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HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH — November 17, 2016
A Special Advertising Section November 17, 2016
focusing on
Diabetes and Weight Management
Your life matters get to know diabetes and its impact on your health and your family
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nyone can be diagnosed with diabetes — no matter your age, race, or ethnicity.
Diabetes is a metabolic disease that causes the body to be unable to produce any or enough insulin, resulting in elevated levels of glucose in the blood. More than 29 million people in the United States have diabetes, but one out of four of them don’t know they have it. According to the Centers for Disease Control and Prevention, diabetes is the seventh leading cause of death in the United States; most of those cases are a result of poorly controlled type 2 diabetes. Typical symptoms may include chronic fatigue, excessive thirst, increased urination, blurred vision, unexplained weight loss and slow-healing infections,” says Linda Ly, M.D., a physician specializing in family medicine. “Anyone experiencing these symptoms should see a physician.” Dr. Ly says that diabetes symptoms may develop so gradually they may, at first, be hard to identify. “Diabetes is sometimes called a ‘silent disease’ because in the early stages, symptoms may be dis-
Eating right
tasty options
See Inside
Continued on page S-3
BE in thE know
what’s on the plate matters
healthy food choices that are tasty and pack a punch
missed as unimportant,”she adds. Characterized by high levels of sugar (glucose) in the bloodstream, unmanaged diabetes can lead to serious health complications including diseases of the eyes, kidneys and coronary arteries. “Type 1 diabetes is the inability of the pancreas to produce insulin. This most often occurs in childhood and young adulthood,” Dr. Ly says.“With type 2 diabetes, which usually occurs at a more mature age, the pancreas is initially able to produce insulin, but the body doesn’t use it properly.” Risk factors for developing type 2 diabetes include obesity, a family history of diabetes, advancing age and if you’re African-American or Hispanic. Treatment usually involves weight loss, exercise and doctor-monitored medication. “If you feel you’re at risk, see your doctor. Left untreated, diabetes can have devastating physical and emo-
Managing prediabetes or diabetes See Inside
See Inside
Rajeev Vohra, MD, FACS Director, the Bariatric and Metabolic Institute at South Nassau’s Center for Digestive Disorders and Metabolic Disease
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Are you ready to lose the extra baggage? Extra pounds come with extra baggage; they increase the likelihood of many health conditions, including type 2 diabetes, high blood pressure, obstructive sleep apnea, migraine, cardiovascular disease, asthma, GERD and gout.
can help you not only lose weight, but also improve or eliminate many chronic health problems. Our expert staff is committed to your success; we offer a comprehensive surgical weight loss program to help you meet your needs.
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To register for a seminar, call 516-374-8631 or visit SouthNassauWeightLoss.com. Source: American Society for Metabolic and Bariatric Surgery at asmbs.org
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Your life matters
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tional consequences,” concludes Dr. Ly. Now during Diabetes Awareness Month, as we approach the holiday season, with all the overeating that comes with this time of year, it’s more important than ever to promote healthy habits and wellness. So just what exactly should you be aware of? Like most people who have read, heard, seen or otherwise been exposed to information regarding what some health professionals are calling a national epidemic, you may be wondering why we need to raise our awareness about a disease that has already received so much attention. If that’s the case, consider this: √ The number of people living with diabetes is expected to grow. √ Add to those numbers the 79 million people who, according to the American Diabetes Association, have pre-diabetes and are at risk for developing type 2 diabetes (the most common form). Along with those numbers, the Centers for Disease Control and Prevention estimate that approximately seven million people in this country have undiagnosed diabetes. That gives us an idea of scope. Regarding health issues this large segment of our population faces, it’s important to keep in mind that diabetes is an insidious disease process that can cause severe visual impairments, limit a person’s ability to walk and can cause a person to lapse into a coma. And that’s just the beginning. Type 2 diabetes is also strongly associated with a significantly higher risk for heart attack and stroke, kidney failure and amputations — about half of which are related to diabetes. The point is, we all know something, in varying degrees, about diabetes, but given the effect it has on individuals, families and our public health, awareness of diabetes is modest at best when compared to its overall negative impact. So what can you do? When it comes to diabetes, know where you stand. If you have not been diagnosed with type 2 diabetes, the single most important thing you can do is to know whether or not you have it. The place to begin is with symptoms. For example, if you experience severe increased thirst, frequent urination, unexplained weight loss, increased hunger or tingling in your hands or feet you should talk to your doctor about a screening. For millions of people, however, there may be no warning signs. Because type 2 diabetes may be asymptomatic, it’s important to also know the risk factors. One of the most important is genetics. If you have a family history of diabetes — a mother, father, brother or sister — you are at greater risk. Other risk factors include: √ Overweight — generally a body mass index (BMI) over 25 √ Older than 45 — type 2 diabetes risk increases as you age √ Race and ethnic background — the disease risk is higher for Hispanics, African Americans, Native Americans and Asians √ Hypertension — high blood pressure √ A history of gestational diabetes A person with some or all of these risk factors may never develop type 2 diabetes. The latest medical findings show, however, that the chances of getting the disease increase with the more health risk factors you have. And equally important, know what you can do. There are some risk factors that you can’t control. But fortunately you are in control to a higher degree
Be in the know Managing prediabetes or diabetes
Eating a healthy diet and practicing portion control are key to living well with diabetes. than you might imagine. A large recent study carried out by the National Institutes of Health identified five key lifestyle changes that reduce your risk for type 2 diabetes. Interestingly enough, making just one of these changes can cut your chances of developing the disease by approximately one-third while making all five behavioral changes may reduce risk by up to 80 percent — even for people with a family history. Take a look: Lose weight. The more fatty tissue you have, the more difficult it is for your body to make and use insulin efficiently. And of course, every pound you lose benefits your health in other ways, too. Exercise more to lose weight lower your blood sugar and boost insulin sensitivity. Try for 20 minutes a day and include both aerobic and resistance exercises. Get more fiber and whole grains into your diet (though fewer grains overall). Both help improve blood sugar levels and reduce risk — and cut back (way back) on snacks and sweets. For a lot more reasons than diabetes, don’t smoke. Studies show that people who smoke one pack of cigarettes a day double their risk of developing type 2 diabetes when compared with non-smokers. Stick to no more than one drink a day if you’re a woman and two max if you’re a man. Additional amounts of alcohol can cause chronic inflammation of the pancreas which impairs its ability to secrete insulin. Keep these risk factors and risk-reducing behaviors in mind every day. And even if you already have all the “awareness” you think you need, share the information with people around you.
Diabetes and its precursor is also good to limit your sodium a major problem, both in the intake and resist fatty meats like United States and across the beef and pork. globe. In 2015, a study pubDocument your eating lished in the Journal of the habits. The AHA recommends American Medical Association that people with prediabetes or revealed that nearly 50 percent diabetes maintain a food log to of adults living in the United see how certain foods affect States have diabetes or prediatheir blood glucose levels. Withbetes, a condition marked by in 60 to 90 minutes of eating, higher than normal blood glucheck your blood glucose levels cose levels that are to see how your not yet high body reacts to the DIABETES enough to be foods you eat. As diagnosed as diayour food log BY THE betes. becomes more NUMBERS Preventing diaextensive, you will betes should be a begin to see which 29.1 million US priority for men, foods match up adults have diabetes women and chilwell with your — and 1 out of 4 of dren, but managebody and which them don’t know ment must take foods you may they have it. precedence for the want to avoid. At least 1 out of 3 millions of people Plan your people will develop who have already meals. Hectic diabetes in their been diagnosed schedules have lifetime. with prediabetes derailed many a Medical costs for or diabetes. healthy lifestyle, but people with diabetes According to the people who have are twice as high as American Heart been diagnosed for people without Association, makwith prediabetes or diabetes. ing healthy food diabetes do not Risk of death for choices is an have the luxury of adults with diabetes essential step in straying from is 50 percent higher preventing or healthy diets. Plan than for adults managing diabeyour meals in without diabetes. tes. Making those advance so your choices can be difeating schedule is ficult for those not erratic and your people who have never before diet includes the right foods, and paid much attention to their not just the most convenient diets, but the AHA offers the folfoods. Bring lunch and a healthy lowing advice to people dealing snack to work with you each day with prediabetes or diabetes. rather than relying on fast food Limit foods that may worsor other potentially unhealthy en your condition. Some foods, options in the vicinity of your including fiber-rich whole office. grains and fish like salmon that Embrace alternative ingreare high in omega-3 fatty acids, dients. Upon being diagnosed can help people with prediabewith prediabetes or diabetes, tes or diabetes. But many more many people assume they must foods must be limited, if not abandon their favorite foods. largely ignored. Limit your conBut that’s not necessarily true. sumption of sweets and added Many dishes can be prepared sugars, which can be found in with alternative ingredients that soda, candy, cakes, and jellies. It’s are diabetes-friendly.
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HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH — November 17, 2016
get to know diabetes and its impact on your health and your family
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Eating right
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What makes a food “super�? When it comes to diabetes, it’s not just about foods that are loaded with nutrients. For a diabetesfriendly diet, you also need foods that will help keep your blood sugar levels in check. All of these foods provide key nutrients that are lacking in the typical western diet, such as calcium, potassium, fiber, magnesium, and vitamins A (as carotenoids),C,and E. Once you get the hang of eating a healthy diet, you can relax and dig in to a wide variety of tasty meals and snacks. Superpower your diet foods that mesh with your diabetic meal plan As with all foods, you need to work the diabetes superfoods into your individualized meal plan in appropriate portions.
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Legumes for Fiber High in fiber and protein, beans digest slowly in your body, making them great for managing blood glucose levels. Just half a cup of any type of beans will provide about a quarter of your daily requirement of fiber and as much protein as an ounce of meat. Other legumes have a similar effect. In a study published in 2012 in JAMA, Canadian researchers linked eating beans, chickpeas, and lentils with improved blood glucose control and reduced blood pressure, cholesterol, and triglycerides (blood fat) levels in people with type 2 diabetes. Another bonus? Beans are good sources of magnesium and potassium. Salmon for Omega-3 Fatty Acids Many types of seafood are good for people with diabetes. Salmon, mackerel, tuna, sardines and bluefish are rich in omega-3 fatty acids, which promote heart health by lowering blood fats called triglycerides. Just be sure to avoid fried fish and fish with high levels of mercury, such as tilefish, swordfish, and king mackerel. Eating fish twice a week, which is recommended by the American Heart Association, has other far-reaching benefits: A British study published in 2008 in the American Journal of Kidney Disease found that it may protect people with diabetes against kidney problems. Tree Nuts for Healthy Fats Loaded with fiber and protein, nuts are very filling and contain high levels of unsaturated fats, the kind that contribute to “good� cholesterol. But when it comes to stabilizing blood sugar, tree nuts — such as almonds, cashews, hazel-
nuts, pecans, walnuts, and pistachios — may hold the biggest benefits. (Peanuts aren’t tree nuts;they’re legumes.) Canadian researchers looked at data from 12 clinical trials and found that eating two servings of tree nuts a day lowered and stabilized blood sugar levels in people with type 2 diabetes. Blueberries for Antioxidants While all berries contain good levels of antioxidants, vitamins, and fiber, blueberries may be the most beneficial for people who have, or at risk for, type 2 diabetes. In a 2013 study, researchers at the Harvard School of Public Health found that people who ate at least three servings of blueberries (as well as grapes and apples) per week reduced their risk for type 2 diabetes by as much as 26 percent in comparison to those who ate less than one serving per month. Broccoli for Vitamins A and C Research published in 2013 in the American Journal of Nutrition shows that a diet rich in cruciferous vegetables like broccoli may help reduce the risk of cancer. Loaded with antioxidants, broccoli is also high in vitamins A and C. Plus, as a good source of fiber, broccoli is very filling — a plus for people who are trying to lose weight and control diabetes. Sweet Potatoes for Fiber When it comes to diabetes-friendly foods, not all potatoes are created equal. To keep your blood sugar levels in check, it’s best to reach for sweet potatoes, which are high in fiber and vitamins. When boiled, they are a low glycemic index (GI) food, meaning they won’t spike your blood sugar as much as regular potatoes. Spinach and Kale for Antioxidants According to a 2010 study published in the British Medical Journal (BMJ), eating a cup and a half of dark leafy greens, including spinach, each day can reduce the risk of type 2 diabetes by 14 percent. Though the reason is unclear, it may be that leafy greens have a protective effect because they contain antioxidants like vitamins A and C. Leafy greens are also low in calories and carbohydrates, which is ideal for folks with diabetes. Oatmeal for Blood Sugar Control Eating whole grains like oatmeal may Continued on page S-7
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November 17, 2016 — HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH
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Healthier festivities
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The holiday season is synonymous with many things, including food. Family gatherings and holiday office parties wouldn’t be the same without great food. Food plays such a significant role during the holiday season that many people are worried about overindulging. Some celebrants can afford to overindulge, while others must resist temptation. Diabetics fall into the latter category, as the festive mood of the season does not mean people with diabetes can throw dietary caution to the wind. With the holiday season upon us, diabetics can heed the following tips from the U.S. Centers for Disease Control and Prevention to help them stay on a healthy track. Stick to your normal routine. While the holiday season can be unpredictable, the CDC advises diabetics stick to their normal routines as closely as possible. Because holiday guests cannot control food served to them at family gatherings or parties, the CDC recommends diabetics offer to bring a healthy, diabetic-friendly dish along to any parties. In addition, don’t skip meals during the day in anticipation of a large holiday meal. Doing so makes it hard to control blood sugar levels. Be extra careful with alcohol. Alcohol is served or readily available at many holiday gatherings, and many people overindulge because of the festive mood of the season. Overindulging in alcohol is dangerous for anyone, but diabetics must be especially
HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH — November 17, 2016
Managing diabetes during the holiday season mindful of their alcohol consumption. Alcohol can lower blood sugar and interact with diabetes medicines. Diabetics who want to enjoy a holiday libation should keep their alcohol consumption to a minimum. Eat slowly. Eating slowly can benefit anyone, during the holiday season, and year round. Eating at a leisurely pace your brainsample time to signal that your body is full. By eating quickly, you may be eating more calories than they hoped to eat, and that can lead to uncomfortable feelings of fullness after a meal. Diabetics who can slow down their eating are less likely to overindulge in less healthy holiday foods that can affect their blood sugar levels. Remain active. The holiday season can be hectic, as we often must juggle extraordinarily busy social schedules with the responsibilities of everyday life. Many people sacrifice time at the gym to ease the burden of hectic holiday schedules, but diabetics must resist that temptation. Medical experts stress that routine physical activity helps diabetics keep their blood glucose levels in their target range. Physical activity also helps the hormone insulin absorb glucose into all of the body’s cells for energy. That extra energy boost can help diabetics fend off holiday-related fatigue.
Diabetics face a lot of temptations come holiday time. But with the right plan of action in place, you can stick to your treatment plan and still enjoy a healthy holiday season.
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November 17, 2016 — HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH
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HEALTH MEMO
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HEALTH MEMOS
Autism? AHA Can Help
ach of us knows someone affected by autism. The Centre for Disease Control estimates the prevalence of autism in the United States today at 1 in 68 births, across all racial, ethnic and socioeconomic groups. It is described as the fastest-growing developmental disability. Autism is an umbrella term for a group of neurodevelopmental disorders that can cause significant social, communication and behavioral challenges. These challenges also have a tremendous impact on the individuals affected, their families and the professionals who serve them. Yet it is important to know that when someone is impacted by autism, they are not alone. There are many national and local organizations ready to help and The Asperger Syndrome and High Functioning Autism Association [AHA] is one of them. Founded in 1988, AHA is a non-profit organization dedicated to supporting the autism community, and has grown their services to reach nearly 10,000 people annually. Headquartered on Long Island, with a satellite office in New York City, AHA’s services include one-to-one phone and e-support, more than a dozen free monthly support meetings, a biweekly AHA eNewsletter, renowned biannual education conferences, a biannual print publication, as well as expert guidance in the
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HEALTH MEMO
Weight loss surgery patient sheds pounds and his diabetes
ngelo C. of ast Northport once tipped the scales at an unhealthy 60 pounds.Today, after having gastric sleeve weight loss surgery performed by Ra eev ohra, .D., FACS, director of the ariatric and etabolic Institute at South Nassau’s Center for Digestive Disorders and etabolic Disease, Angelo is a model of health. Weighing in at a svelte 16 pounds, Angelo’s type diabetes is in remission, and he no longer suffers from sleep apnea or takes medications for high cholesterol and gout. South Nassau and Dr. ohra treated me like the president, Angelo beams. Angelo’s outcome corroborates numerous studies that show that type diabetes patients who have bariatric surgery are associated with a greater rate of diabetes remission and other chronic diseases associated with obesity. Under the direction of Dr. ohra, the ariatric and etabolic Institute at South Nassau’s Center for Digestive Disorders and etabolic Disease is one of the area’s most experienced at performing the range of weight-loss surgery techniques. As part of the hospital’s Center for Digestive Disorders and etabolic Disease, the ariatric and etabolic Institute has successfully performed over , 00 weight loss surgeries, including sleeve gastrectomy, LA - AND , R RA gastric balloon, gastric bypass and revisional surgeries. All of the surgeries are performed laparoscopically, which is less invasive and typically reduces
Angelo C. of East Northport lost 190 pounds after sleeve gastrectomy surgery, and no longer needs medications for high cholesterol, gout and type 2 diabetes.
the patient’s length of hospital stay. Dr. ohra is complemented by a team composed of highly trained surgeons, a program coordinator, patient liaison, physician assistant, registered dietitian and psychologist who are there to support the patient throughout his or her weight loss ourney. The team empowers patients to make significant changes in their lifestyle especially in their eating habits. South Nassau Communities Hospital is accredited as a etabolic and ariatric Surgery Center by the American Society for etabolic and ariatric Surgery. For more information about weight loss surgery or to reserve a seat at one of our upcoming free seminars, call 16- -86 1 or go to SouthNassau.org ariatrics. South assau ommunities Hospita ceanside • 1 - -
Health memos are supplied by advertisers and are not written by the Herald editorial staff.
Health memos are supplied by advertisers and are not written by the Herald editorial staff.
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HEALTH MEMO
Gurwin: More than just a skilled nursing facility
Mercy’s new Sleep Center offers latest technology
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ong Islanders know urwin ewish Nursing Rehabilitation Center in Commack as a premier skilled nursing facility, offering a home for residents in need of round-the-clock nursing care as well as those requiring short-term rehabilitation after a hospital stay or surgery. ut, many do not know the expanse of services offered by urwin: In the 60-bed facility, residents with a wide range of specialized needs are accommodated, such as those requiring ventilator care, palliative and hospice care and memory care. The facility supports patient health and quality of life by offering an on-site clinic with dental operatory, ophthalmology suite, surgical suites and x-ray staff physicians and social workers an on-site pharmacy and an awardwinning therapeutic recreation calendar. utreach programs include two homecare programs offering skilled services as well as home health aides and companions an adult day health program offering rehabilitation, nursing care and socialization six days a week to those able to remain in the community with this support and an on-site dialysis center, serving both participants in urwin programs as well as members of the local community. A 01-apartment assisted living community, The urwin ewish Fay . Lindner Residences, shares the 6 -acre campus, providing an elegant, supportive living option for seniors. Finalurwin ewish ursing Hauppauge d. ommac •
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Health memos are supplied by advertisers and are not written by the Herald editorial staff.
ver feel sleepy while driving Does your leg twitch at night These may be signs of a sleep disorder that could affect your health. These disorders can include conditions such as snoring and insomnia and potentially serious disorders such as sleep apnea and even restless leg syndrome. oth men and women who have a sleep disorder often wake up not feeling refreshed and may experience daytime drowsiness or suffer from brain fog, or confusion. Sleep disorders that go undiagnosed can cause problems with an individual’s daily routine. eople with obstructive sleep apnea actually stop breathing for short periods of time and are likely to experience a wide range of health issues. To address these issues ercy edical Center opened its Center for Sleep edicine. This program offers the latest technology in a comfortable, contemporary setting. xpert, board certified sleep physicians will diagnose and treat sleep disorders, with certified technologists monitoring patients’ sleep cycle during overnight sleep study tests in a hotel-like environment. Sleep tests at ercy can be scheduled ercy 1 - -
quickly and conveniently. The suites are equipped with queen-size beds, private baths, flat-screen T s and sophisticated monitoring equipment. For more information, please call 16-6 - RCY.
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Health memos are supplied by advertisers and are not written by the Herald editorial staff.
what’s on the plate matters
When you have diabetes, eating well takes practice and planning.A good balance of the right foods, along with regular exercise and your prescribed medications,can help you feel better and stay healthier. Create your plate Often, when people are diagnosed with diabetes, they don’t know where to begin.One way is to change the amount of food you are already eating. Focus on filling your plate with non-starchy vegetables and having smaller portions of starchy foods and meats. Creating your plate is an easy way to get started with managing blood glucose levels.Try these six simple steps to get started: 1. Using your dinner plate, put a line down the middle of the plate.Then on one side,cut it again so you will have three sections on your plate. 2. Fill the largest section with non-starchy vegetables such as: √ Spinach,carrots,lettuce,greens,cabbage,bok choy √ Green beans,broccoli,cauliflower,tomatoes √ Vegetable juice,salsa,onion,cucumber,beets,okra √ Mushrooms,peppers,turnip 3. Now in one of the small sections, put starchy foods such as: √ Whole grain breads,such as whole wheat or rye √ Rice,pasta,dal,tortillas √ Cooked beans and peas, such as pinto beans or black-eyed peas √ Potatoes, green peas, corn, lima beans, sweet potatoes,winter squash
Since diabetes is a disorder in how the body processes foods, every choice you make to eat or drink is important. The benefits of eating well are powerful. √ Low-fat crackers and snack chips, pretzels and fatfree popcorn 4. And then on the other small section, put your protein such as: √ Chicken or turkey without the skin √ Fish — such as tuna, salmon, cod or catfish √ Other seafood — such as shrimp, clams, oysters, crab or mussels √ Lean cuts of beef and pork such as sirloin or pork loin √ Tofu, eggs, low-fat cheese 5. Add a piece of fruit or a 1/2 cup fruit salad and you have your meal planned. Examples are fresh, frozen, or canned in juice or frozen in light syrup or fresh fruit. Courtesy American Diabetes Association
Eating right Continued from page S-4
HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH — November 17, 2016
Tasty options
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decrease the risk of developing prediabetes. In a Swedish study published in 2012 in The American Journal of Clinical Nutrition, people who consumed more than 59 grams (roughly 2 ounces) of whole grains per day were 27 percent less likely to develop prediabetes than people who ate 30 grams or less. Eating fiber-rich oats for breakfast can help keep your blood glucose levels under control throughout the day. For the healthiest options, choose steel-cut or oldfashioned oats with no added sodium, sugar, or preservatives. For a creamier texture, cook them in low-fat milk. Add toppings like berries, seeds, and nuts for a flavorful, filling breakfast. Tomatoes for Lycopene Nothing beats biting into a ripe, juicy tomato – and luckily, folks with diabetes don’t have to give them up. In fact, tomatoes are ideal for a diabetes diet. This superfood helps lower blood pressure and HDL (bad) cholesterol, which may lessen the risk for heart disease — a threat to people with diabetes. A 2013 report by researchers at Tufts and Boston University found that lycopene, a key nutrient in toma-
toes, can reduce the risk of heart disease by 26 percent. Greek Yogurt for Protein Creamy and delicious, yogurt is a rich source of calcium, protein, and magnesium. It can also deliver valuable probiotics, which, according to a 2014 study published in The American Journal of Clinical Nutrition, can help reduce the risk of weight gain and obesity, as well as cardiovascular disease. Opt for Greek yogurt, which is higher in protein than regular yogurt. It helps keep you fuller longer. Avocados for Healthy Fats Known for their heart-healthy monounsaturated fats, avocados top the charts in terms of health benefits. According to a review published in 2013 in Food, Science, and Nutrition, avocados can help lower cholesterol, promote normal blood pressure and reduce inflammation, thanks to their high fiber content, potassium,and lutein. One serving of avocado — onefifth (approximately 1.5 ounces) of a medium-sized avocado — has 64 calories and contributes nearly 20 vitamins and minerals.
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November 17, 2016 — HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH
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Winthrop-University Hospital’s Diabetes Center:
Providing a comprehensive, personalized program for optimal care
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ccording to the American Diabetes Association, nearly 10 percent of all Americans have diabetes and the number continues to grow. Additionally, with all the new information and treatment options available, diabetes care is getting more complex. That is why it is vital for patients to be diagnosed and treated by medical professionals who understand the many complexities of the condition. Winthrop-University Hospital has a dedicated Diabetes Institute with services for both adult and pediatric patients with Type 1, Type , and pre-diabetes, and for pregnant women with gestational diabetes. Winthrop’s program has earned high national accolades. In fact, Winthrop was the first ma or teaching hospital in New York State to earn the oint Commission’s old Seal of Approval for Inpatient Diabetes care. atient care is closely coordinated by a multidisciplinary team of physicians, nurses, pharmacists, dietitians and other healthcare professionals who help patients throughout the full process from prevention, diagnosis, and management. In addition to outstanding medical care, an important aspect of diabetes management is education. Winthrop’s Diabetes
ducation Center consists of a team of registered nurses and dieticians who are certified by the National Certification oard for Diabetes ducators. With a long history in providing valuable educational tools to the community, the Diabetes ducation Center at Winthrop was the first diabetes education program in New York State and the first to be accredited by the American Diabetes Association. ore than simply providing information, the Center provides the knowledge, skills and tools that people living with diabetes or pre-diabetes need in order to manage this chronic condition and avoid associated complications. The Center even offers stand-alone classes that can sometimes even help patients prevent the onset of diabetes. The Center works closely with patients, and their physicians, to put together a tailored self-management plan. Having a personalized plan is very important in diabetes management as each individual has different needs based on a variety of criteria including age, daily schedule and activities, eating habits and other health conditions. The Diabetes ducation Center also offers other classes, which include person-
alized nutrition counseling, diabetes selfmanagement refresher courses, technology and diabetes and insulin pump training. Having an innovative, comprehensive, disease-specific program allows Winthrop to provide the highest level of care to all patients. For more information about the vast services of Winthrop’s Diabetes Insti-
tute, call 1-866-WINTHR winthrop.org.
or visit www.
inthrop- ni ersity Hospita 9 First St. ineo a 1-8 H www.winthrop.org.
Health memos are supplied by advertisers and are not written by the Herald editorial staff.
HEALTH MEMO
HEALTH MEMO
Comfort Keepers: Expanding to your community
Hypnosis evolves with technology
C
omfort eepers is owned by ceanside resident udy eier. Comfort eepers is a worldwide franchise servicing Nassau County and surrounding areas. Its main goal is enabling independent living at home with respect and dignity. Comfort eepers aims to keep seniors in their own homes while providing non-medical care and companionship. Although elders are the main focus, all adults are serviced, including pregnant women. The many services provided by Comfort eepers include conversation, companionship, meal preparation, light housekeeping, errand services, grocery shopping, respite or relief for the family, medication reminders, grooming and dressing guidance, incidental transportation, laundry and linen washing, recreational activities and crafts, mail assistance and organization, periodic review and communication, and emergency monitor systems. Caregivers are certified by The Alzheimer’s Association of Long Island. ach caregiver is equipped to meet the needs of any and all patients. All have cars and have been sub ect to criminal and D background checks. In addition, all employees are bonded and insured.
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A free in-home client assessment is done so that your loved one is assured the correct caregiver match for his her specific needs.
om ort eepers • 1 - com ort eepers.com • www.oceanside- 8 .com ort eepers.com
Health memos are supplied by advertisers and are not written by the Herald editorial staff.
W
ith 0 years behind her as a Clinical Hypnotherapist, Terry iener, CCH, believes that the key to a successful result is knowing what to say, how to say it, and which techniques to apply once a person is hypnotized. This wisdom can only come from extensive training and experience. veryone processes information differently, said iener. There are reasons why a habit or fear has formed, which should be examined before effective treatment can take place. A thorough intake session is done first. The number of hypnosis sessions recommended varies. Hypnosis sessions are tailored to the person’s triggers and habits. otivation and willingness to work with suggestions on a conscious level are important. Trust and rapport with the hypnotist is vital too. iener has recently added Computerized Client- ased Weight Loss to her repertoire. A sophisticated computer program is used to pinpoint personality, mental processing, strengths and weaknesses. Combined with data gathered from the client, she custom designs hypnosis sessions to zero in on imprints that need to be changed. Weight loss workshops, which include group hypnosis, will be offered in the future. iener’s true passion is helping people with fears and panic. Having experienced phobias and panic attacks herself, which were ultimately healed through hypnosis, her understanding and empathy is profound. y combining Neuro-linguistic rogramming NL techniques with hypnosis, she can eliminate or reduce unwanted and sometimes devastat-
ing anxiety. eople should realize they aren’t alone. hobias can seem irrational since they come from the subconscious the part of the mind that responds without logic. ost people who have never experienced a phobia simply don’t understand. Understanding how hypnosis works before trying it is advised. Ignore what you’ve seen in movies or on stage. A hypnotic trance is actually a natural state we visit frequently when we’re engrossed a movie, or if we daydream while driving and don’t remember passing certain streets or exits. A hypnotist induces a trance to reframe the subconscious part of the mind. A good sub ect is strong-willed and intelligent. The person being hypnotized never loses control. Hypnosis can help with trauma, sports, procrastination, self-esteem, stress, anxiety and most habits. As a former New York City teacher, iener is comfortable working with children. She holds numerous certifications though the American oard of Hypnotherapy and the National uild of Hypnotists. She has done speaking engagements and group hypnosis sessions for organizations and wellness centers. Clients are seen by appointment only. hone consultations are free and confidential. asy Changes Hypnosis is located in alley Stream. Contact Terry iener, CCH, at 1691-61 or visit www.easychanges.com. erry iener H • 1 - 91- 1 www.easychanges.com
Health memos are supplied by advertisers and are not written by the Herald editorial staff.
how to get an a on your hemoglobin a
A Revitalizing Rehabilitation Environment
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HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH — November 17, 2016
Understanding your numbers
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That Meets & Exceeds Your Expectations!
By Paige Reddan, M.S., R.D., C.D.E.
For over 40 years, The Grand Pavilion has served the community’s subacute rehabilitation and long-term care needs with distinction. Today, The Grand Pavilion is a state-of-the-art Rehabilitation environment where you are assured a paradigm of comfort-enhancing amenities and customized therapies under the direction of leading physicians.
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of carbs consumed in your daily meals can also help improve after-meal blood glucose. Regular blood glucose Tip 3: Walk 30 minutes testing isn’t the only impormost days of the week.Exertant indicator of your concise helps to lower glucose trol.The glycosylated hemoas your muscles use it to globin A1C test, which meamove. Plus, your liver gets sures the amount of glubusy replacing its glucose cose in your red blood cells, stores, which also lowers provides an average of your your blood glucose many glucose control over a perihours afterward. Find other od of two to three months. exercises that work for you. People with lower A1C levTip 4: Make sure you are els have less risk for diabetaking your diabetes medites complications. cation at the right times. People with lower AIC levels The American Diabetes Skipping or forgetting your have less risk for diabetes Association recommends medications can impact the complications. an A1C of 7 percent or less. overall effectiveness of the The American Association medications. Ask your pharof Clinical Endocrinologists suggests you aim macist if you have any questions about how for 6.5 percent or less. to take them. Learn about the different types If your A1C is not where you and your health care team desire it to be, read these of meds. tips and see if any can be applied to your Tip 5: See a diabetes educator! One study has suggested that people with diabetes who get daily living. Tip 1: Test your blood glucose around meal diabetes education from a Certified Diabetes times. Testing before and two hours after a Educator (CDE) have better glucose control. meal can help you determine if the amount Ask your physician for a referral to a CDE and get the education you need to help you live a of carbohydrate in your meal worked for you. life without limits! Tip 2: Adjust the amount of carbohydrate in your meals to achieve optimal blood-glucose Courtesy of LifeScan levels after eating. Consistency in the amount
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Terry Biener, CCH
“My Winthrop docs call the procedure that replaced my heart valve ‘TAVR.’ I call it ‘miracle medicine’.”
Francis was a tank commander in World War II, an attorney and a successful businessman. And he was still skiing a hundred days a year into his 90s. When fatigue and shortness of breath began to slow him down, Francis went to his cardiologist. He was told he had a diseased aortic heart valve that should be replaced. But at 95 years old, he was not a candidate for conventional cardiac surgery. The cardiologist referred him to Winthrop-University Hospital. It’s a long drive from Francis’s home out on the North Fork, but his doctors knew Winthrop is a leader on Long Island in an amazing minimally invasive procedure called Transcatheter Aortic Valve Replacement (TAVR). A Winthrop TAVR team threaded a new heart valve into position through an artery in Francis’s leg, as with a stent. His breathing improved immediately. Francis was shouting “Hallelujah!” while still in recovery. As one of the most experienced TAVR centers in the country, Winthrop wants anyone suffering with aortic stenosis to know that they may now be a candidate for this revolutionary treatment. To learn more, call 1-866-WINTHROP, or go to winthrop.org.
259 First Street, Mineola, New York 11501 4 1.866.WINTHROP 4 winthrop.org
CABLEVISION CH 652
86962
November 17, 2016 — HERALD COMMUNITY NEWSPAPERS - GOOD HEALTH
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