Frequently Asked Questions

Endocrinology and Diabetes Care

    • Type 1 diabetes— the body completely stops producing any insulin, a hormone that enables the body to process the glucose found in the foods you eat. People who have type 1 diabetes must take daily insulin injections to survive. This form of diabetes usually develops in children or young adults, but can occur at any age.
    • Type 2 diabetes— results when the body doesn’t produce enough insulin and/or is unable to use insulin properly (insulin resistance). This form of diabetes usually occurs in people who are age 40 or older, overweight and have a family history of diabetes. Although today, it is increasingly occurring in younger people, particularly adolescents.
  • Studies show that lifestyle changes can prevent or delay the onset of type 2 diabetes in adults who are at high risk of getting the disease. In general, modest weight loss (5-10 percent of body weight) and modest physical activity (30 minutes a day) are useful goals.

  • Once diagnosed, diabetes is treated rather than cured. If you take care to manage your diabetes, you can maintain an excellent quality of life and prevent complications from the disease.


Health Care

  • As long as you have symptoms. Your ability to spread these viruses remains until the last sniffle, says Bill Schaffner, MD, a physician and infectious disease expert at Vanderbilt Medical Center in Nashville. And you're contagious 24 hours before you first show symptoms.

  • No. Microwaving doesn't alter food in any way that could make you sick. All a microwave does is spur the water molecules in your food to move, and the friction of those molecules heats up your meal. The ovens do generate a tiny magnetic field, but there's very little evidence that such a field poses a problem for humans. What's more, there's an easy way to avoid any potential harm—step back when the oven is on.

  • As long as you are in good health, a brief liquid fast or cleanse is fine. But don't expect wonders—other than a sense of personal accomplishment, perhaps: Any physiologist will tell you that properly functioning lungs, liver, kidneys, and intestines do a fantastic job of keeping your body free of impurities without the help of fasting. If you do pursue a fast, always make sure to drink enough fluids to avoid dehydration.

Diabetes

  • A blood glucose range of 80-130 before meals and less than 180 about 2 hours after a meal. This range should place your A1c under 7.

  • A Hemoglobin A1c is a 2-3 month average of your blood sugars. This result gives you a good idea of how well your diabetes is being managed/controlled. An A1c of less than 7 to keep the risk of complications low.

  • You can eat just about anything you want. It is about knowing proper portion sizes and how much you are putting on your plate. A dietitian can help you learn to count carbohydrates and with meal planning that is specific for you.

  • Sugar free foods can be part of a healthy meal plan in small amounts. Keep in mind though that some of these foods still have carbs (in the form of other sweeteners such as sorbitol, isomalt, and mannitol) and may affect your blood glucose levels. Many sugar free foods have calories and carbohydrates and lots of fat. Make sure you read the nutrition labels.

Primary Care

  • Primary care physicians (PCPs) are similar to coaches, directing and coordinating all aspects of your health care – physical, emotional and mental. They listen to your questions, assess symptoms, recommend treatment approaches, prescribe medication and refer you to the proper specialist when needed.

  • It's important to have a primary care physician. They get to know you, your history and your family health history. Building a long-term relationship with your PCP can translate to major health benefits over your lifetime, such as lower overall health costs, a decrease in hospital and ER visits, and better management of chronic diseases.

  • Be open and honest with your physician regarding what’s going on with your health. Don’t hold back if something is bothering you.

    • Are you experiencing painful or uncomfortable symptoms that interfere with your daily life? 
    •  A medication you’re taking making you feel sick?
    • Do you need help with making healthy decisions or lifestyle choices?
    • Are you having problems sleeping or with your marriage or children?
    • Are you experiencing stress, depression or sadness? 

     All of these factors can impact your health.