National Drug & Alcohol Facts Week

National Drug and Alcohol Facts Week or NDAFW is an annual, week-long health observance that inspires dialogue about the science of drug use and addiction among youth. It provides an opportunity to bring together scientists, students, educators, healthcare providers, and community partners to help advance science and address youth drug and alcohol use in communities nationwide.

Launched in 2010 by scientists at the National Institute on Drug Abuse (NIDA), National Drug and Alcohol Facts Week, stimulates educational events in communities so teens can learn what science has taught us about drug use and addiction. In 2016, the National Institute on Alcohol Abuse and Alcoholism became a partner, and alcohol was added as a topic area for the week. NIDA and NIAAA are part of the National Institutes of Health and work with leading organizations, media outlets, and other Government agencies to spread the word about NDAFW.

National Drug and Alcohol Facts Week looks to empower youth to make informed choices about their health and learn lifesaving skills focused on overdose awareness and response. Make an impact and inspire others to join the NDAFW observance.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Bad Breath

Bad breath or halitosis can be embarrassing and, in some cases, can cause anxiety.

Bad breath that doesn’t go away means you have an oral health issue or a condition affecting another body part.

The most common cause of bad breath is poor oral health. Without proper oral hygiene, such as brushing, flossing, and routine dental cleanings, harmful bacteria invade the mouth and multiply out of control. This leads to several oral health issues, including halitosis, cavities, and gum disease.

Poor oral hygiene isn’t the only cause of bad breath. Several other conditions can cause bad breath, including:

  • Dry mouth
  • Food
  • Head and neck cancers
  • Tobacco products
  • Gastroesophageal reflux disease (GERD)
  • Tonsil stones
  • Gum disease
  • Infections in your nose, throat, or lungs
  • Diabetes
  • Liver or kidney disease
  • Medicines
  • Sjögren’s syndrome

The main symptom of bad breath is a foul-smelling odor that comes from the mouth. The odor can be strong enough for other people to notice.

To diagnose bad breath, a dentist will smell the breath from your mouth and nose and rate the odor on a scale. The back of the tongue most often causes the smell, so they may also scrape it to rate its odor.

When treating bad breath, regularly cleaning your mouth and teeth can reduce bad breath, help avoid cavities, and lower the risk of gum disease. Further treatment for bad breath can vary. If your dentist thinks another health condition is causing your bad breath, you will likely need to see your primary care physician or a specialist.

Your dentist will work with you to help you better control bad breath caused by mouth issues. These dental measures can include:

  • Mouth rinses and toothpastes
  • Treatment of dental disease

Ways to reduce or prevent bad breath include the following:

  • Brushing your teeth after you eat
  • Flossing at least once a day
  • Brushing your tongue
  • Cleaning bridges, dentures, retainers, and mouthguards
  • Keeping your mouth moist
  • Changing your diet
  • Replacing your toothbrush
  • Scheduling regular dental checkups

If you’re experiencing bad breath, it is important to visit a dentist to ensure you’re receiving the most effective treatment possible. To schedule an appointment at Flushing Hospital Medical Center’s Department of Dental Medicine, please call (718) 670-5521.

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Folliculitis

Folliculitis is a common skin condition in which hair follicles become infected or inflamed.

Folliculitis can look similar to acne and be uncomfortable or itchy, and because of its appearance, it can often have a psychosocial impact.

The two main forms of folliculitis are superficial and deep. The superficial form involves part of the follicle, while the deep form involves the entire follicle and is usually more severe.

There are many different types of folliculitis. Each type is unique based on the cause, the infectious organism, and its impact on the skin. The different types of folliculitis include:

  • Bacterial folliculitis
  • Hot tub rash
  • Malassezia folliculitis
  • Razor bumps
  • Sycosis barbae
  • Gram-negative folliculitis
  • Boils
  • Carbuncles
  • Eosinophilic folliculitis

Folliculitis appears anywhere on the body that has hair, such as the face, arms, upper back, and lower legs. Hair follicles can gather bacteria and other materials from the outside world that could cause inflammation or infection. When something is inflamed, it is swollen. A swollen hair follicle will bulge up and make a bump on the skin. If you have an infected hair follicle, you may experience:

  • Redness
  • Irritation
  • Itching
  • Bumps on the skin

Folliculitis is caused when a hair follicle is inflamed or infected with bacteria, commonly Staphylococcus aureus. This causes the follicle to swell under the skin, creating uncomfortable bumps on the surface. For many specific types of folliculitis, the cause isn’t always known. However, certain factors can increase the risk of developing this condition, including:

  • If you shave often
  • If you have been using an oral antibiotic for a long time
  • If you are overweight or obese
  • If you do activities that make you sweat a lot and don’t fully clean off afterward
  • If you spend time in a hot tub or sauna that isn’t properly cleaned

Signs and symptoms of folliculitis include:

  • Clusters of small bumps of pimples around hair follicles
  • Pus-filled blisters that break open and crust over
  • Itchy, burning skin
  • Painful, tender skin
  • An inflamed bump

To diagnose folliculitis, a healthcare provider will examine your skin and ask about your medical history. If early treatments don’t clear up the infection, the healthcare provider will run tests, including:

  • Scraping the skin to look for yeast under the microscope
  • They may take a swab for culture to determine the cause of the infection
  • In rare cases, they may do a skin biopsy to rule out other conditions

Treatment for folliculitis depends on the type and severity of the condition, what self-care measures were tried, and how you would like to proceed.

If you have tried nonprescription products for a few weeks and they haven’t helped, ask a healthcare provider about prescription-strength medications. A dermatologist can help you:

  • Control your folliculitis
  • Figure out whether a drug you take might be causing your symptoms and whether you can stop taking it
  • Avoid scarring or other damage to the skin
  • Make scars less noticeable

There are many ways that you can prevent folliculitis, including the following:

  • Washing your skin regularly
  • Doing laundry regularly
  • Avoiding friction or pressure on your skin
  • Avoiding shaving, if possible
  • Shaving with care
  • Trying hair-removing products or other methods of hair removal
  • Treating related conditions
  • Using only clean hot tubs and heated pools

Sometimes, folliculitis goes away without medical treatment. Self-care measures such as applying a warm, moist washcloth to the affected skin followed by an anti-itch cream may help relieve your symptoms.

If you have symptoms of folliculitis, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Loneliness Epidemic

In May 2023, former U.S. Surgeon General Dr. Vivek Murthy issued a report that drew attention to an epidemic that affects half of American adults: loneliness and social isolation.

Dr. Murthy said that loneliness and social isolation are “urgent public health concerns, more widespread than smoking, diabetes, or anxiety”.

Loneliness is feeling lonely or disconnected from others and not having meaningful or close relationships or a sense of belonging. It also describes the negative feelings that can occur when your needs for social connection aren’t met.

Social isolation is when a person doesn’t have relationships or contact with others and has little to no social support. It can pose a health risk to people, even if they don’t feel lonely.

Certain conditions or experiences may increase a person’s risk of social isolation and loneliness, including:

  • Having a mental or physical challenge, such as:
    • Chronic disease or condition
    • Psychiatric or depressive condition
    • Long-term disability
  • Being marginalized or discriminated against
  • Having limited or no access to resources, which may result in:
    • Living in rural areas
    • Limited transportation
    • Language barriers
    • Being a victim of violence or abuse
  • Facing a divorce, unemployment, or the loss of a loved one

Loneliness may impact some groups more than others, including:

  • Low-income adults
  • Young adults
  • Older adults
  • Adults living alone
  • Immigrants
  • People who identify as LGBTQ+

Social isolation and loneliness can increase a person’s risk for:

  • Heart disease and stroke
  • Type 2 diabetes
  • Depression, anxiety, suicide, and self-harm
  • Dementia
  • Earlier death

It is important to make meaningful social connections, as those who do experience benefits, including:

  • Less stress
  • Better sleep
  • A longer, healthier life

Making social connections can be hard, especially if you are in poor health, have money problems, or live alone. However, a few small acts of connection can build supportive and meaningful relationships.

You can take various steps to fight against loneliness, including the following:

  • Talking to family, friends, neighbors, and co-workers
  • Connecting with others on social media
  • Volunteering in your community
  • Being kind to yourself
  • Learning more about ways to improve social connectedness
  • Getting help from a professional

To find out more about Flushing Hospital Medical Center’s outpatient mental health services or to schedule a virtual appointment, please call (718) 670-5316 to speak with our intake coordinator or (718) 670-5562 to reach the clinic.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Bleeding Disorders

Bleeding disorders are a group of conditions that affect the way the body controls blood clotting. The clotting process, known as coagulation, changes blood from a liquid to a solid.

When you’re injured, your blood normally begins to clot to prevent a massive blood loss. However, these conditions prevent blood from clotting properly, which results in heavy or prolonged bleeding.

Bleeding disorders can cause abnormal bleeding outside and inside the body. Some disorders can drastically increase the amount of blood leaving the body, while others cause bleeding under the skin or in vital organs, such as the brain.

There are numerous bleeding disorders. The most common include:

  • Hemophilia A and B- are conditions that occur when there are low levels of clotting factors in your blood. It causes heavy or unusual bleeding in the joints. Although hemophilia is rare, it can have life-threatening complications
  • Factor II, V, VII, X, or XII deficiencies- are bleeding disorders related to blood clotting problems or abnormal bleeding problems
  • Von Willebrand’s disease- is the most common inherited bleeding disorder. It develops when the blood lacks the von Willebrand factor, which helps the blood clot

For blood to clot, the body needs blood proteins called clotting factors and blood cells called platelets. Normally, platelets clump together to form a plug at the site of a damaged or injured blood vessel. The clotting factors then combine to form a fibrin clot, keeping the platelets in place and preventing blood from flowing out of the blood vessel.

For people with bleeding disorders, however, the clotting factors or platelets don’t work the way they should or are in short supply. When the blood doesn’t clot, excessive or prolonged bleeding can occur. It can also lead to spontaneous or sudden bleeding in the muscles, joints, and other body parts.

Some bleeding disorders are present at birth and are passed down or inherited through families. However, other bleeding disorders can be caused by:

  • Medical conditions, such as liver disease
  • A low red blood cell count
  • A vitamin K deficiency
  • Side effects from certain medications

Symptoms of bleeding disorders can include:

  • Bruising easily
  • Heavy bleeding
  • Heavy menstrual bleeding
  • Nosebleeds that do not stop easily
  • Excessive bleeding due to surgical procedures
  • Umbilical cord bleeding after birth

A doctor will diagnose a bleeding disorder by asking about your symptoms and medical history. They will also perform a physical exam and run blood tests to make a proper diagnosis. These tests can include:

  • A complete blood count
  • A platelet aggregation test
  • A bleeding time test

Treatment options for bleeding disorders vary depending on the type of bleeding disorder and its severity. Although treatments can’t cure bleeding disorders, they can help relieve the symptoms associated with certain disorders. Treatment options include:

  • Iron supplementation
  • Blood transfusion

If you experience symptoms of a bleeding disorder, it’s important to get diagnosed as soon as possible; even if your symptoms are mild, talking to a doctor can help you avoid potential risk factors that may worsen them. You can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Stroke Treatment Options

Strokes happen when a blood clot or broken blood vessel prevents blood from getting to your brain. The lack of blood flow deprives brain cells of the oxygen and nutrients they need to survive, causing them to die in minutes.

There are two types of strokes: ischemic and hemorrhagic.

Ischemic strokes usually happen because a blood clot blocks a blood vessel connected to your brain. Hemorrhagic strokes occur when a blood vessel in your brain breaks or ruptures.

Strokes can be fatal. Therefore, you must know the symptoms and pay attention to them when they occur. Symptoms of strokes include:

  • Trouble speaking and understanding what others are saying
  • Numbness, weakness, or paralysis in the face, arm, or leg
  • Problems seeing in one or both eyes
  • Headaches
  • Trouble walking
  • Confusion
  • Dizziness or vertigo
  • Blurred vision or double vision
  • Loss of coordination

Seek immediate medical attention if you notice any symptoms of a stroke, even if they seem to come and go or disappear completely.

To diagnose a stroke, a healthcare provider will use a combination of neurological exams and tests that include:

  • Blood tests
  • CT scan
  • Electroencephalogram (EEG)
  • Electrocardiogram (EKG)
  • MRI
  • Carotid ultrasound
  • Cerebral angiogram

Some treatments are most effective when given soon after a stroke starts. Emergency treatment depends on whether you’re having an ischemic or hemorrhagic stroke.

To treat an ischemic stroke, blood flow must quickly be restored to the brain. This can be done with:

  • Emergency IV medicine
  • Emergency endovascular procedures
    • Medications delivered directly to the brain
    • Removing the clot with a stent retriever
  • Other procedures, such as a carotid endarterectomy and angioplasty and stents

Emergency treatment of hemorrhagic stroke focuses on controlling the bleeding and reducing the pressure in the brain caused by excess fluid. If the area of bleeding is large, surgery may be needed to remove the blood and relieve pressure on the brain. Surgery may also be required to repair blood vessel damage due to the hemorrhagic stroke. A healthcare professional may recommend a procedure if an aneurysm, arteriovenous malformation (AVM), or other blood vessel condition caused the stroke. Procedures include:

  • Surgical clipping
  • Endovascular embolization, also known as coiling
  • Surgical removal of a tangle of thin-walled blood vessels, known as AVM
  • Stereotactic radiosurgery

Stroke rehabilitation is an important part of stroke treatment. Rehabilitation will help you adjust to changes in your brain and body after a stroke. You may need to regain abilities you had before or need to adjust to new or different disabilities. You may need a combination of:

  • Cognitive rehabilitation
  • Occupational therapy
  • Physical therapy
  • Speech therapy

Maintaining your overall health is the best way to reduce your risk of a stroke. Some ways you can sustain your overall health include the following:

  • Eating plenty of healthy foods and maintaining a healthy weight
  • Engaging in regular physical activity
  • Managing your blood pressure, cholesterol, and any health conditions you may have
  • Quitting smoking

If you are experiencing any symptoms of a stroke, call 911 immediately. If you need assistance managing your health to prevent a stroke or maintaining your overall wellness, visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Anorexia #NationalEatingDisorderAwarenessMonth

Anorexia nervosa, more commonly known as anorexia, is an eating disorder that involves severe calorie restriction and often a low body weight based on personal weight history. It is a complex condition that has mental, behavioral, and physical symptoms.

People who have anorexia often have a strong fear of gaining weight and may think they’re overweight, even if they are not. To prevent gaining weight or to continue to lose weight, people with anorexia often limit the amount or type of food they eat. They do this by restricting the number of calories they consume, resulting in a nutrient deficit and usually, but not always, a very low body weight.

Anorexia can cause changes in the brain due to malnutrition. If left untreated, weight loss can get to a point where people with anorexia are at high risk of serious physical harm or death. Anorexia has the second-highest death rate of any mental illness, surpassed only by opioid overdoses. Most anorexia-related deaths stem from heart conditions and suicide.

There are two subtypes of anorexia nervosa based on eating behaviors:

Restrictive anorexia– the person severely limits the amount and type of food they eat

Binge-purge anorexia– the person greatly restricts the amount and type of food they eat. However, they also have binge-eating and purging episodes where they eat large amounts of food in a short time and then intentionally vomit or use laxatives or diuretics to get rid of what they consumed.

Anorexia involves physical, behavioral, and emotional and mental signs and symptoms.

Emotional and mental signs of anorexia include:

  • Intense fear of gaining weight
  • Body dysmorphia
  • Obsessive interest in food, calories, and dieting
  • Fear of certain foods or food groups
  • Being very self-critical
  • Denying the seriousness of your low body weight and/or food restriction
  • Feeling a strong need to be in control
  • Insomnia

It is common to have other mental health conditions alongside anorexia, you may have additional mental and emotional symptoms.

Behavioral signs of anorexia include:

  • Changes in eating habits or routines, such as eating foods in a certain order or rearranging foods on a plate
  • A sudden change in food preferences, such as eliminating certain food types or food groups
  • Making frequent comments about feeling “fat” or being overweight despite weight loss
  • Purging through intentional vomiting and/or misusing laxatives or diuretics
  • Going to the bathroom right after eating
  • Misusing diet pills or appetite suppressants
  • Compulsive and/or excessive exercising
  • Continuing to limit calories even when your weight is love for your sex, height, and age
  • Wearing loose clothing and/or wearing layers to hide weight loss and stay warm
  • Withdrawing from loved ones and social events

Physical signs and symptoms of anorexia can include:

  • Significant weight loss over several weeks or months
  • Not maintaining an appropriate body weight based on your height, age, sex, stature, and physical health
  • Unexplained change in growth curve or body mass index (BMI) in children and still-growing adolescents

Physical signs and symptoms of anorexia that are side effects of starvation and malnutrition include:

  • Dizziness and/or fainting
  • Fatigue
  • Abnormal heart rhythm
  • Low blood pressure
  • Feeling cold all the time
  • Absent periods or irregular menstrual periods
  • Bloating and/or abdominal pain
  • Muscle weakness and loss of muscle mass
  • Dry skin, brittle nails, and/or thinning hair
  • Poor wound healing and frequent illness

Anorexia is a complex condition with no singular cause. Research suggests that a combination of certain factors may be responsible, such as:

  • Genetics
  • Brain changes
  • Trauma
  • Environment and culture
  • Peer pressure
  • Emotional health

Anorexia nervosa affects all gender identities, races, ages, incomes, and body types. It is also more common among teenagers, although people of any age can develop anorexia. Teens can be more at risk due to all of the changes their bodies go through during puberty. They also face peer pressure and can be more sensitive to criticism or casual comments about weight or body shape. Certain factors can raise the risk of anorexia and other eating disorders, including:

  • Family history
  • A history of weight bullying
  • A history of dieting
  • Transitions

A healthcare provider can diagnose anorexia nervosa based on the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The three criteria include:

  • Restriction of calorie consumption that leads to weight loss or a failure to gain weight. This results in a significantly low body weight based on your age, sex, height, and stage of growth.
  • Intense fear of gaining weight or becoming fat
  • Having a distorted view of yourself and the seriousness of the state of your health

If you have signs and symptoms of anorexia, a healthcare provider will do a complete medical history and physical exam. They will ask questions about your:

  • Dietary history
  • Exercise history
  • Psychological history
  • Body image
  • Purging frequency and elimination habits (use of pills, laxatives, and diuretics)
  • Family history of eating disorders

Treatment for anorexia varies depending on the person’s needs. They may receive treatment through inpatient or outpatient care based on their current medical and mental state. Treatment for anorexia most often involves a combination of:

  • Individual and group psychotherapy
  • Medication
  • Hospitalization

A person with anorexia or any eating disorder will have the best recovery outcome if they receive an early diagnosis. If you or someone you know are experiencing signs and symptoms of anorexia, be sure to talk to a provider as soon as possible.

To find out more about our mental health services or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Robotics: Gastric Bypass

Gastric bypass or “Roux-en-Y” is a metabolic and weight-loss procedure that works by modifying your digestive system so that you consume and absorb fewer calories. It modifies your stomach and also your small intestines.

Similar to other bariatric surgery operations, gastric bypass is recommended for people who have clinically severe obesity. It has been shown to help relieve a long list of obesity-related health conditions, including:

  • Type 2 diabetes
  • Hypertension
  • Obstructive sleep apnea
  • GERD (chronic acid reflux)
  • Heart disease
  • Hyperglycemia
  • Fatty liver disease
  • Hyperlipidemia
  • Osteoarthrosis

The Roux-en-Y procedure gets its name from how it changes your digestive system. “Roux-en-Y” means “in the shape of a Y”. The procedure divides your stomach and small intestine, connecting each new segment to form a “Y” shape. This procedure reduces the functional part of your stomach to a small pouch, separating it from the rest with surgical staples, and restricting the amount of food your stomach can hold. Then, it connects the new stomach pouch to a lower segment of your small intestine. This means that when food goes through your digestive system, it will now bypass most of your stomach and the first part of your small intestine, causing your digestive system to not absorb all of the nutrients or calories in your food.

Gastric bypass surgery requirements are similar to those of other bariatric procedures. A qualified healthcare provider must recommend you for surgery. You may be a candidate for gastric bypass surgery if you:

  • Have been diagnosed with class III obesity
  • Have a BMI of at least 35 with at least one obesity-related condition
  • Have obesity-related type 2 diabetes

Most Roux-en-Y surgical procedures today are laparoscopic, a minimally invasive surgical technique. However, sometimes they are done with robotic assistance.

There are many potential advantages of robotic-assisted surgery over other types of surgery including:

  • Robot-assisted surgery provides the surgeon with 3D images of inside your abdomen that create a clearer picture for them to reference as they operate compared to the 2D images used during laparoscopic surgery
  • Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand
  • You’ll have a few tiny scars rather than one large incision scar (as with open surgery)
  • You’re more likely to experience less pain and less bleeding after surgery compared to open surgery
  • You’re more likely to have a quicker recovery time than with open surgery

To learn more about the robotic surgical procedures at Flushing Hospital Medical Center or to schedule an appointment, call (718) 670-5000.

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Signs Your Blood Sugar is Too High

Hyperglycemia, also known as high blood sugar, is common in people who have diabetes. It occurs when too much sugar (glucose) is in the blood and the body has too little insulin or if the body can’t use insulin properly to regulate blood sugar levels.

People with diabetes can experience hyperglycemia episodes frequently.

Hyperglycemia usually doesn’t cause symptoms until blood sugar levels are high – above 180 to 200 milligrams per deciliter (mg/dL), or 10 to 11.1 millimoles per liter (mmol/L).

Symptoms for hyperglycemia develop slowly over several days or weeks. The longer sugar levels stay high, the more serious symptoms can become. However, some people who’ve had type 2 diabetes for a long time may not show any symptoms despite high blood sugar levels. Early symptoms of hyperglycemia include:

  • Frequent urination
  • Increased thirst
  • Blurred vision
  • Feeling weak or unusually tired
  • Headache

Recognizing early symptoms of hyperglycemia can help identify and treat it right away.

If hyperglycemia isn’t treated, it can cause toxic acids called ketones, to build up in the blood and urine. This condition is called ketoacidosis. Symptoms include:

  • Fruity-smelling breath
  • Dry mouth
  • Abdominal pain
  • Nausea and vomiting
  • Shortness of breath
  • Confusion or disorientation
  • Loss of consciousness
  • Dehydration
  • Rapid heartbeat

Hyperglycemia most often results from a lack of insulin. This happens due to insulin resistance and/or issues with the pancreas, the organ that makes insulin.

However, other hormones can contribute to the development of hyperglycemia as well. Excess of the stress hormone cortisol or the growth hormone can lead to high blood sugar.

Chronic hyperglycemia over the years can damage blood vessels and tissues in your body. This can lead to a variety of complications, including:

  • Retinopathy
  • Nephropathy
  • Neuropathy
  • Gastroparesis
  • Heart disease
  • Stroke

Hyperglycemia is diagnosed when a healthcare provider orders blood work to screen for the condition and diagnose diabetes. These tests may include:

  • Fasting glucose tests.
  • Glucose tolerance tests.
  • A1c test.

Injected insulin is the main way to treat hyperglycemia episodes. Everyone requires different doses. Your healthcare provider will work with you to determine which dose is best to treat and prevent high blood sugar. Dietary changes and exercise plans can also help manage your blood sugar to prevent hyperglycemia.

If you’re experiencing symptoms of hyperglycemia, you can receive treatment from an endocrinologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Link between Alcohol and Cancer

The Office of the Surgeon General recently issued an advisory calling for updated warnings on alcoholic beverages, cautioning that the consumption of alcohol heightens the risk of several types of cancer.

The current labels on alcoholic beverages warn about drinking while pregnant, drinking while driving, and operating machinery, as well as other general “health risks”.  The Office of the Surgeon General noted that alcohol consumption contributes to approximately 100,000 cancer cases and 20,000 cancer-related deaths each year. Therefore, the public needs to be warned about the link between alcohol consumption and an increased risk of cancer.

Alcohol has been classified as a carcinogen “primarily due to its metabolite, acetaldehyde, which has the ability to bind to DNA and potentially cause mutations”, says Dr. Vasilis Vasiliou PhD, chair of the Department of Environmental Health Sciences and the Susan Dwight Bliss Professor of Epidemiology at the Yale School of Public Health. Acetaldehyde may also increase the risk of aerodigestive cancers, which are cancers that affect the upper respiratory and digestive tracts. Aerodigestive cancers include cancer of the lip, tongue, salivary glands, and other oral and nasal regions. “Furthermore, acetaldehyde may have a more pronounced effect on individuals with mutations in DNA-repair enzymes, such as BRCA1 and BRCA2. Mutations in these BRCA1 and BRCA2 enzymes can increase the risk of developing breast or ovarian cancer”, Dr. Vasiliou says.

Dr. Vasiliou acknowledges that the adverse effects of alcohol are significantly influenced by the dose-response relationship, which considers both the quantity of alcohol consumed daily and the duration of consumption over time. These factors, along with co-exposures to environmental contaminants, play a pivotal role in determining the severity of alcohol-related risks. Such interactions suggest that alcohol’s harmful effects cannot be fully understood in isolation but should instead be evaluated within the broader context of combined exposures to other environmental and lifestyle-related carcinogens.

Dr. Vasiliou offers this advice when it pertains to alcohol and its link to cancer:

  • Do not start drinking for health reasons
  • Limit consumption
  • Consider personal and family health risks
  • Seek non-alcoholic sources of antioxidants

Synergistic interactions with other environmental carcinogens and lifestyle factors influence the risk of cancer from alcohol consumption. Reducing alcohol intake, alongside minimizing exposure to other known carcinogens such as tobacco smoke, environmental pollutants, and chemical toxins, is a critical strategy for lowering overall cancer risk. Comprehensive prevention efforts should address not only alcohol consumption but also broader environmental and lifestyle factors.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.