Manhattan Physician Dr. Marina Gafanovich Provides Diabetes Overview
As you surely know being a diagnosed diabetes patient you have extra heath demands to take care of yourself. Having a regularly scheduled physical exam can provide many benefits as giving you peace of mind, and less stress in life knowing your illness is being professionally monitored.
Early detection of diabetes complications before you suffer from the physical symptoms.
Prolonged life, diabetes can be treated. It’s important to find and treat problems early on.
Unseen health issues: continuing yearly monitoring of your sugar levels and other teats, while comparing your physical exam results from year to year will show where you are improving, and where you may need help.
As you will find in this article, establishing a trustworthy doctor-patient relationship is a big part of managing your diabetes.
In addition to your medicine or daily insulin shots etc. it is important to remember to make an appointment with your doctor, Dr. Gafanovich, to have an annual physical examination. You can call us 212-249-6218 or book your appointment online.
Following is a description of the different kinds of diabetes, and their unique characteristics for treatment and follow-up.
Diabetes is a chronic disease in which most of your health care responsibly (95%) is on you as the patient; this responsibly includes following your diet or exercise plans, checking your blood sugars and continuously taking your medicines. The doctor essentially has very little control over how you as the patient manage your illness between office visits. Obviously you need to manage your diabetes on a daily basis in addition to your other goals, priorities, health issues, family demands, and other personal concerns that make up your life. You have the right to decide your own goals and how you will manage your illness, since you are the one who has to carry out those decisions and live with the consequences. Because diabetes is a self-managed disease, Dr Gafanovich offers you this detailed information to allow you to make an informed decision about how you will live with your illness. Dr Gafanovich will make an effort to avoid you finding yourself frustrated and dissatisfied or feeling you are being judged and blamed for you inability or unwillingness to achieve medical goals. Dr Gafanovich wants you to know she considers your goals important. Thus she views you as a collaborator knowing that your self motivation is what helps you to work toward your own goals. She believes you as a diabetes patient are able to make and sustain changes in your behavior. Dr Gafanovich recognizes you as a diabetes patients are an expert on your own life, and wants to actively support you by adding her medical expertise to what you as the patient know about yourself, to create a plan that will help you to achieve you health goals, leading to greater treatment effectiveness, lower burden of your disease, and most important better outcomes and improved quality of life for you as the diabetes patient.
Type 1 diabetes mellitus
Diabetes is a condition in which the body lacks of insulin, or has a resistance for insulin to convert sugar into energy. As diabetes patient you may feel often tired, exhausted and find exercise to build muscles is difficult. In the body there’s a constant balancing of the blood and the blood sugar levels to prevent these levels becoming too high (hyperglycemia) or too low (hypoglycemia) when there’s a lack of insulin regulation.
If your health treatment plan consists of repeated daily insulin injections you must remember part of this insulin therapy is aimed at controlling you blood sugar levels which need to be periodically self-checked. This will also be monitored in your annual physical examination, advising you how to better keep up with periodically self monitoring your blood sugar levels. In addition one of the most upsetting side effects of insulin therapy is gaining weight. To monitor and control your weight you may be advised to follow a different diet or to engage in an exercise plan. The annual physical examination will examine how well these plans and life changes suit you and have been successful in preventing you of gaining weight. Another serious side effect is hypoglycemia which requires immediate treatment and often can be avoided with proper monitoring and coming in for an annual physical examination.
Type 2 diabetes mellitus
Type 2 diabetes mellitus is a complex, progressive endocrine and metabolic disease that typically requires you to engage in extensive lifestyle changes and taking one or more kinds of medications aimed at lowering your blood sugar levels, and reducing your risk for cardiovascular diseases. There exists an extensive range of available and effective treatments as oral anti-diabetic medication to help you achieve a low blood sugar target and to prevent cardiovascular diseases which can lead to death. As you understand management of type 2 diabetes requires following your chosen therapy plan. To properly follow your treatment you may deal with complex dosing regimens, clinical apathy, safety concerns, socioeconomic issues, need for focused education taking into consideration your beliefs and amount of social support you have from you family. As a type 2 diabetes patient you may be advised to change your diet in addition to taking oral medication and/ or beginning insulin therapy. Your treatment decisions and chosen plans as a type 2 diabetes patient depend on your ability to control the blood sugar levels which need to be periodically self-monitored. This will also be monitored in your annual physical examination, advising you how to better keep up with periodically doing a self-check of your blood sugar levels. Often different medications are prescribed to younger and older type 2 diabetes patients. These differences may also take into consideration in addition to your age, your gender (male or female) your lifestyle, your weight, and your ability to stay on your diet plan. These will all be appraised in your annual physical examination to check how well these medications are working and if the plans for life changes suit you and your lifestyle. An additional target of an annual physical examination is to reduce the possibility for complications due to your disease.
Gestational diabetes mellitus
Gestational diabetes mellitus is commonly defined as glucose intolerance first recognized during pregnancy. Glucose tolerance in pregnancy is primary linked to affect the growth of the fetus. The relationship between the mother’s blood sugar levels and unwanted outcomes is continuous, which means no certain point indicates an increased risk. As a result the doctor may have given you a diagnosis of gestational diabetes and treatment plan to keep the situation from worsening. Treatment for even mild cases of gestational diabetes significantly reduces the rate of certain undesirable outcomes for the fetus during pregnancy as well as for you as the pregnant mother-to-be, deserving proper intervention.
Management of diabetes during pregnancy includes monitoring of blood sugar levels and a special limited calorie diet, physical activity, and medication if blood sugar goals are not met. In addition to these recommendations weight monitoring is essential due to the high rates of overweight and obesity in gestational diabetes women.
Gestational diabetes risk factors often lead to diagnoses in pregnant women at an older age or women who suffered from obesity before pregnancy, or women who in the past have given birth to an infant that is large for the week of pregnancy. Additional risk factors are women diagnosed with glycosuria, polycystic ovarian syndrome, or women with family members with type 2 diabetes.
It is important to stick to the treatment plan for gestational diabetes once you are diagnosed to prevent undesirable outcomes for your baby: as giving birth to an infant above the 90th percentile for the week of pregnancy, cesarean birth, hypoglycemia in the newborn, giving birth before 37 weeks of pregnancy, and your premature baby needing neonatal intensive care. You can also prevent unwanted health outcomes for yourself as: hypertension (high blood pressure) during pregnancy or chronically, pre-eclampsia (hypertension, kidney problems and fluid retention) worsening to eclampsia and hyperbilirubinemia (increase in bilirubin causing jaundice).
You can avoid these unnecessary scares of the future by setting an appointment for a routine physical examination after your diagnosis of gestational diabetes.
Despite the kind of diabetes you are diagnosed with, you now are more aware of your need to call the office of Dr. Gafanovich 212-249-6218 and make that appointment for an annual physical examination now!