Diabetic Patients

Hemoglobin A1c

Hemoglobin A1c is a lab test that can be used to diagnose or assess the treatment of diabetes. It  represents th average blood glucose level over the previous three months. It will be able to tell your physician how well an individual has been controlling their diabetes. This test should be performed every 3-6 months depending on how controlled your diabetes is.

Blood Glucose Monitoring

Blood Glucose Monitoring is recommended for individuals with diabetes to monitor their blood glucose levels at home anywhere from one to four times per day. Talk to your physcian if you are in need of a monitor.

Urine Microalbumin 

Microalbuminuria Test should be done once a year for individuals with diabetes. This is a urine screening test that measures the amount of albumin, or protein, in the urine. This screening test can detect a sign of early kidney disease or nephropathy. Diabetic Nephropathy is damage to the kidneys caused by diabetes.

Diabetic Eye Exam

Diabetic Retinopathy: When you visit your eye doctor, be sure to tell them you are a diabetic so a Dilated Eye Exam is performed. The doctor will be looking for signs of diabetic retinopathy. Please ask them to forward a copy of your exam to our office to complete your health record.

        Healthy Eating                   for Pre-Diabetes          

Pre-diabetes occurs when your blood sugars are higher than normal, but not high enough to be called diabetes. 

Am I at risk for Diabetes?

What signs and symptoms to watch out for and how to lower your risk.

Healthy Eating for Diabetes

Diabetes occurs when your blood sugar levels are higher than normal.

Understanding Cholesterol

Your Total Cholesterol level is the overall amount of Cholesterol found in your blood. It consists of :

Low-density lipoproteins (LDL's)
High-density lipoproteins (HDL's)
Triglycerides

 

LDL is also called "bad" cholesterol because it blocks your blood vessels and increases your risk for heart disease.

HDL is considered "good" cholesterol because it helps protect your from heart disease. the higher your HDL, the better.

 

Total Cholesterol also includes a Triglyceride count. these are another type of fat that can build up in the body and are considered the "building blocks" of cholesterol.

High level of triglycerides and low levels of HDL raise your risk for heart disease.

                                                   COVID-19

Symptoms

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatique
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomitting
Diarrhea

Calculating Quarantine

The date of your exposure is considered day 0Day 1 is the first full day after your last contact with a person who has had COVID-19. Stay home and away from other people for at least 5 days.

 

If YOU were exposed to COVID-19 and are NOT up-to-date on COVID-19 Vaccinations:

  • Quarantine for at least 5 days by staying home and wearing a mask around others in the home. Get tested at day 5 even if you dont develop symptoms.
  • After Quarantine, watch for symptoms until 10 days after last contact. If you develop symtoms, isolate immediately and get tested.Stay at home and wear a mask around others.
  • Take precautions until day 10. Wear a mask for 10 full days anytime you are around others inside your home or in public.
  • Avoid travel and avoid being around people who are at high risk.

If YOU were exposed to COVID-19 and are up-to-date on COVID-19 vaccinations:

  • No quarantine -you do not need to stay home unless you develop symptoms.
  • Get tested at least 5 days after last contact with someone with COVID-19 even if you don't develop symptoms.
  • Watch for symptoms until 10 days after you had close contact with someone with COVID-19.
  • If you develop symptoms, isolate immediately and get tested. Continue to say home and wear a mask around others.
  • Take precautions until day 10 by wearing a mask at home and in public.
  • Avoid travel and avoid being around people who are at risk.

If YOU were exposed to Covid-19 and had confirmed COVID-19 (positive test) within the past 90 days:

  • No quarantine - You do not need to stay home unless you develop symptoms
  • Watch for symptoms until 10 days after you last had close contact with someone with COVID-19.
  • If you develop symtoms, isolate immediately and get tested. Continue to say home and wear a mask around others.
  • Take precautions until day 10 by wearing a mask at home and in public.
  • Avoid travel and avoid being around people who are at risk.

Calculating Isolation

Day 0 is your first day of symptoms or a positive viral test. Day 1 is the first full day after your symptoms developed or your test specimen was collected. If you have COVID-19 or have symptoms isolate for at least 5 days.

 

If YOU tested positive for COVID-19 or have symtoms regardless of vaccination status:

  • Stay home for at least 5 days and isolate from others and wear a mask in your home.
  • End isolation after 5 full days if you are fever-free (without fever reducing meds) for 24 hours and your symptoms are improving.
  • End isolation if you did NOT have symtoms 5 days after positive test.
  • If you were severly ill with COVID-19 you should isolate for at least 10 days and consult your physician before ending isolation.
  • Take precautions until day 10 by wearing a mask at home and in public.
  • Avoid travel and avoid being around people who are at risk.

Common Vaccines given in our office

 

Influenza: People 6 months and older should receive a yearly flu vaccine. We begin administering    

the vaccine in early fall.

 

Prevnar 13 and Pneumovax 23 A vaccine for people 65 and over to prevent pneumonia                  

 

 

Adacel (Dtap): Active booster immunization against tetanus, diphtheria, and pertussis. Approved for    use in individuals 10 through 64 years of age.  

 

Menactra: A meningococcal vaccine given to 11-12 yo before entering 7th Grade. The second              meningococcal vaccine is now required for students entering Grade 12.

 

Bexsero: A meningococcal B vaccine, typically given to college students if required by the college or  people 10 years or older at increased risk for meningococcal disease.

 

Gardasil 9: A vaccine to prevent Human papillomavirus (HPV) in women and men. Teens and young    adults start the 2 dose series between ages 9-14 or three dose series give at ages 15-26 years.

 

Hepatitis B: A vaccine to prevent a liver infection caused by the Hepatitis B virus (HBV). A 3 dose        series.

 

Hepatitis A: A vaccine to prevent a communicable disease of the liver caused by the Hepatitis A         virus  (HAV).             

 

Shingrix: Healthy adults 50 years and older should get two doses of Shingrix separated by 2 to 6        months, even if you had shingles, received Zostavax or not sure if you had chickenpox.

                                                                                                              

Vaccines available upon request

Typhoid: May be recommended for travel to foreign countries.                                                              

MMR: Measles, Mumps, and Rubella                                                                                                      

Polio                                                                                                                                                        

Varicella: A vaccine to prevent chickenpox, a very contagious disease. Requires two doses.               

Trumenba : A meningicoccal B vaccine                                                                                                                                 

                              Vaccines not given in the office

COVID-19 Vaccine

Pfizer-BioNTech- 2 shots, 21 days apart. Booster shot is given at least 5 months after completing 

 

Moderna - 2 shots, 28 days apart. Booster shot is given at least 5 months after completing

 

Johnson & Johnson's Janssen - 1 shot, may be given in some situations.

 

 

For more detailed information on the COVID-19 vaccines go to Stay Up to Date with Your COVID-19 Vaccines | CDC

 

It is important to stay up to date with your immunizations and to also keep your doctor informed as to what vaccines your have received outside the office. If you are in need of a certain vaccine, it is also important to check with your insurance company to see if it is covered prior to receiving it.

Vaccine Information

Influenza Vaccine
vis-flu.pdf
Adobe Acrobat document [54.1 KB]
DTap
vis-td.pdf
Adobe Acrobat document [76.2 KB]
Gardasil
CDC+Gardasil.pdf
Adobe Acrobat document [31.2 KB]
Meningococcal Vaccine
Menactra
Menactra.pdf
Adobe Acrobat document [1.9 MB]
Hepatitis A
CDC+Hepatitis+A.pdf
Adobe Acrobat document [34.2 KB]
Hepatitis B
vis-hep-b.pdf
Adobe Acrobat document [49.4 KB]
Pneumovax
CDC Pneumovax.pdf
Adobe Acrobat document [36.1 KB]
Shingrix
CDC Shingles.pdf
Adobe Acrobat document [102.2 KB]

Set up Shingrix 2nd dose reminder:  https://www.shingrix.com/side-effects.html

Diet recommendations

Below are a list of diets that may be helpful to you. Dr. Wasson may ask you to follow a specific diet based on your recent blood work or diagnosis.

Healthy Eating for Pre-Diabetes
Healthy Eating for Pre-Diabetes.pdf
Adobe Acrobat document [1.6 MB]
BMI
about_adult_BMI.pdf
Adobe Acrobat document [141.8 KB]
What is Cholesterol and How to monitor Cholesterol in your Diet
A brief description of what it is, where it is found and what it does.
Cholesterol.pdf
Adobe Acrobat document [267.3 KB]
Fatty Liver
Fatty Liver.pdf
Adobe Acrobat document [1.5 MB]
How to Improve your Cholesterol
Cholesterol AMA.pdf
Adobe Acrobat document [1.1 MB]
Decrease the Risk of Diabetes
Decrease+the+Risk+of+Diabetes.pdf
Adobe Acrobat document [199.4 KB]
DIabetes and Prediabetes
Diabetes+and+Pre-Diabetes.pdf
Adobe Acrobat document [1.4 MB]
Gout Diet
Gout+Diet.pdf
Adobe Acrobat document [85.7 KB]
Nutrition for Everyone
nutrition_for_everyon.pdf
Adobe Acrobat document [147.1 KB]
Weight Loss tips
Weight+Loss+Tips.pdf
Adobe Acrobat document [108.6 KB]
Smoking Cessation
CDC+-+You+Can+Quit+Smoking+-+Five+Keys+f[...]
Adobe Acrobat document [31.0 KB]
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