ONE TOUCH

AN EVENING WITH NUMB3RS: SO WHAT?

By Dr. John Vincent Policarpio G. Flores, MD, M.Sc. MBA
Director, ASEAN Medical Affairs

• Diabetes Essentials
• Review of the Numbers
• Ordinary Numbers of Ordinary People
• Target Numbers of Special People
• What’s your number?
• What’s accurate and what’s not?

KEY POINTS
Introduction:

Human beings are hard-wired with numbers – evidenced by common everyday occurrences such as when asking “How old are you?” and “What is your grade in Math?”

Diabetes Essentials:

• How our Body Functions

• In digestion, our body breaks down proteins into amino acids, fats into fatty acids, carbohydrates into glucose.
• The nutrients (glucose) go through the gastro-intestinal tract, and then are absorbed into the blood.
• The glucose in the blood is needed by the cells to provide energy; therefore, they must find their way inside the cell.
• Think of glucose as the body’s fuel and insulin as the ignition key that allows glucose to enter the cell and provide energy for the body.
• With LACK OF INSULIN, glucose is unable to enter the body’s tissues, leaving the tissues to use up their energy reserves.

• Most Clinical Types of Diabetes
• Type 1 – Body is not able to produce insulin because pancreatic beta cells that produce insulin are destroyed.
• Type 2 –Characterized by decreased insulin secretion or insulin resistance (fat gets in the way of insulin) in the body.
• Gestational Diabetes - Temporary state of diabetes during pregnancy.

• Normal Glucose Levels (for ordinary people not yet diagnosed with diabetes)

• 70-100 mg/dl – glucose levels during fasting state (8 hours without any meal).
• 140 mg/dl – post-meal glucose after a maximum of 2 hours after eating a meal.

* Take note that the boundaries are different for people who want to know if they are diabetic or not (undiagnosed diabetics) and for those who know they are diabetic and want to regularly monitor their blood sugar levels (diagnosed diabetics).

• How do you know if you are Diabetic?
• 126-8-2 = 126 mg/dl or above blood glucose measure during the fasting state (8 hours without any meal) on 2 separate occasions.
• 200-2-75 = 200 mg/dl or above blood glucose measure two hours after taking in 75 grams of glucose.
• 200 + Symptoms = 200 mg/dl or above blood glucose measure and experiencing the ff symptoms: extreme thirst, frequent urination, dry skin, hunger, blurred vision, drowsiness, nausea.

If you meet any of these requirements, then you are diabetic.

• So what? Why is diabetes management important?

Poor diabetes management can lead to:

• Microvascular complications – such as blindness, kidney failure, nerve dysfunction
• Macrovascular complications – such as coronary heart disease, cardiovascular heart disease

*Source: American Diabetes Association

    Example: James who had his toes eaten by his dog.

• Hyperglycemia Risk Factors:

• Overeating
• Lack of Exercise
• Stress
• Surgery

• Hypoglycemia Risk Factors:

• Too much medicine
• Delayed meals
• Overly Rigorous Exercise

• Hypoglycemia Symptoms:

• Shaking
• Sweating
• Anxious
• Dizziness
• Hunger
• Fast Heartbeat
• Impaired Vision
• Weakness, Fatigue
• Headache
• Irritable

• How big is the problem?

• 7 million new cases per year worldwide

• What can we do about it?

• Medical Nutrition Therapy (MNT)
• Exercise
• Patient Education
• Drugs/Medications
• Optimization of Glucose Control through SMBG

• SMART Goals of Therapy Among People with Diabetes

• Achieve Blood Glucose Control
• Blood Pressure Control
• Cholesterol Control

• Target Blood Glucose Levels for People with Diabetes

• Fasting state (8 hours without eating anything, upon waking up from long duration sleep) – 70 -130 mg/dl
• Measure for 2 hours after meal - < 180 mg/dl

*Source: American Diabetes Association

• How to choose a good blood glucose meter

Criteria:

• Accuracy

• Reflected by how close its readings are to results generated by a reference method (laboratory method)
• Blood glucose measure samples within zone A of Clarke-Error Grid

• Precision

• Refers to consistency or reproducibility of blood glucose readings
• < 5% coefficient of variation is the accepted ISO standards

• Conclusion

• Glucose control is one of the cornerstones of diabetes management.
• Self-Monitoring of Blood Glucose (SMBG) can help guide therapy towards optimized glucose control.

                         

An Evening with Numb3rs: So What? A OneTouch Diabetes Awareness Event

An Evening with Numb3rs: So What?
 
A  OneTouch Diabetes Awareness Event
 

Over the years, more and more Filipinos are diagnosed with Type 2 Diabetes Mellitus. According to the National Nutrition Health Survey in 2008, the prevalence rate of Diabetes in the Philippines is 4.8%. The numbers are growing and not a lot of Filipinos know exactly what to do when their doctors give them the magic numbers, their blood glucose measures. LifeScan, a company under Johnson & Johnson Medical Philippines, wishes to address this problem by increasing awareness about proper diabetes management among Filipinos by holding diabetes awareness events such as the one held on May 26, 2012 evening at Max’s Restaurant, Gateway Mall.

Key Highlights of the Diabetes Awareness Event:

• Free Pre-meal and Post-meal Blood Glucose Screening
• using the OneTouch SelectSimple Glucose Meter
• Max’s Meal Set for Dinner
• Testimonial from Mr. Alex Villareal about Dealing with Diabetes
• The Highlight of the Event: An Evening with Numb3rs – So What?
• A Talk by Dr. John Vincent Policarpio G. Flores, MD, M.Sc., MBA
• A raffle where 13 lucky guests won either a bag of Healthy Options cookies
• or a Diabetes Recipe Book

The main speaker for the event was Dr. John Flores, a BS Public Health graduate from UP, Doctor of Medicine, MBA graduate from the Ateneo de Manila Graduate School of Business, an Epidemiology and Biostatistics consultant, who is also the current ASEAN Medical Affairs Director in Johnson & Johnson Medical. He specializes in holding professional education programs for Diabetes and chronic diseases and doing clinical studies on the optimization of glycemic control. His talk on the OneTouch Diabetes Awareness Event in Max’s Restaurant focused on diabetes essentials, risk factors, how to know if you have diabetes, the importance of diabetes management, how to deal with diabetes, and how to choose a good meter.

Overall, there were 42 people who attended the event, 31 of whom were bloggers and 6 of whom were diagnosed with diabetes. The event was dubbed as a huge success and many of the guests had something wonderful to share about what they have learned about diabetes.

This event was just a stepping stone in the campaign towards promoting diabetes awareness. The main goal of the event was to reach out to the bloggers so that they can likewise inspire their readers to acknowledge diabetes as a disease that cannot be taken for granted. According to Dr. John Flores, diabetes does not just call for additional medical expenses; it calls for a lifestyle change – a change towards a healthier way of living life.

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NY THERASPINE CHIROPRACTIC AND MULTI-SPECIALTY PHYSICAL THERAPY CLINIC

 

When muscles are sore and bones are tired, even the smallest steps and the simplest tasks become particularly difficult to endure. Joint pains, stiffness, injuries and other chronic conditions like arthritis and scoliosis make it hard to go about the day like nothing is wrong, and the pain is so personal that no one else understands why.

We resort to quick fixes and go to the nearest neighborhood spa, entrusting our bodies to our favorite masseuse. According to New York (NY) Theraspine Clinic owner and registered Physical Therapist Michelle Natividad, “ It is dangerous to have your bones and back be touched just by anybody. You need professionals to do that.”

At NY Theraspine Clinic, they completely understand these problems. With its team of friendly, highly-qualified, even award-winning chiropractors and physical therapists accredited abroad, NY Theraspine offers only personalized the best treatments for the most common neck and back pains, to posture problems, and for stroke rehabilitation.



NY Theraspine Clinic employs the methods of Chiropractic -a form of alternative medical treatment that focuses on manual therapy and manipulation of the spine, joints, and soft tissues. When done correctly, chiropractic not only treats existing conditions, but can also prevent potential injuries and illnesses from happening, also preventing surgeries.

For those who suffer from disabling conditions like low back pain, arthritis, fractures, carpal tunnel syndrome or sciatica regardless of age and fitness level, the NY Theraspine Clinic also offers Physical Therapy Rehabilitation, which involves the use of heat treatment, ultrasound, electric stimulation, therapeutic exercise, and therapeutic massage with the aim of restoring each patient’s maximum functional independence.

For those who lead active lifestyles and are into sports and intense physical activities, the clinic also offers Sports Physical Therapy and Conditioning which ultimately aims to rehabilitate muscles and treat injuries of both professional and amateur athletes as soon as possible, so that they may continue playing their sport without having to take a long break for treatment.

NY Theraspine also makes use of the Myofascial Release approach, which caters to those who are plagued by headaches, pain, and restricted motion as a result of the tightening of the fascia. This often happens to people who have suffered from trauma — a fall, whiplash, or side-effects from a surgery. 

With the Myofascial Release approach, therapists individualize each session to cater to each patient’s specific needs, using a number of Myofascial Release techniques and movement therapy to help restore the patient’s range of motion, alleviate pain, and eventually help them return to living an active, free life.

NY Theraspine Clinic’s services also include weight management and fitness and
conditioning, showing just how dedicated the clinic is to promoting a healthy, happy lifestyle.


Take the first step towards a pain-free world. Call 375-1035/921-9831. You can visit them at 73-G Sct. Dr. Lazacano cor. Sct. Tuazon, Brgy. Laging Handa, Quezon City to receive a free initial evaluation.


Like their Facebook page at https://www.facebook.com/pages/New-York-Theraspine-Clinic/159174327505633.