At least one in three adults has high blood pressure and strokes are the 5th leading cause of death in the United States.

In May we raise awareness of both these conditions during American Stroke Monthand National High Blood Pressure Education Month.

Every 40 seconds, someone in the United States suffers a stroke.  And high blood pressure puts one at risk of a stroke, as well as heart disease.

Here are your questions answered.

 

Risk-Factors-For-Heart-Disease-High-Blood-Pressure-700x395-700x395.jpg

 

What do the blood pressure numbers mean?

 

The top number, or systolic pressure, is the pressure the heart exudes during a beat or pumping of the blood.

Diastolic pressure is the pressure in your arteries between beats while the heart is “filling.”

Both numbers are equally important as elevation of either can increase one’s risk of cardiovascular disease.

What blood pressure level is considered “normal” or “abnormal?”

 

High blood pressure has now been redefined as being greater than 130/80 mmHg, down from 140/90 mmHg.   Last year it was guestimated that 42% of Americans would soon be considered “hypertensive.”

 

blood+pressure+chart

 

What can long-term high blood pressure cause?

 

Chronic high blood pressure can be dangerous.  It may cause:

  • Heart attacks
  • Heart failure
  • Stroke
  • Kidney disease
  • Dementia
  • Eye damage – vision loss
  • Erectile dysfunction…to name a few.

How do we treat high blood pressure?

 

The stages of blood pressure are defined in the chart above.  At the elevated or early stages of high blood pressure the following lifestyle changes will be recommended:

  • Weight loss
  • Low salt diet
  • Low fat diet
  • Good sleep habits
  • Regular exercise
  • Avoiding tobacco products
  • Limiting alcohol consumption

As a family physician I would also screen for diabetes, high cholesterol, low thyroid, kidney disease and sleep apnea.

If blood pressure cannot be controlled and continues to rise, medications may be prescribed to decrease blood volume, or lower the heart rate, or relax the blood vessels.

 

What is a stroke?

 

A stroke occurs when an area of the brain does not get the proper oxygen and blood flow it needs. There are two major types of stroke:  ischemic and hemorrhagic.

Ischemic strokes are more common than the latter and occur when a clot prevents blood flow to part of the brain.  80% of all strokes fall under ischemic.  It is a likened to a heart attack, except the brain tissue is being deprived of blood and nutrients. Plaques commonly arise from arteriosclerosis that break off travel to the smaller vessels of the brain.

Hemorrhagic strokes are less common and occur when there is a bleed of one of the brain vessels.  The bleed prevents blood flow into the brain since it is seeping outside the brain tissue, causing damage to nearby cells.  The bleeds could occur from high blood pressure or aneurysms that rupture.

What are the signs of a stroke?

Since a clot or bleed usually affect one area of the brain, we see symptoms on one side of the body, many times its contralateral (opposite) side.  We can also see central effects.  The symptoms of stroke include the following:

  • Weakness of one side of the body
  • Loss of balance
  • Numbness on one side of the body
  • Slurred speech
  • Vision issues
  • Headache
  • Facial droop

and more…..

How are strokes treated?

 

If the stroke was caused by a clot (ischemic) immediate treatment includes dissolving/removing the clot.  Aspirin is used initially and if within the proper time frame, tissue plasminogen activator (TPA).  These clots can also be surgically removed and arteries widened to bring blood flow to the brain.

With a hemorrhagic  stroke, we need to stop the bleed and improve flow to the brain.  Controlling the bleed, bypassing the vessel, “clogging” the aneurysm with techniques such as “coiling” (endovascular embolization) are sometimes utilized.

Time is of the essence, so it's crucial to identify the warning signs and call 911 immediately.  The American Stroke Association uses the acronym “FAST” (Facial drooping, Arm weakness, Speech difficulty, and Time to call 911).  The sooner a stroke victim receives medical attention the better the prognosis.

 

 

fast

COURTESY OF THE AMERICAN STROKE ASSOCIATION

 

What are the risk factors for stroke?

 

The following put us at risk of having a stroke.

  • High blood pressure
  • Family history of stroke
  • Diabetes
  • Cardiovascular disease (artery clogging, such as the heart and carotid arteries)
  • Abnormal heart rhythms, such as atrial fibrillation
  • Smoking
  • Drugs
  • Obesity
  • Inactivity
  • Clotting disorder
  • Sleep apnea
  • Being older (greater than 55)
  • African-Americans appear to be more at risk than Caucasians and Hispanics
  • Men seem to be more affected than women

 

How do we prevent strokes?

 

Avoid the following:

  • Excessive drinking
  • Drug use
  • Tobacco products
  • Control blood pressure, sugar and cholesterol
  • Get evaluated by a medical provider if at risk for heart disease or stroke.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Published in Health

Experts report allergy season will worsen each year due to environmental changes.

Allergy season usually begins in March with the start of Spring and can extend to the Fall even leading to new Fall allergies.

Each year we find allergy season starting a few weeks earlier as temperature changes prompt early blooms.

Tree pollens start first in January and then taper off in April.  Grass pollen starts to rise in February and March.   Finally weed pollens join the party by the Spring and extends through the Summer and Fall.

Dr. Jeffrey Demain, Board Certified Allergist and Immunologist reported at the March meeting of the American Academy of Allergy, Asthma and Immunology the following, “We have higher temperatures and expanding levels of carbon dioxide.

“When you look at a pollen grain, there are certain proteins that cause the allergy, they are the allergenic peptides,” he said. “It’s been shown that in rising carbon dioxide, the allergenic peptide of each pollen grain goes up.”

Plants utilize carbon dioxide for respiration as humans use oxygen.  The higher carbon dioxide levels, the higher the pollen counts and proteins in pollens that contribute to allergies.

The increase in storms may contribute to allergy season as well as moisture in the air causes pollen to swell and “explode” into multiple little pollen particles, smaller and easier to breathe in.

Moreover stagnant flood water may cause fungi, mold and spores to grow, also leading to allergies.

The Allergy Capitals Spring 2018 report found many cities are worse off this year than they were in previous seasons. McAllen, TX , Louisville, KY, Jackson, MS, Memphis, TN  and San Antonio, TX ranked in the top 5 in “Most Challenging Places to Live With Spring Allergies.” The copy of the report is below:

AAFA-2018-Spring-Allergy-Capitals-Report

Let’s review allergies…..

What are allergies?

 

Allergies are the result of the immune response to a foreign particulate that our body senses.  One could be allergic to pollen, dust, dander, food, insects, mold, metals, transfused blood, grafts, medicine and anything the body senses as a foreign intruder.  Even though these may be individually harmless, a hypersensitivity reaction occurs as a result of their intrusion into the body.  IgE antibodies find the allergen (intruder) and activate mast cells in the tissue and basophils in the blood.  When these cells get activated, they release substances to help protect the body, including histamines, leukotrienes, and cytokines. These help the body attempt to sneeze and cough the allergen out, wall off the antigen, signal more antibodies, or produce tears and nasal secretions to flush it out.

What are symptoms of seasonal allergies?

 

Symptoms of allergies could include any or a combination of the following:

  • Sneezing
  • Coughing
  • Wheezing
  • Runny nose
  • Eye watering
  • Red Eyes
  • Itchy eyes
  • Itchy skin
  • Rash
  • Itchy throat
  • Fatigue
  • Congestion….. to name a few.

How do they differ from a cold?

 

Colds may have very similar symptoms to allergies.  However they are different. The common cold is caused by a virus.  When one gets infected by the virus they may feel malaise, fever, and achy.  This does not occur with allergies. Moreover, nasal secretions from allergies are usually clear.  In a cold, the mucous could be thicker and with color. The same holds true with sputum.  During an allergy the cough may have little to no mucous and if so, be light colored.  Thick mucus could be a sign of an infection. An allergic sore throat will seem more dry and scratchy.  A sore throat from a cold is more uncomfortable and less easy to soothe. Allergies may persist or be cyclical.  Cold symptoms will usually subside after a few days and rarely persist longer than 10 days.

Can allergies lead to a cold?

 

Yes and no.  Allergies should not in and of themselves cause an infection. However they may make one more vulnerable for a virus or bacteria to take over.    Hence a bronchitis, sinus infection, or pneumonia could uncommonly follow an asthma attack.

Are seasonal allergies dangerous?

 

As stated previously, if one is susceptible to colds, an allergic attack could make them vulnerable. Moreover if one suffers from asthma, an allergy attack could incite an asthma attack.  Very rarely would we see a life threatening anaphylaxis to an allergen such as pollen.

How can we prevent and treat allergies?

 

Avoiding, or decreasing exposure to the allergen is key.   We suggest the following:

  1. Be aware of your local weather and pollen counts.  If the weather begins to warm and regional vegetation is blooming, allergy season may be upon you sooner than you know.
  2. Avoid outside pollen from coming into your house.  Avoid the urge to open all the windows during Springtime as wind will bring the pollen in.
  3. Clean your air filters.  Replace air filters frequently and consider using HEPA Filters
  4. Wash off pollen from your hair and clothes before you sit on the couch or jump into bed.
  5. Close your car windows when you park.
  6. “Recirculate” the air in your car
  7. Discuss with your medical provider if you are a candidate for medications such as antihistamines, nasal corticosteroids or leukotriene antagonists.  
  8. If you suffer from respiratory illnesses or a chronic medical condition, discuss with your medical provider if you need to start your allergy medication before allergy season hits. Some of these medications may take a couple of weeks to reach therapeutic levels.

How can I find my local pollen counts?


Local tree, ragweed and grass pollen counts can be obtained here.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Published in Health
Wednesday, 02 May 2018 16:46

5 ways to add years to your life

A study out of Harvard’s TH Chan School of Public Health finds 5 simple lifestyle changes that can add 1-2 decades onto one’s life.

Researchers looked at lifestyle and diet of over 100,000 men and women apart of the Nurses’ Health Study and the Health Professionals Follow-up Study. They found sticking to these lifestyle changes at the age of 50 could give the average woman 14 extra years of life and the average man, 12.

Since cancer and heart disease contribute to hundreds of thousands of deaths a year, study authors suggest the following:

Avoiding Smoking

 

Since smoking has been long linked to early death, due to increase risk of arteriosclerosis and multiple types of cancer, avoiding tobacco products have been found to increase life expectancy.

 

smoking-one-cigarette.jpg

 

Keeping Weight Down

 

Researchers encourage a healthy body weight, more specifically a BMI of 18.5 to 24.9 kg/m2.

 

bmi-chart.png

 

Obesity has been linked to diabetes, heart disease and multiple cancers, so a healthy diet is paramount.

Eating a Healthy Diet

 

Diets rich in vegetables, low sugar fruits, whole grains, fish and healthy fish oils have been found to decrease risk of diabetes, obesity, heart issues and various cancers.

 

Tips-to-Effectively-Follow-the-Mediterranean-Diet

 

Avoiding excess salt, sugar, and saturated fats are key.

Regular Exercise

 

30 minutes a day of moderate to vigorous activity daily has been recommended by multiple medical associations.  I would encourage making sure one’s medical provider evaluates heart health before engaging in vigorous activity.  But walking, swimming, household chores, dancing, and many other activities fall under “moderate activity” that can be safe and provide multiple health benefits.

 

yoga.jpeg

 

“Moderate” Drinking

 

Moderate drinking is defined as no more than one drink a day for women, two drinks a day for men.

 

What-is-a-drink

Image above from CDC

 

However, the health benefits of alcohol consumption are controversial, as many studies have linked alcohol consumption to cancer. Moreover, the sugar levels in alcohol can contribute to diabetes and obesity.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Health

The most recent World Health Organization rankings of the world’s health systems has the United States at 37th -- seven spots behind its neighbor to the north, Canada, and 19 spots behind its American predecessor, the United Kingdom. That might not seem so bad on a list 190 nations long, but the United States ranks last in health care system performance among the 11 richest countries included in a study conducted by The Commonwealth Fund. In that study, “the U.S. ranks last in Access, Equity, and Health Care Outcomes, and next to last in Administrative Efficiency, as reported by patients and providers.”

Much of our inflated health insurance premiums in America comes from paying to create your bill. That’s right -- 25 percent of total U.S. hospital costs are administrative costs. The United States had the highest administrative costs of the eight countries studied by The Commonwealth Fund. Scotland and Canada had the lowest, and reducing U.S. per capita spending for hospital administration to Scottish or Canadian levels would have saved more than $150 billion in 2011.

Treating healthcare like any other marketplace requires careful, complicated codification of products sold and services rendered. People must be paid to determine how much your healthcare costs, and that can’t be changed, but it can be improved upon. Allowing insurance companies to profit from people’s health makes for a marketplace in which every cent of cost is counted and every penny of profit is protected. Profit motive always results in more scrutiny by the haves at the expense of the have-nots.

You might think that an industry that preys on the unhealthy and the healthy alike would prefer their consumers healthy as to enjoy the profits from your premium payments without paying for healthcare. But the cost of your health insurance premium already includes your health insurer’s profit margin. The health insurer is going to do all it can assure a certain amount a profit except for a catastrophic health emergency that consumes the country. But if the consuming population is unhealthy relative to other markets, the health insurer has good reason to inflate prices to cover its projected costs. That is indeed the case in the United States.

The United States is the 34th healthiest nation in the world, according to 24/7 Wall St. That’s not terrible, but not what you probably expect from a nation advertised by Americans as the greatest in the world. And you’re paying for it.

Not unlike a mortgage or auto insurance premium, the cost of your health insurance premium is an average based on the health insurer’s risk. That risk is the potential costs the health insurer could incur based on the perceived health of its insured consumers. I’ve written in the past how Republicans can’t repeal and replace Obamacare because their constituents, most of whom reside in the South, need Obamacare. Southerners are the least healthy Americans, with 20 percent reporting fair or poor health in 2014. The South also has the highest rates for diabetes, obesity and infant mortality in the nation. The South also accounts for nearly as many uninsured people as the rest of America combined, and 17 percent of the uninsured fall into the coverage gap for Medicaid expansion. Your health insurance premiums pay for their healthcare as well as your own, which is why, given the current for-profit health insurance marketplace, I would welcome a fat tax.

A fat tax is a tax on fat people. People who live unhealthy lifestyles should pay more for health insurance. As a healthy consumer of health insurance, I’d prefer to pay a lower premium given my dedication to maintaining good health at the expense of those who refuse to maintain good health. I might be fat shaming some people, but I don’t care. I shouldn’t have to pay for your diabetes because you can’t resist stuffing your face with Twinkies. Maintaining your health is your responsibility and no one else’s, and you should be punished for failing to maintain good health at the expense of your neighbors. But since something that could ever be referred to as a fat tax by the opposition would never pass Congress, a rewarding people with discounts for their healthy habits would be much more likely.

I foresee this program as mirroring the Progressive auto insurance Snapshot program -- “a program that personalizes your rate based on your ACTUAL driving.” Instead of plugging a device into your car, you’d use a Fitbit or similar health monitoring device with a heart rate monitor. Couple your daily monitoring of your exercise and diet with the results of regular checkups with your physician to confirm your healthy habits and you’ll be given a discount on your monthly health insurance premium as determined by your overall health.

Simply scheduling and completing regular checkups will help lower premium prices by catching things early and allowing for preventative medicine to work rather than resorting to more expensive reactionary measures. That could be the first discount bracket: schedule and complete a physical twice annually for two percent off your monthly premium. That way everyone at least has a chance to save some money. Those who fail to do so will pick up the tab.

The real discounts will be reserved for those consumers who regularly show signs of living a healthy lifestyle. People who don’t use tobacco products would receive a one-percent discount on their monthly premiums that the insurer will recoup from charging tobacco users with a one-percent premium penalty.

Non-drinkers would also receive a one-percent discount, as alcohol is a cancer-causing carcinogen and dangerous when consumed irresponsibly. Accessing a penalty for drinking, however, would be problematic, as social and occasional drinkers shouldn’t be penalized for enjoying alcohol responsibly. But say you get a ticket for driving while intoxicated -- that’s two percent tacked onto your health insurance premium for putting your own health and the health of your neighbors at risk. The same goes for possession of illegal drugs, except cannabis. No discount or penalty would be accessed for cannabis use since it is proven to kill cancer cells and be of medical value.

Even if you are a tobacco user and a heavy drinker or drug user, you too deserve opportunities to lower your health insurance premiums. So anyone who meets the Department of Health and Human Services recommendations for weekly exercise for a month gets a one-percent discount on their premium the following month. That’s just 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity weekly. Add that to the two-percent discount for completing bi-annual physicals, and you could offset the penalties of driving under the influence and smoking.

Big money will be saved based on your body fat. If an adult male or female maintains an athletic body fat percentage (between five and 10 percent for males and between eight and 15 percent for females), they get an additional two-percent premium discount on top of the two percent for completing bi-annual physicals. That same two percent would have to be paid by someone, though, so it would fall on the obese.

Adult males with a body fat percentage over 24 and adult females with a body fat percentage over 37 would receive a two-percent premium penalty. If they make their two appointments for physicals annually, there wouldn’t be any change to their bill. The overweight, being males with body fat percentages between 21 and 24 and females with body fat percentages between 31 and 36, would receive a one-percent premium penalty.

Adult men with body fat percentages between 11 and 14 and women between 16 and 23 would get a one-percent discount for maintaining a “good” body fat percentage. Those men with body fat percentages between 15 and 20 and women with body fat percentages between 24 and 30 would pay no penalty nor receive a discount for maintaining “acceptable” body fat percentages.

These discounts and penalties would motivate consumers to improve their health in order to save money, in turn, lowering premiums for everyone by improving the overall health of all consumers in the marketplace. The higher the U.S. climbs out of that 34th spot in overall health, the less everyone pays in health insurance premiums.

I pay roughly $135 monthly in health insurance premiums for a high-deductible, Bronze package I found on MNSure -- Minnesota’s equivalent to the Obamacare marketplace. I maintain an athletic body fat percentage under 10 (two-percent discount). I exercise and regularly exceed the Department of Health and Human Services’ weekly recommendations (one-percent discount). I don’t smoke (one-percent discount), and I don’t drink (one-percent discount). I saw my doctor twice last year (two-percent discount). Add it all up and I’d save seven percent on my monthly health insurance premiums, or a measly $9.45 monthly. That’s over $113 annually, though, much of which would be recouped from the penalties assessed to the unhealthy. I could think of a lot of things on which I could spend that $113. It would be nice to be able to afford a steak once in a while.

While Medicare-for-All is picking up steam in Liberal circles, it’s still at least three years away from being seriously considered by Congress as a solution to ever-increasing healthcare costs. Meanwhile, here’s a solution that addresses two problems: ever-increasing healthcare costs and the declining health of Americans overall.


If you like this, you might like these Genesis Communications Network talk shows: USA Prepares, Building America, The Easy Organic Gardener, American Survival Radio, Jim Brown’s Common Sense, Good Day Health, MindSet: Mental Health News and Information, Health Hunters, America’s Health Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, The Dr. Bob Martin Show, Dr. Coldwell Opinion Radio, The Dr. Katherine Albrecht Show, Drop Your Energy Bill

Published in News & Information
Tuesday, 24 April 2018 15:09

Can diet soda cause diabetes?

Another study suggests artificial sweeteners can increase one’s susceptibility to getting diabetes.

Research led by Dr. Brian Hoffman from the Medical College of Wisconsin and Marquette University, looked at rats who were fed artificial sweeteners and found they had changes in their fat and energy metabolism such that fat levels increased and protein was instead broken down to provide much-needed fuel. Diabetes occurs when people cannot break down and utilize sugar correctly (more discussed below).

This isn’t the first time artificial sweeteners have been linked to a glucose metabolism disorder.  In October 2016, researchers at Karolinska Institute found two diet drinks a day DOUBLES one’s risk of diabetes.

These studies are concerning as many people prone to high blood sugar opt for the “sugar-free” beverages, thinking they are protecting their health, when in fact they could be hurting it.

Why would artificial sweeteners have such an effect? One theory is our mouths and hence minds think something very sugary is coming down the pike.  Artificial sweeteners can be anywhere from 150-500 times sweeter than actual sugar. So the pancreas and other organs may ready the body for this huge anticipated “sugar load.”  When no sugar actually comes down the gullet and into the intestine to be absorbed, the body may eventually take a “boy who cried wolf” stance and not mount appropriate responses later.  Diet soda has been associated with weight gain, maybe due to the body’s metabolism slowing down as a result it feels it is “starving” when real food is not coming down the gut.

Another theory suggests sweeteners may alter the gut microbiome which has been discovered to be instrumental in a variety of physiological processes, including metabolism.  Another suggestion has been that sweeteners may interfere with the pancreas doing its optimal job by enhancing resistance to its main hormone in glucose metabolism, insulin.

A review of Diabetes

 

Diabetes is a disease in which the body doesn’t utilize and metabolize sugar properly. When we consume food, its broken down into proteins, nutrients, fats, water, and sugar. These components are necessary for cell growth and function. They get absorbed in the small intestine and make it to the bloodstream. In order for a cell to utilize sugar, it needs the hormone insulin to help guide it in.  It’s similar to a key that fits in the keyhole of the “door” of the cell, opening it up so sugar can enter.  Insulin is produced in the pancreas, an organ that receives signals when one eats to release insulin in preparation of the sugar load coming down the pike.

Diabetes explained

 

So I imagine our mouth like a waiting room, the blood stream like a hallway, and the cells of the body the rooms along the hallway. Insulin is the key to open the cells’ “doors” allowing sugar to enter.  If the sugar does not get in, it stays in the bloodstream “hallway” and doesn’t feed the cell.  Weight loss occurs, and individuals may become more thirsty as the sugar in the blood makes it fairly osmotic, something the body wants to neutralize, reduce.  The kidneys are going to want dump the excess sugar, so to do so, one would urinate more, again causing thirst.  So when a diabetic loses weight, urinates more frequently and becomes thirsty, you now understand why.

Type I vs. Type II vs. Type IIIc Diabetes

 

Type I Diabetes, previously called insulin dependent or Juvenile diabetes, occurs when the pancreas doesn’t produce insulin, possibly from the immune system destroying the cells that produce the hormone. When this occurs there is rapid weight loss and death could occur if the cells don’t get the sugar they need. Insulin has to be administered regularly.

Type II Diabetes, previously called non-insulin dependent or adult-onset diabetes, occurs in those who began with a fully functioning pancreas but as they age the pancreas produces less insulin, called insulin deficiency, or the insulin produced meets resistance. This is the fastest growing type of diabetes in both children and adults.

Type IIIc diabetes may occur in individuals who suffered damage to their pancreas.  Inflammation/infection of the pancreas (pancreatitis), a pancreatic tumor, or surgery affecting the pancreas may destroy the beta cells that produce insulin.

Complications of Diabetes

 

Cardiovascular disease – Sugar is sticky, so it can easily add to atherosclerotic plaques.

Blindness – high sugar content draws in water to neutralize and small blood vessels in the eye can only take so much fluid before they burst.  Moreover, high blood sugar weakens blood vessels.

Kidney disease – the kidneys work overtime to eliminate the excess sugar. Moreover, sugar laden blood isn’t the healthiest when they themselves need nourishment.

Infections – pathogens love sugar. Its food for them.  Moreover blood laden with sugar doesn’t allow immune cells to work in the most opportune environment.

Neuropathy – nerves don’t receive adequate blood supply due to the diabetes-damaged blood flow and vessels, hence they become dull or hypersensitive causing diabetics to have numbness or pain.

Dementia – as with the heart and other organs, the brain needs healthy blood and flow.  Diabetes has been found to increase risk of Alzheimer’s as well.

What is insulin resistance?

 

Insulin resistance, if using our hallway and door analogy, is as if someone is pushing against the door the insulin is trying to unlock. As we know, those with obesity are at higher risk for diabetes, hence fat can increase insulin resistance. It’s also been associated with an increase in heart disease.

Blood sugar numbers

 

If your fasting blood sugar (glucose) is greater than 126 mg/dl, or your non fasting blood sugar is greater than 200 mg/dl, you may be considered diabetic.  Pre-diabetes occurs when the fasting blood sugar is between 100 and 125 mg/dl.  If ignored, and the sugar rises, pre-diabetics may go on to develop diabetes.

 

 

dmp-blood-sugar-levels-chart

SOURCE DIABETESMEALPLANS.COM

 

Preventing/Controlling Diabetes

 

1/3 of American adults are currently pre-diabetic. Experts predict 1/3 of US Adults will be diabetic by the year 2050.  Although genetics plays a big role, decreasing ones sugar intake and maintaining an active lifestyle can help ward of diabetes.

Foods high in sugar and carbohydrates increase one’s risk, so a diet rich in vegetables and lean meats is preferred.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information

Cannabis plants produce cannabinoids, or chemicals that can induce an effect on the body. When cannabinoids are produced by a plant they are called phytocannabinoids. Humans produce their own cannabinoids, called endogenous cannabinoids. Laboratory  or synthetically produced cannabinoids are called synthetic cannabinoids.

The human body has a very intricate endocannabinoid (endogenous cannabinoid) system, with receptors throughout our brain, organs, glands, and immune system. Hence a wide variety of physiological responses, occur when these receptors are stimulated by cannabinoids.  These include responses to sleep, memory, appetite, pain, immune response, mood, and cell damage repair and death, Research is currently investigating what endogenous chemicals the human body produces, but the majority of medical discussions surrounding cannabinoids includes the phytocannabinoids.

Cannabis plants produce many phytocannabinoids, but the most well known and studied include CBD (cannabidiol) and THC (Tetrahydrocannabinol).  The latter is psychoactive, meaning it can give the user a feeling of euphoria.   The former, CBD, in non-psychoactive and researched more than others for its medicinal benefits.

Now plants, just like animals, are classified from Kingdom (Plantae) down to Genus and species.  Cannabis comes in a variety of species, including the major ones:  C. sativa, C. indica and C. ruderalis.

 

57e622c231eb042b35e775bc0742ad54.png

 

C. ruderalis is less popular as it has a lower THC content. However it has “autoflowering” qualities, making them useful to cultivators, and if bred with C. sativa or C. indica could enhance the new hybrid in its reproduction.

C. sativa has a higher THC/CBD ratio, hence can provide more euphoria.  It reportedly helps decrease anxiety, treat depression and increase appetite.  It’s been touted to increase energy and boost creativity. It's also used to help manage attention deficit disorder. Although not approved yet in the US, an oral spray, nabiximol, has been developed and sold in multiple countries to treat neuropathic cancer pain. Its brand name is sold, by prescription, as Sativex® .

C. indica has a higher CBD content and has been used for its sedative properties.  It's also used to help anxiety and induce appetite, but will additionally be used to treat pain and muscle spasms.

 

a3525bf41cd606aa53461a87ec709345.jpg

Epidiolex has received FDA approval to treat some seizures. Its high CBD component is credited for its anti-seizure activity.

There are multiple other strains, each touted to have their own unique properties.  420medbook.com provides the below table.

 

 

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The challenge, however, is the lack of medical research in each of the different strains. And when a study does come out discussing the medical advantages or disadvantages to using cannabis medicinally, the specific strain may not be mentioned or easily found in the report.

I believe that various strains do have unique properties and there is an art to the field of medical marijuana but more research needs to be done and quickly to avoid random use of cannabis products for treatment of medical conditions.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information
Friday, 13 April 2018 16:41

Out of breath when climbing stairs?

Millions of Americans have, at some point in their life, experienced shortness of breath, or dyspnea. Sometimes it’s a sign of being out of shape, sometimes it’s from being overly excited, but sometimes it’s due to a severe medical condition.

A study performed by the British Lung Foundation, found the following surprising statistics:

3 in 10 adults gasp for air after climbing a flight of stairs

4 in 10 gasp for air when trying to run to catch a bus

2 in 10 suffer from shortness of breath at some point during the day

25% have difficulty breathing during sex

Most adults experience shortness of breath at least 6 times a week

Study participants were given a survey asking about their activity and stamina, and 25% admitted to exercising less than once a week.

So are we out of shape?  Or is shortness of breath a sign of significant disease?

What causes shortness of breath?

 

Being “short of breath” is a response by both the heart and lungs to not enough oxygen getting circulated throughout the body. This could be due to a variety of factors:

Lung disease

 

lungsDiagram-260x252-rd1-enIL

 

Lung disease prevents blood from becoming oxygenated such as:

  • pneumonia (lung infection)
  • pulmonary embolism (blood clot)
  • pneumothorax (collapsed lung)
  • bronchitis (inflammation of the bronchioles)
  • bronchospasm
  • asthma
  • emphysema
  • interstitial lung disease
  • lung cancer
  • choking or obstruction
  • anaphylaxis, severe allergies

and more.

All of these may give the sensation of being “short of breath.” The body then detects the lungs can’t do their job so signals are sent to dilate bronchioles to increase oxygenation, increase respiratory rate and increase heart rate to rush more blood into the lungs.

Heart Disease

 

Heart conditions that can cause shortness of breath include:

  • heart attack
  • congestive heart failure
  • inflammation/infection of the heart or its valves (pericarditis, endocarditis)
  • arrhythmia – abnormal heart rhythm

 

heart-failure

 

These above conditions could prevent the heart from doing its job, pumping blood, so if the body detects lack of oxygenated blood, signals get sent to increase heart rate and respiratory rate as well.

Anemia

 

Anemia is a condition where the body lacks enough healthy red blood cells and/or hemoglobin responsible for bringing oxygen to organs and tissues. Suffering from anemia may result in shortness of breath.

 

So when is shortness of breath worrisome?

 

If one is out of shape, as soon as the exercise, or climbing the flight of stairs, ceases, the respiratory rate will normalize within minutes. If it doesn’t or if other symptoms present with the shortness of breath, an underlying medical condition could be the cause.

Concerning co-symptoms include:

  • chest pain
  • wheezing
  • dizziness
  • cough
  • fatigue
  • weakness
  • pain with breathing
  • anxiety
  • sputum production
  • wheezing
  • headache
  • blurry vision

Although current guidelines recommend exercising with moderate intensity 150 minutes a week, any activity that induces shortness of breath or any of the above symptoms should be evaluated by a medical provider.  If one has been inactive for years and wants to start becoming physically fit, its best to discuss a conditioning plan and current heart health with one’s medical provider with protocols on how to address shortness of breath during workouts.

 

Decoding-Physical-Activity-Guidelines

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Published in News & Information

If you’re a cannabis user living in one of the 42 states where cannabis is still illegal without a prescription, you’re probably planning to march down to your capitol building and lobby your representatives to end cannabis prohibition on April 20. To effectively lobby your representatives requires more than just the commitment to get off the couch one day a year to sit down with your representatives, or more likely, representatives of your representatives, and requesting they support legislation to legalize cannabis in your state.

I was lucky enough to win a scholarship from Students for Sensible Drug Policy (SSDP) to lobby my representatives in Washington D.C. in June of 2013 to legalize cannabis federally. It was a most rewarding experience, and I picked up a few things at a lobbying training seminar led by then executive director of SSDP, Aaron Houston. So here’s the cannabis user’s guide to lobbying on 4/20.

1. Don’t be Stoned

You have to understand that your representative isn’t going to appreciate you wasting his or her time or the time of his or her staff with your drug-induced ramblings. Even if you are a capable orator under the influence, just the appearance or odor of being stoned can undo all your good work and that of your sober comrades.

Getting arrested for smoking a joint at your capitol doesn’t look good, either, so if you must smoke, stay at home on 4/20, where you can still submit a comment to the Food and Drug Administration to remove cannabis from the list of Schedule I drugs. The FDA is requesting interested persons to submit comments concerning abuse potential, actual abuse, medical usefulness, trafficking, and impact of scheduling changes on availability for medical use of five drug substances: the cannabis plant and resin, extracts and tinctures of cannabis, delta-9-tetrahydrocannabinol, stereoisomers of tetrahydrocannabinol and Cannabidiol. Comments are due by April 23.

2. Dress to Impress

If you wish to be treated as an equal by your representatives or their representatives, dressing as they do is a good place to start. You can’t expect your representatives to thoughtfully consider your recommendations if you’re wearing sweatpants and tennis shoes and look like you just rolled out of bed.

The dress code for members of state congress is business professional, which is exactly what you should be wearing while working in their arena. That’s either a suit or a collared shirt, slacks, a tie and dress shoes for men, and a business suit or an appropriate blouse and skirt or dress for women. “Appropriate,” in this case, refers to an appropriate amount of naked skin displayed, which should never be used as a means to your end. You want your representative to respect you, not covet you.

3. Sell Yourself

You’re not just selling your stance; you’re selling yourself. There’s hardly an instance you’re not selling yourself, but in this case, it’s especially important to approach the lobbying of your representatives as you would a job interview. Your interviewers should want to have you back when you leave.

Your representatives can’t dislike you and like your stance. They have to like you before they will even consider your stance. The old saying “you’ll catch more flies with honey than vinegar” is never more true than when lobbying your representatives. Turn up the charm to 11. Smile, and if you can make your representative laugh, you’ll be well on your way to achieving your first goal in lobbying your representatives: being liked.

4. Appeal to the Heart, Not the Head

It might not seem like it at times, but politicians are people, too. They have family and friends they love just like you, and appealing to their feelings will force them to empathize with you. Tell them a personal story of why you use cannabis and how it has helped you. Make yourself the hero of your story and make it easily relatable.

For example: “I suffer from degenerative disc disease that causes chronic lower back pain. Upon being diagnosed at 23 years old, I was immediately prescribed opioids to manage the pain. The plan was to manage the pain until it became surgical, which is when the pain travels down the back of a leg and past the knee. It took a year for my pain to become surgical, and had I not applied for and received a medical marijuana prescription in Montana during that time, I’d either be addicted to opioids or dead.

Once I received my medical marijuana prescription I had no need for the opioids, the dosage of which had increased almost every time I needed a refill. Cannabis is a safer and healthier means of managing chronic pain than opioids, and research has shown that medical marijuana laws may reduce deaths from opioid overdoses.

But people are struggling with ailments and diseases for which medical marijuana prescriptions aren’t allowed, too. I am also an alcoholic, and I’ve been alcohol-free since October 4, 2017. But I couldn’t imagine kicking alcohol without cannabis, and I and thousands of other alcoholics don’t qualify for medical marijuana prescriptions to treat our disease. Instead, we’re called criminals for treating our disease in a safe and healthy manner. So cannabis, a drug that’s never killed a single soul, remains illegal while more than 1,000 Minnesotans die annually from alcohol.”

A cannabis prohibitionist needs a reason to change their mind on cannabis legalization. If they find out their alcoholic family member could quit drinking with the help of cannabis, they’d be more likely to adopt your stance than if you were to feed them a bunch of statistics about fewer fewer deaths in states where medical marijuana is legal.

5. Remember, You’re the Expert, Not Them

Your representatives are overwhelmed with legislation spanning a multitude of topics, so it’s unlikely they have a firm grasp on a specific topic unless it’s one of their campaign talking points. Given the reluctance of just about every politician to openly discuss cannabis, in almost every instance, you will know more about cannabis and the effects of cannabis prohibition than your representatives.

You are not lobbying your representatives because of your good looks. You’re lobbying your representatives because you know something they don’t that will help inform their eventual decisions on the matter. Deliver your message knowing you are an authority on the subject, and the confidence you exude will go a long way in persuading your representatives.


If you like this, you might like these Genesis Communications Network talk shows: America’s Healthcare Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, Dr. Coldwell Opinion Radio, Drew Pearson Live, Good Day Health, Health Hunters, Herb Talk, Cannabis A to Z

Published in News & Information

Once hailed as a hero to curbing our deadly tobacco epidemic, vaping has now become more popular than smoking cigarettes among middle and high school students.

Last month the CDC reported that 4.3 percent of middle school students and 11.3 percent of high school students vape e-cigarettes. This week, results from a 2016 National Youth Tobacco Survey cite a 900% jump in use among teens from the years 2011-2015, with half a million middle school students and 1.7 million high schoolers having vaped within the last 30 days.

As more studies finalize, we’re anticipating these numbers to rise even higher.

Although electronic cigarette products are not to be purchased or used by those under 18, teen use of Juul and other vaping products have gone viral.

“RJ,” who asked to remain anonymous, is a senior at a local Las Vegas high school and states, “Almost everyone vapes.  No one smokes anymore due to the health risks. They think vaping is safer and cooler. Smoking’s out, vaping - definitely in.”

Students who were never destined to pick up a stick of tobacco have become new recruits to the inhaling industry, being duped by the flavors and image of a “safe way to look cool.”

The Juul casing is particularly attractive. It looks like a flash drive so it/s sleek, smooth and easy to hide.

juul.png

 

The flavored nicotine & e-juices, are a huge draw to those who would never tolerate the smoky taste of tobacco. These can include almost any taste preference such as chocolate, vanilla custard, strawberry, bananas foster and even margarita flavor.

 

 

japan recipe_nq0m.jpg

IMAGE FROM  NOVELECIG.COM

 

Vaping is Addictive

 

At the start of the year a landmark study found teens who start vaping were 2.5 times likely to become tobacco smokers within a year, suggesting vaping is a gateway drug to later smoking cigarettes. The nicotine introduced in the e-cig can get children hooked fairly quickly such that they may be drawn to unfiltered cigarettes when vaping isn’t enough.

 

Vaping is Risky

 

Vaping is not without its risks. Last month a study from Johns Hopkins Bloomberg School of Public Health revealed toxic levels of lead from the heating coil element leak into the vaporized fluid that is inhaled.  The month before, a study from New York University found vaping to increase risk of heart disease and cancer. In 2015 a University of Minnesota study found e-cig vapor to include chemicals such as formaldehyde and various metals that are linked to bladder cancer. For more on these studies read  here.

Even handling the e-juice has its risks. In March, John Conway, Assistant Principal of Jamestown High School in North Dakota, fell ill after confiscating a device and it’s juice from two high school students. He became nauseous, dizzy, had huge emotional swings and suffered from an intense headache, highlighting the danger e-juice could pose to young kids and pets.

As parents and schools try to combat the growing vaping epidemic, care needs to be taken with the handling and disposing of the concentrated nicotine liquid.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Published in News & Information

June 1st marks the official start of Hurricane season and runs until November 30th.  September is usually the most active month. Hurricanes are categorized by their wind speed as designated as the following:

 

Category I have sustained winds of 74 to 95 mph

Category II have sustained winds of 96 to 110 mph

Category III have sustained winds of 111 to 130 mph

Category IV have sustained winds of 131 to 155 mph

Category V have sustained  winds of over 155 mph.

In a given year, the Atlantic Ocean averages 12 hurricanes with 2 becoming “major” meaning a Category III or greater.  Hurricane Katrina in 2005 was at one point a Category V and when it hit landfall it was a Category 3-4 (depending on the source), tragically killing over 1800 people and causing $108 billion in damage.  The deadliest hurricane to ever hit US soil was the Great Galveston Hurricane of 1900 in which over 10,000 people died.

According to the National Oceanic Atmospheric Administration, The Weather Company and Colorado State University, the 2018 Hurricane season will be above average in activity, with possibly 14 named storms, 7 of which are expected to become hurricanes, 3 of which could become major hurricanes.

2017 was a particularly active hurricane season with three major hurricanes hitting the US.  Dr. Phil Klotzbach, of the Colorado State University Tropical Meteorological Project, stated in 2017, “While the tropical Atlantic is warmer than normal, the far North Atlantic remains colder than normal, potentially indicative of a negative phase of the Atlantic Multidecadal Oscillation (AMO). Negative phases of the AMO tend to be associated with overall less conducive conditions for Atlantic hurricane activity due to higher tropical Atlantic surface pressures, drier middle levels of the atmosphere and increased levels of sinking motion.”

This year he states, “Last season had near-record warm sea surface temperatures in the tropical Atlantic.”  He continues, “If El Niño were to suddenly develop, that would certainly knock down our forecast.”

El Nino is refers to a ocean-atmospheric interaction where sea surface temperatures rise near the equatorial Pacific, causing increase wind shear in the Atlantic equatorial region and has been linked to highly active hurricane seasons.

This year’s names for the 2018 Hurricane Season are the following

Atlantic

Alberto

Beryl

Chris

Debby

Ernesto

Florence

Gordon

Helene

Isaac

Joyce

Kirk

Leslie

Michael

Nadine

Oscar

Patty

Rafael

Sara

Tony

Valerie

William

 

Pacific

Aletta

Bud

Carlotta

Daniel

Emilia

Fabio

Gilma

Hector

Ileana

John

Kristy

Lane

Miriam

Norman

Olivia

Paul

Rosa

Sergio

Tara

Vicente

Willa

Xavier

Yolanda

Zeke

If I was going to predict on names alone, I’d forecast Helene, Isaac and Kirk to be doozies.

Hurricane Kate 300px.jpg

How to prepare for the hurricane season

Preparation means starting early.

Make sure you keep informed of the latest alerts and official recommendations.

Evacuate when told to do so by city officials.

Many people will try to tough it out and unfortunately get walled up in their homes.  So make sure you have adequate water (1 gallon per day/person for at least three days) and 1/4 – 1/2 gallon/water/ per pet, except the fish obviously.

Canned foods, flashlights, medical supply kit, batteries, blankets, cash, medications in water proof containers should be set aside for disasters, and put important papers in waterproof/fireproof casings.

According to ready.gov, its recommended to do the following:

  • Hurricane winds can cause trees and branches to fall, so before hurricane season trim or remove damaged trees and limbs to keep you and your property safe.
  • Secure loose rain gutters and downspouts and clear any clogged areas or debris to prevent water damage to your property.
  • Reduce property damage by retrofitting to secure and reinforce the roof, windows and doors, including the garage doors.
  • Purchase a portable generator or install a generator for use during power outages. Remember to keep generators and other alternate power/heat sources outside, at least 20 feet away from windows and doors and protected from moisture; and NEVER try to power the house wiring by plugging a generator into a wall outlet.
  • Consider building a FEMA safe room or ICC 500 storm shelter designed for protection from high-winds and in locations above flooding levels.  

Always have an emergency plan, practice it with family members, discuss with distantly located relatives how you will notify each other of your safety, and stay tuned to your radio, TV, wireless emergency alerts encase evacuations are ordered.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information

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