal

sleep patterns, or even expressing

normal emotions in common situations.

All of these abnormalities can

be symptoms of a concussion.

People who suspect they had a concussion

after a motor vehicle injury

should seek medical evaluation. If you

are diagnosed with a concussion, you

should rest the part of your brain that

is damaged until this abnormal function

returns to normal. This resting

may be not reading books, not doing

math problems, not engaging in activities

that can jostle the head and slow

down healing. In fact, a repeat injury

during this healing period may limit

the eventual amount of healing of the

affected area and could end in a permanent

dysfunction.

A good clinical exam and follow-up

exams can determine the impairment

baseline and mark the pace and extent

of improvement. Computer programs

objectively test and document cognitive,

reflex, and memory functions

so they can be effectively followed as

healing takes place.

In conclusion, if you suspect you

suffered a concussion from an automobile

collision, you should seek medical

evaluation and treatment.


The Science of Singing

Genetics, training, all influence the ability to sing


The vocal cords are

muscles and practice

makes them stronger.

People used to believe the ability

to sing was a gift someone was

born with. This belief changed

with the 1967publication of the

book “Singing, the Mechanism and

the Technique” by vocal coach,

opera singer and anatomist William

Vennard. Vennard studied vocal

anatomy and developed a technique

to help a singer’s ability. He said

singing is not a “natural” skill but

an art. The vocal cords are muscles

and practice makes them stronger.

The actual truth and science of

singing is a more moderate middle

from the two extremes of innate

ability and believing everyone can

be trained to sing well. Singing is a

beautiful yet complicated art form,

and although we all possess the

ability to sing at some level, the

ability to sing well is based on both

genetics and training.

“The voice can be trained

in just about everyone,” Justin

Stoney, founder of New York Vocal

Coaching in New York City, told

Medical Daily. “The evidence we

have says if you really apply good

technique, just about anyone can

sing well.” According to Stoney,

training your voice is similar to

going to the gym and training any

other muscle. Not everyone is going

to be a top athlete, he said, but with

the right coach and lots of practice,

a person can see results.

If this is true, why isn’t everyone’s

singing voice as beautiful as a pop

star’s? Differences in a person’s

physical make-up can account for

differences in singing abilities.

“Everyone is built differently,”

Stoney said. “For some people, you

can go, ‘Wow, they must really work

out,’ and it turns out they never go

to the gym. People have vocal athleticism

in the same way.”

A study by the University of

Montreal found that one-fifth of

non-musicians couldn’t control

their vocal muscles well and 35 percent

couldn’t match their voice to a

note being played. But both musicians

and non-musicians were able

to listen to and match a pitch using

a slide instrument. Only 5 percent

couldn’t tell the difference in pitch.

A study in the journal PlosOne

looked into the brain activity of

people listening to music. It showed

music processing mainly uses the

brain’s speech center, although

it does rely on other parts of the

brain. Human song vocalization is

a big part of cultural-social development.

Groups of humans sing

together to bond, worship, celebrate

and just to have fun.

Social groups that valued singing

may have looked for musical characteristics

when choosing their mates.

This idea is supported by a study

in the Journal of Medical Genetics,

which linked mutations on chromosomes

4q22 and 8q13-21 to musical

ability. Further studies have found

these genes can influence perception,

memory and even participation

in music.

Canadian researchers observed

the physiological shape on a person’s

vocal tracts resulted in a more

pleasing natural voice. There is also

a genetic factor to singing.

“Different races and cultures

actually have different sound,”

Stoney said. This has to do with the

shape and size of the vocal cords

and the larynx. The shape of a person’s

skull is also responsible for the

shape and size of the pharynx and

the nasal cavities, a person’s natural

resonators. To further illustrate this

point, 10 different guitars with the

same exact string will all sound a

little different because of the size

and shape of the guitar.

There has been a lot of research

on the connection between the

voice and physical appearance.

Scientists conclude the sound of a

person’s voice is influenced not only

by race and gender, but also by gender

within a race.

In addition to physical appearance,

DNA also plays a role, according

to another study published in

the Journal of Medical Genetics.

The study found the ability to sing

well was an even split between

nature and nurture. Therefore, half

of musical talent is genetic – from

physical appearance (shape and

size of the skull and nasal cavities),

gender and DNA – and the other

half is derived from training and

developing the muscles associated

with singing.


14 Hints for a Festive Holiday

Even if you have diabetes,

you can enjoy seasonal gatherings

By Jean Jeffers, Staff Writer

Although you may be battling

diabetes, you still want to have a

tasty but healthy holiday. How can

you plan a good diet that will not

compromise your diabetes? Here are

some holiday hints that are meant

for the person with diabetes but are

appropriate for everyone:

1. Plan your holiday around friends

and family. Catch up with loved

ones you haven’t seen in a while.

After dinner on Christmas Day,

take a walk with nieces and

nephews or play a game. Do not

put the focus on food.

2. Bring a dish to the family gathering.

Make it one of your healthier

choices. Offer to bring a green

vegetable.

3. Stay active. Sometimes exercise is

forgotten over the holidays. Plan

time into each day for exercise.

Engage in physical activity with

friends and family, such as participating

in a charity run or walk.

4. Drink in moderation or not at all.

Holiday drinks add a significant

wallop to your calorie count, so

be careful.

5. Eat something before dinner to

prevent low blood sugar levels.

6. Approach meals with mindfulness.

Eat slowly and savor each

bite.

7. Try healthier versions of your

favorite holiday fare. Use applesauce

in place of some of the

sugar when baking; steam green

beans; and try putting less sugar

in fruit pies.

8. If you want to nibble while

preparing meals, overindulge in

vegetables.

9. Don’t pile up your plate with

high-carb foods; sample only

some of a few dishes. Or have a

reasonable portion of your favorite

and bypass the remainder.

If you must try everything, put

only a spoonful of each dish on

your plate.

10. Watch your portion sizes, whether

you’re eating in a home or a

restaurant.

11. Do you want some of Grandpa’s

eggnog? The American Heart

Association says you can fill your

glass half to three-quarters full

with low-fat or skim milk and

one part eggnog.

12. Pass on that huge dollop of

whipped cream to avoid extra

sugar.

13. Add flavor when cooking dishes

by using herbs and spices such as

rosemary and cloves — they give

added zest to dishes.

14. Use skim milk in place of cream

December 2016 & 45

BE

ON

THE

LOOK

OUT

&

M A G A Z I N E

A new, free issue of Health&Wellness Magazine hits

stands in Central Kentucky on the last Friday of every

month. Be on the lookout for these upcoming

2016-2017 featured topics:

when cooking. Instead of chocolate

chips, try using dried fruit.

Use condiments such as vanilla

and peppermint to enhance the

flavor of various foods.

Here’s a diabetes-friendly

recipe to try:

Oven-Roasted Squash

with Garlic and Parsley

• 5 pounds winter squash

• 2 tablespoon extra-virgin olive

oil, divided

• 1 1/2 teaspoon salt

• 1/4 teaspoon freshly ground

pepper

• 3 cloves minced garlic

• 2 tablespoon chopped Italian

parsley

Toss squash with 4 teaspoons of

oil, salt and 1/4 teaspoon of pepper.

Spread evenly on a large baking

sheet. Roast at 375 degrees, stirring

occasionally until tender throughout

and lightly browned, 30 to 45 minutes.

Heat the remaining 2 teaspoon

of oil in a small skillet over medium

heat. Add garlic and cook, stirring

until fragrant but not brown, 30 seconds

to 1 minute. Toss the roasted

squash with garlic and parsley.

(Source: www.eatingwell.com)

JAN DENTAL HEALTH

FEB MENTAL HEALTH

MARCH FITNESS

46 & December 2016

Q: How many Central Kentuckians read

Health&Wellness Magazine every month?

December 2016 & 47

A: 75,000

Health&Wellness Magazine can be found in 20 central Kentucky

counties and is distributed to over 90% of medical facilities,

including chiroprator, eye doctor and dentist offices. Readers can

also pick up their FREE copy at most grocery and convenience

stores as well as many restaurants throughout Central KY.

To put your health-related business in front of

over 75,000 readers every month, contact:

&

M A G A Z I N E

Brian Lord, Owner/Publisher

859-368-0778

brian@rockpointpublishing.com

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the world’s population – 360 million people – have disabling hearing loss.

Did you get

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Better hearing health means a healthier you!

New Location!

Health & Wellness - December 2016

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