Not only does long-standing, poorly controlled diabetes cause renal failure, it puts you at high risk for infection, metabolic syndrome (heart disease/stroke/diabetes), heart failure (CV disease), retinopathy (vision damage), puts you at higher risk for developing Alzheimer's disease, foot complications due to neuropathy as stated below …
Not only does long-standing, poorly controlled diabetes cause renal failure, it puts you at high risk for infection, metabolic syndrome (heart disease/stroke/diabetes), heart failure (CV disease), retinopathy (vision damage), puts you at higher risk for developing Alzheimer's disease, foot complications due to neuropathy as stated below and depression! I am a nurse practitioner who works on a critical care unit and see the devastating effects of on a daily basis. We need physicians, physician assistants and nurse practitioners, who work in primary care to be trained in 'lifestyle medicine' to educate these sick folks about the 6 domains (see below) to healthier living in order to reverse or at least tame this disease, to use health coaches
(make sure insurance companies cover coaching) and YES, provide insulin at little to no cost! We must address this problem holistically (whole food plant-based diet, physical activity, restorative sleep, avoiding risky substances and promoting positive social connections.
Don't know where you are but your nursing philosophy is spot on. It's why I spoke to a large conference of NP's about 25 years ago and told them that I believed, as a primary care internist, that eventually there would be few primary care docs and most primary care would be done by nurse practitioners. Of course, I had special education as I was and still am married to a now retired ARNP.
Thank you for dedicating your career to primary care, we need more of you! My dear friend is also a primary care internist in rural PA (my home state) and he would agree with you. I became a member of the American College of Lifestyle Medicine (ACLM) and got certified in Lifestyle Medicine as a Health Coach during the pandemic. I have lectured about Lifestyle Medicine and the Blue Zones and it's positive affect on health and well being. The ACLM is an ever-growing society of health professionals on a mission to reverse chronic disease. I am currently working as an ICU NP in San Francisco but will be launching a LM course that specifically focuses on women's health (perimenopause and menopause). Lifestyle Medicine is evidence-based and research shows this is the future of healthcare! I highly recommend checking their website out, lots of good resources to point friends and family to that need help getting healthier!
More power to you. Your experiences doing that would be of interest to a journal like Menopause, I bet, in which Ellen Mitchell and Nancy Woods, U of Washington, published many things about the menopausal transition which they studied for about 25 years. Stuff that women really want to know about how long the transition to FMP will last and what symptoms tend to be exaggerated or changed by the transition. Somehow, we have all made the transition to retirement together, but it was a great fun ride!
Not only does long-standing, poorly controlled diabetes cause renal failure, it puts you at high risk for infection, metabolic syndrome (heart disease/stroke/diabetes), heart failure (CV disease), retinopathy (vision damage), puts you at higher risk for developing Alzheimer's disease, foot complications due to neuropathy as stated below and depression! I am a nurse practitioner who works on a critical care unit and see the devastating effects of on a daily basis. We need physicians, physician assistants and nurse practitioners, who work in primary care to be trained in 'lifestyle medicine' to educate these sick folks about the 6 domains (see below) to healthier living in order to reverse or at least tame this disease, to use health coaches
(make sure insurance companies cover coaching) and YES, provide insulin at little to no cost! We must address this problem holistically (whole food plant-based diet, physical activity, restorative sleep, avoiding risky substances and promoting positive social connections.
Don't know where you are but your nursing philosophy is spot on. It's why I spoke to a large conference of NP's about 25 years ago and told them that I believed, as a primary care internist, that eventually there would be few primary care docs and most primary care would be done by nurse practitioners. Of course, I had special education as I was and still am married to a now retired ARNP.
Thank you for dedicating your career to primary care, we need more of you! My dear friend is also a primary care internist in rural PA (my home state) and he would agree with you. I became a member of the American College of Lifestyle Medicine (ACLM) and got certified in Lifestyle Medicine as a Health Coach during the pandemic. I have lectured about Lifestyle Medicine and the Blue Zones and it's positive affect on health and well being. The ACLM is an ever-growing society of health professionals on a mission to reverse chronic disease. I am currently working as an ICU NP in San Francisco but will be launching a LM course that specifically focuses on women's health (perimenopause and menopause). Lifestyle Medicine is evidence-based and research shows this is the future of healthcare! I highly recommend checking their website out, lots of good resources to point friends and family to that need help getting healthier!
More power to you. Your experiences doing that would be of interest to a journal like Menopause, I bet, in which Ellen Mitchell and Nancy Woods, U of Washington, published many things about the menopausal transition which they studied for about 25 years. Stuff that women really want to know about how long the transition to FMP will last and what symptoms tend to be exaggerated or changed by the transition. Somehow, we have all made the transition to retirement together, but it was a great fun ride!
Thank you for the reference to the Menopause journal, I will definitely look into that! Enjoy your retirement, I am getting close!
Please add education in every school on Adverse Childhood Events.
https://www.cdc.gov/violenceprevention/aces/fastfact.html