- UncategorizedGeneral Page Tier 3BlogYou may know someone who has diabetes. In fact, nearly 34 million children and adults in the U.S. have the disease. But as common as it is, there are plenty of misconceptions about diabetes. Before we break some of those down, let’s look at the difference between type 1 and type 2 diabetes. Your genetics can influence whether you have type 1 diabetes, which happens when the body’s immune system kills the cells that make insulin (the hormone that regulates the amount of glucose, or sugar, in your body.) Type 2 diabetes, on the other hand, happens when the body can’t use the insulin it makes effectively, or it needs too much. Though genetics can also play a role in type 2 diabetes, so do lifestyle factors, such as being overweight and eating foods high in sugar and carbohydrates. Here are the facts about diabetes. Myth #1: You can’t prevent or delay type 2 diabetes. There’s actually a lot you can do, including eating healthy and exercising regularly. Did you know losing about seven percent of your body weight can lower your risk of diabetes by nearly 60 percent? If you’re at risk, I have a simple actual plan for you to follow – start walking five days a week for 30 minutes and watch what you eat. Myth #2: You can eat whatever you want if you take insulin. While insulin will help control your blood sugar levels, it’s not a magic bullet. White breads, pastas, rice – all of these are refined carbs that will require you to take more insulin. They can also cause you to gain weight and make it harder to control your blood sugar. If you are diabetic, limit your carb intake (even healthy carbs such as fruit, yogurt and milk.) Talk to your doctor or nutritionist to learn more. Myth #3: Saying no to carbs will prevent diabetes. Remember that genetics can cause diabetes, as well as other lifestyle factors. Still, limiting carbs will help. While many of us love soda, fruit punch and sweet tea, it’s best to avoid these empty calories if you’re at risk of diabetes. A 12-ounce can of soda has 40 grams of carbs. That’s equal to the amount in 10 teaspoons of sugar. Myth #4: If you use insulin, you failed to manage your blood sugar levels on your own. When you are first diagnosed with type 2 diabetes, you may have been able to manage your blood sugar levels with oral medications. But this is a disease that will affect your body more over time. As you get older, your body will make less insulin and the medications may not be enough. Or, if you start off on insulin because you have high blood sugar, you may be able to be weaned off of it eventually, depending on how your pancreas responds. Bottom line, insulin is just another tool in your toolbox to help you manage your disease. Author By Marisha Newton, MD, endocrinologist at Anne Arundel Medical Center. To reach her practice at AAMG Diabetes and Endocrine Specialists, call 443-481-4600.0
- Infectious DiseaseGeneral Page Tier 3BlogIf you plan to prepare a Thanksgiving meal this year, make your grocery store trip well in advance of the holiday. The CDC advises against going shopping in crowded stores just before, on, or after Thanksgiving. This recommendation is to prevent the spread of coronavirus (COVID-19) among large crowds in grocery stores. Here are some helpful tips to keep you safe when shopping for the big day. Make a shopping list. Efficiency is key. Prepare a shopping list before your trip to the grocery store and get out as quickly as possible. This limits your exposure to others in the store. We know the positivity rate continues to increase in the community. This means there is a higher risk of encountering someone who has COVID-19, whether they are symptomatic or asymptomatic. Wear a mask and practice good hand hygiene. Use hand sanitizer frequently during your grocery store trip. This is important because multiple people are touching the same items in the store. Wear a mask and avoid touching the front of it while shopping. When you leave the store, use hand sanitizer before and after removing your mask. Consider curbside pickup or grocery delivery options. Checkout lines in the grocery store may be long the closer you get to Thanksgiving. There are other ways to avoid the holiday crowd. Curbside pickup and grocery store delivery are safer options. Avoiding large crowds is especially important if you have a pre-existing medical condition or a medical condition that puts you at greater risk of infection. Leave the kids at home. If possible, leave kids at home or use a delivery option. Many younger children don’t think about hand hygiene. Others may not be able to wear a mask because they are under two years old. Young children often touch items during the shopping trip and then put their fingers in their mouths. This puts them at risk for exposure. Consider grandparents’ risk. After you’ve cooked your hearty Thanksgiving meal with all the fixings, package some for grandparents and deliver it to their home. This is a safer option instead of inviting them inside your home for dinner. A multiple generation gathering makes grandparents more vulnerable to infection. Authors Jean Murray is the director of Infection Control at Luminis Health Anne Arundel Medical Center. Rajesh Shah is the director of Quality/Regulatory Affairs and Infection Prevention at Luminis Health Doctors Community Medical Center. Thanksgiving Recipe: Roast Turkey and Orange Spice Rub Start to finish: 1 hour and 45 minutes Servings: 11 1 tablespoon grated orange zest ½ teaspoon ground cinnamon ½ teaspoon ground cumin ½ teaspoon paprika ¼ teaspoon ground allspice or ground nutmeg ¼ teaspoon salt ¼ teaspoon black pepper 1/8 teaspoon cayenne pepper 5 pounds turkey breast with bone and skin 1 can of nonstick cooking spray Preheat the oven to 325° F. Lightly spray a roasting pan and baking rack with cooking spray. In a small bowl, stir together all of the ingredients except the turkey. Put the turkey on a cutting board or flat work surface. Carefully loosen the skin from the turkey breast by gently inserting your fingers between the skin and the meat, making a pocket for the orange zest mixture. Don’t break the skin. Discard any fat beneath the skin. Still working carefully, spread the orange zest mixture under the loosened skin as evenly as possible. Transfer the turkey to the rack in the pan. Roast the turkey for 1 hour and 45 minutes, or until it reaches an internal temperature of at least 170° F. Be sure the thermometer doesn’t touch the bone. Remove the turkey from the oven and let stand for 15 minutes. Discard the skin and all visible fat. Slice the turkey and serve. Recipe from Diabetes Food Hub.0
- Physical TherapyGeneral Page Tier 3BlogThe way we breathe can either induce stress or encourage healing and calmness. Inhaling and exhaling properly affects us mentally and physically. What’s in a breath? Breathing is not only taking in oxygen. It’s also about managing the levels of carbon dioxide, a gas released when exhaling, that contributes to our respiratory function. The longer you practice exhaling through your nose, the more relaxed your body will feel as it releases more carbon dioxide. Carbon dioxide is a potentially toxic gas when it builds up in the body. What impacts my breathing? Seasonal allergies, along with irritants such as smoke, dust, pollen and fragrances effect the efficiency of breathing. These pollutants cause internal swelling, excessive mucous, coughing and a host of other health issues. What can I do to breathe better? Deep breathing lowers blood pressure and promotes the body’s balance. Diaphragmatic breathing is a form of deep breathing. Also known as “abdominal breathing or belly breathing,” it encourages full oxygen exchange as you inhale air into the deepest parts of the lungs while engaging your abdominal muscles. Practice deep breathing by lying on your back with a pillow under your head with your knees bent. Place one hand on your stomach and one hand on your chest. Inhale or breathe through your nose, allow your belly and chest to rise and then exhale out of your mouth. This technique is most effective when the stomach rises higher than the chest. How will intentional breathing and wearing a mask improve my health? Walking and taking deep breathes on a regular basis helps keep you healthy. The American Heart Association recommends 30 to 50 minutes of exercise daily to promote respiratory strength. Wearing a mask reduces the risk of transmitting COVID-19, the flu and other contagious diseases. Some ways to minimize the discomfort and anxiety of wearing a mask include: Using essential oils (placing a drop of lavender oil in your mask), chewing gum or wearing lip balm. Ultimately, wearing a mask is a form of self-care and shows respect for others. Luminis Health Physical Therapy is opening a new location in Upper Marlboro on Nov. 12. Authors Rhonda Fowler PT, MS, CLT, CWS, is a physical therapist at Luminis Health Doctors Community Medical Center. Clarissa M. Ocampo, MM MA CCC-SLP, CLSVT LOUD, is a speech language pathologist at Luminis Health Anne Arundel Medical Center.0
- Cancer CareGeneral Page Tier 3BlogOver the last few years, we’ve all heard a lot about vaping. Especially its popularity among teens. The Centers for Disease Control and Prevention (CDC) has linked 2,807 lung injuries to vaping as of February 2020. And the agency has also linked vaping to 68 deaths across 29 states and Washington, D.C. We’re shining a light on five things you need to know about this trend right now. Symptoms can vary. Coughing, shortness of breath, chest pain, nausea, vomiting, abdominal pain or diarrhea, fever, chills or weight loss – all could be symptoms of vaping illness. Some symptoms can appear over a few days. Others might appear over a few weeks. Vaping affects more than your lungs. Defective e-cigarette batteries can cause injuries. Including severe burns, fires and explosions. E-cigarette liquid has also poisoned children and adults. Vaping continues to be growing in popularity among teens. Two years ago, more than 3.6 million kids were vaping. In one year, vaping by high school students increased 78 percent. And vaping by middle school students increased 48 percent. Most e-cigarettes contain nicotine – which is highly addictive. Nicotine itself is not known to cause cancer. But it is a stimulant that can cause health problems. A person’s brain isn’t fully developed until age 25. Nicotine can lead to permanent changes in the brain – affecting memory, learning and cognition. And it could increase the risk of addiction to other substances. Remember, too, that e-cigarettes can contain other harmful substances. E-cigarettes contain at least 60 potentially toxic chemicals. These can irritate your lungs and can cause lasting lung damage and disease. There’s no safe level of vaping. Research shows that e-cigarette vapor caused DNA damage in the lungs and bladder in mice exposed to the equivalent of three to six years of vaping. We’ve also seen research that shows that e-cigarette users’ oral tissue looks like that of cigarette smokers with cancer. In Maryland, you have to be 21 to buy tobacco (unless you are 18 and serving in the military). Decades ago, the cigarette industry touted their products’ safety as they marketed to teens. The first studies that linked smoking to lung cancer appeared in the 1920s. But the U.S. Surgeon General didn’t release the first report connecting smoking to lung cancer and chronic bronchitis until 1964. We expect that we will also have to wait and see what the long-term effects of e-cigarettes will be. Until then, we encourage you to talk to your kids about the dangers of vaping. It is just not worth the risk. Author Stephen Cattaneo, MD, is a thoracic surgeon and medical director of Thoracic Oncology at AAMC. Originally published Nov. 18, 2019. Last updated Nov. 9, 2020.0
- Heart CareGeneral Page Tier 3BlogDid you know that the foods you choose to fuel your body today, affects your heart tomorrow? Studies have shown that up to 70 percent of heart disease cases are preventable with the right food choices. Here are a few recommendations for a healthy diet and lifestyle to keep your heart happy: Include Fruits and vegetables. Whole grains (fiber > 3gms per serving). Beans and legumes. Nuts and seeds. Fish (preferable oily fish that provide omega-3 fatty acids), skinless poultry, and plant-based alternatives. Healthier fats such as olive oil and non-tropical oils. Fat-free and low-fat dairy products. Limit Sodium and salt, pickled and smoked foods. Strive for < 1500mg Na/day. Saturated fat. Sweets and added sugars, including sugar-sweetened beverages. Red meats (if you choose to eat red meat, select lean cuts). High fructose foods. Avoid Trans fat and partially hydrogenated oils. Processed foods loaded with sugar, salt and fat. Tips Choose wisely, even with healthier foods. Ingredients and nutrient content can vary. Look for the American Heart Association’s Heart-Check mark in the grocery store to easily identify foods that can be part of an overall healthy diet. Learn more at heartcheck.org. Compare nutrition information on package labels and select foods with the lowest amounts of sodium, added sugars, saturated and trans fat, and no partially hydrogenated oils. Watch your calorie intake. To maintain weight, consume only as many calories as you use up through physical activity. If you need to lose weight, consume fewer calories and burn more. Eat reasonable portions. Often this is less than you are served. Avoid foods such as dips and finger-food snacks that are difficult to gauge amounts consumed. Prepare and eat healthy meals at home. You’ll have more control over ingredients and portion sizes. Eat a wide variety of foods to get all the nutrients your body needs, most of which are prevalent in fruits and vegetables. Deeply colored fruits and vegetables are highest in micronutrients. Do aerobic exercise four to five times a week and include strength training three to four times per week. For more heart-healthy diet options, consider the Mediterranean or Dash diet for a well-balanced eating plan. Authors Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555. Originally published March 4, 2018. Last updated Nov. 6, 2020.0
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