How to prevent or reverse type 2 diabetes

Supporting Seniors During Flu Season: Tips And ResourcesAccording to the CDC, the influenza virus can affect anywhere from 9.3 million to 41 million people annually. Everyone is at risk for the flu, but its detrimentally more serious for older adults, with more than 70 percent of flu-related hospitalizations for those 65 years and older.The flu can be a serious health concern, but there are ways to reduce your chances of getting the flu and stay healthy. Now that fall is in full swing, its time to take precautions to lower your risk of influenza (flu) and other common viruses. What Is The Flu?The flu is a respiratory illness that primarily affects the nose and throat. Common signs and symptoms include fever, cough, sore throat, runny nose, body aches, fatigue, and headaches. Some people experience vomiting or diarrhea, although those symptoms are more common among young children than adults.The flu is caused by influenza viruses that spread from person to person through droplets when a sick person coughs, talks, or sneezes near a non-sick person. Sometimes, the flu can spread from someone touching a surface containing flu droplets, then transferring the virus to themselves by touching their nose or mouth. Do Flu Shots Work?The flu vaccine is a vaccine that reduces flu-related illness and the risk of complications. There are three types of flu vaccines approved in the United States:         Egg-based flu vaccine         Cell culture-based flu vaccine         Recombinant flu vaccineAll three types are safe and FDA-approved. They generally work the same way. Some people experience flu-like symptoms after a shot, but they are significantly less intense than the flu and tend to disappear after a few days.While doctors often recommend getting flu shots, they are unsafe for individuals with life-threatening allergies to ingredients within the flu shot. Its also important to talk to your doctor about any medications or health concerns before getting a flu vaccine to ensure its safe for you. Where To Get A Flu ShotMany places throughout Daphne, Alabama, provide flu shots. Most people get their flu shots from a nearby Walgreens or CVS. You can schedule an appointment or walk in. Wait times can vary, but they are typically pretty quick appointments. You can also get a flu shot from your primary care physician. Many doctors ask if you want a flu shot during your annual check-up. You can view a full list of flu vaccine providers in Alabama can be found at alabamapublichhealth.gov. What If I Get The Flu?Even if you have a flu shot, its still possible to develop it. If you start feeling flu symptoms, consider these tips from the National Center for Health Promotion and Disease Prevention.Go to the doctor within 48 hours of symptoms. Its important to start treating symptoms as soon as possible, especially if you are 65 or older.Get plenty of rest. Rest is one of the best things you can do for your body to help it recover from the flu.Stay hydrated. Drink plenty of water and other hydrating fluids with electrolytes. Take fever reducers. If you have a fever, take fever reducers like Tylenol or Advil.Care Through Recovery With Visiting AngelsTaking care of yourself when you have the flu can be challenging, but the caring team at Visiting Angels is here to help. Our caregivers are happy to provide transportation to doctors appointments, assist with household tasks like cleaning and cooking, and remind you of medication. If youre fatigued, we can assist with personal grooming, mobility, and bathroom duties. Contact us today at 251-517-9700 to learn more about our at-home care services or to schedule a complimentary consultation.  

Reducing Avoidable Hospitalizations Due to UTIs Urinary tract infections (UTIs) remain a significant driver of care complications and hospital admissions each year in the United States, especially for older adults. As the second most common type of infection, UTIs are very common in the U.S. In fact, about 10 in 25 women and 3 in 25 men will experience UTI symptoms during their lifetime. In older adults, UTIs are the third leading cause for hospitalization for infection and impact many home health care patients each year. Further complicating the picture for this patient population is the fact that symptoms of a urinary tract infection in older populations often present atypically, especially in those with Alzheimers and other forms of dementia. To avoid costly hospital stays, its important to follow current evidence-based practices to identify and manage UTIs in elderly populations. Common UTI SymptomsCommon risk factors for UTI in older adults include previous history of UTI, multiple comorbidities, exposure to infectious pathogens (more common in long-term care facilities), reduced immunity (common with aging) and urinary catheter use. Of identified infections, Escherichia coli (E. coli) is the most common cause. Monitoring for the following signs of UTI in older adults can support proactive diagnosis: Classic UTI SymptomsBecause UTIs affect different parts of the urinary system, symptoms might present differently:          Infection in the kidneys can come with back or side pain         Infection in the bladder can come with pelvic pressure, lower belly discomfort and frequent, painful urination         Infection in the urethra can come with burning during urination and possible discharge         In cases of severe infection, fever and chills, nausea, vomiting, and abnormal urine odor can be late symptoms.         For some older adults, these classic symptoms might be harder to recognize because of a suppressed immune response. UTI Symptoms Specific to Older AdultsFor older adults, symptoms might also include: Mental status changes like confusion or unusual behavior         Incontinence         Agitation         Lethargy         Falling         Urinary retention         Decreased mobility         Decreased appetite How to Avoid UTIs in Elderly Populations Late signs of UTI are cause for alarm, with 25% of sepsis cases attributable to UTIs. Some tips for helping prevent UTIs in vulnerable populations include: 1. Understand common risks in older adults.A persons health history can reveal a lot about their likelihood of experiencing a UTI. For example, diabetes can impact the immune systems response to defense against germs. Bladder incontinencecommon in older populationscan also increase the risk of a UTI. 2. Encourage adequate fluid intake.Research supports increasing hydration (if not on a fluid restricted diet) as a strategy for reducing risk of UTI. Staying hydrated can also help improve immune response. 3. Avoid urinary tract irritants.Coffee, alcohol, highly acidic foods and carbonated soft drinks are common urinary tract irritants that should be avoided during a UTI. However, if someone is prone to UTIs, its best practice to avoid these irritants in general. 4. Encourage proper hygiene.In addition to taking daily showers, regularly changing underwear and washing clothes consistently, those who require incontinence briefs should change several times a day. 5. Avoid urinary catheters.Catheter-acquired urinary tract infections (CAUTIs) are a significant source of infection and related healthcare costs each year in the United States. Initiatives to reduce the use of catheters have shown large reductions in the rate of infection. Reducing Avoidable HospitalizationIf a UTI does occur, partnering with a home health provider that prioritizes a strong evidence-based UTI protocol can help ensure patients avoid hospitalization. At Amedisys, our UTI protocol includes advanced molecular testing for rapid identification of urinary pathogens with more accurate results and targeted treatment recommendations. In addition to proactive management of UTI symptoms, our nurses provide education on proper hygiene, symptoms of UTI to watch for and measures to prevent UTIs. This includes support for coexisting conditions that increase the risk of UTI, with resources like our home health diabetes care program to help patients lead healthier lives.  To help prevent UTIs in your patients, we created a resource highlighting just what you need to know so that you can do your job more efficiently. Download and print out a copy of Reducing Avoidable Hospitalizations Due to UTIs.

Have You Started Your Winter Skincare Routine?  Follow These 11 Steps for Supple Skin this Season   Most of us know how important it is to protect our skin from the suns damaging rays in the summer. But did you also know its important to have a winter game plan to keep your skin moisturized and glowing? In fact, the American Academy of Dermatology (AAD) designates November Healthy Skin Month to educate and empower people of all ages to learn how to take great care of their skin. Its the bodys largest organ, after all and everybodys got it!    Read on for some skin-loving actions you can take this month and all season long.   1.    Protect your skin from the sun if youre going to go outside. Yes, even in winter! Keep those summer habits alive and slather on sunscreen with an SPF of 30 or higher and dont forget to cover up with protective clothing and a broad-brimmed hat. UVA and UVB rays are alive and well all winter long and they can still cause damage to your skin, raise your risk for skin cancer and contribute to premature aging.   2.    Avoid tanning beds. You may be tempted to keep your sun-kissed look going all winter long courtesy of a tanning bed, but resist. Research shows that UV rays from tanning beds can increase your risk for skin cancer and could age your skin, resulting in more wrinkles.   3.    Learn the ABCDEs of skin cancer. There are certain changes to your moles, birthmarks and skin that may be cause for concern. Known as the ABCDEs, if you notice these signs, the National Institute on Aging recommends making an appointment with your primary care provider or a dermatologist to make sure its not an indication of cancer:          Asymmetry (i.e. one half of the spot looks different from the other half)          Borders are irregular          Color changes or it has more than one color          Diameter is larger than a pencil eraser          Evolving; meaning it in size, shape, symptoms (such as itching or tenderness), surface (especially if its bleeding), or shades of color   4.    Moisturize, moisturize, moisturize. Winter brings colder temperatures and drier air, and your skin may need a little extra TLC to feel its best. To avoid or treat dry, itchy skin, the AAD suggests applying moisturizer right after you step out of the shower, so it can lock in the extra moisture. Further, the AAD recommends using an ointment or cream instead of lotion, because those products tend to be less irritating and more effective when dealing with dry skin. Just make sure the items you select are gentle and fragrance-free, otherwise they may feel a little harsh, especially if your skin is cracked or chapped.   5.    Dont neglect your lips. The cold weather, the dry air, the wind and the sun can all wreak havoc on your skin and cause your lips to chap. Use a non-irritating lip balm or lip moisturizer to seal moisture into your smile.   6.    When you shower or bathe, opt for warm water, not hot. It sounds counterintuitive and a little less enjoyable. Who doesnt love a hot shower when its freezing cold out? But in truth, hot water will only further dry your skin, because it may strip off natural oils you need to retain moisture.   7.    Consider using a humidifier. Winter air tends to be dry, and when the heater kicks on in your home, its even more so. A humidifier returns some of that moisture to the air, and your skin may thank you for it.   8.    Quit smoking. Have you ever met a 40-year-old heavy smoker who looked much older? Thats because tobacco isnt doing the skin or other systems in the body any favors. According to the American Osteopathic College of Dermatology, the long-term effects of smoking may include dry skin, uneven pigmentation, bags around the eyes, sagging around the jaw and deepening wrinkles and furrows on the face. If you need help quitting tobacco, talk to your doctor or reach out to the American Lung Associations Tobacco Quitline.   9.    Make healthy food choices. What you eat and drink impacts the way your body functions, and research has shown that if youre not getting the right nutrients your skin may show it. Strive to eat a healthy diet, filled with whole foods, antioxidants and fiber. Make a habit of consuming lots of lean proteins, fresh fruits, vegetables and whole grains. And dont forget to drink lots of water. Proper hydration may also help your skin look and feel better.   10.  Find ways to manage your stress. Stress can worm its way through our entire physical being and cause disruptions in surprising ways. According to the AAD, stress can affect the way our skin appears by increasing inflammation, slowing down the wound-healing process and potentially interfering with skin conditions. Because our glands produce more oil when were stressed, people with acne experience breakouts, and people with psoriasis and eczema may have flare-ups. To help regulate your system, try different stress management endeavors, such as exercise, meditation, mindfulness, yoga and deep breathing. When you find one you like, make a daily practice of it.    11.  Get your zzzzzs. When you sleep, your body can focus its energy on repairing different systems, including your skin. Research has shown that people who arent getting enough sleep on the regular may show earlier signs of aging, experience diminished skin barrier functions and feel less satisfied with their appearance. Aim for seven to nine hours a night to get the biggest benefits from sleeping.    Itchy, uncomfortable skin isnt a winter requirement. By making a few simple changes to your routine in the fall, you can help put moisture back where it belongs, quickly, before things get uncomfortable.   If youve made the changes above, however, and you find that you still have some skin concerns, schedule an appointment with your primary care doctor or a dermatologist today. They can address any possible skin conditions and offer personalized advice to help keep you feeling healthy and radiant in every season.   To learn more about Medicare or Health insurance in our area in Alabama, contact Blue Cross Blue Shield of Alabama at 251-344-2115