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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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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