One of the easiest, least expensive ways to stay healthy is often one of the most overlooked. Avoiding the common cold, or worse the flu, can be as easy as washing your hands. Many people wash their hands, but do so ineffectively with just a quick rinse of water.

Read the entire article here: www.tricare.mil/HealthWellness/HLArticles/Archives/12_17_14_WashYourHands.

Today was an important step forward in the fight against Alzheimer's, and YOU made it happen! Thanks to the hard work of Alzheimer's advocates, the Alzheimer's Accountability Act was fully incorporated in to the recently signed funding bill. Because of this critical legislation, scientists at the National Institutes of Health (NIH) will now directly tell Congress how much funding they need, on an annual basis, to reach our national goal to prevent and effectively treat Alzheimer's by 2025. The Alzheimer's Association and its sister organization, the Alzheimer's Impact Movement (AIM), were the only Alzheimer's advocacy groups to work on this key legislation.

Additionally, the funding bill includes a $25 million increase for Alzheimer's research, coming on the heels of an unprecedented $122 million increase for Alzheimer's research, education, outreach and caregiver support earlier this year.

Passage of the Alzheimer's Accountability Act is an incredible milestone for our movement, but we can't let up. In the weeks ahead, Congress and President Obama will prepare the federal budget for next year, and they need to hear from you.

Take a moment and tell your elected leaders to continue their support in the fight against this devastating disease.

The current political environment in Washington is challenging, and it's hard to win such a significant victory, but your tireless efforts made all the difference in the halls of Congress this year.

Continue the fight and tell President Obama and leaders in Congress to make Alzheimer's a national priority.

From the Alzheimer's Association and our partners at the Alzheimer's Impact Movement, thank you again. We look forward to working together with you in 2015.

Want To Keep Momentum Going? Join Us Next Year In Washington D.C. for the Alzheimer's Association Advocacy Forum!

By Erin Palinski-Wade, RD, CDE, LDN, Special to Everyday Health

If you were recently diagnosed with type 2 diabetes, or even if you have had diabetes for a long time, you may be confused about how to eat to manage your blood glucose levels. It seems that everyone has an opinion, and many of these opinions contradict each other.

So what are you to believe? And what truly works at helping you maintain your glucose levels in a healthy range?

Let's take a look at some of the biggest diabetes diet myths, why they don't work, and what actually will.

Myth No. 1: If You Have Diabetes, You Must Avoid All Sugar

The Truth: Excess sugar good for anyone's diet, regardless of whether they have diabetes or not. However, just because you have diabetes, not all sugar and sweets are off limits. All carbohydrates, including simple sugars as well as complex carbohydrates, are broken down into glucose during digestion. This glucose is then used as energy in your cells. Because all forms of carbohydrates break down into glucose and therefore raise your glucose levels, you need to monitor your total carbohydrate intake, especially at one sitting, for optimal glucose management.

Although you must be careful not to overeat carbohydrates at one sitting, you can still indulge in a few sweet treats at times. Complex carbohydrates such as whole grains, whole fruits and vegetables, and low-fat milk are the best choices for everyone, due to their rich nutrient and fiber content. But you can enjoy a food containing simple sugars, such as a cookie, in moderation without spiking your glucose levels, as long as you keep the portion under control. Keep in mind, however, that when it comes to simple sugars, moderation is key for everyone, not just people with diabetes.

Myth No. 2: Any White Food Is Bad

The Truth: When you think of white foods, what comes to mind? White flour, white sugar, white bread? What about white potatoes, cauliflower, and onions? Are all of these white foods bad for glucose levels? Definitely not! Sure, some white foods are highly processed, such as enriched flour and sugar. But just because a food is white in appearance doesn't mean it will be rapidly converted into glucose in the body and therefore spike your levels. In fact, white vegetables such as cauliflower and onions are excellent for blood glucose control as they are very low in calories and high in fiber, and provide few carbohydrates.

White potatoes get a bad rap as well. It is true that sweet potatoes are digested more slowly and prompt a smaller elevation in glucose levels after eating, but that doesn't mean you need to avoid white potatoes if you have diabetes. In moderation, and as part of a balanced meal - with vegetables, lean proteins, and healthy fats - you can enjoy white potatoes as your starch and still maintain healthy glucose levels.

Myth No. 3: The Only Way to Lower Glucose Levels and Weight Is to Follow a Low- or No-Carb Diet

The Truth: If you are newly diagnosed with diabetes, you may feel as though everyone around you is telling you to steer clear of all sources of carbohydrates. Since carbohydrates are found in everything from fruit to bread to milk and even vegetables, you may feel as though there's nothing left to eat. But the good news is that you can still eat carbohydrates. Managing diabetes is about keeping your glucose levels in a healthy range. Too-high glucose levels can damage your body, but too-low levels can be dangerous as well. Eating carbohydrates as part of a well-balanced diet will help you keep your levels within a healthy range.

Instead of avoiding carbohydrates, focus instead on choosing the healthiest types. Select whole vegetables and fruits, whole-grain bread, and low-fat dairy for a diet rich in nutrients and fiber. Space your carbohydrate intake out throughout the day by balancing your plate with carbs, lean protein, and healthy fat at each meal. A balanced diet will not only help you achieve optimal glucose levels, it will also improve your overall health.

Myth No. 4: Sugar-Free Foods Won't Impact Blood-Sugar Levels

The Truth: Sugar-free foods do not necessarily equal carbohydrate-free foods. Many foods marketed as sugar-free have replaced sugar with sugar alcohols. Sugar alcohols provide fewer calories and make less of an impact on glucose levels than regular sugar, but they can still elevate glucose levels if you consume them in large amounts. In addition, bread-based sugar-free foods, such as sugar-free desserts, are typically rich in carbohydrates from sources such as flour and grains. It's essential to read labels carefully on sugar-free foods. Look at the total grams of carbohydrates and not just grams of sugar. If you focus only on the marketing claims, such as "sugar-free," you may struggle to lower your glucose levels without knowing why.

As you can see, there are many diet myths surrounding diabetes. But managing your glucose levels doesn't have to be complicated. A balanced diet rich in whole foods and limited in processed foods and simple sugars - the same diet that we should all follow, regardless of whether we have diabetes or not! - can help you keep your glucose levels in a healthy range.

Erin Palinski-Wade, RD, CDE, LDN, is a nationally recognized nutrition and fitness expert who has contributed to national media outlets such as the CBS Early Show, The Doctors, and the Chicago Tribune. She serves as a media spokesperson, nutrition consultant, and speaker. Erin is the author of multiple publications including Belly Fat Diet For Dummies and 2-Day Diabetes Diet, and co-author of Flat Belly Cookbook For Dummies. She specializes in the areas of diabetes, adult and child weight management, sports nutrition, and cardiovascular disease. Follow her on Twitter and Facebook.

The long-term effects of type 2 diabetes can be challenging, but the right treatment and support can help you succeed through these setbacks.

Living with type 2 diabetes is a full-time job. When you also are experiencing complications from your condition, the job gets even harder. That's why, with your doctor's help, you need to develop and stick to a comprehensive health plan.

You have diabetes complications because your elevated blood sugar took a toll on either your circulatory or nervous system, or both. Keeping your blood-sugar levels under control remains central to your battle to stay healthy. It's also critical to keep your blood pressure and your cholesterol within a normal range

Know the Risks

People with diabetes have twice the risk of developing heart disease compared to people without diabetes, and diabetes is the leading cause of kidney failure among Americans. Neuropathy, or nerve damage that causes burning, numbness or complete loss of feeling in your hands and feet is another problem. The loss of feeling can put you at risk for burns and sores that you are unaware you have. Untreated, these sores may develop into tissue damage that leads to amputation.

People with type 2 diabetes also are at increased risk for serious eye problems that may threaten their vision, including diabetic retinopathy, glaucoma, and cataracts. Diabetes can also make you more prone to dental problems, including gum disease.

Know the Signs of Danger

With such serious problems, it's important to know the signs of trouble and be ready to act when they happen.

Heart attack: Symptoms may be severe and appear suddenly or they may be subtle, with only mild pain and discomfort. If you experience any of the following heart-attack warning signs, call 911:

  • Chest discomfort that feels like pressure, squeezing, fullness, or pain in the center of your chest and that lasts for a short time or goes away and returns
  • Pain elsewhere, including the back, jaw, stomach, or neck; or pain in one or both arms
  • Shortness of breath
  • Nausea or lightheadedness

Stroke: Immediate emergency treatment can mean the difference between life and death when someone has a stroke. Call 911 if you suddenly experience any of the following stroke symptoms:

  • Sudden numbness or weakness in the face, arm, or leg, especially if it occurs on one side of the body
  • Feeling confused
  • Difficulty walking and talking and a lack of coordination
  • Developing a severe headache for no apparent reason

What You Can Do

To keep track of the constellation of problems that can accompany type 2 diabetes, it's critical to stick to a schedule of medical visits:

  • See your primary care doctor or endocrinologist every three or four months.
  • See your dentist every six months.
  • See your ophthalmologist every six months or more often if you have active eye problems.
  • See your podiatrist once a year or more often if you have active foot problems.
  • Consult with your dietitian, exercise physiologist, or mental health counselor as needed.

Managing the complications of diabetes is daunting ? but doable. Advances in medical care in recent decades have made type 2 diabetes and its side effects more treatable ? and new solutions are being developed all the time. Don't give up!

Davenport, Iowa (December 10, 2014) - The Scott County Sheriff's Office has taken a pledge to keep tobacco, alternative nicotine and vapor products out of the hands of Scott County youth.

Known as I-PLEDGE, the program is a partnership with the Iowa Alcoholic Beverages Division (ABD) to educate local retailers and to enforce Iowa's tobacco, alternative nicotine and vapor product laws. Due to a change in Iowa law, alternative nicotine and vapor products are now considered age-restricted products and will be part of the I-PLEDGE program's compliance initiatives this year. Since the program's inception in 2000, the statewide tobacco compliance rate has grown to 93%. By participating in the program, the Sheriff's Office has committed to do its part to increase the compliance rate even more this year.

I-PLEDGE places emphasis on retailer training. Clerks who successfully complete an online training course and then pass an exam will become I-PLEDGE certified. This allows a retail establishment to use an affirm­ative defense against a civil penalty if the certified clerk makes an illegal sale. Although not required to retake the training if currently certified, ABD encourages clerks to repeat the training after October 3rd, in order to familiarize themselves with the newly age-restricted products.

"I-PLEDGE's retailer training is a great way for clerks to prepare themselves to refuse illegal tobacco, alternative nicotine and vapor product sales," Sheriff Dennis Conard said. "The training also assists retailers to ensure they maintain a compliant and responsible establishment."

Deputies will also be conducting compliance checks on local establishments as part of the I-PLEDGE program. Underage customers, under the supervision of law enforcement officials, will enter establishments and attempt to buy tobacco, alternative nicotine and vapor products. Clerks who make the illegal sale will be cited on the spot.

Criminal penalties for selling tobacco, alternative nicotine and vapor products to a minor include a $100 fine for a first offense, a $250 fine for a second offense and a $500 fine for third and subsequent offenses. However, handing out citations is not the intent of the I-PLEDGE program.

"By partnering with the Iowa Alcoholic Beverages Division, we hope to educate clerks and maintain a com­pliant retail environment in our community," Sheriff Conard said. "Moreover, we pledge to help keep tobacco, alternative nicotine and vapor products out of the hands of Iowa's youth."

To take the I-PLEDGE training or search certification records go to www.iowaabd.com.

Muscatine, Iowa (December 2014) - Gilda's Club and Komen Quad Cities are partnering to host Judy Howell, Trinity Nurse Navigator who will discuss strategies to manage treatment side effects such as fatigue, hair loss, anemia, infection and pain. Learn how to manage emotional distress and optimize your quality of life during and after cancer treatment. The workshop will take place on Thursday, December 11th at 1st Presbyterian Church in Muscatine 401 Iowa Avenue, Muscatine, IA. Dinner will be served at 5:30 Presentation at 6:00.

Advanced Registration is preferred as dinner is included.

For more details and registration call Gilda's Club at 866-926-7504

Physician Explains What's Missing From Most Protein Shakes

Every New Year inspires a wave of self-improvement, which for many people includes improving their overall health.

Unfortunately, a recent study from the University of Scranton's Journal of Clinical Phycology says only 8 percent of those who make a New Year's resolution see their goals come to fruition.

Regardless of the specific goal, people establishing resolutions to improve their health need to start with a foundation. A nutritional foundation is required for anyone who is setting out to improve his or her 'health'," says Dr. John Young, M.D., a physician specializing in the treatment of chronic illnesses through biochemical, physiological and nutraceutical technologies, and the author of "Beyond Treatment: Discover how to build a cellular foundation to achieve optimal health," (www.YoungHealth.com).

"Many of us want to lose weight, gain muscle and improve our cardiovascular endurance, but those goals cannot be accomplished without addressing the body's fundamental needs. A healthy body begins with a healthy cellular foundation, and a healthy cellular foundation begins with what we're putting in our bodies."

A protein shake is a common way some people like to supplement their health plans, but Dr. Young says those health drinks are usually missing one or more essential components. He lists them and explains why they're so important.

1.  Whey protein: Can be a great option for protein supplementation assuming it's of the highest possible quality. Look for protein powder that is cold processed (non-denatured), meaning it's never heated to temperatures above 130 degrees. Also makes sure it's made with milk from cows that haven't been pumped full of hormones and that have been grazed on pesticide-free, chemical-free, natural grass pastures. Make sure the protein is completely free of chemicals, artificial flavors and artificial sweeteners.

2.  Omega oils: Because of their molecular makeup, Flax Seed oil and Cod Liver oil are two of the most important oils you can consume. They supply a number of important nutrients for nearly all systems of the body, including the heart and immune system as well as the brain. In order for these oils to be effectively incorporated by the body, they need to be "hidden", or emulsified into a protein so they aren't destroyed during the digestive processes. This is a huge key that most people completely miss.

3.  pH stabilization: pH is a measurement of the acidity or alkalinity in your body and ranges from zero on the acidity end to 14 on the alkaline end. Evidence suggests that a healthy balance in pH increases strength in muscle and bone, improves brain function and decreases the risk of chronic disease. Because our diets are so acidic these days, I use a pH balancing formula in my practice to help keep my patients in the stable pH range.

Along with the three pillars of Dr. Young's approach to healthy protein shakes, he recommends appropriate amounts of fruits and vegetables and an overall balanced diet.

About Dr. John Young, M.D.

Dr. John Young is a medical doctor with more than 15 years' experience working in emergency rooms and pediatric burn units. He's the Medical Director of Young Foundational Health Center, specializing in treating patients with chronic diseases such as diabetes by addressing the physiological issues. He's also the Medical Director of Young Health Products, a company that produces nutritional products developed by incorporating the latest biochemical, physiological and Nobel Prize-winning protocols. Dr. Young is the author of "Beyond Treatment." He answers questions via a call-in conference call every Tuesday at 8:30 p.m. Eastern time by calling 760-569-7676 and using access code 772967

By Chris Iliades, MD | Medically reviewed by Pat F. Bass III, MD, MPH 

Many people associate heart disease with obvious symptoms like chest pain. But there are some not-so-obvious connections, like swollen feet or bleeding gums, that should also merit a heart check from your doctor.

Heart disease symptoms in women or in men are indications that you feel or experience, while a sign of heart disease is something your doctor can see or find. Obvious heart disease symptoms include shortness of breath or chest pain. But your doctor may also look for some surprising heart disease signs during an examination.

Knowing the signs of heart disease is important because you may have them before you have any of the common heart disease symptoms. Letting your doctor know about these warning signs could help you get an early jump on heart disease.

Are you doing everything you can to manage your heart condition? Find out with our interactive checkup.

"Signs like ankle swelling or weight gain do not necessarily mean you have heart disease, but taken together with other symptoms of heart disease, laboratory studies, and family history, they are an important part of making a diagnosis of heart disease or heart failure," says Carl E. Orringer, MD, director of preventive cardiovascular medicine at the University Hospitals Case Medical Center in Cleveland.

Swelling of the Feet and Lower Legs

Retention of fluid in the feet and legs is known as peripheral edema. Edema may appear as "sock marks" at the end of the day. Mild peripheral edema is common. Your doctor may check for this sign by pressing a finger against your ankle or shin bone to see if a depression is left behind. This is called "pitting edema."

Edema may be a sign of heart failure because, when your heart is not pumping well, fluid from inside your blood vessels tends to leak out into surrounding tissues. The legs and ankles are common areas for edema because of the effects of gravity.

"Peripheral edema may be caused by a host of issues," says Dr. Orringer. "The bottom line is that most people with peripheral edema do not have heart disease, but it could be an important sign if there are other signs and symptoms of heart failure."

Male Pattern Baldness

"If you watched any of the royal wedding, you might have noticed that Prince William is balding on the top of his head. This type of balding of the crown of the head in young men may be a sign of an increased risk for heart disease," says Orringer.

Several large studies have confirmed the link between baldness and heart disease. Compared to men with a full head of hair, men with crown loss have an increased risk of heart disease of about 23 percent. Men with complete loss of hair on the top of their head have an increased risk of 36 percent.

The combination of hair loss, high blood pressure, and high cholesterol pushes the risk even higher. This link may be due to too much of the male hormone testosterone, which interferes with hair growth on the head and causes hardening of the arteries. That doesn't mean you are doomed to heart failure if you are bald, but it does suggest you should be screened more carefully for other signs and symptoms of heart disease.

Yellow Bumps on the Skin

Xanthomas are deposits of fat that build up under the skin. They may appear as small yellow bumps or as flat, wide plaques on your elbows, knees, hands, feet, or buttocks. A type of xanthoma called "xanthelasma palpebra" appears on the eyelids. These yellow, fat deposits can potentially be signs of heart disease because they may indicate high levels of fats in the blood.

"Xanthomas may be a sign of a rare, inherited type of blood disorder in which high levels of triglycerides accumulate in the blood. Xanthomas may also be a sign of increased cholesterol and they may disappear once cholesterol levels are under control," says Orringer.

Gum Disease

Swollen, sore, or bleeding gums are usually a sign of poor oral hygiene, but may also be an important sign of heart disease. "The association between gum disease and heart disease is the real deal," says Orringer. "There is plenty of research available now that backs up this connection."

Gum disease and heart disease may be linked because they are both signs of poor circulation, or there could be common bacteria that are involved in both gum disease and plaque build-up inside coronary arteries. The link may also have something to do with the body's response to prolonged inflammation. In any case, taking better care of your teeth and gums is a good way to cut down your risk for heart disease.

Signs of Heart Failure

Heart failure means the heart is not functioning as well as it should. It doesn't mean the heart has failed. Another term for heart failure is congestive heart failure, or CHF. Heart failure gradually gets worse over time. Some early warning signs may include :

  • Weight gain. If your heart starts to fail and fluid starts to build up in your tissue, causing edema, you might see a sudden weight gain.
  • Frequent urination. Heart failure may cause decreased blood flow to the kidneys, which causes you to retain more fluid. One of the signs of this fluid may be frequent urination.
  • Cataracts. Although the exact connection is not known, studies show that people who have cataracts are at higher risk for heart disease, high blood pressure, and high cholesterol. "This link is probably more of an association than a sign of heart disease," says Orringer.
  • Nighttime cough. "One of the signs of heart failure may be the build-up of fluid in the chest and heart when lying flat at night. This pressure can cause a nighttime cough," explains Orringer.

Remember that all these heart disease signs may have many different causes. They do not mean you have or will get heart disease. But combined with other heart disease signs and symptoms, your blood tests, and your family history, they give your doctor the best chance to find heart disease early and keep you in good health.

Once you've been diagnosed with type 2 diabetes, open communication with a doctor you trust will be key to managing your health. Now that you know what it means to have type 2 diabetes, you're ready to have a dialogue with your doctor about how you'll manage this disease ? together. Here are 15 questions to get the conversation started.
  1. Do you have special training in diabetes? If not, can you refer me to a specialist?
  2. How many patients with type 2 diabetes do you see?
  3. What tests will you do at regular office visits? How often do I have to have the tests, and what will they tell you?
  4. Is there anything I need to do in advance of the tests? For example, do I need to fast if I'm going to have a blood-sugar test?
  5. Can you refer me to a diabetes educator or a registered dietitian?
  6. I have a family history of heart attack and/or stroke. Will my diabetes put me at greater risk for those problems?
  7. How can I tell if my blood sugar is too high or too low? What should I do about either high or low blood sugar?
  8. Will I have to test my own blood sugar at home every day?
  9. What are the best treatments for type 2 diabetes?
  10. Will I need to take pills or inject insulin? Will I ever be able to stop using them once I start?
  11. What are the risks of not treating type 2 diabetes?
  12. How will type 2 diabetes affect me over the long term?
  13. What should I do if my symptoms worsen or if I experience new symptoms?
  14. Is it possible for type 2 diabetes to go away on its own?
  15. Are my kids at greater risk for developing type 2 diabetes since I have it?
For people with type 2 diabetes, uncontrolled blood sugar levels pose a serious health risk with a range of potential complications.

According to the U.S. Centers for Disease Control and Prevention, diabetes is the leading cause of kidney failure, new blindness, and leg and foot amputations unrelated to injury. It's a major cause of heart disease, stroke, and nerve damage. Poor blood sugar control may also raise the risk for Alzheimer's disease.

If you have type 2 diabetes, your body doesn't use insulin properly to convert glucose into energy. As a result, blood sugar levels become elevated. This buildup of glucose, known as hyperglycemia, can damage blood vessels and vital organs. The A1C blood test is commonly used to see how well, on average, a patient's blood sugar level has been managed over the past two to three months.

"A person's A1C level is an excellent marker of complications," said Joel Zonszein, MD, director of the Clinical Diabetes Center at Montefiore Medical Center in New York City. "If you have a lower number, you'll be healthier." The American Diabetes Association recommends an A1C of 7 percent, or an average glucose level of 145 milligrams per decileter (mg/dL).

The following are three common types of complications that can occur when diabetes isn't properly controlled over time.

Eye Damage (Retinopathy)

Diabetic retinopathy is the leading cause of new-onset blindness in adults. It occurs when blood vessels of the retina swell and leak fluid into the macula, where focusing occurs. The result, known as macula edema, causes blurred vision. A more serious form of eye complication, called proliferative retinopathy, occurs when new blood vessels form in the retina to replace damaged ones. Scar tissue can develop and cause the retina to become detached.

Fortunately, "this kind of damage doesn't happen overnight," said Stephanie Marioneaux, an ophthalmologist in Chesapeake, Va., and a clinical spokesperson for the American Academy of Ophthalmology. Vision loss can be prevented if the blood vessel damage is caught early enough through regular eye exams.

"If we're seeing damage in the retina that means their blood sugar has been elevated for a while," said Dr. Marioneaux.

Nerve Damage (Neuropathy)

When hyperglycemia damages blood vessels that feed oxygen and nutrients to the nerves, it can result in nerve damage or neuropathy. Common signs include tingling, pain, or numbness in the feet and hands.

Patients may develop blisters or sores on their feet that can spread infection to the bone and cause tissue death. These infections are very hard to treat and can result in amputation.

"If people are experiencing the numbness and tingling, they should be checking their feet regularly for any sores or wounds and get them seen by a doctor before they get infected," said Priscilla Hollander, MD, an endocrinologist at the Baylor Endocrine Center in Dallas.

While A1C is "a great tool," Betul Hatipoglu, MD, an endocrinologist at the Cleveland Clinic, said it's not a replacement for daily blood sugar monitoring. "Keeping it level can decrease chances of terrible complications that could potentially cause you to lose your limbs," said Dr. Hatipoglu.

Kidney Disease (Nephropathy)

Diabetes is the leading cause of chronic kidney disease in the United States. "About 10 percent of people with type 2 diabetes will develop [it]," said Dr. Hollander.

High blood sugar levels compromise the kidneys' ability to properly filter waste products in the blood. Protein that's useful to the body leaks into the urine, while wastes start to collect in the blood. Left untreated, this can lead to kidney, or renal, failure requiring a machine to filter the blood (known as dialysis) or a kidney transplant.

According to Hollander, it usually takes about 10 years for diabetic kidney disease to manifest, and it can be caught in the early stages. A simple urine test can detect excess protein in the urine. Other signs to look for include frequent urination, weight gain, and ankle swelling.

"The incidence is improving," said Hollander. "And we've made a lot of progress by controlling blood pressure, which plays a big role in furthering kidney damage."

For anyone with type 2 diabetes, as Dr. Zonszein points out, "the sooner you can catch that your blood glucose hasn't been under control, the better you can prevent these complications."

Last Updated: 04/24/2014

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