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Prediabetes Screening: How and Why?

by Statcare Urgent Medical Care

Prediabetes is a condition in which blood sugar levels are higher than normal, but not quite high enough to be diagnosed as type 2 diabetes. 1 in 3 U.S. adults have prediabetes. Most don't know know it. Having prediabetes means that you are at an increased risk of developing serious health problems such as type 2 diabetes, stroke and heart disease.

You could have prediabetes if you have:

  • high cholesterol
  • high blood pressure
  • a parent, brother or sister with diabetes

Your risk goes up if you are overweight, and/or over age 45.

The Science of Prediabetes

Insulin is a hormone made in the pancreas and released into the bloodstream. When the body breaks down carbohydrates from the food we eat into glucose, also known as blood sugar, insulin helps the body's cells absorb the glucose and use it for energy.

If the cells that respond to insulin lose sensitivity, a condition known as insulin resistance develops. When people have insulin resistance, although the body still produces insulin, it is not used effectively, causing glucose to build up in the blood instead of being absorbed by cells. This increase in blood glucose leads to prediabetes, and eventually type 2 diabetes, if left untreated.

The American Diabetes Association recommends one of the 3 screening tests to diagnose prediabetes:

  1. Hemoglobin A1C (HbA1C) test
  2. Fasting plasma glucose (FPG) test
  3. Oral glucose tolerance (OGTT) test

We offer all 3 screening tests to diagnose prediabetes at our clinics. No appointment is necessary and you’ll only wait minutes to be seen. You can call ahead at (855) 9 FOR DOC and let us know you’re on the way or you can check in online.


Do I Need Stitches? Find Out How To Tell

by Statcare Urgent Medical Care

What is a laceration?

Lacerations are cuts on the skin. While incisions are cuts produced by a sharp object such as glass or a razor, lacerations are blunter and irregular.  Not all lacerations need stitches. In fact, small lacerations can be cared for right at home.

Home Care

Small lacerations can be cleaned at home and covered with a clean gauze and tape if they fit the following criteria:

  • the bleeding stops in 10 minutes or less.
  • the cut is not on the face (especially on the mouth or near the eyes).
  • the cut is small and not very deep (not more than 1/4 inch deep).

If your wound does not fit this description, you might need stitches. Stitches are not only necessary to stop the bleeding, but they also help speed up healing and prevent infections. Your risk of infection increases the longer the wound remains open. Most wounds that require closure should be stitched, stapled or closed with skin adhesives within 6 to 8 hours after the injury. Some wounds that require treatment can be closed as long as 24 hours after the injury.

If you have diabetes, chronic kidney failure or a suppressed immune system, your wounds might not heal as fast or as well as other people, so you might need stitches even if it is a small laceration. When in doubt, come to any of our clinics and speak to our health care providers.

Getting Stitches

Sutures (or stitches) are the most common method used to close up a laceration. Non-dissolvable sutures made of nylon or polypropylene material are used to close the outer layer of wounds. Dissolvable sutures made of polyglycolic and polygalactic acid are used to close deeper layers of skin and tissue.

Signs that a cut requires stitches:

  • Deep enough to exposure the yellow subcutaneous fatty tissue, muscle or bone.
  • Gaping open so that you can't easily use gentle pressure to press the edges together.
  • Located on or across a joint (concern for damaged nerves, tendons/ligaments).
  • The result of an animal or human bite.
  • A result of a foreign body impaling the area.
  • Made by a high-pressure impact from a projectile like a bullet.
  • Contaminated or resulting from a very dirty or rusty object.
  • Bleeding profusely.
  • On a cosmetically significant area, such as the face, lips, eyelids.
  • On or near the genitalia.

You may also need a tetanus vaccine booster.

Removal of Stitches

Most stitches are removed within 10 days and as soon as five days in areas like the face, where the blood supply is rich - which makes healing faster. The longer the stitches are left in, the higher the risk of scarring. The main goal of stitches is to help your wound heal, so if they need to stay in place for a longer period of time, the health care provider may choose to do that. Stitches are easy to remove with surgical scissors. After the stitches are removed, the area will be examined by the healthcare provider to ensure that it's healing properly and that it is properly closed. Although you might be tempted to remove the stitches at home, it's safer if you return to the clinic for this. It's easy to re-injure the area - or even cause an infection -if you're not careful. This will result in a feeling of general illness, and may require antibiotics for you to get well.

Walk-in to any of our clinics and talk to our providers. No appointment is necessary at our clinics and you’ll only wait minutes to be seen. You can call ahead at (855) 9 FOR DOC and let us know you’re on the way or you can check in online.

Sources: CDCCleveland Clinic


15 Tips For Traveling With Diabetes

by Statcare Urgent Medical Care

If you have diabetes, you can enjoy all kinds of recreational travel from a week at the beach, to camping, to sightseeing across Asia. Planning ahead is the key to traveling with diabetes.

  1. Be sure to have a complete medical exam well before you travel to make sure your diabetes is under control. This will allow enough time for immunizations, if you need them, and give you time to recover from any side effects.
  2. Plan your activities so you can work on your meals and insulin injections.
  3. Make a note of all medications along with dosages. Also label all medications.
  4. Make sure you carry enough medication and syringes to last through the trip with you. Also carry equipment needed to manage your diabetes(insulin, syringes, and other medicines or devices).
  5. You may want to carry at least twice as much medicine and blood-testing supplies as you think you will need.
  6. Be sure to carry extra batteries for your glucometer.
  7. Carry a well-wrapped, airtight snack pack of snacks like (crackers, peanut butter, some form of sugar like hard candy or glucose tablets) to treat low blood glucose.
  8. Before you fly, be sure to request a special meal low in sugar, fat, and cholesterol at least 48 hours in advance.
  9. Wait until you see your food coming down the aisle to take your insulin shot, otherwise, if your meal is delayed, you could experience low blood glucose.
  10. Plan for crossing time zones: Eastbound travel means a shorter day, so if you inject insulin, you may need less. Traveling westbound means a longer day, so more insulin may be needed. Talk to one of our providers for more information.
  11. Checking blood sugar while traveling is just as important as when at home. It is important to check blood sugar soon after landing as jet lag may make it difficult to tell if your blood sugar is very low or very high.
  12. Insulin does not need to be refrigerated, but should not be stored in very hot or very cold temperatures. It is important to store insulin properly. Many travel packs are available to keep insulin cool.
  13. Be extra careful about food and water precautions. Avoid uncooked foods and tap water. Foods that upset your stomach could cause your blood glucose levels to become uncontrolled.
  14. Wear comfortable shoes and never walk with bare feet. Check your feet every day, looking for signs of blisters, cuts, redness, swelling, and scratches.
  15. Get medical care at the first sign of any infection or inflammation.

Walk-in to any of our clinics and talk to our providers about traveling if you have diabetes. You can also get your physical (which include labs) done before traveling. We also offer travel vaccines. No appointment is necessary at our clinics and you’ll only wait minutes to be seen. You can call ahead at (855) 9 FOR DOC and let us know you’re on the way or you can check in online.

Source: American Diabetes Association


Could you be diabetic and not know it? : 3 signs

by Statcare Urgent Medical Care

Diabetes is a disease in which blood glucose levels are above normal. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the seventh leading cause of death in the United States.

As per the 2014 National Diabetes Statistics Report, 29.1 million people or 9.3% of the US population have diabetes. 

Diagnosed: 21.0 million people
Undiagnosed: 8.1 million people (27.8% of people with diabetes are undiagnosed).

Three symptoms you can't ignore:

1) Frequent and or excessive urination: When you have diabetes, excess sugar (glucose) builds up in your blood. The kidneys have to work really hard to filter and absorb all that extra glucose. During this time, the excess glucose gets excreted into the urine, soaking up fluids drawn from your tissues. This leads to abnormally high urine output. A persistent need to urinate, especially if you have to get up at night to use the bathroom is something that you need to take seriously.

2) Feeling more thirsty: Due to frequent urination, the body becomes dehydrated, making you feel very thirsty. If you drink sugary beverages like soda or juice to quench this thirst, more sugar enters the body leading to more thirst. 

3) Hunger pangs: When people suffer from diabetes, they feel more hungry than usual and tend to eat more. This happens because the body cannot regulate glucose that your cells use for energy. When the cells are deprived of glucose, your body automatically looks for more sources of fuel, causing persistent hunger. In addition, eating more will not get rid of the feeling of hunger in people with undiagnosed or uncontrolled diabetes, as this will just further elevate the blood sugar level.

Each one of these symptoms can have other causes as well. If you notice any of these symptoms, it is best to get your HbA1c level checked. Stop by any of our clinics to get your level checked. No appointment is necessary at our clinics and you’ll only wait minutes to be seen. You can call ahead at (855) 9 FOR DOC and let us know you’re on the way or you can check in online.

Source: CDC


The ABCs of diabetes

by Statcare Urgent Medical Care

What can I do to stay as healthy as possible if I have diabetes? — If you have diabetes (sometimes called diabetes mellitus), the most important thing you can do is to control your "ABCs":

●"A" stands for "A1C" – A1C is a blood test that shows what your average blood sugar level has been during the last few months.

●"B" stands for "blood pressure" – If you have diabetes, controlling your blood pressure is just as important as controlling your blood sugar. High blood pressure puts you at risk for heart attack, stroke, and kidney disease.

●"C" stands for "cholesterol" – Cholesterol is a waxy substance found in the blood. High cholesterol is another factor that increases your risk of heart attacks, strokes, and other serious problems.

Why are my ABCs so important? — Compared with people who do not have diabetes, people who have diabetes are 2 to 3 times more likely to have a heart attack or a stroke. People with diabetes also have heart attacks at a younger age, and that are more severe and more deadly. Plus, people with diabetes are much more likely to get kidney disease. By keeping your ABCs under control, you can lower your risk of these problems by a lot.

Stop by any of our clinics to get your blood pressure checked as well as get your A1C and cholesterol levels checked.

Note: Cholesterol levels are accurate when drawn after fasting for at least 8-12 hours. Drinking water is allowed.


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