Tag: diabetes

Expert Steps to Prevent and Manage Diabetes

This post introduces National Diabetes Month, aimed at raising diabetes awareness and promoting prevention and management. Diabetes causes high blood glucose due to insufficient insulin. Lifestyle changes, regular screenings, and medication adherence are essential for managing diabetes. Understanding risk factors and maintaining a healthy lifestyle can effectively prevent or delay diabetes onset and complications.

This information is current as of the date of original publication or update. It may have changed by the time you read this. I invite you to fact-check what you read here.

This information is not intended for diagnosis or treatment. Before making health decisions, discuss with your physician or other qualified healthcare provider to decide what is right for you.

National Diabetes Month

November is National Diabetes Month, designated to raise awareness of diabetes. Taking steps to prevent or manage diabetes may lower your risk of developing health problem related to diabetes.

Diabetes is a disease that causes too much of the body’s blood glucose, also called blood sugar, to accumulate in the bloodstream. Glucose is your body’s main source of energy. Glucose comes from the food you eat, and your body can make it.

Insulin, a hormone made by the pancreas,  helps glucose get into your cells to be used for energy. If you have diabetes, your body doesn’t make enough—or any—insulin, or doesn’t use insulin properly. Without insulin, glucose doesn’t reach your cells.

Diabetes isn’t just about the pancreas. Diabetes affects the eyes, kidneys, nerves, skin, and heart. Diabetes is also linked to some types of cancer.

Knowledge plus action can prevent diabetes health problems.

Stats to Know about Diabetes

As of 2019, 37.3 million people—or 11.3% of the U.S. population—had diabetes.

More than 1 in 4 people over the age of 65 had diabetes. 

Nearly 1 in 4 adults with diabetes didn’t know they had the disease.

About 90% to 95% of diabetes cases are type 2 diabetes.

Know About Pre-diabetes

Prediabetes is defined as a blood sugar level that is in the higher end of the normal range, but not high enough to diagnose diabetes. While many of these people don’t develop diabetes, it does indicate a higher risk, so is worth knowing about and checking regularly. 

Since 2001, the National Institutes of Health (NIH)-sponsored Diabetes Prevention Program (DPP) research study has shown that intensive lifestyle interventions and select medications are cost-effective in preventing or delaying the onset of type 2 diabetes in adults with prediabetes. 

Learn Your Risk for Diabetes.

You are more likely to develop type 2 diabetes if you have overweight or obesity; are age 35 or older; have a family history of diabetes; are African American, American Indian, Asian American, Hispanic or Latino, or Pacific Islander; are not physically active; or have prediabetes.

The exact reasons these factors increase the chance of diabetes is not known. Scientists suspect genetics plays a role. Lifestyle may also impact one’s risk. 

Later in this post you can discover your risk for diabetes with a simple online test.

The ABCs of Diabetes 

Manage your blood glucose, blood pressure, and cholesterol levels.

Preventing diabetes or managing diabetes as soon as possible after diagnosis may help prevent diabetes health problems. You can start by managing your diabetes ABCs.

A is for the A1C test (hemoglobin A1C) that health care professionals use to measure your average blood glucose levels. Some people with diabetes also use devices to track their blood glucose throughout the day and night.

  • B is for Blood pressure.
  • C is for Cholesterol.
  • S is for Stop Smoking

Ask your health care team what your ABCs goals should be.

Develop a Healthy Lifestyle

Lifestyle habits like planning healthy meals, being physically active, getting enough sleep, and not smoking may help you prevent diabetes or manage your diabetes ABCs.

You don’t have to do it all at once. Start slow and build healthier habits from there.

Four illustrations of a family with the text: 1) Make sleep a priority, 2) Try a relaxing activity, 3) Focus on positivity, and 4) Eat healthy, regular meals and stay hydrated.

Using Diabetes Medications 

Remember to take your medicines even if you feel healthy. Talk with your doctor or pharmacist if you have trouble taking your medicines on time or at the correct dose.

If you have trouble paying for medication, your doctor may suggest less costly alternatives. 

Insulin pumps contain enough insulin for several days. An infusion set carries insulin from the pump to the body through flexible plastic tubing and a soft tube or needle inserted under the skin.

Weight and Diabetes 

If you have overweight or obesity, ask your primary care provider if healthy eating, physical activity, or other weight-loss treatments may help you manage your weight.

You may prevent or delay diabetes by losing 5 to 7 percent of your starting weight. Use the Diabetes Risk Management Calculator to determine how much weight you can lose to help reduce your risk of developing type 2 diabetes.

Manage Stress and Emotions

Managing diabetes can be hard. If you feel down, sad, or overwhelmed, learn about healthy ways to cope with stress. Consider talking to a mental health counselor or joining a support group.

Work with your Healthcare Team.

Managing diabetes takes a team. Your health care team may include a primary care provider, diabetes specialist, registered dietitian, or certified diabetes educator.

Ask your primary care provider if you should talk with other health care professionals about preventing or managing diabetes. These might include specialists for

  • feet-podiatrists,
  • skin-dermatologists,
  • heart-cardiologists,
  • eyes-opthalmologists.

Diabetes medicines, devices, and office visits can be expensive. A social worker or a member of your health care team may be able to help you find community resources or financial help for diabetes care.

Your health insurance provider may offer additional services to manage diabetes. Some employers offer preventive medicine services to their employees and their dependents.

Post Images and Graphics

The images and graphics are public use from the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health. I drew most of the content from the NIKKD website and added my insights.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), is part of the National Institutes of Health. NIDDK research creates knowledge about and treatments for diseases that are among the most chronic, costly, and consequential for patients, their families, and the Nation.

Cover Image

The cover image of this post was created by JetPackAI available with WordPress.

Awareness and Action

There is much more to know about diabetes but the main point I hope you take away from this post is the importance of getting screened for diabetes. Take this short test to assess your risk.

Assess Your Risk

What was your score? Mine was 5 out of 10, that’s considered high risk. I knew that because my father had diabetes and developed heart disease as a result. I lost him to his disease many years ago. I wish his diabetes had been discovered sooner and that he had done more to keep it well controlled.

Once you are screened, ask your health care provider how often it should be repeated. There is no one right answer, it depends largely on your risk factors. Anytime you feel seriously ill, especially if you have any of the symptoms of diabetes, you should be tested again.

Testing for diabetes is a simple blood test, relatively inexpensive, so there is no reason not to test adults. Children and teenagers need testing less often, unless there are significant risk factors.

Learn more about diabetes signs in this post

10 Silent Signs of Diabetes

Diabetes mellitus type 2, often linked to obesity, complicates blood glucose control for overweight individuals. It contributes to serious complications such as heart disease, kidney failure, and neuropathy. Early diagnosis and effective management through lifestyle changes and medication are crucial. Everyone should be aware of symptoms and high-risk factors for diabetes.

Aletha Cress Oglesby, M.D.'s avatar by Aletha Cress Oglesby, M.D.

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Can Kennedy’s HHS Restructuring End Chronic Disease?

In this post I look at Secretary of Health Robert Kennedy Jr’s plans to cut 10,000 jobs and close five regional offices in the Department of Health and Human Services (HHS) to tackle the “chronic disease epidemic”. The restructuring intends to reduce HHS’s budget by $1.8 billion while facing significant criticism from Democrats about the potential public health impact.

Secretary of Health Robert Kennedy Jr. and President Trump have established a goal of eliminating the “chronic disease epidemic.” To do so, the Secretary has ordered a massive reduction in the budget and workforce of HHS, the Department of Health and Human Services.

What is Chronic Disease?

Chronic diseases are defined broadly as conditions that last 1 year or more and require ongoing medical attention or limit activities of daily living or both.

Centers for Disease Control and Prevention

What is an Epidemic?

In the 21st century, epidemics of infectious diseases have threatened humans. Severe acute respiratory syndrome (SARS), avian influenza, and HIV/AIDS have supported the reality of this threat. 

Measles is highly contagious and spreads through the air when an infected person coughs or sneezes.

Late in the 20th century, epidemic was applied to noninfectious diseases, such as cancer epidemics or epidemics of obesity. Using epidemic for noninfectious causes refers to a disease that affects many people, with a recent and substantial increase in cases.

For nonmedical events, journalists use the term epidemic for anything that adversely affects large numbers of persons or objects and propagates like a disease, such as crack cocaine, computer viruses, or severe weather.

Reference: Martin P, Martin-Granel E. 2,500-year Evolution of the Term Epidemic. Emerging Infectious Diseases. 2006;12(6):976-980. doi:10.3201/eid1206.051263.

Here is the Secretary’s plan for HHS to address the “epidemic” he believes exists.

U.S. Department of Health and Human Services to slash 10,000 jobs, close 5 regional offices

By Jennifer Shutt, States Newsroom, March 27, 2025 | 12:26 pm ET

WASHINGTON — The Trump administration announced a sweeping plan Thursday to restructure the Department of Health and Human Services by cutting an additional 10,000 workers and closing down half of its 10 regional offices.

The overhaul will affect many of the agencies that make up HHS, including the Food and Drug Administration, Centers for Disease Control and Prevention, National Institutes of Health, and the Centers for Medicare and Medicaid Services.

HHS overall will be downsized from a full-time workforce of 82,000 to 62,000, including those who took early retirement or a buyout offer.

HHS Secretary Robert F. Kennedy, Jr. released a written statement along with the announcement, saying the changes would benefit Americans.

“We aren’t just reducing bureaucratic sprawl.

We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic,” Kennedy said. “This Department will do more — a lot more — at a lower cost to the taxpayer.”  

The U.S. Senate voted to confirm Kennedy as the nation’s top public health official in mid-February.

James H. Shannon Building (Building One), NIH campus, Bethesda, MD
James H. Shannon Building (Building One), NIH campus, Bethesda, MD

Congressional reaction

Democrats immediately reacted with deep concern.

Senate Appropriations Committee ranking member Patty Murray, D-Wash., said that she was “stunned at the lack of thought about what they are doing to the American public and their health.”

Murray said the committee, which controls about one-third of all federal spending, “absolutely” has an oversight role to play in tracking HHS actions.

Wisconsin Sen. Tammy Baldwin, the top Democrat on the Appropriations subcommittee that funds HHS, said she believes HHS has overstepped its authority and expects the panel will look into its actions.

“These individuals who are going to be terminated under this plan play vital roles in the health of Wisconsinites and people nationally,” Baldwin said. “And I believe that they do not have the authority, the Trump administration does not have the authority to do this wholesale reorganization without working with Congress.”

Maryland Democratic Sen. Angela Alsobrooks, whose constituents in suburban Washington likely hold many of the jobs in question, wrote in a statement the HHS’ restructuring plans are “dangerous and deadly.”

“I warned America that confirming RFK Jr. would be a mistake,” Alsobrooks wrote. “His blatant distrust of science and disregard for research and advancement makes him completely unqualified.”

Cuts across department

The announcement says reorganizing HHS will cut its $1.7 trillion annual budget by about $1.8 billion, in part, by lowering overall staff levels.

Staffing cuts will be spread out over HHS and several of the agencies it oversees. The restructuring plans to eliminate

  • 3,500 full-time workers at the FDA,
  • 2,400 employees at the CDC,
  • 1,200 staff at the NIH and
  • 300 workers at the Centers for Medicare and Medicaid Services.
President Donald Trump visited NIH on March 3, 2020 and toured the National Institute of Allergy and Infectious Diseases’ Vaccine Research Center (VRC) to learn about research on a vaccine for the novel coronavirus SARS-CoV-2. public domain photo from flickr

“The consolidation and cuts are designed not only to save money, but to make the organization more efficient and more responsive to Americans’ needs, and to implement the Make America Healthy Again goal of ending the chronic disease epidemic,” according to a fact sheet.

Senate Health, Education, Labor and Pensions, or HELP, Committee Chairman Bill Cassidy, R-La., wrote in a statement that he looks “forward to hearing how this reorganization furthers these goals.”

“I am interested in HHS working better, such as lifesaving drug approval more rapidly, and Medicare service improved,” Cassidy wrote.

Regional offices, divisions affected

HHS did not immediately respond to a request from States Newsroom about which five of its 10 regional offices would shutter or when those closures would take effect.

Its website shows the offices are located in Boston; New York City; Philadelphia; Atlanta; Chicago; Dallas; Kansas City, Missouri; Denver; San Francisco; and Seattle.

HHS plans to reduce its divisions from 28 to 15 while also establishing the Administration for a Healthy America, or AHA.

That new entity will combine the Office of the Assistant Secretary for Health, Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration, Agency for Toxic Substances and Disease Registry and National Institute for Occupational Safety and Health.

That change will “improve coordination of health resources for low-income Americans and will focus on areas including, Primary Care, Maternal and Child Health, Mental Health, Environmental Health, HIV/AIDS, and Workforce development.

Transferring SAMHSA to AHA will increase operational efficiency and assure programs are carried out because it will break down artificial divisions between similar programs,” according to the announcement.

HHS will roll the Administration for Strategic Preparedness and Response into the CDC.

The department plans to create a new assistant secretary for enforcement, who will be responsible for work within the Departmental Appeals Board, Office of Medicare Hearings and Appeals and Office for Civil Rights.

House speaker says HHS is ‘bloated’

U.S. House Speaker Mike Johnson, R-La., posted on social media that he fully backed the changes in store for HHS.

​​”HHS is one of the most bureaucratic and bloated government agencies,” Johnson wrote. “@SecKennedy is bringing new, much-needed ideas to the department by returning HHS to its core mission while maintaining the critical programs it provides Americans.”

Advocates shared Democrats’ concern about the staff cutbacks.

Stella Dantas, president of the American College of Obstetricians and Gynecologists, released a statement saying the organization was “alarmed by the sudden termination of thousands of dedicated HHS employees, whose absence compounds the loss of thousands of fellow employees who have already been forced to leave U.S. health agencies.”

“Thanks to collaboration with HHS, ACOG has been able to contribute to advances in the provision of maternal health care, broadened coverage of critical preventive care, increased adoption of vaccines, raised awareness of fetal alcohol syndrome, strengthened STI prevention efforts, and more,” Dantas wrote. “This attack on public health—and HHS’ ability to advance it—will hurt people across the United States every single day.”

Originally Published on News From The States

All States Newsroom content is free to republish, as per our policy. 

https://www.newsfromthestates.com/article/us-department-health-and-human-services-slash-10000-jobs-close-5-regional-offices

Is there an “epidemic of chronic disease”?

When I practiced medicine, I and other professionals treated “chronic disease” daily. The number of people who live with a specific chronic disease varies, but the number and percentage of the population who have a chronic disease doesn’t seem to change much.

While we will always work to eliminate chronic disease, that will likely be impossible, at least soon. But improved treatments and lifestyle changes do help people with chronic diseases live longer, and healthier.

Key prevention points from the CDC

  • Most chronic diseases are caused by a short list of risk factors: tobacco use, poor nutrition, physical inactivity, and excessive alcohol use.
    • By avoiding these risks and getting good preventive care, you can improve your chance of staying well, feeling good, and living longer.
examples of ways to reduce the risk of a chronic disease, breast cancer.
Cover Image

The cover image is from the CDC website. It represents hypertension, high blood pressure, one of the most prevalent chronic medical conditions.

Exploring the HEART of Health

I’d love for you to follow this blog. I share information and inspiration to help you turn health challenges into health opportunities.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

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Dr. Aletha