Hyperglycemia is the technical term for when blood-glucose levels (or blood-sugar levels) are too high because the body isn't properly using or doesn't make the hormone insulin. The symptoms of hyperglycemia develop slowly, over a period of hours or even days. Hyperglycemia doesn't even cause symptoms until glucose levels are significantly high  ? above 200 milligrams per deciliter (mg/dL), or 11 millimoles per liter (mmol/L). The longer blood-glucose levels stay high, the more serious the symptoms become.

Symptoms of hyperglycemia include :
  • Blood glucose over 200 mg/dL
  • More urine output than usual
  • Increased thirst
  • Dry skin and mouth
  • Decreased appetite, nausea, or vomiting
  • Fatigue, drowsiness, or lethargy

If hyperglycemia goes untreated, it can cause:

  • Fruity-smelling breath
  • Nausea and vomiting
  • Abdominal pain
  • Shortness of breath
  • Dry mouth
  • Weakness
  • Confusion
  • Buildup of toxic acids (called ketones) in your blood and urine
  • Coma

The dangerously high blood-glucose levels of hyperglycemia can result from:

  • Not taking enough insulin
  • An illness such as a cold or the flu
  • An infection
  • Eating too much
  • Excessive stress
  • Taking certain medications

How to Avoid Hyperglycemia

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To avoid episodes of hyperglycemia, take your usual insulin exactly as prescribed by your doctor (do not skip a dose!) and eat regular, balanced meals.

Next Step: How to Treat Low Blood Sugar

Program offers research-based method for weight management

DAVENPORT, Iowa - Profile by Sanford is now open at 3010 E. 53rd Street in Davenport. This is the second store Iowa.  The Hawkeye state's first Profile store is in Clive and opened in July.

Profile launched in Sioux Falls, South Dakota, opening its first store front in November 2012. Today, it has 16 locations in five states with several more planned openings by the end of 2014.

Profile was designed using a large body of clinical research to ensure a sustainable means to healthy weight loss. A clinical and scientific advisory board comprised of Sanford Health physicians and researchers oversaw the development of the Profile system.  Sanford Health is the largest, rural, not-for-profit health care system in the United States.

"This state-of-the-art weight-loss system has brought clinically-proven results to communities across the Dakotas, Minnesota and Nebraska," said local store manager Justin Roberson. "I'm eager to see the results this nutritional program will have here in Davenport."

The rapidly growing Profile system utilizes meal-replacement products, nutritionally complete food and qualified health coaches. In addition to members consuming both Profile-produced and grocery-store food, coaches develop customized plans for their clients and offer advice on nutrition, exercise and behavior.

Profile continues to focus on program advancements through the launch of new food products, such as three new pizza varieties available this fall. Profile is also on the cutting edge of technology, expanding to better assist members with measuring daily activity. A new fitness tracker will provide additional measurable data that will be helpful to members and coaches in helping to monitor progress toward goals.

In addition to face-to-face meetings, coaches are able to efficiently track members' progress through the use of smart wireless technology. Each member is outfitted with wireless devices to measure progress, including tools to track body weight, measurement and blood pressure. These devices automatically upload to a secure server, where members and coaches can monitor improvement on the web or mobile applications. Printed options are also available to members.

According to the Centers for Disease Control and Prevention, more than 60 percent of the U.S. population is considered overweight or obese.

To learn more, visit profileplan.net or call (877) 373-6069.


About Sanford Health
Sanford Health is an integrated health system headquartered in the Dakotas and is now the largest, rural, not-for-profit health care system in the nation with locations in 126 communities in nine states. In addition, Sanford Health is in the process of developing international clinics in Ghana, Mexico and China.

Sanford Health includes 43 hospitals, 140 clinic locations and 1,360 physicians in 81 specialty areas of medicine. With more than 26,000 employees, Sanford Health is the largest employer in North Dakota and South Dakota. The system is experiencing dynamic growth and development in conjunction with nearly $1 billion in gifts from philanthropist Denny Sanford. These gifts are making possible the implementation of several initiatives, including global children's clinics, multiple research centers and finding cures for type 1 diabetes and breast cancer. For more information, visit sanfordhealth.org.

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A focused strategy will help you reach your weight-loss goal. Counting calories and getting active will help.

Search online and you'll find dozens of Web sites promising to tell you exactly how to lose 20 pounds (or more), often with hyped-up claims of speedy success, like losing the weight in 30 days or "just six weeks!" The reality is that losing 20 pounds is an achievable goal if you apply proven strategies, such as counting calories. This approach may take a bit longer than those miracle diets, but it will actually work and help you develop healthy habits to keep the weight off, and even lose more, if that's your goal.

"Having a realistic weight goal makes good sense," says dietitian Jenna Anding, PhD, RD, of the department of nutrition and food science in the Texas A&M System at College Station. "Eliminating 500 calories a day can help promote a one-pound-per-week weight loss. Increasing physical activity can also help promote weight loss."

In order for counting calories to work, you will have to do a little math (it's okay to cheat and use a calculator). If you want to lose 1 pound a week (it is safe to lose up to 2 pounds a week or 1 percent of your body weight, if you weigh more than 200 pounds), that means you need to cut out or burn through exercise about 500 calories a day. But remember not to eat less than 1,200 calories daily, so that your body doesn't retreat into starvation mode. A reduction of at least 500 calories a day means you could lose a pound every week or 20 pounds in about five months.

Here are four diet truths to help you achieve your goals:

  • Cutting out sweet drinks is non-negotiable. Sweet tea, soda, and flavored and sweetened milks, waters, and coffees all have to go. Drink plain water, low-fat milk, and sugar-free drinks instead. A study of 810 adults between 25 and 79 years old showed that after 18 months, those who cut out sweet drinks had greater weight loss than those who cut down on food calories. One possible reason: While your body lets you know when it is full of food, there is no way for your body to tell you when you've maxed out on liquid calories.
  • Physical activity helps counting calories. Being physically active burns calories while it improves your overall health. Aim for 30 minutes a day most days of the week. A brisk 30- to 45-minute walk burns 100 to 200 calories. If you can burn 200 calories through exercise, you only have to cut out 300 calories in food or drink to reach your daily calorie-cutting goal.
  • Strategically eating less drops weight. A study of 811 overweight people who participated in four popular diets found that whether diets were low-fat, high-protein, or a combination didn't matter ? weight-loss success depends on cutting out calories. In fact, you can continue to eat filling portions if you simply replace high-calorie foods with low-calorie foods that contain a lot of water, such as fruits and vegetables. A study of 97 obese women who ate either a low-fat diet or a low-fat diet with additional fruits and vegetables found that those who emphasized fruits and veggies lost up to five pounds more.
  • Journaling leads to success. Counting calories is easier if you write down (or type in) what you eat, including serving sizes and details such as condiments you may have added. "Research has shown that exercise and journaling really make a difference in long-term weight management," says Gail Curtis, assistant professor at Wake Forest University Health Sciences in Winston-Salem, N.C. A detailed journal will help you identify your successes and pinpoint where you can cut additional calories or replace high-calorie foods with low-calorie ones.

With dedicated work you can apply these truths to lose 20 pounds in 20 weeks or less. So get moving!

Several studies have investigated the effects of cinnamon on blood sugar, but the results are mixed.

There are medications available to help manage type 2 diabetes and lower blood sugar levels. A diabetes-friendly diet and regular exercise can also help to keep type 2 diabetes under control. But some researchers suspect that there could be a more natural source of blood sugar control to help manage diabetes: cinnamon.

Some studies have investigated the effect of cinnamon on blood sugar levels, but there aren't enough of them or enough carefully compiled results ? or consistency in those results ? to draw hard and fast conclusions yet. "There's not very much research on it," explains Philip A. Kern, MD, an endocrinologist and director of the Barnstable Brown Diabetes and Obesity Center at the University of Kentucky College of Medicine in Lexington. But there is potential.

The studies that have tried to measure the effects of cinnamon on blood sugar levels in type 2 diabetes have been small and not well controlled. In general, a reliable study is one that is large (at least 500 to 1000 patients), has patients randomly assigned to different groups, and is double blind ? meaning neither the researchers nor the subjects know who is getting the treatment. That type of detailed and careful research just hasn't been done on the subject of cinnamon's role in diabetes, says Dr. Kern, adding that the results of the small studies that have been conducted "are all over the place."

"Some say that the cinnamon does lower blood sugar or improves some other measure ? some studies report a benefit, and some studies don't report a benefit," says Kern. His initial reaction was dubious, he admits, but after studying what little research is available, the effects of cinnamon are "probably something deserving of a larger study."

For instance, one study suggests that cinnamon may be effective in lowering blood sugar levels because it has a similar effect on the body as insulin, the hormone that people with type 2 diabetes produce in insufficient amounts. 

Cinnamon: A Dash or a Dollop?

The amount of cinnamon needed to produce a positive effect is unclear. In some of the clinical trials, diabetic patients were given about 1 gram of cinnamon in a capsule ? that amount of pure cinnamon is about the size of the tip of your pinkie finger.

Swallowing that much cinnamon powder would be downright painful (and probably not taste very good), so Kern says you shouldn't try to ingest cinnamon on your own in an effort to lower blood sugar. You also shouldn't chow down on a big cinnamon bun or sip a cinnamon latte, thinking you're getting a health benefit ? even if additional research concludes that cinnamon is of benefit in lowering blood sugar and managing diabetes, Kern says you're still not getting a free pass for the sugar and calories.

So what's the take-away message? Kern believes it's not so much that people with diabetes should eat more cinnamon, but that "maybe [it] has a property that might be beneficial." He adds, "If you could figure out exactly what it is about cinnamon, you could design a drug that would target that beneficial property."

So, Kern says, if anything does come of cinnamon as a blood sugar-lowering agent, the recommendations for patients with diabetes will be in the form of a new medication that has captured the properties of cinnamon, not necessarily dietary changes.

For more diabetes news, follow @diabetesfacts on Twitter from the editors of @EverydayHealth.

Many people avoid eggs because they're afraid of driving up their cholesterol levels ? but the fear is unwarranted, say Cleveland Clinic cardiac specialists. This is just one of the heart health myths they debunk in a new book.

MONDAY, Feb. 13, 2012 ? If you've banned eggs from breakfast under the pretense that they'll hike up your cholesterol levels, here's good reason to bring them back and get your sunny side on.

Only 20 percent of the body's cholesterol comes from diet, according to Cleveland Clinic heart specialists Steven Nissen, MD, and Marc Gillinov, MD, who teamed up to write HEART 411: The Only Guide to Heart Health You'll Ever Need.

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

The remaining 80 percent of your cholesterol is made by your liver. Furthermore, saturated fat and trans fat in your diet play a bigger role in cholesterol levels than dietary cholesterol, which means you can't blame your lousy lipid levels on diet ? or fix them by eliminating foods rich in cholesterol (like eggs) from your diet alone.

Eggs can be a part of your heart-healthy meal plan, in moderation. Doctors Nissen and Gillinov recommend eating no more than one to three eggs per week if you're trying to lower your LDL "bad" cholesterol levels.

And while we're at the breakfast table, let's squash the debate over what you should sip: Neither coffee nor tea is bad for the heart, according to the authors. Read on for some more myths they debunk in the book.

Myth: Fish Oil Capsules can Lower Cholesterol

Nissen and Gillinov say: "If anything, fish oil supplements increase both total cholesterol and LDL cholesterol, the bad cholesterol. Although they lower triglycerides, we have not established evidence for a reduction in heart risk due to lowering of triglycerides."

Everyday Health says: Eating the real thing is the best way to reap the benefits of fish for heart health. Salmon, tuna, trout, and Atlantic or Pacific mackerel are especially great sources of heart-healthy omega-3s.

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Click here to sign up.
As you and your family review options for Medicare Part D prior to the Dec. 7, 2014 enrollment deadline, please consider coverage of any drugs related to Alzheimer's disease or other dementias.

Of particular note is a change to the availability of the Alzheimer's drug Namenda. The company that produces Namenda will cease production of one version of Namenda (Namenda IR tablets, usually taken twice per day) in January 2015.

While supplies of Namenda IR may be available at local pharmacies for a period of time after the company stops distribution in January, it is anticipated that individuals on this prescription will have to switch to another version of Namenda (XR = extended release once per day capsules). In addition, it is our understanding that a generic version of Namenda IR may be available as early as mid-2015; however, an official date has not been shared.

As with any prescription change, please have a conversation with your physician regarding options and next steps for you or your family members.

For more information regarding Medicare Part D, please visit our website.

Washington, D.C. - Congressman Dave Loebsack recently continued his fight against misguided cuts to Critical Access Hospitals (CAH) that provide care to many Iowans living in rural areas. Loebsack helped lead a bipartisan effort with 45 Members of Congress in calling on the President to refrain from including arbitrary cuts to CAH in his upcoming budget proposal.

"(Critical Access Hospitals) play an important role in communities by providing access to primary, emergency, and acute care services," the lawmakers wrote. "As you consider the FY 2016 budget, we believe that indiscriminate cuts to CAHs, similar to those included in previous budgets, are not the answer."

A copy of the letter can be seen here.

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World AIDS Day is held on December 1 each year and is an opportunity for people worldwide to unite in the fight against HIV, show their support for people living with HIV and to commemorate people who have died of AIDS. World AIDS Day was the first ever global health day. The first one was held in 1988.
Today, many scientific advances have been made in HIV treatment and laws have been passed that protect people living with HIV from discrimination and criminalization. However, HIV is one of the most destructive pandemics in history.
On World AIDS Day, Scott County Health Department encourages everyone to:
• Learn the facts about HIV.
• Use your knowledge about HIV and AIDS in order take care of your own health and the health of others.
• Know your HIV status; it is an important first step in the battle against HIV.
In recognition of Worlds AIDS Day, Scott County Health Department will be providing expanded clinic hours for HIV testing on December 1, from 8:30am to 3:30pm. Testing will be provided on a walk in basis. Please visit our web site for additional information and testing criteria. www.scottcountyiowa.com/health.
National Organization Comforting Families of Fallen Troops Offers Tips for Navigating the Holiday Season

FOR IMMEDIATE RELEASE -- November 24, 2014

WASHINGTON - Holiday cheer and merrymaking may be everywhere this time of year, but for thousands grieving the loss of a loved one, the holiday season can be an emotional minefield. And there's no road map for easy navigation.

Coping with grief over the death of a loved one during the holidays can be difficult. Memories of holiday traditions shared with a loved one who died may be painful. Somehow, mourners must navigate an emotional roller coaster ride during the holidays that can be bittersweet with nostalgia and happy memories, and also feel painfully cruel and isolating.

The Tragedy Assistance Program for Survivors (TAPS), a national nonprofit organization offering comfort and care to families of our fallen military troops, offers the following tips to help anyone who is grieving the death of a loved one during the holiday season.

Take charge of your holiday season. Anticipating the holiday, especially if it's the first one without a cherished family member, can be worse than the actual holiday. Take charge of your holiday plans, and map out how you will spend your time. This can help relieve anxiety.

Make plans. Plan to spend the holidays where you feel nurtured, emotionally safe, and comfortable. Having a plan will help you navigate the holiday season and its activities. But remember to plan for flexibility, as you may not know how your emotions will respond, especially if it is your first or second holiday season after the death of a loved one.

Find sustenance for the soul. Your church, synagogue, mosque or other faith community may offer services, resources, and support networks for the bereaved. You may want to look for a support group for people who are grieving and have suffered a similar loss. Families who have lost a loved one serving in the military may find comfort by connecting with other survivors through the TAPS online community, peer support groups, peer mentoring or care groups.

Don't be afraid to change your holiday traditions. Some traditions may be a comfort, while others can cause pain. Consider which traditions to keep, and which ones to forego this year. Do not feel like you have to do something because you have always done it that way.

Include your lost loved one in gift-giving. Give a gift on behalf of your loved one to someone else. Consider making a donation to a charity in memory of your loved one.

Create a tribute. Light a candle, display a favorite photograph, or set a place at the dinner table to represent the missing loved one. Consider writing a letter to your loved one about the holidays and your special memories with that person.

Be gentle with yourself. Realize that familiar traditions, sights, smells and even tastes, may be comforting, or may jolt your emotions. This is the time of year when you need to be careful with your emotions and listen to yourself.

Attend holiday functions if you can. Consider attending holiday parties and events, especially if you'll be able to spend time with supportive family members and friends. Make an escape plan in case the event is more than you can handle. If you think a holiday gathering might be more than you can bear, it is ok to stay home.

Don't pretend you haven't experienced a loss. Imagining that nothing has happened does not make the pain of losing a loved one go away, nor does it make the holidays easier to endure. Even though holiday memories may be painful, they can be comforting. It is ok to talk with others about what you have lost and what the holidays mean to you.

Pay attention to your health. It's often difficult for people who have experienced a recent loss to sleep. Make sure you get regular rest and drink lots of water. Do not over-indulge in sweets or alcohol. If you feel overwhelmed, talk with your medical care provider.

Take stock of both joy and sadness. Give yourself permission to feel joy as well as sadness. Don't feel like you have to "be a certain way" because of your loss, or because it is the holidays. Just be yourself.

Express your feelings. Bottling up your feelings may add to distress, not lessen it. To express your feelings, use your creativity to write a poem, talk with a supportive friend, create a painting, or pen a journal entry.

Share your holiday season with someone else. There are many lonely people who might like to experience the holiday season alongside someone else. Consider volunteering with a local charity or soup kitchen, inviting a neighbor for a special holiday meal or including others in your holiday activities.

For more tips on dealing with grief during the holidays, go to the TAPS website at www.taps.org and look for our holiday survival guide. TAPS will hold a special online chat for grieving military families on November 19 at 9pm Eastern Time with bereavement expert Darcie Sims to discuss handling the holidays. Sign up online through the TAPS online community at www.taps.org.

About TAPS
The Tragedy Assistance Program for Survivors (TAPS) is the national organization providing compassionate care for the families of America's fallen military heroes and has offered support to more than 50,000 surviving family members of our fallen military and their caregivers since 1994. TAPS provides peer-based emotional support, grief and trauma resources, grief seminars and retreats for adults, Good Grief Camps for children, case work assistance, connections to community-based care, online and in-person support groups and a 24/7 resource and information helpline for all who have been affected by a death in the Armed Forces. Services are provided free of charge. For more information go to www.taps.org or call the toll-free TAPS resource and information helpline at 1.800.959.TAPS (8277).

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