Doctors Immediate Care is pleased to provide comprehensive travel medicine to our patients who travel internationally. Immunization and medication prescriptions are available on-site. The services are rendered based on CDC recommendations, individual health status and travel circumstances.

Make copies of your passport, air tickets, all credit cards you take with you, and any other documents to facilitate reporting a loss and replacing them. If you are planning on traveling outside the country, there are many things you need to prepare in addition to Passports and visas. You would also need to get vaccinated as it’s required by most countries before you travel.

What types of travel vaccines are there?

Travel vaccines are divided into three categories: routine, recommended, and required. Requirements for each country are different. Plus, there are different schedules for adults and children. The physicians at Doctors Immediate Care can advise you as to which ones you should have. It’s important to remember that most vaccines take time to become effective in your body and some vaccines must be given in a series over a period of days or sometimes weeks. A traveler who is not vaccinated is at risk for infection.

You may need additional vaccines if you are travelling outside the United States. The Centers for Disease Control and Prevention (CDC) provides information to assist travelers and their healthcare providers in deciding which vaccines, medications, and other measures are necessary to prevent illness and injury during international travel.Visit CDC’s website at www.cdc.gov/travel or call 800-CDC-INFO (800-232-4636).

Medical doctor using tablet PC with diabetes medical concept.

Are you experiencing the symptoms of diabetes, or have you been diagnosis and in need of a doctor’s care? The physicians at Doctors Immediate Care can help. Call your local office to make an appointment.

What is the goal of treatment?

The major goal in treating diabetes is to minimize any elevation of blood sugar (glucose) without causing abnormally low levels of blood sugar. Type 1 diabetes is treated with insulin, exercise, and a diabetic diet. Type 2 diabetes is treated first with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, treatment with insulin is considered.

Adherence to a diabetic diet is an important aspect of controlling elevated blood sugar in patients with diabetes. The American Diabetes Association (ADA) has provided guidelines for a diabetic diet. The ADA diet is a balanced, nutritious diet that is low in fat, cholesterol, and simple sugars. The total daily calories are evenly divided into three meals. In the past two years, the ADA has lifted the absolute ban on simple sugars. Small amounts of simple sugars are allowed when consumed with a complex meal.

Therapies

Weight reduction and exercise are important treatments for diabetes. Weight reduction and exercise increase the body’s sensitivity to insulin, thus helping to control blood sugar elevations.

Popular medications for type 2 diabetes are designed to:

•Increase the sensitivity (response) of cells to insulin,
•Increase the insulin output by the pancreas,
•Decrease the amount of glucose released from the liver,
•Decrease the absorption of carbohydrates from the intestine,
•Slow emptying of the stomach to delay the presentation of carbohydrates for digestion and absorption in the small intestine.

The Popular Therapy for type 2 diabetes, consideration should be given to:

•The magnitude of change in blood sugar control that each medication will provide
•Other coexisting medical conditions (high blood pressure, cholesterol, etc.)
•Adverse effects of the therapy
•Contraindications to therapy
•Issues that may affect compliance (timing of medication, frequency of dosing); and
•Cost to the patient and the healthcare system.

It’s important to remember that if a drug can provide more than one benefit such as lowering blood sugar and have a beneficial effect on cholesterol it should be preferred. It’s also important to bear in mind that the cost of drug therapy is relatively small compared to the cost of managing the long-term complications associated with poorly controlled diabetes.

Varying combinations of medications also are used to correct abnormally elevated levels of blood glucose in diabetes. As the list of medications continues to expand, treatment options for type 2 diabetes can be better tailored to meet an individual needs. Not every patient with type 2 diabetes will benefit from every drug, and not every drug is suitable for each patient. Patients with type 2 diabetes should work closely with their physicians to achieve goals that provides the greatest benefits while minimizing risks.

Patients with diabetes should never forget the importance of diet and exercise. The control of diabetes starts with a healthy lifestyle regardless of what medications are being used.

Next Steps

Poor health can significantly affect your life. Improve your life by creating good health habits. Call your local office to schedule an appointment with one of our doctors for evaluation and testing.

 

Heart Disease is a killer among adults over 40

Millions of people in the world are suffering from this deadly Heart disease or cardiovascular disease.  Some of the common symptoms include trouble breathing, pressure on the chest or chest discomfort, nausea, back pain, shoulder pain, etc.,

healthy-heart-tips

Below are some of the tips that help in preventing the heart disease.

1. Regular Checkups:

Regular Checkups provides a scope to detect Heart Disease and assess the risks early in its developmental Stages. Regular Screening helps to assess the condition, tells you what course of action to follow and helps in getting a better medical treatment from cardiologists to prevent it.

2. Food for Heart:

Eating a healthy and Balanced Diet helps in this cause. Diet rich in proteins, vitamins, fiber, minerals like calcium, potassium and iron, low in fat, etc, helps in prevention of heart diseases to a major extent. Apart from it individuals need to include lots of Green rich Leafy Vegetables, Plenty of Fresh Fruits, Nuts, etc, in their Diet in order to cope from problems related to Overweight/obesity apart from reducing the levels of Cholesterol and LDL (Low Density Lipoproteins) in bloodstream. Some of the foods that proves to be beneficial are Black Pepper, Ginger, Turmeric, Almonds, etc,. It is recommended that Processed and Junk foods need to be avoided. Reduce the Consumption of sugar and salt intake.

3. Quit Smoking:

To have a healthy Heart, one needs to Quit Smoking, especially Cigarette Smoking which contains Carbon Monoxide. Quitting smoking reduces the risk of heart disease to a larger extent in comparison to the individuals who don’t smoke.

4. Omega3 Fatty Acids in Diet:

Include cold water species of fish(like Salmon, sardines, tuna, mackerel and trout), Flax Seeds, Soya beans, Walnuts in your diet that are rich in Omega3 fatty acids proves to be helpful in preventing the heart disease . Different types of Omega3 Fatty acids are Eicosapentanoic Acid (EPA), Docosahexanoic Acid(DHA), Alpha-linolenic Acid(ALA). Especially EPA plays an important role in prevention of heart disease.

5. Reduce the Stress and High Blood Pressure:

Stress also a plays a crucial role in heart disease. Regular Exercise that involves physical activity like Walking, cycling, swimming, aerobics, doing Yoga, etc, is recommended.  Apart from preventing Heart Diseases, it reduces the Stress and also helps in controlling high blood pressure.

6. Red wine for Heart:

Moderation Consumption of alcohol to a certain levels as prescribed by the Doctors. Red wine also a crucial role in prevention of heart diseases to a great extent as it contains powerful antioxidant called Resveratrol and flavonoids.

7. Meditation for Peace of Mind:

Regular practice of Meditation provides lots of inner peace, develops positive thinking and helps in to stay away from negative thoughts and emotions, derives unlimited inner strength.

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