For more information about the author, click to view their website: Jubilee Primary Care
Alzheimer's- should it be called type 3 diabetes? More and more scientists are saying that, but why?
A recent study shows that people with diabetes have a higher risk for Alzheimer's. Some think it may be because of high blood sugar levels alone. Others think it is because insulin resistance affects all organs, including the brain.
There is a concept that most doctors don't know: it is called central nervous system insulin resistance.
There is a type of antidiabetic medication such as sitagliptin that is used for diabetics, but is not usually prescribed for Alzheimer's disease.
They reviewed the clinical records of patients that met certain criteria for probable Alzheimer's dementia. They performed special scans that identified the presence of a substance in the brain that is associated with dementia. They also used standardized tests to evaluate cognitive impairment.
Three groups of patients were evaluated, diabetic patients under treatment with the medication, diabetic patients without the treatment, and non-diabetic patients.
The results were fascinating; they found that diabetic patients under treatment with medication showed lower amounts of the dementia substance in the brain, better results in cognitive tests, and overall slower cognitive decline when compared with patients that weren't using the medication.
In Alzheimer's disease, the amount of dementia related substance in the brain, as well as insulin resistance, play a vital role in the development of cognitive decline.
All of these findings suggest that managing insulin resistant diabetes with this certain type of medication improves not only diabetes, but Alzheimer's disease as well.
Editor’s Note: The author is Ford Brewer, MD, MPH with Jubilee Primary Care.
Diabetes can be a frightening and expensive diagnosis. With testing materials, insulin, needles and additional doctor visits with specialists, it can seem daunting. Thats why were going to look at what Original Medicare coverage for diabetes looks like and what you can expect from different parts of Medicare.Medicare Part A Diabetes CoveragePart A coverage is for hospital stays, which can occur for diabetics if their blood sugar is unregulated. If you are diagnosed with diabetes after 65, you will probably need to be hospitalized for a day or two when first diagnosed to get your levels back to normal, receive diabetes education and counseling, and determine a course of action based on your health care needs.Medicare Part B Diabetes CoverageMedicare Part B offers coverage for doctor visits and medical screenings, which includes diabetes management. It will also cover diabetic supplies to help you manage your blood sugar, such as blood sugar testing strips.Doctor visitsPart B covers a one-time Welcome to Medicare doctor visit to review your health when you first join Medicare. If you already have diabetes when you join Medicare, this visit will include an overview of what materials you use to manage your blood sugar and what type of insulin you use. If you are diagnosed after 65, you will likely need to schedule a doctors appointment with your primary care physician to establish a care plan after your diagnosis.Once youve had Part B for longer than 12 months, you have coverage for a yearly wellness visit. This visit is to review your medical and family history, update your list of providers and prescription drugs, and review a treatment and screening plan for the upcoming year.If you have diabetes-related nerve damage (which is called diabetic neuropathy) in either foot, Part B will cover one foot exam every six months with a podiatrist. Diabetes nerve damage on your feet is a safety risk for diabetics, as they may not be able to feel dangers from heat or sharp objects. As part of this coverage, Medicare may cover therapeutic shoes and insoles in certain conditions.Regardless of your diabetic diagnosis, Part B will pay for flu shots, pneumococcal shot to prevent pneumonia and COVID-19 vaccinations, including boosters. Diabetes increases your chances for serious health complications from these and other illnesses.Blood tests & screeningsIf youre at risk for diabetes or diagnosed with pre-diabetes, Part B may pay for up to two screenings, such as fasting blood sugar, in a 12-month period to monitor blood sugar levels. This is used to determine if your blood sugar levels are normal or if you are becoming increasingly insulin resistant.Other screenings include hemoglobin A1C tests and glaucoma tests. Hemoglobin A1C tests measure how well your blood sugar has been controlled over the last three months. Part B will cover an eye check for glaucoma once every 12 months, as diabetes increases the risk of glaucoma.Diabetic servicesPart B covers the Diabetes Prevention Program. Sessions of the program include training on diet and exercise improvements, weight management strategies, and health coaching. To be eligible for the program, you must meet certain criteria, such as body mass index and blood test results.Medicare will cover an outpatient program to teach you how to manage your diabetes upon diagnosis. They will instruct on diet, exercise, monitoring your blood sugar, medication administration and reducing the risk of complications. Part B will also cover nutrition therapy services with a registered dietitian or nutritionist if your blood sugar levels meet eligibility.Supplies & equipmentBlood sugar self-testing equipment and supplies are covered by Part B. This includes blood sugar monitors, blood sugar test strips, lancet devices and lancets, and glucose control solutions for checking the accuracy of testing equipment and test strips. Part B covers these supplies for people with diabetes whether or not they use insulin, although coverage amounts may vary. Medicare Part B may also cover external insulin pump devices, including the insulin used with the pump, if eligible.Medicare Part D Diabetes CoverageMedicare Part D is coverage for prescription drugs. Diabetics rely on medications and Part D covers many of those.Insulin: Injectable insulin, insulin used in pumps and inhaled insulin may all be covered.Anti-diabetic drugs: Your plan may cover drugs to help blood sugar levels.Diabetes supplies: The supplies you use in conjunction with insulin may be covered. These may include syringes, needles, alcohol swabs, gauze and inhaled insulin devices.It is important to note that, starting in 2023, many insulin types will have a monthly $35 copay cap. Check your drug plans formulary for more information on what your specific costs may be.ConclusionOriginal Medicare offers a variety of services for those with diabetes. Additionally, drug coverage is essential for those who rely on insulin. The most important thing those with diabetes can do is manage their condition to prevent complications. If you have questions about diabetic Medicare coverage, including additional coverage options, please reach out to one of our licensed insurance agents and we will be happy to assist you.PlanEnroll is a brand operated by Integrity Marketing Group, LLC and used by its affiliated licensed insurance agencies that are certified to sell Medicare products. PlanEnroll is not endorsed by the Center for Medicare & Medicaid Services (CMS), the Department of Health and Human Services (DHHS), or any other government agency.
Veterans Benefits for Non-Medical, Home Health Agency and Hospice CareVeterans who have served our nation deserve comprehensive support in their post-service lives, and the U.S. Department of Veterans Affairs (VA) offers a range of benefits to ensure their well-being. Beyond traditional medical care, many Veterans qualify for non-medical support, home health agency services, and hospice care. These benefits are designed to enhance quality of life, promote independence, and provide comfort during challenging times. Understanding these options can help Veterans and their families access the care they need.Non-Medical Benefits for VeteransNon-medical benefits encompass a variety of services that assist Veterans in their daily lives. One key program is the Veteran Directed Care (VDC) program, which allows Veterans to manage their own care by hiring personal aides, including family members or friends, to assist with tasks like bathing, dressing, or meal preparation. This program provides a monthly budget based on the Veterans needs, offering flexibility and control over how care is delivered. Another valuable resource is the Aid and Attendance (A&A) benefit, an additional pension for Veterans who require assistance with daily activities or are housebound. This financial support can be used to pay for non-medical caregivers, making it easier to age in place comfortably.Home Health Agency ServicesFor Veterans needing more structured support, the VA partners with home health agencies to deliver professional care at home. These services are available through the VA Home Health Care program and may include assistance from certified aides who help with personal care, light housekeeping, and mobility. While these services are not medical in nature (e.g., they dont involve skilled nursing or therapy), they play a critical role in maintaining independence. Eligibility typically requires enrollment in VA health care and a demonstrated need for assistance, as assessed by a VA provider. Veterans can also explore the Homemaker and Home Health Aide Program, which provides similar support for those with chronic conditions or disabilities, ensuring they receive consistent help tailored to their preferences.Hospice Care BenefitsWhen a Veteran faces a terminal illness, the VA offers hospice care to provide comfort and dignity in their final days. Hospice services focus on pain management, emotional support, and family counseling rather than curative treatment. Veterans enrolled in VA health care can access hospice through VA facilities, community partners, or at home. The VA Hospice and Palliative Care program ensures that care aligns with the Veterans wishes, often at no cost to the Veteran or their family. Additionally, Veterans receiving VA pension benefits may still qualify for A&A to offset hospice-related expenses, easing financial burdens during this time.Accessing These BenefitsTo take advantage of these programs, Veterans should contact their local VA office or use the VAs online portal at VA.gov. Eligibility often depends on factors like service history, disability rating, and income, so a consultation with a VA representative is key. These benefits reflect the nations commitment to honoring Veterans by supporting their independence and comfort at every stage of life. To learn more visit the Veterans Affairs website at www.va.gov/geriatrics or call 800-698-2411.
The SS United States: A Legendary Ocean Liners Final Chapter in Mobile, AlabamaFor decades, the SS United States was the pinnacle of American innovation, a sleek, steel-clad symbol of speed and luxury that ruled the high seas. Now, after years of uncertainty, this legendary ocean liner has found a temporary home in Mobile, Alabama, where it will undergo preparations for its final transformationbecoming the worlds largest artificial reef.As of March 28, 2025, the ship sits docked at the Port of Mobile, a ghost of its former grandeur but still commanding awe. Its arrival has sparked excitement, nostalgia, and even a bit of controversy as preservationists scramble for a last-minute rescue. But love it or mourn it, the SS United States is embarking on its final journey, and Mobile is playing a crucial role in its farewell.The Glory Days: Speed, Luxury, and Hollywood FameLaunched in 1952, the SS United States also known as the Big U was an engineering marvel. Built in Newport News, Virginia, it was designed to be both a luxury ocean liner and a secret military asset, capable of transforming into a troop transport if needed with the ability to carry 14,000 troops 10,000 miles without refueling. On its maiden voyage, it shattered records, crossing the Atlantic in just three days, 10 hours, and 40 minutesa feat no other passenger ship has beaten to this day.For nearly two decades, it was the way to travel between the United States and Europe. Celebrities, dignitaries, and socialites graced its decks, reveling in its opulent design and unparalleled speed. Hollywood took notice, too. The ship made memorable appearances in films like Disneys 1962 classic Bon Voyage!, where it served as the glamorous setting for a family adventure, and 1955s Gentlemen Marry Brunettes, where its sleek profile played a starring role. Even in 2013, the thriller Dead Man Down used the SS United States for atmospheric shots while it was docked in Philadelphia.But the golden age of ocean liners was not meant to last. By 1969, the rise of jet travel rendered transatlantic crossings obsolete, and the SS United States was retiredmarking the beginning of a long, uncertain future.From Neglect to New PurposeFor decades, the once-proud liner sat idle in Philadelphia, rusting away as preservation efforts struggled to secure funding. Dreams of transforming it into a hotel, museum, or entertainment venue never materialized. Then, in 2024, a decision was made: Okaloosa County, Florida, would purchase the vessel and repurpose it as an artificial reefa $10 million project that would give the ship a new purpose beneath the waves of the Gulf of America.Thus began the ships 401st and final voyage. On February 19, 2025, it was towed 1,800 nautical miles from Philadelphia to Mobile, arriving ahead of schedule on March 3. Spectators lined the waterfront, watching as the once-glorious ocean liner, now a shell of its former self, was guided into port.A Temporary Stay in MobileNow docked at Modern American Recycling Services (MARS), the SS United States is undergoing extensive preparation before its submersion. Over the next six to twelve months, crews will strip the ship of non-metal materials, wiring, and hazardous components, ensuring it is environmentally safe. Holes will be carefully cut into the hull so that when it is finally submerged, it settles uprightproviding a thriving habitat for grouper, snapper, and tuna.While many celebrate this transformation as a fitting second life, preservationists arent giving up without a fight. Organizations like the SS United States Conservancy continue to push for an alternative, hoping to turn the ship into a floating museum akin to the USS Alabama in Mobile Bay. A Tourist Boom in MobileRegardless of its fate, the SS United States has already left an impact on Mobiles tourism scene. Locals and visitors alike are flocking to catch a glimpse of this historic ship before it disappears beneath the ocean. Harbor cruises aboard the Perdido Queen and tours through Blakeley State Park have sold out quickly with maritime enthusiasts eager to snap photos and reflect on the ships remarkable past and those looking to explore Mobiles deep connections to the sea.The Final GoodbyeDespite the nostalgia, the clock is ticking. Soon, the SS United States will make its last journey, not to another port, but to the ocean floor off the coast of Florida. Once there, it will begin its final rolenot as a fading relic, but as a vibrant, living reef, fostering marine life for generations to come. For now, as it looms over the Port of Mobile, it remains a towering testament to American ingenuity, ambition, and the fleeting nature of technological supremacy. Whether you see it as a tragic loss or a poetic new beginning, one thing is certain: the legacy of the SS United States will live onabove the waves, beneath the ocean, and in the hearts of those who remember its glory.
VIPcareWe are a group of passionate healthcare professionals who believe theres a better way to practice medicine. We see a future where preventative medicine is valued over the traditional approach, what we refer to as sick care. We thrive on seeing our patients healthy, not sick.Preventative CareUtilizing a value-based Medicare Advantage model produces lower rates of hospital stays, emergency department visits, and 30-day readmissions for beneficiaries as compared to Traditional Medicare health models.5-Star ProviderThe Centers for Medicare & Medicaid Services use a five-star quality rating system to measure Medicare beneficiaries experience with their health plans and the health care system.Patients 65+ require different attention and care than other age groups. VIPcare provides senior-focused primary care that caters specifically to the needs of older adults.What is Senior-Focused Care?Senior-focused care is primary care that delivers a wide range of value-based healthcare services with a dedicated focus on patients 65+. It takes the unique needs of the senior population into consideration when caring for patients.How Is Senior-Focused Primary Care Different than Traditional Primary Care?At VIPcare, youll notice many differences between how we care for patients and how others do. Because VIPcare specializes in caring for adults 65+, our providers are trained and specialized in the specific clinical needs of seniors. We focus on prevention and management, helping to achieve Better Health. Also, using a value-based model allows our providers to spendmore time with patients. Instead of waiting for an appointment, our providers can see you right away, sometimes even the same day if needed.What are the Benefits of Senior-Focused Care?Many older adults live with multiple chronic conditions, such as hypertension (high blood pressure), diabetes, heart disease, and arthritis. By having a primary care provider that is skilled and trained to treat the senior population and their specific needs, such as chronic conditions, patients receive better and more personalized care. In addition, senior-focused care integrates a team approach and coordinates with specialty care when necessary.What Insurance is Needed for Senior-Focused Care?Senior-focused primary care is best delivered as part of a value-based model and works best when paired with Medicare Advantage plans. However, some VIPcare clinics do accept traditional Medicare.Learn More About Senior-Focused Care at VIPcareVIPcare provides senior-focused primary care to the aging population. We believe in quality over quantity and always strive to deliver 5-star care. Learn more about what makes VIPcare different by scheduling an appointment or calling 251-325-1962.
VIPcarePreventative CareUtilizing a value-based Medicare Advantage model produces lower rates of hospital stays, emergency department visits, and 30-day readmissions for beneficiaries as compared to Traditional Medicare health models.5-Star ProviderThe Centers for Medicare & Medicaid Services use a five-star quality rating system to measure Medicare beneficiaries experience with their health plans and the health care system.Patients 65+ require different attention and care than other age groups. VIPcare provides senior-focused primary care that caters specifically to the needs of older adults.What is Senior-Focused Care?Senior-focused care is primary care that delivers a wide range of value-based healthcare services with a dedicated focus on patients 65+. It takes the unique needs of the senior population into consideration when caring for patients.How Is Senior-Focused Primary Care Different than Traditional Primary Care?At VIPcare, youll notice many differences between how we care for patients and how others do. Because VIPcare specializes in caring for adults 65+, our providers are trained and specialized in the specific clinical needs of seniors. We focus on prevention and management, helping to achieve Better Health. Also, using a value-based model allows our providers to spendmore time with patients. Instead of waiting for an appointment, our providers can see you right away, sometimes even the same day if needed.What are the Benefits of Senior-Focused Care?Many older adults live with multiple chronic conditions, such as hypertension (high blood pressure), diabetes, heart disease, and arthritis. By having a primary care provider that is skilled and trained to treat the senior population and their specific needs, such as chronic conditions, patients receive better and more personalized care. In addition, senior-focused care integrates a team approach and coordinates with specialty care when necessary.What Insurance is Needed for Senior-Focused Care?Senior-focused primary care is best delivered as part of a value-based model and works best when paired with Medicare Advantage plans. However, some VIPcare clinics do accept traditional Medicare.Learn More About Senior-Focused Care at VIPcareVIPcare provides senior-focused primary care to the aging population. We believe in quality over quantity and always strive to deliver 5-star care. Learn more about what makes VIPcare different by scheduling an appointment or calling 251-257-2886.
VIPcarePreventative CareUtilizing a value-based Medicare Advantage model produces lower rates of hospital stays, emergency department visits, and 30-day readmissions for beneficiaries as compared to Traditional Medicare health models.5-Star ProviderThe Centers for Medicare & Medicaid Services use a five-star quality rating system to measure Medicare beneficiaries experience with their health plans and the health care system.Patients 65+ require different attention and care than other age groups. VIPcare provides senior-focused primary care that caters specifically to the needs of older adults.What is Senior-Focused Care?Senior-focused care is primary care that delivers a wide range of value-based healthcare services with a dedicated focus on patients 65+. It takes the unique needs of the senior population into consideration when caring for patients.How Is Senior-Focused Primary Care Different than Traditional Primary Care?At VIPcare, youll notice many differences between how we care for patients and how others do. Because VIPcare specializes in caring for adults 65+, our providers are trained and specialized in the specific clinical needs of seniors. We focus on prevention and management, helping to achieve Better Health. Also, using a value-based model allows our providers to spendmore time with patients. Instead of waiting for an appointment, our providers can see you right away, sometimes even the same day if needed.What are the Benefits of Senior-Focused Care?Many older adults live with multiple chronic conditions, such as hypertension (high blood pressure), diabetes, heart disease, and arthritis. By having a primary care provider that is skilled and trained to treat the senior population and their specific needs, such as chronic conditions, patients receive better and more personalized care. In addition, senior-focused care integrates a team approach and coordinates with specialty care when necessary.What Insurance is Needed for Senior-Focused Care?Senior-focused primary care is best delivered as part of a value-based model and works best when paired with Medicare Advantage plans. However, some VIPcare clinics do accept traditional Medicare.Learn More About Senior-Focused Care at VIPcareVIPcare provides senior-focused primary care to the aging population. We believe in quality over quantity and always strive to deliver 5-star care. Learn more about what makes VIPcare different by scheduling an appointment or calling 251-257-2886.