Grace Weatherby
/ Categories: WELLNESS, 2024

Diabetes Management: What You Do Today Impacts All Your Tomorrows

According to Paula Haytko, a diabetes educator with Southwestern Vermont Medical Center (SVMC), one of the biggest challenges—and surprises—for people living with diabetes is the damage it can cause behind the scenes; damage that can lead to life-altering complications that can’t be undone once they set in.

“It helps to visualize the sugar, or glucose, in your blood like sugar in water,” says Haytko. “The more sugar you add to water the thicker and stickier it gets. It goes from running smoothly to flowing slow like syrup and then basically oozing like sugar-rich honey.”

“If you don’t consistently manage your glucose levels, your blood also thickens and get sticky.  The stickier it gets the slower it moves, the less oxygen it delivers throughout that body, and more likely it is to clog blood vessels. The damage results when cells and organs become oxygen starved.”

She adds, “What many people don’t realize is that even though you’re feeling fine today, damage may be occurring within your body. By the time symptoms of a problem appear, it’s often too late to reverse the course or undo the damage that’s already been done.”

Haytko encourages anyone living with diabetes—no matter how recently diagnosed or how long—to join SVMC’s Diabetes Education Program. Offered at the hospital and several SVMC primary care campuses, the program is free of charge and teaches patients how to monitor their glucose levels, improve their numbers through simple lifestyle changes, and more.

“Diabetes is a life-long condition. It’s never too late to start making changes that will help you maintain the best quality of life now and in the future.”

Unmanaged, diabetes can do irreparable harm to your body. Here’s a look at common complications you can avoid through lifestyle changes and staying on top of your condition.

  • Blindness: diabetes is the number one cause of blindness in the U.S.
  • Non-traumatic amputation: diabetes is the number one cause of non-traumatic limb loss in the U.S.
  • Kidney disease
  • Eye disease
  • Heart and vascular disease
  • Nerve damage
  • Hearing impairment
  • Skin and mouth conditions
  • Dementia and Alzheimer’s disease

Click here learn more about SVMC’s Diabetes Education Program.

 

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Introducing Dr. Amy Freeth

Amy E. Freeth, MD, resumed endocrinology services at SVMC in March 2020. The practice, known as SVMC Endocrinology, is a part of Southwestern Vermont Medical Center (SVMC) and Southwestern Vermont Health Care (SVHC). It replaces the Bennington Osteoporosis Center, where Dr. David Gorson had provided similar services to the community until his retirement in 2019.

How do you describe endocrinology to people who don’t know what it is? The endocrine system is made up of glands that make hormones. These hormones are chemical messengers that travel via the bloodstream to communicate with the cells and organs of the body. Hormones are important for growth, development, mood, metabolism, and reproduction. These glands include the pituitary, thyroid, parathyroid, pancreas, adrenal, testes, and ovaries.

Endocrinology is a practice of medicine that specializes in disorders of these systems. Disorders most commonly are related to underactive or overactive function of these glands and require replacement of the hormone or specific treatments such as medications, ablation, or surgery.

Since hormones function in feedback loops and are part of a larger complex functional system that exists in flow with the human body, replacement hormones or treatment of endocrine disorders can be challenging and involve changes to our lifestyles that support the optimal functioning of the body.

What diagnoses are most common among the patients you treat?  Pituitary tumors, hypothyroidism, hyperthyroidism, thyroid nodules, thyroid cancer, hyperparathyroidism, osteoporosis, diabetes, adrenal insufficiency, Cushing’s disease, primary hyperaldosteronism, pheochromocytoma, obesity, and polycystic ovarian syndrome.

What sorts of treatments do you offer? I offer comprehensive consultation and management of endocrine disorders. I also interpret testing and make treatment plans for endocrine disorders. I also provide interpretation of bone density reports and perform fine needle aspiration biopsies in collaboration with Radiology Associates of Bennington. Technology is increasingly becoming more important in the management of diabetes. Technology includes glucose meters, insulin pumps, and continuous glucose monitoring (sensors). I work with certified diabetes educators to create a team approach to diabetes management. As we develop this new department, we are looking for innovative ways to help people regain and optimize their health. I have training in nutrition counseling and health coaching to help people find their path to good health.

Why is it important for patients who need an endocrinologist see them regularly? Your endocrinologist is part of your health team and has experience and a deep understanding of what is happening within your body to help assess, guide, and co-manage your disorder. There is testing that may need to be done to make sure you are living with optimal hormonal balance. Allowing hormones to run too low or too high can have lasting adverse effects on the body leading to other disease or imbalances.

How do you help protect patients who need to come into the office from infections, like COVID-19? At this time, I am seeing patients via telemedicine and phone visits. This week we are starting to see a portion of our patients in the clinic. Patients can register on the phone and wait in their car until the room is ready. Patients will be screened for fever and should wear a mask. Staff will wear proper protective equipment and follow guidelines for handwashing and cleaning of the rooms.

Since many patients who will likely want to come to the endocrinology clinic will be members of high-risk populations (diabetes, hypertension, obesity, and the elderly), patients will have a choice of the type of visit they have.

Dr. Freeth sees patients 8 a.m. – 5 p.m. Tuesday - Thursday in Suite 307 of the Medical Office Building located at 140 Hospital Drive in Bennington. For an appointment, call 802-447-4555. The schedule will expand to additional days as needed.

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