Diabetes can strike at any age.

DR. D-Childhood Diabetes

As shown in the graph from the Center for Disease Control below it is evident that childhood diabetes is on the rise in the United States.
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The most typical type to look for in children is type one. This is not to say that type two is not of concern, it just typically appears more in the late twenties to thirties. Let’s consider the risk factors and preventative measures of both types to make sure your child is covered:

Risk Factors of Type One Diabetes:

Family History: Anyone with a parent or siblings with type one diabetes has a slightly increased risk of developing the condition.

Genetic Susceptibility: The presence of certain genes indicates an increased risk of developing type one diabetes.

Race: In the United States, type one diabetes is more common among non-Hispanic white children than among other races.

Risk Factors of Type two Diabetes:

  • Not active
  • Overweight
  • Other family members with type two diabetes
  • High blood pressure
  • African American
  • Hispanic American
  • American Indian
  • Asian American

Environmental Risk Factors of both types:

Certain Viruses: Exposure to various viruses may trigger the autoimmune destruction of the islet cells.

Diet: No specific dietary factor or nutrient in infancy has been shown to play a role in the development of diabetes. However, early intake of cow’s milk has been linked to an increased risk of type one diabetes, while breast-feeding might lower the risk. The timing of the introduction of cereal into a baby’s diet also may affect a child’s risk of type one diabetes.

Signs it is Time to take your Child to see a Healthcare Provider:

  • If your child feels sick, tired, sleepy and thirsty
  • Goes to the bathroom to urinate frequently; gets up at night to urinate
  • Has no energy to play, work or have fun
  • Has blurry vision

The diagnosis of diabetes can be overwhelming considering it requires consistent care, medication and monitoring, but with adapting a healthy lifestyle of exercise, diet and taking the proper medication the disease becomes far easier to manage. If your child has the risk factors but has not been diagnosed take preventative measures to ensure they stay in good health and diabetes free!

To schedule a consultation please call us at 614.299.9909 today!

 

#mdcare4you, #osudoc
Source: Mayoclinic.com, Center for Disease Control (photo)

 

 

Eight early symptoms of Alzheimer’s disease

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Research shows that Alzheimer’s is a complex neurological disease where brain cells die and causes memory and cognitive loss. The disease, which starts mild and then advances to worse, is known for being the most common form of dementia.

Unfortunately in the United States, more than five million people suffer from the disease and more than 10 million provide care to someone who is suffering.

We complied a list of common symptoms to look for if you believe that a loved one is developing Alzheimer’s:

  • Are they experiencing memory loss? Often, one of the most common early symptoms of dementia is forgetting recently learned information. Usually the person starts to forget more often and is unable to remember the information later.
  • Do they have problems with performing familiar tasks? This usually begins to happen with everyday tasks, such as forgetting how to make a telephone call, how to cook a meal, etc.
  • Are they having difficulty with language? One who is developing Alzheimer’s will begin to forget simple words or substitute words.
  • Have you noticed them having disorientation to time and place? You will begin to notice big changes, such as them getting lost in their own neighborhood or forgetting where they are and then not knowing how to get home. You may also find them just wandering.
  • Has their judgment decreased? It’s very important to look for this. Too many times someone who is developing Alzheimer’s will lose their best judgment and end up giving large sums of money away. It is also common for them to begin dressing inappropriately.
  • Have they began to misplace items? The person may begin to place objects in unusual places, such as their phone in the refrigerator or placing their laundry in the trash.
  • Do you notice a sudden change in mood behaviors or personality? Someone who is developing Alzheimer’s may begin to experience very noticeable mood swings that are caused by no apparent reason.
  • Is there a loss of initiative? They may begin to lose interest in their favorite activities or begin to sleep more than usual. It’s important to look for signs of them beginning to become very passive.

If you feel that a loved one is developing these symptoms, please call Dr. Schumacher at (614) 299-9909 to set up an appointment to discuss treatment options.

For a additional resource read the 36 hour day book by Nancy Mace.

#mdcare4you,#grandviewdoc,#alzheimers, #OSUdoc

 

 

Alcohol abuse: the not-so silent killer

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Research shows that more than 17 million people in the United States are dependent on alcohol.

Alcoholism, also known as alcohol dependence or alcohol use disorder, is the most severe form of alcohol abuse. It is a chronic disease that affects family and professional responsibilities, as well as the individual’s physical and mental health. People who are dependent on alcohol will more than likely continue to drink, despite facing family, health or legal obstacles because they need it to get through the day. Alcoholics also have a high tolerance and suffer from withdrawal, which includes sweating, insomnia, nausea, depression, headaches and irritability, to name a few.

No age is exempt from alcohol addiction, however, abuse is highest with adults ages 18 to 29 and lowest among adults ages 65 and older. Depending on the user’s tolerance, some common effects of drinking include risk of injuries, increase in violence, liver disease, developing some types of cancer, slower reaction times, problems with hearing and seeing and a lower tolerance of alcohol.

The difference between alcoholism and alcohol abuse is very small; however, if someone is abusing alcohol but not yet dependent on it, they may experience some tolerance and some withdrawal but nothing as severe as an alcoholic.

Abuse can be noticed when a person is seen with a pattern of drinking that results in repeated disruption of responsibilities to work, school or home responsibilities. Other warning signs include:

  • Drinking in situations that are physically dangerous, such as while operating a vehicle or combining alcohol with prescription medication
  • Having legal issues, such as being arrested for driving under the influence
  • Reaching for alcohol as a stress reliever
  • Continuing drinking despite having relationship problems that are caused or made worse by drunkenness.
  • No longer participating hobbies or activities that they were once involved in.
  • Lost control over drinking and can’t limit the amount they are drinking.

Since 1987, the National Council on Alcoholism and Drug Dependence, Inc., has designated April as Alcohol Awareness Month. This month focuses on increasing public awareness, reducing stigma and encouraging local communities to address alcoholism and alcohol-related problems.

We can all do our part to prevent abuse. A few ideas you can utilize this month to raise awareness are:

  • If you suspect that someone is already an abuser, don’t ignore the problem. Help them seek treatment. Recovery will be an ongoing process, which will require new coping skills, treatment, time and patience. All problems that led to the abuse in the first place will have to be faced.
  • Share tips with parents to help them talk with their kids about alcohol usage. The earlier they talk to their children, the less likely they are to drink underage. Plus, the longer children wait to start drinking, the less likely they are to develop.
  • Talk with anyone you know who may be suffering from the disease. Challenge them to keep track of their drinking by setting limits.
  • Encourage alternative activities to teens/young adults that they can do in place of drinking.

If you think that you or someone you know is suffering from alcohol addiction, please call Dr. Schumacher, M.D., at (614) 299-9909 to set up an appointment.

 

Still counting sheep after 100?

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With March designated as National Sleep Awareness Month, it’s all about raising awareness concerned with sleep, and making sure you’re getting enough of it.

Most Americans don’t know how much sleep they actually should be getting. Many experts say that between seven and eight hours of sleep each night is ideal; however, six hours of deep refreshing sleep is more beneficial than eight hours of light interrupted sleep.

Unfortunately, there are many factors that can lead to interrupted sleep, such as insomnia, stress, pain and snoring. In many cases, better sleep can be achieved through changes to our lifestyle and the way we think about things. To have a more restful sleep and to fall asleep faster, follow these tips:

  • Don’t drink caffeine
  • Stick to a sleep schedule—even on weekends
  • Don’t exercise at least three hours before bed
  • Take a warm bath
  • Create a bedtime ritual—this will tell your mind that it’s time to wind down for the day
  • Limit daytime naps
  • Include physical activities in your daily routine

It is typical for everyone to have a night of interrupted sleep here and there, but getting inadequate sleep on a regular basis can reduce concentration, cause mood swings, cause irritability, increase stress and weaken the immune system.

Many people don’t take sleep seriously, viewing it as just the body’s way of shutting off until morning. However, sleep is actually a complicated process that helps maintain your health and helps you feel rested for the following day.

Sleep is divided into four stages—with the amount of time spent in each stage of sleep varying by cycle, with a deeper sleep happening earlier in the night and a more dreaming sleep happening during the second half of the night.

  • Stage One: This is the earliest stage of sleep. It is easy for you to be awakened, muscles begin to relax and may twitch and you begin slow eye movements.
  • Stage Two: This stage is our “average” sleep. It isn’t too deep and not too light. It’s actually the stage where you spend about half of the night. During this stage your body temperature drops, breathing and heart rate regulate, you lose sense of your surroundings and your blood pressure slows down.
  • Stage Three: During this stage energy is restored, hormones are released, brain is actively dreaming and we have even slower brain waves. This is our deepest sleep for the night.
  • REM: We spend about 20 percent of the night in the stage. During this stage eyes dart rapidly, muscles are paralyzed and we have irregular breathing and heart rate. This stage is where we see vivid and imaginative dreams.

Just like most things, sleep cycles aren’t an exact science, and may vary from one person to the next. For more information about National Sleep Awareness month, or if you feel that you or someone you know isn’t getting a good night’s sleep, contact Dr. Schumacher, M.D., at (614) 299-9909 to set up an appointment.

Low testosterone risks and benefits

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Source:freedigitalphotos.net

It’s natural for testosterone levels to decrease as men get older.

Testosterone is a hormone that is mainly produced in the testicles, although low levels of testosterone can also be found in women. Normal levels of testosterone range from about 300 to 900 nanograms per deciliter.

Though society generally equates testosterone with machismo and sex drive, this hormone is responsible for much more. In addition to helping men maintain their sex drive and sperm production, testosterone also regulates red blood cell production, bone density and muscle mass. Testosterone production is at its prime during the teen years and in early adulthood then gradually decreases as men begin to age.

Though this decrease is normal, the effects that Low T can have both mentally and physically can be confusing, and at times, quite frustrating.

Common symptoms of low testosterone include:

  • Low sex drive
  • Difficulty achieving erection
  • Low semen volume
  • Hair loss
  • Fatigue and lack of energy
  • Loss of muscle mass
  • Increase in body fat
  • Decrease in bone mass
  • Mood changes
  • Outlook and resources
  • Difficulty concentrating
  • Depression

Many of these symptoms, though, can be linked to other medical conditions, such as clinical depression, alcohol use and thyroid disorders.

If you think that you may be suffering from low testosterone, you are not alone. It is estimated that as many as 13 million Americans have Low T. The good news is that if your doctor has informed you that your testosterone is low, there are several hormone therapy treatments available to help you restore your testosterone levels. It should be noted that some of these hormone therapy treatments may have negative side effects, such as sleep apnea, acne breast tenderness, increased urination and weight gain. Side effects do go away if treatment is stopped.

In addition to hormone therapy treatments, there are also natural ways that you can help increase your testosterone, such as making changes in your diet, decreasing stress level and exercising.
If you think that you or someone you know is suffering from low testosterone, please call Dr. Schumacher, M.D., at (614) 299-9909 to set up an appointment.

When is it more than just pain…

cervical cancer

More than 12,000 women each year are diagnosed with cervical cancer and about one-third of those die as a result of cervical cancer.

That’s why January is a special month, and has been named Cervical Health Awareness Month by the American Social Health Association and the National Cervical Cancer Coalition. It was designed as a way for people to get involved to educate women about the importance of getting screenings and vaccinations. Have you been doing your part to raise awareness?

  • Spread the message through social media.
  • Display and distribute a cervical cancer awareness month poster.
  • Discuss it with friends and family

Even though cervical cancer symptoms can also indicate that an individual has just an infection, it is still recommended to seek treatment from your healthcare professional. It would also be wise to get a second opinion, especially from a doctor who is experienced with treating cervical cancer.

Symptoms of cervical cancer can include:

  • Bleeding after menopause
  • Bleeding between periods
  • Bleeding after intercourse
  • Bleeding after douching
  • Bleeding following a pelvic exam
  • Having heavier menstrual periods than usual or ones that last longer than usual
  • Unusual vaginal discharge
  • Pain during intercourse
  • Pelvic pain

Once an individual is diagnosed with cancer by a cervical biopsy, the next step is to determine the stage. A stage is assigned based on the size of the cancer, how deeply the cancer has invaded into the tissue around the cervix, if there are signs of cancer in the vagina, pelvis or local lymph nodes and if there are signs of cancer spread to other organs.

Stages range from stage1, which means cancer is in the cervix or uterus only, to stage IVB, which means the cancer has spread to distant organs, such as the liver.

It is crucial to seek treatment as soon as symptoms are noticed, because when detected at an early stage, the five-year survival rate is 91 percent. If you wait too long and the cancer has had a chance to spread to surrounding tissues or organs and/or the regional lymph nodes, the five-year survival rate is 57 percent. And, if the cancer has already spread to a distant part of the body, the five-year survival rate is just 16 percent.

So, with awareness, we will be able to help people get tested, understand their diagnosis and help them get the treatments that are needed. This will also help to find changes in the cervix before cancer develops, and before it goes beyond its most curable stage.

If you do suspect that you or someone you know may be suffering from cervical cancer, please call Dr. Schumacher, M.D., at (614) 299-9909 to set up an appointment.

Take five minutes to stay cancer free

DR. D art Colon3

Colon cancer is the third most diagnosed cancer and second leading cause of cancer deaths in both men and women in the United States. But it is also one of the easiest cancers to prevent and treat, provided you have regular screenings. Discuss screening recommendations with your doctor—who will take things like family history, diet and lifestyle into account. According to the Colon Cancer Prevention Project, if everyone aged 50 or older had recurring screening tests, at least 60% of deaths from colon cancer could be avoided. People at higher risk of developing colorectal cancer should begin screening at a younger age, and may need to be tested more frequently.

Precancerous polyps and early-stage colon cancer don’t always cause symptoms, which is why screening tests are important. Even if colon cancer has already developed, the Colon Cancer Alliance states that finding and treating it before symptoms are present result in a greater than 90% treatment success. Common colon cancer symptoms can include repeated bouts of cramping, indigestion, nausea, or vomiting; frequent bloody stools; diarrhea or constipation that lasts more than a few days or sudden and unexpected weight loss, then consult your physician.

The colonoscopy has been the standard screening test to check for cancer or pre-cancerous growths known as polyps. A colonoscopy allows your doctor to look at the inner lining of your large intestine using a colonoscope, a thin and flexible tube with an attached small video camera.

But people find preparation for a colonoscopy to be more difficult than the procedure. Colonoscopies require drinking a special solution or taking pills that empty out your bowels. You also need to restrict your food intake to a clear liquid diet, stop certain medications and stay home since you will frequently use the bathroom throughout the day.

The Fecal Immunochemical Test (FIT) is a newer non-invasive test for colon cancer. It’s done in the privacy of your home, requires no changes to diet or medication, doesn’t require any liquids or pills and takes only a few minutes. FIT is a screening test that uses a stool sample to detect colorectal cancer and pre-cancer. You do the test at home using a kit that you get at your doctor’s office (or pharmacy? Or mail? Which method does Dr. S. use?) You follow the kit’s enclosed instructions, collect a stool sample and (return it to Doc? Mail it to lab in pre-paid envelope?)

How does FIT work? Your colon sheds cells on a daily basis. These cells include both normal and abnormal cells that your stool picks up as it passes through your colon. FIT detects the DNA and blood released from any abnormal cells in your stool. A positive FIT result indicates abnormal bleeding in the lower digestive tract. Since this test detects only human blood, other sources of blood, such as from the diet, do not cause a false positive.

 

FIT is one of many tests used to screen for colon cancer. Which screening test you choose depends on your risk, preference and doctor. Have questions about what puts you at risk for colon cancer or which screening test is best for you? Contact our offices at 614.299.9909.

Heat Wave! Staying Safe in the Summer Sun

DR. D art skincare2It’s that time of year again. Long, hot summer days spent at the pool or just being outdoors to enjoy nature.

Keeping your skin protected from the sun is crucial to prevent sunburns as well as the risk of developing skin cancer. Sunscreen is the best way to keep your skin safe from the sun’s harmful rays. Educating yourself on different types of sunblock and its importance will help keep your skin safe this summer.

UVA, UVB, SPF…so many initials!

UVA and UVB are types of ultraviolet (UV) radiation emitted by the sun. Although the atmosphere’s ozone layer shields us from most of this radiation, the UV light that gets through can cause damage to our skin.

UVB light is primarily responsible for sunburn. UVA light penetrates the skin more than UVB light does and causes tanning. Both types of UV light contribute to premature skin aging, skin cancer and other types of skin damage.

SPF stands for “Sun Protection Factor.” The SPF number is a measurement of how well a product protects against UVB light. Contrary to what many people believe, SPF is not an indication of how much time you can spend in the sun. If you use a sunscreen with an SPF of 30 rather than one with an SPF of 15, it doesn’t mean you can stay in the sun twice as long. Rather, it means that a sunscreen with an SPF of 15 filters out about 93 percent of UVB rays. A sunscreen with an SPF of 30 offers slightly more protection because it filters about 97 percent of UVB rays.

Sunblock…how do I know what to use?

The best sunblock varies from person to person. However, most dermatologists recommend a broad-spectrum sunblock with UVA and UVB protection and a SPF rating of at least 30.

Sunblocks tend to be divided into two categories – chemical vs. physical agents. Chemical sunblocks work by absorbing the energy of UV radiation before it affects your skin. Physical sunblocks reflect or scatter UV radiation before it reaches your skin. Both agents are important, so look for sunscreens that have both.

There are many different varieties of sunblocks to choose from. Lotions, oils, sticks, gels, sprays and creams can all be effective sunscreens. All sunscreens should be applied 15-20 minutes before sun exposure to allow a protective film to develop, then reapplied after water contact and sweating. Reapplying every two hours is important, as some sunblocks can lose effectiveness after that time.

If you enjoying swimming or are involved in other water sports, water resistant sunblocks are available. Sunscreens can be labeled “water-resistant” (maintains the SPF level after 40 minutes of water immersion) or “very water-resistant” (maintains the SPF level after 80 minutes of water immersion).

Top 10 Sunblock Brands

Coolibar, the nation’s leading sun protective clothing manufacturer, conducted a survey to reveal the top 10 dermatologist recommended sunscreen brands. The survey was conducted at the 2013 Annual Meeting of the American Academy of Dermatology (AAD) in Miami Beach, FL.

The top 10 list is a mix of mass-market sunscreens and specialty brands. They are listed in order of the frequency with which they are recommended by dermatologists to patients:

  1. Neutrogena
  2. Aveeno
  3. La Roche-Posay
  4. Elta
  5. Vanicream
  6. Coppertone
  7. Blue Lizard
  8. Eucerin
  9. Solbar
  10. Fallene

New FDA Sunscreen Labeling

Currently, the FDA is proposing new regulations for sunscreen labeling. Under the new regulation, the agency has proposed that sunscreen labeling be expanded to provide a four-star rating system that informs consumers how well the product protects them against UVA light.

“For more than 30 years, consumers have been able to identify the level of UVB protection provided by sunscreens using only sunburn protection factor or SPF values,” said Andrew C. von Eschenbach, M.D., Commissioner, Food and Drugs. Under this proposal, “consumers will also now know the level of UVA protection in sunscreens, which will help them make informed decisions about protecting themselves and their children against the harmful effects of the sun.”

The proposed UVA rating system is as follows:

  • One star, low UVA protection
  • Two stars, medium protection
  • Three stars, high protection
  • Four stars, the highest UVA protection available in an over-the-counter (OTC) sunscreen product

The FDA also proposes changes regarding protection against UVB light. The agency would like to change its existing rule on UVB products to increase the maximum sunburn protection factor from SPF 30+ to SPF 50+.

So enjoy the lazy days of summer spent by the pool or hosting barbeques with friends and family. But remember to stay safe and wear your sunscreen 🙂

If you have any concerns regarding sun protection and skin care, please consult your physician or dermatologist.

 

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Sources:

http://www.dermatology.ucsf.edu/skincancer/general/prevention/sunscreen.aspx

http://blog.coolibar.com/american-dermatologists-reveal-top-10-sunscreen-brands/

http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049091.html