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Archive for the ‘PCD Staff’ Category

Diabetes Simplified: A Guide to Maintaining a Healthy Lifestyle with Diabetes. By Our April Student Pharmacist, Cambree Fillis.

Understanding Diabetes:

What is the difference between type 1 and type 2 diabetes?

Diabetes is a disease state characterized by high blood sugar. It increases the risk for complications including heart and blood vessel disease(s).

In type 1 diabetes, also known as insulin-dependent diabetes, the body does not produce insulin. Patients with type 1 diabetes will almost always need prescription insulin, as insulin is needed for the body to turn the sugar consumed from meals into energy.

In type 2 diabetes, the body may still be able to produce some insulin during early stages, but it cannot use it effectively. Type 2 diabetes is also known as non-insulin dependent diabetes. The majority of patients with diabetes have type 2.

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What are some warning signs and symptoms of diabetes?

Warning signs and symptoms of diabetes include:

  • excess thirst
  • excess hunger
  • extreme tiredness or fatigue
  • frequent urination
  • blurred vision
  • irritability
  • slow wound healing
  • dry skin
  • tingling or numbness in hands and/or feet 

Why is it important to be mindful of elevated blood sugar levels?

Being able to avoid spikes in blood sugar allows for a longer, healthier life. Individuals who maintain a normal blood sugar level tend to have more energy and a better immune system capable of fighting off infections. Keeping your blood sugar under control also decreases the risk for heart attack, stroke, kidney injury, nerve pain, vision loss, and more.

Managing the ABCs of Diabetes and Incorporating Lifestyle Modifications

What are the ABCs of diabetes?

A1c: A1c is a measure of average blood sugar level over the course of three months. Your A1c provides a picture of how well blood sugar is controlled over time. An ideal A1c goal for the average adult, according to the American Diabetes Association, is 7%. By maintaining this goal and keeping diabetes under control, disease progression and risk of long term complications are reduced.

Blood Pressure: The higher an individual’s blood pressure readings are, the harder their heart is working. If the heart is working too hard, those individuals are at an increased risk for heart attack and stroke. For patients with diabetes, it is important to maintain a blood pressure goal of less than 140/90.

Cholesterol: There are two types of cholesterol: LDL and HDL. LDL, also known as “bad” cholesterol, is responsible for blocking blood vessels. Blockage can lead to heart attack, stroke, and other complications. Prescription medications known as statins can be used to lower cholesterol levels and are recommended for most patients with diabetes between the ages of 40 and 75. Discuss with your doctor if starting a statin would be right for you.

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What are appropriate lifestyle modifications?

  • Eat Well – Consider foods that are high in fiber and low in saturated fats, sugar, and salt. Substitute juice and regular soda with water. When eating a full meal, the American Diabetes Association provides recommendations to fill half of your plate with vegetables, a quarter with whole grains, and a quarter with lean protein.
  • Stay Active – A good starting place is to take three, ten minute walks daily. You can also increase your muscle strength by doing yoga, gardening, or with push-ups twice a week.
  • Quit Smoking – Talk to your pharmacist if you need advice on what resources are available to help you to quit.
  • Adhere to Medication Regimens
  • Monitor and Log Daily Blood Sugar and Blood Pressure Readings

Routine Eye, Foot, and Dental Care is Key

Eye Care: Diabetes may cause vision problems over time, including blindness. It is essential to see an eye doctor for an annual, dilated eye exam.

Foot Care: Diabetes may result in the loss of feeling and sensation in extremities, especially feet. It is important to visually exam each foot every day for blisters, burns, cuts, or sores. A visit to the foot doctor should be scheduled each year.

Other tips include:

  • Wash feet every day with warm (not hot) water
  • Do not soak feet
  • Dry feet thoroughly, including in between each toe
  • Apply lotion as needed to avoid dry and/or cracking skin
  • Do not walk barefoot

Dental Care: Diabetes can cause gum and teeth problems. Practicing good dental hygiene is important. Schedule an appointment to see a dentist at least once a year.

Also consider the following:

  • Use fluoride-containing toothpaste
  • Brush your teeth at least twice a day
  • Floss daily
  • Limit sugary foods and beverages

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Recommended Vaccinations

What vaccinations are recommended for adults with diabetes and why?

Diabetes tends to weaken the immune system, making it more difficult to fight off infections. Some of the more serious complications, however, can be prevented by receiving the proper vaccinations. These complications may otherwise lead to hospitalizations and sometimes even fatalities.

Adults, especially those with diabetes, should receive vaccines for the flu, pneumonia, tetanus/diphtheria/pertussis (Tdap), and shingles. Stop by the pharmacy to get your questions answered and to receive your vaccinations!

  • Influenza Vaccine – An annual flu shot will protect against the seasonal influenza virus. If you are 65 years or older, ask for the high dose.
  • Pneumococcal Vaccines – Pneumococcal vaccines will protect you from pneumonia. Talk to your doctor or pharmacist to find out which pneumonia shot(s) are right for you- more than one vaccine may be required.
  • Tdap Vaccine – The Tdap vaccine will protect you from tetanus, diphtheria, and pertussis. You should receive this once every 10 years.
  • Zoster Vaccine – The most effective zoster vaccine is known as Shingrix. It protects against shingles in adults 50 years and older. You should receive two doses of the vaccine.

Resources:

  1. American Diabetes Association (ADA). Statistics About Diabetes. Last reviewed March 2018.
  2. Centers for Disease Control and Prevention (CDC). CDC National Diabetes Statistics Report, 2017. 2017.
  3. Centers for Disease Control and Prevention (CDC). Working Together to Manage Diabetes: A Toolkit. February 2016.
  4. National Diabetes Education Program. National Institute of Diabetes. 4 Steps to Manage Your Diabetes for Life. January 2016.
  5. U.S. Department of Health and Human Services, CDC. What You Need to Know About Diabetes and Adult Vaccines. August 2018.

 

Sending Easter Blessings.

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We want to wish everyone a very peaceful and Happy Easter. Please spend time with family and friends and enjoy the day.

If you need anything while we are closed on Easter Sunday, please call the emergency after-hours number: 614-240-8421.

Have a blessed day.

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Meet Our April Student Pharmacist at Karl Road, Cambree Fillis.

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This month, we are joined in the pharmacy on Karl Road by Cambree Fillis, a fourth year pharmacy student from The Ohio State University’s College of Pharmacy. Cambree will graduate in May 2019 and will then take the test to become a registered pharmacist. Cambree will be at Happy Druggist on Karl Road throughout April, so please stop by and meet her while she is in the store. She may also be at Plain City on various days to learn about independent pharmacy.

Here is what Cambree tells us about herself:

My name is Cambree and I am a fourth year pharmacy student at The Ohio State University College of Pharmacy. I am expecting to graduate in just one month from now! I am originally from Bethlehem, Pennsylvania, but I have resided in Columbus, Ohio for the last eight years. In Columbus, I first earned my Bachelor of Science in Pharmaceutical Sciences and now strive to earn my PharmD.

My desire to pursue a career in healthcare has been evident to me since high school. I always wanted the opportunity to form strong relationships with patients and directly impact the care they receive. As I learned more about the growing field of pharmacy, I quickly realized it was the right field for me; a field where I would always be challenged and constantly learning.

I started my career in pharmacy as a technician at CVS Pharmacy. Upon the start of pharmacy school, I transitioned into a CVS intern and have been with CVS ever since. I also work as a clinical intern at The James Cancer Hospital. Both opportunities have allowed me to gain adequate exposure and experience in both community and hospital pharmacy settings. I will soon transition into the next phase of my professional career by serving as a PGY-1 pharmacy resident at Johns Hopkins Hospital.

In my free time, I enjoy spending quality time with friends, family, and my two cats: Penny and Pistachio. With the nice weather right around the corner, I am also looking forward to getting back outsides and partaking in activities including hiking, camping, and kayaking.

Most importantly, I am looking forward to spending a month here at Happy Druggist Pharmacy where I hope to form strong relationships with staff and patients alike. I am eager to gain novel experiences in a pharmacy setting that is different than those I have worked in previously!

Pastor Terry Delivers Not Only Medicine, but The Gospel to His Community.

Many of you have probably had our delivery driver, Terry Basham, show up at your door with a bag of medicines and a smile. But did you also know that Pastor Terry serves the Plain City community in other ways, including his preaching commitments at New Life Baptist Church?

Here is a little bit about Terry in his own words.

Terry was born in 1955 to James and Betty Basham. He grew up in the small town of Humboldt, Illinois. Terry went to school at Humboldt Grade School and graduated from Mattoon Senior High in 1974.

Growing up, Terry loved to play baseball and basketball. You could call him an All-American kid with a temper.

Two major events changed Terry’s life. One took place in 1972 when he became a born-again Christian. The other, when at 17, in 1973, he surrendered his life to preach the gospel. This is what brought Terry to Plain City, Ohio.

Before he came to Ohio, Terry graduated from Fellowship Baptist College in 1983. He went on to pastor churches in Illinois, Virginia, Indiana, and Arkansas. Just before arriving in Plain City, he served as Executive Vice President at Blessed Hope Baptist College for almost ten years. He received his Doctor of Theological Studies during that time from the college. Terry left this position to return to his true calling, pastoring churches.

Terry was called by the New Life Baptist Church to serve as their pastor in August 2008. The church is now located at 128 West Main Street in Plain City.

In 2015, Terry came to work for Plain City Druggist as a delivery driver to supplement his income. Working for the drugstore has helped Terry become more acquainted with the community.

Terry has been married 43 years this coming June 22, 2019 to Kathy McKinzey Basham. They have two sons and eight grandchildren. Their sons, Terry II and Joel, are Baptist pastors, too. Terry II lives in Lawton, Oklahoma with is wife, Valerie, and their five children. Joel lives in Fredonia, Kansas with his wife, Christina, and their three children.

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Meet the Compounding Mixer and Maker for Midwestern Compounding, Mario Martinez.

Most of you have seen Mario in both Plain City Druggist and hustling in the lab at Midwestern Compounding Pharmacy. Mario works alongside our pharmacist Meghan to make all the compounds for our patients.

Mario will be starting at Ohio State this coming fall. Here is a bit more about him.

Mario Martinez will be attending The Ohio State University’s Doctor of Pharmacy program in the fall of 2019. He transitioned from being a technician at Plain City Druggist to Midwestern Compounding Pharmacy’s lead technician/supervisor position in 2017.

Compounding has developed into a passion of Mario’s. He enjoys creating personalized medicines and solving patient’s problems in any way that he can, whether that patient is an adult, child, or animal.

Mario also loves the outdoors and spends his free time rock climbing, hiking, or backpacking in unique places across the country.

Mario looks forward to continuing to serve the awesome village of Plain City.

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