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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Meet Dr. Disha Spath

Dr. Disha Spath, an internal medicine physician originally from Georgia, was excited to start a new position at Twin Rivers Medical, P.C., in Hoosick Falls, NY, on April 20th. But then COVID-19 struck. As practice appointments plummeted and the potential for a surge of COVID-19 patients rose, Dr. Spath volunteered to take a temporary assignment serving in-patients with SVMC’s Hospital Medicine Department.

SVMC: Already new to the health system, what was it like to have your plans change from practice-based medicine to hospital medicine so suddenly?
DS: Well, to be honest, it was a little scary given the times. I had to come to terms with the fact that I could possibly expose my family to SARS-CoV-2. My husband and I had some tough conversations and came up with a risk-mitigation strategy… [Then] I actually reached out to Trey, [the chief medical officer,] and volunteered to help out in the hospital. I've been a primary care physician recently, but I'm not too far removed from hospital medicine. In fact, I was already planning on picking up some per diem hospitalist work later this year. I just decided to move the timeline forward a bit to help with COVID-19.  This is what I'm trained for. I felt it was my duty to step up and help during the pandemic.  

SVMC: How has it been working with the hospitalists to treat both COVID and non-COVID patients?
DS: The hospitalists have been so kind and generous. They have really taken the time to bring me up to speed with the hospital and have been very gracious with training me on the computer system. I am really thankful that they have included me in their top-notch team. I'm also so very impressed by how involved and thoughtful the leadership is. The way the hospital leadership has ensured adequate PPE for staff and has created the workflows so quickly to deal with COVID-19 is truly inspiring.  

SVMC: What have you noticed or learned about the culture of the health system or the area?
DS: I am really struck by how everyone is so interconnected and how supportive the community is of its healthcare staff. It is very touching to see all the donations of homemade masks, skullcaps, and food to the hospital. I also love that the hospital staff seems to know their patients' home situations and their medical histories so well. 

SVMC: How do you expect your work at Twin Rivers will be affected by your having started your position at the hospital?  
DS: Yes, since hospitalists and primary care physicians often hand off patients, I'm really looking forward to building rapport with the hospitalists. I'm also hoping to meet the specialists I will be referring to. It will be helpful to have an insight into the workflow of the hospital when I refer patients for admission. And I'm already starting to meet some of our lovely patients in Hoosick Falls. Overall, I believe this will be a really positive thing for my work at Twin Rivers. I'm honored to join the area and I hope I can contribute positively to this special community.  

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