feb 2015

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MEDICAL COMMON, MANAGEABLE By Dr. Allison Holley, MD Many times, when patients hear the diagnosis of diabetes, they become afraid and worried. Diabetes is extremely common and is a chronic disease that is manageable. Diabetes is the leading cause of blindness, amputations, and kidney disease, but it does not mean that everyone with diabetes will have one of these outcomes. Diabetes can be managed by diet, exercise, oral medications, insulin or a combination of these. In fact, many people live with diabetes for years and are able to control it and enjoy happy, healthy lives. Patients who are at risk for diabetes due to obesity, other illnesses such as high cholesterol or high blood pressure, or a family history of diabetes, should be tested for this on a yearly basis. Early diagnosis is one of the keys to preventing complications and progression of this disease. Once the diagnosis of pre-diabetes or diabetes is made, it is helpful for a patient to attend a diabetes education class or visit a nutritionist which is often covered by insurance. Diabetics should have a yearly eye exam in order to check for diabetic eye complications such as diabetic retinopathy and should have a yearly foot exam by their primary care provider or podiatrist to check for and prevent or treat foot problems such as calluses, safe toenail trimming, and education on proper foot care. Patients with diabetes should never go barefoot and should always wear supportive, well-fitting shoes. Certified pedorthists can fit diabetics with special shoes to ensure a good fit that does not rub or irritate the skin. Diabetics should check their feet on a daily basis to find any small cuts, blisters, wounds, or calluses that can be treated early to prevent them from developing into diabetic ulcerations or infections which could lead to amputations. Patients with diabetes should never go barefoot and should always wear supportive, wellfitting shoes. The American Heart Association recommends exercising for 150 minutes per week of moderate exercise. An easy way to remember this is thirty minutes per day, five days per week. For many people that sounds like a lot of exercise. I recommend that patients start slowly and increase on a weekly basis. For example, if the patient is not really doing any exercise at all, they can start with doing 10 minutes of walking per day for five days for the first week. Then they can increase to 15 minutes for five days per week for the next week and continue increasing the length of time as well as the intensity until they reach the recommended amount of time. Walking, swimming, biking, jogging, strength training, core exercises, yoga, and sports activities are just a few ways to get moving. If the patient has arthritis, swimming or water aerobics may be a good option to prevent worsening of their arthritis pain. There are many diets out there including fad diets. It is important to remember that it should not be a temporary diet to lose weight quickly, but a lifestyle change to lose weight in a healthy manner. A weight loss of one to two pounds per week is considered a safe amount of weight to lose. Unfortunately, there is no miracle pill or fountain of youth. Weight loss takes time, determination, and consistency. Counting calories through programs like Weight Watchers, free online tools, or apps for the smartphone or following the Mediterranean diet are healthy lifestyle approaches that can be sustained long-term. P Dr. Allison Holley, MD is a Family Medicine physician at South Florida Family Health & Research Centers in Plantation. 80 FEBRUARY <strong>2015</strong>
PRIMARY CARE FAMILY PRACTICE * ADOLESCENT & ADULT WELLNESS EXAMS * CHRONIC DISEASE MANAGEMENT * SICK VISITS / VACCINES * HEAD LICE REMOVAL: LICE CLEANIQUE WWW.SFFHRC.COM WE ACCEPT MOST INSURANCE PLANS Family Medicine Team: Michelle Neely, D.O. Victoria Gibson, P.A. Vanessa Grimaldi, P.A. Jill Sheils, P.A. Welcoming our new physician Allison Holley, M.D. SOUTH FLORIDA FAMILY HEALTH AND RESEARCH CENTERS COMPREHENSIVE HEALTH CARE FOR THE ENTIRE FAMILY HABLAMOS ESPANOL, FALAMOS PORTUGUES & ON PARLE FRANCAIS PALM BEACH 561-495-0166 BROWARD 954-791-0711 MIAMI 305-387-0051 Coral Springs Pediatric & Adult Psychiatry, Inc. Dr. Brett Negin offers comprehensive mental health treatment for children, adolescents and adults. Dr. Negin is among a very small number of psychiatrists in South Florida who are board certified in both Adult Psychiatry and Child/Adolescent Psychiatry. He is a Diplomate of the American Board of Psychiatry and Neurology in Adult Psychiatry and Child and Adolescent Psychiatry. Brett Negin M.D. Tulane Medical School graduate Emory School of Medicine Residency Fellowship, Univ. of Florida College of Medicine Now Accepting New Patients: Both Children and Adults Receive an accurate diagnosis along with safe and effective treatment. (954) 753-4888 2844 University Drive (2nd floor offices, The Walk) www.coralspringspsychiatrist.com Many Insurances Accepted the PARKLANDER 81
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feb 2015

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