Do I have Diabetes?

So the holidays are almost over. If you are anything like me you probably have felt like you have been floating through a sea of chocolates, peanut brittle and candy canes for the last month and a half. Oh my gosh I am ready to start hitting the gym and getting back to my fruits and veggies for the new year.

As a result of all my indulgences I have put on quite a few extra pounds. If you find that you are overweight and have struggled with maintaining a healthy weight most of your life, you may be at risk for diabetes. Diabetes is a condition where your body cannot produce enough insulin to process all of the sugars that come from the food we eat. If we cannot process the sugars, then our cells will not be provided with the energy they need to operate. I find that the end of the year is a good time to evaluate my health and check for signs of health issues like diabetes.

Here are some symptoms that could tell you if you have diabetes:

Frequent Urination

Unusual Thirst

Extreme Hunger

Unusual Weight Loss

Extreme Fatigue and Irritability

Frequent Infections

Blurred Vision

Cuts/Bruises that are slow to heal

Tingling/Numbness in Hands and Feet

Recurring Skin/Gum or Bladder Infections

If you feel that your body is developing any of these symptoms go see your doctor as soon as possible. If untreated diabetes can be very dangerous. The American Diabetes Association has an online risk test. Click here to view it.

If you do find that you are diagnosed with diabetes you may be able to qualify for one of Western Health’s Telehealth Services. If approved by your doctor and insurance, we can provide Diabetes education and management. We can also provide a special machine in your home that sends us your blood sugar, blood pressure, and weight levels that can be monitored by a nursing diabetes specialist 24/7. If you or your doctor feel you can qualify please contact us at (619) 397-7800.

Home Care for the Holidays

The holidays are traditionally a time of year when families come together and see each other after being away for long periods of time. Sometimes we cannot directly observe changes in health of our loved ones by communicating over the phone or through email. This is a great opportunity for you to perform a “healthy living” evaluation on your loved ones, especially the elderly in your family. Observing signs of a decline in health may mean that your loved one deserves extra care - either from family members or an outside health organization.

Signs to look for include:

1. Memory Issues - Does your family member become confused very easily? Does your family member forget things like names of people or where items are located around the house? These could be early signs of dementia.

2. Check your loved one’s refrigerator - if you notice a lot of old and expired food in the fridge it may mean that your loved one has forgotten how to cook or that she/he may be afraid to cook food because of weakness or balance issues when near the stove. If your loved one says he/she primarily eats fruit bars, then they may lack the confidence or not remember how to cook food. Your loved one may need assistance with preparing nutritious and balanced meals.

3. Does your family member move slower than normal. This could be a sign of hip or knee problems, arthritis, or osteoporosis. Your family member may not be stable enough to safely walk around without the assistance of a cane or walker.

4. Is your family member not as optimistic or upbeat than normal. This could be a sign of depression. Your loved one may be feeling lonely or that no one can relate to her. You need to be there for her and suggest leaving the house on social outings through her church or volunteer for a non-profit. If your loved shows signs of dementia, then an adult day care may be more appropriate to deliver the needed level of socialization.

These are just some signs to look for. Sue and Eric were on San Diego Living early this week and give some more insight into this topic. Click here to view the video.

Of course WE can always be there for your loved ones. Call us today at (619) 656-4380 or visit our Private Duty Page and we can set up an assessment to determine if home care is an appropriate option. We are also running a special now until 12/31/11 - call us and mention this blog post and all new clients receive 2 hours of home care FREE!*

 

*Must reserve a minimum of 4 hours

Dementia Caregiver Support Groups

If you are a follower of our blog, you know that dementia and Alzheimer’s related diseases can be very stressful for those who are diagnosed and for loved ones who care for those who are diagnosed. Luckily the San Diego Chapter of the Alzheimer’s Association lists a number of support groups in San Diego County:

 

Clairemont

1st Thursday

1:00 - 2:30 p.m.

*Clairemont Lutheran Church

4271 Clairemont Mesa

 

Encanto (Christian)

4th Friday

6:00 -7:30 p.m.

*Bay View Baptist

Church

6134 Benson Avenue

Bungalow B3

 

Point Loma

2nd Saturday

10:00 - 11:00 a.m.

*Elmcroft of Point Loma

3423 Channel Way

 

Imperial Beach

2nd Tuesday

10:00 - 11:30 a.m.

*Imperial Beach

Senior Center

1075 8th Street

*Sun and Sea Manor

 

Alpine

1st Wednesday

2:00 - 3:30 p.m.

*Alpine Community

Center

1830 Alpine Blvd

 

San Carlos

1st & 3rd Tuesday

10:00 - 11:30 a.m.

*San Carlos

Methodist Church

6554 Cowles Mtn Blvd

 

Escondido

**1st & 3rd Thursday

10:00 - 11:30 a.m.

*Redwood Elderlink

1151 S. Redwood

 

3rd Wednesday

1:30 - 3:00 p.m.

*Joslyn Senior Center

Dorothy E. Boeger Bldg.

728 N. Broadway

 

4th Thursday

3:00 - 4:00 p.m.

*Las Villas del Norte

1325 Las Villas Way

 

Cardiff By the Sea

3rd Thursday

1:30-3:00 p.m.

*Belmont Village

Cardiff by the Sea

3535 Manchester Ave

 

Carmel Valley

1st Tuesday

6:00 -7:30 p.m.

*Emeritus at Carmel Valley

13101 Hartfield Roae

 

Olivehain

3rd Thursday

10:00 - 11:30 a.m.

*Olivenhain Guest Home

350 Cole Ranch Road

 

Oceanside

1st Wednesday

6:00 -7:00 p.m.

*Aegis @ Shadowridge

1440 S. Melrose Drive

 

2nd Wednesday

1:00 - 2:00 p.m.

El Corazon Senior Center

3200 Senior Center Dr.

*Redwood Elderlink

 

4th Tuesday

10:00 - 11:30 a.m.

*Pacific Place

3500 Lake Blvd

Coronado

1st and 3rd Wednesday

7:00 - 8:30 p.m.

*Coronado Public Library

Library Conference Room

640 Orange Avenue

 

La Jolla

2nd Wednesday

2:00 - 3:30 p.m.

*UCSD/Shiley-Marcos

Alzheimer’s Disease

Research Center

8950 Villa La Jolla Dr.

Suite C-129

 

3rd Wednesday

1:30 - 3:00 p.m.

*Sunrise La Jolla

810 Turquoise St

 

2nd Monday

2:00 - 3:30 p.m.

*White Sands La Jolla

7450 Olivetas Avenue

 

National City

1st Thursday

2:00 - 3:30 p.m.

*Paradise Village

2700 E. 4th Street

 

La Mesa

2nd Saturday

10:00 - 11:00 a.m.

*Elmcroft of La Mesa

4960 Mills Street

 

Ramona

3rd Wednesday

10:00 - 11:30 a.m.

*Ramona Senior Center

434 Aqua Lane

 

Poway

3rd Wednesday

6:30 - 8:00 p.m.

*Belmont Village Sabre Springs

13075 Evening Creek

Drive South

 

2nd Tuesday

10:30 a.m.-12:00 noon

*Sunshine Care

12725 Monte Vista Road

 

San Marcos

2nd Tuesday

6:30 - 8:00 p.m.

*Silvergate San Marcos

1550 Security Place

 

Carlsbad

**3rd Thursday

5:30 - 6:30 p.m.

*Sunrise at La Costa

7020 Manzanita Street

 

2nd Thursday

3:00 - 4:30 p.m.

*Glenbrook at La

Costa Glen

1950 Calle Barcelona

 

Vista

Every Thursday

1:30 - 3:30 p.m.

*Vista Village

2041 West Vista Way

 

Encinitas

**Every Wednesday

10:00 - 11:30 a.m.

*George G. Glenner

Alzheimer’s Family Centers

335 Saxony Road

 

Every Wednesday

10:00 - 11:30 a.m.

*Silverado Senior Living

335 Saxony Road

 

1st Wednesday

5:30 - 6:30 p.m.

*Encinitas Senior Center

1140 Oakcrest Park Drive

*Sunrise La Costa

 

 

Remember – if you need respite from caring for a loved one with dementia please call Western Health HomeCare at (619) 656-4380 24/7 and we can make arrangements to have one of our specially skilled Personal Care Attendant care for your loved one.

San Diego Living - Dementia Awareness

Sue and Eric stop by San Diego Living to discuss the signs and symptoms you should look for if you suspect a loved one of having dementia.

National Alzheimer’s Awareness Month

November is known as the begining of the holiday season. Halloween has just wrapped up, Thanksgiving is in a week and many of us are planning on waking up in the wee dawn hours to take advantage of all the great sales on Black Friday. November is also known as Alzheimer’s Awareness Month.

Alzheimer’s is a dibilitating disease that affects millions of Americans - those who have been diagnosed and the loved ones who care for the diagnosed. A good way to prevent some of the hardship that comes with Alzheimer’s is to try and catch the symptoms early on. Scientists and doctors have been making great strides in the treatment and delay of the disease. Even though there is no proven cure yet, early detection is crucial in order to recieve proper treatment to help slow down the toll Alheimer’s has on the mind.

The Alzheimer’s Association provides 10 signs to look out for in order to detect Alzheimer’s:

1. Memory changes that disrupt daily life. One of the most common signs of Alzheimer’s, especially in the early stages, is forgetting recently learned information. Others include forgetting important dates or events; asking for the same information over and over; relying on memory aides (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own. What’s typical? Sometimes forgetting names or appointments, but remembering them later.

2. Challenges in planning or solving problems. Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills. They may have difficulty concentrating and take much longer to do things than they did before. What’s typical? Making occasional errors when balancing a checkbook.

3. Difficulty completing familiar tasks at home, at work or at leisure. People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work or remembering the rules of a favorite game. What’s typical? Occasionally needing help to use the settings on a microwave or to record a television show.

4. Confusion with time or place. People with Alzheimer’s can lose track of dates, seasons and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are or how they got there. What’s typical? Getting confused about the day of the week but figuring it out later.

5. Trouble understanding visual images and spatial relationships. For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance and determining color or contrast. In terms of perception, they may pass a mirror and think someone else is in the room. They may not recognize their own reflection. What’s typical? Vision changes related to cataracts.

6. New problems with words in speaking or writing. People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word or call things by the wrong name (e.g., calling a “watch” a “hand-clock”). What’s typical? Sometimes having trouble finding the right word.

7. Misplacing things and losing the ability to retrace steps. A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time. What’s typical? Misplacing things from time to time, such as a pair of glasses or the remote control.

8. Decreased or poor judgment. People with Alzheimer’s may experience changes in judgment or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming or keeping themselves clean. What’s typical? Making a bad decision once in a while.

9. Withdrawal from work or social activities. A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects or sports. They may have trouble keeping up with a favorite sports team or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced. What’s typical? Sometimes feeling weary of work, family and social obligations.

10. Changes in mood and personality. The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful or anxious. They may be easily upset at home, at work, with friends or in places where they are out of their comfort zone. What’s typical? Developing very specific ways of doing things and becoming irritable when a routine is disrupted.

If you notice yourself or a loved with any of these signs it is time for a visit to your primary care physician for a memory screening. If you know someone who has been diagnosed with Alzheimer’s (or any other type of dementia) and need help caring for that person please call Western Health at (619) 656-4380 or visit our Private Duty page and we can set up a complimentary face-to-face assessment to see if any of our services are appropriate for your needs.

Chronic Obstructive Pulmonary Disease

The blog has begun again. Today I would like to talk about Chronic Obstructive Pulmonary Disease (COPD). COPD is the most common chronic respiratory disease among seniors. It’s a disease that causes the airways in the lungs to become blocked, making breathing difficult. COPD includes symptoms of emphysema and chronic bronchitis. Emphysema is diagnosed by the destruction of the walls between the air sacs leading to a few enlargened air sacs instead of many tiny ones. Chronic bronchitis causes inflammation and thickening of lung air sacs, which causes an increase in the number and size of mucus producing cells. This leads to excessive mucus production and difficulty breathing. If you have been diagnosed with COPD you can make some lifestyle changes that can help with your condition like quitting smoking, reducing exposure to lung irritants and eating several small nutrient rich meals instead of large meals that leave you feeling full.

Dementia Continued

Dementia is one of those disease’s that sneaks up on you and all of a sudden one day you forget who people are. I will tell you a story of one of our patients. A couple in their seventies were at home and the wife went to play cards like she always does on Tuesdays from 2 pm until 6 pm. Her husband stays at home and makes dinner. This one Tuesday the wife came home and her husband was sitting in the living room and the lights were off and he asked his wife who she was and he had to go home to his parents. His wife brought out their wedding book but her husband still would not believe her . She called her son and her son spoke to his dad and he finnally realized where he was . After this she could no longer leave him alone. He became worse every day. Maybe you can relate.

Dementia

Hi everyone I would like to talk about Dementia today. Dementia is one of those diseases that sneak up on the person and family. Many people have dementia and are able to cover the symptoms. For example when going out to eat , you make ask the person what are you going to order, because they can not read the menu they will respond what are you having and then say that sounds good I will have that too. Or they may place their money in order in their wallet so they know the ones are first , fives etc . If you have a loved one that may exhibit some of the symptoms you may want to see a geriataric Psychiatrist. UCSD has some of the best and they can help you and your family cope . Because one day you think your loved one is normal the next day they are not.

Heart Smart Month

Hi all!

The month of February is all about our hearts. Did you know that heart disease is the number one killer of women? Who would of guessed. Heart disease is not gender biased. If you are like me, why not give yourself a challenge and see if you can stop adding salt to your meals. Studies show that too much salt in your diet can lead to high blood pressure, which can lead to heart disease.

Now, how many of you have trouble with water retention? I know I do. Decreasing salt intake can lessen water retention and bloating. This will also help shrink your waistline. How about challenging yourself for the next few weeks to see how much water weight you can take off? Then report back and share your success on this blog post. I will start today and will let you know how I’m doing. A great way to start is to eat more vegetables and less processed foods and meats. Remember, when eating vegetables, frozen and fresh veggies have the least amount of sodium versus the canned variety. If you are looking for more ways to lower sodium, why don’t you check out the DASH diet. The National Institute of Health recommends this diet for anyone who has a heart related illnesses. Take a look at their pamphlet here.

For those of you with major heart related illness like congestive heart failure (CHF) – we have the perfect telehealth monitoring program at Western Health. Just fill out our contact form and we’ll work with your doctor and insurance provider to set up the service.

Our hearts are the engines that run our body – we need to make sure our engines are nice and healthy.

-Sue