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NH Integrated Health Care

Dustin Forrest, APRN, CDE
Marie Veselsky, RD, LD, CDE, BC-ADM
Dustin Forrest, APRN, CDE
Marie Veselsky, RD, LD, BC-ADM

NH Integrated Health Care specializes in metabolic syndrome (high blood pressure, high cholesterol, insulin resistance, obesity) as well as all types of diabetes. We provide diabetes education and intensive diabetes management including diabetes medicine, insulin therapy and insulin pumps.

Dustin Forrest, APRN, CDE, Family Nurse Practitioner is a primary care provider with a focus on diabetes, metabolic syndrome, and overall health. NH Integrated Health Care will be the principal point of continuing care for you and we will work with other quality health care professionals in the community. As your prescriber Dustin will interpret lab tests and manage your treatment for both your diabetes and your general health.

We will provide comprehensive health care services to help you lower your average blood sugar, blood pressure, cholesterol and reduce your risk for other disease such as heart disease. Comprehensive care is an approach that cares for the whole patient. We work with other quality health care professionals in the community to utilize their expertise such as an Exercise Physiologist and a licensed Registered Dietitian. Our Registered Dietitian is a Certified Diabetes Educator and is Board-Certified in Advanced Diabetes Management. (CDE, BC-ADM)

Our services range from physical assessments to diagnosing and treating health care problems, such as a sore throat or ear pain to helping manage your diabetes. As part of an AADE Accredited Diabetes Center, Dustin will provide individualized diabetes education and intensive diabetes management.

MARIE VESELSKY, RD, LD, CDE, BC-ADM, is a Registered Dietitian that specializes in weight loss and diabetes education for individuals that want to use diet and lifestyle changes first, or in addition to, any medications that have been prescribed. Marie will help you better manage your own diabetes, using tools that will help prevent complications of diabetes down the road. Marie is contracted with most insurance companies and most pay for preventative care. Let us help you reach your optimal health!

Marie states “The cornerstone of all treatment for pre-diabetes and diabetes type 2 is lifestyle modifications. One should always use diet, exercise, and weight loss first or, in addition to, any medication that is prescribed. “

We are an AADE Accredited Diabetes Center since 2014!
Providing Healthcare since 2010.

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Metabolic Syndrome Increases Risk for Disease Including Risk for Complications from COVID-19

Metabolic syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke, type 2 diabetes, and other serious diseases. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol or triglyceride levels.

Metabolic syndrome is caused by an imbalance or disturbance to overall metabolism, and typically the root cause of that imbalance is being significantly overweight for height or obesity. There is a direct link between a person’s weight or more precisely their percentage of body fat and the development of metabolic syndrome.

People with obesity are more likely than normal-weight people to have other diseases that are independent risk factors for severe COVID-19, including heart disease, lung disease and diabetes. A recent study from Tulane University of 287 hospitalized COVID-19 patients found that metabolic syndrome itself substantially increased the risk of complications from COVID-19.

So, do you have metabolic syndrome? Those who have metabolic syndrome have 3 out of 5 of the following criteria:

  1. Waist circumference greater than 35 inches for women and greater than 40 inches for men.
  2. Triglycerides greater than 150.
  3. HDL cholesterol less than 50 for women and less than 40 for men.
  4. Blood pressure greater than 130/85.
  5. Fasting blood sugar greater than 110.

At the very top of almost every health care provider’s medication algorithm or guidance sheet for preventative medication therapy is the statement “healthy eating, weight control, increased physical activity and education.”   This indicates that promoting and educating on healthy lifestyle changes should be included along with any medication they may prescribe.

So, what is the treatment for metabolic syndrome?   The treatment is weight loss.  Research data shows that many people will lower their blood pressure, cholesterol, and blood sugars when they lose weight, gradually increase their physical activity, and make healthier choices for food.  Going to a licensed registered dietitian that can accept your insurance as well as having a primary health care provider that promotes healthy lifestyle changes can get you on the right path. So, get started now! Most insurance companies cover preventative care!

Marie Veselsky, RD, LD, CDE, BC-ADM is the owner and coordinator of NH Integrated Health Care at 45 Washington Street, Conway, NH. Dustin Forrest APRN, CDE is the health care provider and specializes in diabetes. nhintegratedhealthcare.com, 603-662-0234.

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Carbohydrate Reduction for Weight Loss!

By Marie Veselsky, RD, LD, BC-ADM 

apples

What Level of Carbohydrate Reduction is right for you?

What type of diet should you be on for desired weight loss?  Current research indicates that reducing the total amount of carbohydrates that you take in daily can help not only with weight loss, but also help reduce your risk for future chronic illnesses such as diabetes. If you think of our earliest ancestors, the only carbohydrates they had were fruit, vegetables, raw nuts, and occasionally honey.

Carbohydrate-Restricted Diet.  The USDA recommends 130 grams of carb each day for male and female adults, but according to some nutrition researchers, the daily carbohydrate requirements recommended by the USDA can be defined as a high-carb diet. Nutrition researchers Stephen D. Phinney and Jeff S. Volek, authors of “The Art and Science of Low-Carbohydrate Living,” explain that many people, especially overweight and diabetic women, as well as those with polycystic ovarian syndrome, benefit from reducing their carbohydrate intake below daily recommendations.

Many credentialed health care professionals that believe in a healthier approach to pre-diabetes, type 2 diabetes and weight loss (through exercise, carb counting and other lifestyle changes such as stress reduction) may recommend carbohydrate intakes below 130 grams a day depending on the patient. According to research, low-carb diets can help stabilize blood sugar levels and facilitate weight loss. Integrated Optimal Health’s AADE Accredited Diabetes Center can help you determine if you are a good candidate for this type of supervised meal plan on its own, or in addition to your diabetes medications as per your MD. Research shows that diet, individualized exercise, lifestyle changes & stress reduction work best for stopping progression of your pre-diabetes or diabetes type 2.

A typical low-carb diet would include some form of animal protein at each meal with non-starchy vegetables and fat from sources such as olive oil, avocado and nuts. Participants usually are instructed to avoid or restrict grains, sugars and legumes, and to reduce starchy vegetables and fruits to keep their carb count within the established target range. A typical day may include a cheese and broccoli omelet for breakfast with a small tangerine, a chicken salad with a low-carb salad dressing for lunch, grilled salmon with non-starchy vegetables stir-fried in coconut oil for dinner, and almonds, walnuts and olives as snacks. Worst, better, best for carb would be bready processed carb (worst), fruits and starchy vegetables (better) and non-starchy vegetables (best) respectively.

So what is Your Individualized Carb Number for Weight Loss? At Choice Center for Diabetes and Weight Loss we assess each person’s carbohydrate need individually, depending on the need for blood sugar control and/or weight loss.  It works! Then we provide exercise programs and stress reduction programs to get you fit and strong! One step at a time!

Anyone who is on a lower carb diet should not do it on their own, especially if you have diabetes, but instead be supervised by a licensed credentialed Registered Dietitian who is certified in diabetes education. We will work with your MD!

At Choice Center for Diabetes and Weight Loss we are credentialed health care providers practicing a more holistic approach to diabetes, weight loss and other chronic illnesses. We provide individual appointments and group programs to help you reach your optimal health.

We also provide individual appointments. Most Insurance accepted! Call 603-770-4856!

Call to make an appointment to get your individualized carb amount for weight loss!

It’s Your Health and Your Choice! R

 

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It is Time for Healthier Choices!

It is Your Health and Your Choice®!   Choose Health!

marie

March 12, 2016 by Marie Veselsky RD, LD, BC-ADM

As a Registered Licensed Dietitian, I am always going to recommend a more holistic approach such as diet and lifestyle changes first, or in addition to any prescription drug you decide to take. You should always work with your doctor and weigh the risk with the benefit of any medication!

Facts on people’s current health in the United States: 

  • 50% have a chronic condition
  • Over half of American adults have Pre-diabetes or Diabetes
  • 67% overweight or obese
  • Nearly 70% of Americans are on at least one prescription drug with 50% on two

I have found that the best outcomes for people happen when they play an active role in their own health management. As a credentialed licensed Registered Dietitian, I understand that people are alive right now because of the advances in medicine and medications. A good example is insulin and how it has saved many lives, but also there are medications being taken as if they are a “magic bullet.”  The person feels they don’t need to make diet and lifestyle changes if they are on that drug!

Diabetes is a prime example of the above.  All these years we have been “managing” the symptoms: hyperglycemia, insulin resistance, and the metabolic syndrome . . . primarily with drugs while only giving lip service to food and exercise.  The cost of diabetes drugs has reached outrageous amounts. 

Diet (lower carb, functional foods), Exercise, Stress Reduction and Weight Loss are the “best meds” and it is not as hard as it sounds! One just needs a health coach to get them going in the right direction! Many of my clients that were proactive and thus successful in their own health improvements have said “I had a gut feeling I needed to make a change and that is why I showed up at your office door.” 

Evolved Medicine – Research shows that “Diet and Exerciseare most effective for preventing pre-diabetes from becoming type 2 diabetes. A major study in 2002 found that the combination of diet and exercise reduced the odds of pre-diabetes becoming diabetes by 58%, compared with 31% among those using the common diabetes drug metformin.

Yearly sales of diabetes drugs has reached over $23 billion according to the data from IMS Health, a drug market research firm. This is more than the combined revenue of the National Football League, Major League Baseball and the National Basketball Association. In addition, people with diabetes spend an average of $6,000 annually for the treatment of their disease, according to a recent report by Consumer Reports Health. Many are on two or more diabetes medications, but yet do not exercise or watch their carb intake, and are not actively trying to lose weight. From 2004 to 2013, none of the 30 new diabetes drugs that came on the market were proven to improve key outcomes, such as reducing heart attacks or strokes, blindness and other complications of the disease, per an investigation by MedPage Today and the Milwaukee Journal Sentinel.

Diet, especially carbohydrate reduction, exercise, weight loss and lifestyle changes should always be used as the first line of defense for elevated blood sugars associated with insulin resistance and being overweight for your height. If your doctor feels you need a diabetes medication, then diet, exercise and weight loss should always be used in conjunction with the medication.

The good news is, as I like to tell my clients, “Today is the first day of the rest of your life. You can’t go back and start over, but you can start from here and have a better future.” It is never too late to make changes. Research as of 2016 shows that if you hang in there and get the support you need, you can be successful!

 

 

 

 

 

 

 

 

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Do You Have Metabolic Syndrome?

Metabolic Syndrome, or Insulin Resistance Syndrome, is a diagnosis that many of my clients claim they have never heard of when they first come to see me. Instead, they come in stating that they have been diagnosed with high blood pressure, high blood sugars and abnormal cholesterol and/or triglyceride levels.

Metabolic syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

Metabolic Syndrome is caused by an imbalance or disturbance to overall metabolism and typically the root cause of that imbalance is being significantly overweight for height. There is a direct link between ones weight or more precisely with ones percentage of body fat with the development of metabolic syndrome. The more carbohydrate a person eats causes the body to have to put out more insulin to digest or metabolize that carb and the excess gets stored as fat. All carbohydrate turns to glucose in the end and everything is basically a carbohydrate, but meat and fat. A carb is a carb is a carb is a carb!

Metabolic Syndrome is caused by an imbalance or disturbance to overall metabolism and typically the root cause of that imbalance is being significantly overweight for height. There is a direct link between ones weight or more precisely with ones percentage of body fat with the development of metabolic syndrome. The more carbohydrate a person eats causes the body to have to put out more insulin to digest or metabolize that carb and the excess gets stored as fat. All carbohydrate turns to glucose in the end and everything is basically a carbohydrate, but meat and fat. A carb is a carb is a carb is a carb!

Those who have metabolic syndrome have 3 out of 5 of the following criteria: 1. Waist circumference greater than 35 inches for women and greater than 40 inches for men. 2. Triglycerides greater than 150. 3. HDL cholesterol less than 50 for women and less than 40 for men. 4. Blood pressure greater than 130/85. 5. Fasting blood sugar greater than 110.

At the very top of almost every health care prescriber’s medication algorithm or guidance sheet for preventative medication therapy is the statement “Healthy eating, weight control, increased physical activity and education.” This indicates that promoting and educating on healthy lifestyle changes should be included along with any medication they may prescribe.

As a Registered Dietitian, I am always going to recommend healthy eating, increased physical activity, weight loss as appropriate and education as the first line of defense, or in addition to any medication that the health care provider may prescribe. That said “if you need a med you need a med” and you should always work with your prescriber on making any changes on your medications.

So what is the treatment for Metabolic Syndrome? Research data shows that many people will lower their blood pressure, cholesterol and blood sugars when they lose weight, gradually increase their physical activity and make healthier choices for food. Research data also shows though that it can take up to a year. So get started now!

So where can you go for help when you are ready to make some healthier choices and help prevent heart disease, stroke and type 2 diabetes? If you have insurance, most private insurance will cover preventative care with a Registered Dietitian and if you have a diagnosis of diabetes or renal disease Medicare will cover your visit. Insurance will only cover Medical Nutrition Therapy (MNT) by a licensed Registered Dietitian. You can only be licensed as a Dietitian/Nutritionist in the state of Maine or New Hampshire if you meet their intensive criteria set forth by licensure.

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Use Movement, Yoga, Meditation and Massage to Improve Diabetes.

Charlotte Morgan Certified Yoga Instructor
Choice Center for Movement – Integrated Optimal Health

Typically, when people with diabetes think of things that raise their average blood sugar they often think of carbohydrates and being overweight. Stress, pain, poor sleep, depression and lack of movement can all contribute to higher blood sugar levels. The higher the average blood sugar or HgA1c, the more risk of complications from diabetes down the road.

Although watching carbohydrate intake, using diabetes medications or insulin as appropriate, and proper weight management play a big role in reducing average blood sugars there are other things that one can do as well. Stress, pain, insomnia and depression can all be reduced through movement, yoga, massage and meditation programs. The more a person with diabetes incorporates all approaches that can lower their risk for complications of diabetes the better.

Studies conducted have shown that movement, yoga, meditation and massage can lead to significant improvements in conditions including diabetes, PTSD, pain management, depression, heart rate variability and insomnia.

The job for any Certified Diabetes Educator (CDE) is to help get the client’s average blood sugar or HgA1c down and to help prevent long term complications such as neuropathy or loss of feeling in the feet, retinopathy or visual loss, wounds that don’t heal properly, heart and renal disease. Thus, part of our job as diabetes educators is to educate and encourage our clients to utilize all appropriate approaches that can help one lower their HgA1c.

The job for any Certified Diabetes Educator (CDE) is to help get the client’s average blood sugar or HgA1c down and to help prevent long term complications such as neuropathy or loss of feeling in the feet, retinopathy or visual loss, wounds that don’t heal properly, heart and renal disease. Thus, part of our job as diabetes educators is to educate and encourage our clients to utilize all appropriate approaches that can help one lower their HgA1c.

The HgA1c is a lab value that looks at blood sugar control over time. It is used as an indicator of how well a person with diabetes is doing controlling their blood sugars. The higher the HgA1c, the greater the risk for long term complications of diabetes.

As many of my clients know, their HgA1c’s have come down significantly through cutting down on total daily carb, especially processed bready carb, and weight loss. They know that learning to better manage their own diabetes (Diabetes Self-Management) can help them stop the progression of their disease and in some cases help reduce and even get off some of their diabetes medications. Thus, I hope they consider trying one or more movement programs such as movement classes, yoga, meditation or massage to help further lower their HgA1c.

In summary, our goal as diabetes educators should be to guide patients in understanding the effects of various factors on blood glucose levels, which can help motivate them to take control and add more approaches to better manage their own diabetes. Diabetes Educators should help provide access to as many of these programs (yoga, movement classes, meditation, and massage) as possible and not just educate about diet and medications. The more a person with diabetes incorporates all the approaches that can help them lower their risk for complications of diabetes the better.

Marie L. Veselsky RD, LD, CDE, BC-ADM, INTEGRATED OPTIMAL HEALTH www.integratedoptimalhealth.com • Choice Center for Diabetes & Weight Loss (DSME) Choice Center for Medical Nutrition Therapy (MNT) Choice Center for Movement www.choicecenterfordiabetes.com 603-770-4856. 45 Washington St, Conway, NH 03818. The focus of our programs is to get back to the basics through a combination of education on an individualized diet, individualized exercise, accountability, support and other lifestyle change programs to help people reach their “Optimal Health!”

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High Cholesterol? High Blood Pressure? Pre-Diabetes? Diabetes Type 2? Diet, Exercise, Weight Loss and Lifestyle Changes Will Get to the Root of the Problem!

Best Plan! Follow Your Assessed Individualized Carb # for Weight Loss!

Let 2019 be the year that you start taking the necessary steps toward a healthier you!

The best way to prevent or stop progression of chronic diseases such as diabetes type 2 , high cholesterol, high blood pressure, obesity and even most sleep apnea, is through diet, lifestyle changes, exercise and, yes, weight loss. This should be the first step in addition to any prescription medication you are prescribed by your health care provider.

As a Registered Dietitian for over 20 years, working in various hospital settings and also traditionally educated, receiving my Bachelors and Masters from the University of New Hampshire, I consider myself middle of the road when it comes to health care approach. I know from my many years of working with patients/clients that no massive amount of “health food” supplements or any specific diet is going to cure your auto immune disease or cancer. On the other hand, I also know that many people are relying too heavily on medications for chronic diseases that diet, lifestyle changes, exercise and weight loss can help best.

I actually remember the time when the National Instuitues of Health cholesterol guidelines mandated that changing diet should be tried for three months as the first step in treating high cholesterol before putting anyone on drugs. I was reminded of these treatment guidelines from the past when I read a recent article by a Cardiologist actually trying to get some of her patients off statins or cholesterol lowering drugs. As she stated in her article, current treatment guidelines, representing the standard of care, only pay lip service to nutrition. Most preventative prescription medications are just covering up the downstream effects of poor diet and lifestyles. They will not cure or get to the root of the actual problem.

Low Carb Cooking Class

I actually remember the time when the National Instuitues of Health cholesterol guidelines mandated that changing diet should be tried for three months as the first step in treating high cholesterol before putting anyone on drugs. I was reminded of these treatment guidelines from the past when I read a recent article by a Cardiologist actually trying to get some of her patients off statins or cholesterol lowering drugs. As she stated in her article, current treatment guidelines, representing the standard of care, only pay lip service to nutrition. Most preventative prescription medications are just covering up the downstream effects of poor diet and lifestyles. They will not cure or get to the root of the actual problem.

Here are some of the essentials to help you be successful at becoming a healthier you! 1) Eat more like our earliest ancestors and use more lean meats, fruits, vegetables and raw nuts and avoid processed foods, especially too much processed bready carb. Processed foods are where you are going to find the chemical food additives, bad fats and salt. 2) For weight loss, work with a Registered Dietitian and follow your individualized daily carbohydrate number assessed for weight loss and distribute the carb evenly throughout the day. 3) Again for weight loss, accurately track your carb intake using an easy method such as a carb counter. 4) Get accountability through visits, weigh-ins and measurements with a credentialed health care provider. 5) Get continued education, reinforcement and support for your specific medical nutrition therapy (MNT) needs by working with a Registered Dietitian. Medical Nutrition Therapy (MNT) is covered by most insurance. 6) Individualized exercise as able and OK’d by your Nurse Practitioner or MD.

So again, let 2019 be your year to take the first steps necessary to reach your Optimal Health!

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National Diabetes Month 2018 – Helping People Better Manage their Own Diabetes

By Marie L. Veselsky, RD, LD, CDE, BC-ADM 

November is National Diabetes Month and it is very common to see articles in November every year providing statistics of how wide spread diabetes has become. I’d rather talk about success stories for National Diabetes Month.

As a Registered Dietitian (RD), Certified Diabetes Educator (CDE) and a Board Certified Advanced Diabetes Educator (BC-ADM) I have seen many a success story when people with diabetes learn to better manage their own diabetes. When a person plays a more active role in managing their own diabetes they can make a huge difference in their own outcome. I have seen people with pre-diabetes make the necessary changes to prevent from going on to develop diabetes type 2. I have seen people with diabetes type 2 significantly reduce their HgA1c and stop progression of their disease through a combination of a lower carb meal plan, weight loss and diabetes medications. I have seen Diabetes type 1 patients who have made diet and lifestyle changes reduce their HgA1c and risk for complications.

Research shows that Medical Nutrition Therapy (MNT) and/or attending Diabetes Self-Management Education Classes (DSME) can help you better manage your own diabetes and lower your HgA1c. The HgA1c is a blood test that can be used to track how a person is doing controlling their blood sugars. The higher the A1C level, the poorer your blood sugar control and the higher your risk of diabetes complications. I have seen the HgA1c come down significantly when a person cuts down on the amount of carbohydrate they consume daily, loses weight, exercises when ready and able and makes other lifestyle changes such as quitting smoking, behavior changes and stress reduction. On a lower carb, higher lean meat diet I have seen the bad cholesterol LDL come down and the good cholesterol HDL go up.

For success stories let’s start with a female patient diagnosed with pre-diabetes who started coming to me in February 2018. She thought she was going to have to go on diabetes medications and did not want to. Her body fat was 39% at that time which is considered obese and she indicated she was active, but not like she used to be. As of October 2018 (eight months later) she has lost 18 lbs. Her body fat has gone down to 33%. She continues to follow her individualized lower carb meal plan. She indicates she is now very active and all her labs are now good. Thus, she is still not on any diabetes, cholesterol or blood pressure medications. She continues to come in individually for accountability and support.

A male with diabetes type 2 who first came to me in December 2016. He was considered obese at 51% body fat and on Metformin for his diabetes. He has lost close to 50 lbs. through following his individualized lower carb meal plan and slowly increasing his walking. His HgA1c is now < 6. He no longer needs the metformin. He regularly attends our diabetes programs for reinforcement.

A male with diabetes type 2 who first came to me in June 2018 with diabetes type 2 and on both a long acting insulin at night and rapid acting with meals. He complained of episodes of low blood sugars and wanted to lose some weight and lower his HgA1c. He does not exercise, but is very active at work and has followed his individualized carb meal plan. As of October 2018 he has lost 4 inches off his waist where most his weight was. He also lost 30 lbs. He indicates he no longer needs his rapid acting insulin with meals. He continues to want to lose more weight and reduce all his insulin. He is currently coming to the Diabetes Self-Management Education Classes.

And finally, a female with type 2 diabetes and on glipizide, metformin and three blood pressure medications. She started coming to me in November 2017, after starting to have some significant health problems related to fatigue and dizziness. She quit coming because she thought she wasn’t losing weight fast enough and then came back. I told her to hang in there and she did. She has followed her individualized lower carb meal plan and is exercising almost every day. She has lost 37 lbs., dropped her body fat from 48% to 38%, is off her metformin and claims to be down to half of one pill of the glipizide. She is now off all but one blood pressure medication. She continues to come in for reinforcement and accountability.

Diabetes education, also referred to as diabetes self-management education, is performed by health care professionals who have appropriate credentials and experience consistent with the particular profession’s scope of practice. Diabetes self-management education is defined as the interactive, collaborative, ongoing process involving the person with diabetes or pre-diabetes and/or the caregivers and the educators.

As a Registered Dietitian (RD), I am licensed to practice Medical Nutrition Therapy (MNT) and can prescribe therapeutic diets. I will develop or adjust an individualized diabetes meal plan as indicated. In addition, as a Certified Diabetes Educator (CDE) and a Board Certified Advanced Management Diabetes Educator (BC-ADM) I am able to educate patients on self-blood glucose monitoring, review insulins, incretins and oral diabetes medications and teach insulin administration and technique including insulin to carb ratios. In addition, I can make recommendations for initiation or changes in medications/insulin regimes based on integration of nutrition, physical activity, medication, blood glucose or CGM data. I will work with your prescriber to adjust your diabetes regimen to help you achieve your optimal health.

At Integrated Optimal Health’s Choice Center for Diabetes & Weight Loss the focus of our program is to get back to the basics and believe people with diabetes can better control their blood sugars through a combination of meal planning, exercise, weight loss as appropriate, medications/insulin as needed and other lifestyle changes such as stress reduction. We provide education programs, support programs, stress reduction programs, yoga, massage and small group or one on one personal training. We work with other quality health care professionals in the community to utilize their expertise.

Integrated Optimal Health’s Choice Center for Diabetes & Weight Loss has been accredited as an AADE DEAP Diabetes Education Center since 2014 and our mission is to help people with diabetes better manage their own diabetes. Diabetes Self-Management Education Classes can help you better manage your own diabetes and are covered by most insurance if provided through an accredited diabetes center. On Tuesday 11/20/2018 at 12 noon and at 6:00pm, (low carb meal served) come listen to our APRN and Registered Dietitian, CDE, talk on “Know Your Diabetes Medications” to help people better understand their diabetes medications and make a more informed decision about how they and their prescriber want to manage their diabetes. Call 603-770-4856 for details. www.integratedoptimalhealth.com. 45 Washington, Street, Conway, NH. 

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Diet and Exercise are Effective for Both Pre-Diabetes and Type 2 Diabetes

Integrated Optimal Health’s Choice Center for Diabetes Education Program (DSME) has been accredited since 2014 and has recently received re-accreditation from the American Association of Diabetes Educators (AADE DEAP) for another four years! Our mission is to help you better manage your own diabetes and we like to utilize the expertise of quality professionals in the community.  Chef Amy Golino who worked on the awarding winning cooking show with Julia Childs does a program on low-carb cooking (below).

Marie Veselsky and Chef Amy Golino

Diet, exercise and weight loss are most effective for preventing pre-diabetes from becoming type 2 diabetes. A major study found that the combination of diet and exercise reduced the odds of pre-diabetes becoming diabetes by 58%, compared with 31% among those using the common diabetes drug metformin.

Diet, exercise, weight loss and cutting down on total daily carbohydrates (especially processed bready carbs) can also significantly lower the HgA1c’s of people who have already been diagnosed with type 2 diabetes. Reducing the HgA1c can help prevent the progression of the disease.

Diet, especially carbohydrate reduction, exercise, weight loss and lifestyle changes should always be used as the first line of defense for elevated blood sugars associated with insulin resistance and being overweight for height. If your doctor feels you need a diabetes medication, then diet, exercise and weight loss should always be used in conjunction with the medication.

At Integrated Optimal Health’s Choice Center for Diabetes and Weight Loss we know how important education, accountability and support are to help you reach your optimal health! We provide individual and group programs to help you better manage your own diabetes and lower your risk of associated long-term complications.

The focus of our program is to get back to the basics through a combination of education on diet, individualized exercise and weight loss programs as appropriate, medications as needed and other lifestyle changes to help people reach their optimal health. We will do this through educating the client on options, advocate for healthier choices and provide access to programs needed through working with other quality health care professionals in the community.

We provide individual appointments and group programs at our main location at 45 Washington Street, Conway, NH, Conway Professional Building. Our programs include: diabetes education programs, weight loss programs, yoga, massage, exercise groups and personal training geared to a person’s specific physical and fitness needs. We also utilize the expertise of other quality health care professionals in the community and provide ongoing educational programs such as low-carb and/or gluten free cooking classes, stress reduction programs and certification programs.

To continue to encourage healthier paths, Integrated Optimal Health is happy to announce Maine Center for Vital Living, LLC will be hosting a Yoga Teacher Training Program at Integrated Optimal Health in Conway, NH co-lead by Heidi L. Audet E-500 RYT and Kimberly Allen, E-200 RYT.

Call to make an appointment or register for the groups! Call 603-770-4856. Most Insurance Accepted! It’s Your Health and Your Choice! ™

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Diabetes Self-Management Education (DSME) Improves Outcomes for People with Diabetes

                   

Why are people not taking advantage of diabetes self-management education classes (DSME) when research indicates that it can help improve diabetes outcomes?

A study by the CDC reveals that only an estimated 6.8 percent of people with newly diagnosed type 2 diabetes received DSME during their first year with diabetes. What’s even more surprising is that the study participants had private health coverage that would cover the cost of their initial self-management education.

An estimated 29.1 million people in the United States had diabetes in 2012, and this number is projected to reach 64 million by 2050. In 2015, it was estimated that nearly 1 in 4 four adults were living with the disease.

Diabetes is a serious disease, and should not be taken lightly or ignored. The longer you wait to make the necessary changes your “gut” tells you that you need to make, the more likely your diabetes will get worse. Uncontrolled high blood sugars are toxic and people with diabetes have an increased risk for heart disease, stroke, vision loss, depression, pain, kidney disease and even amputation of toes, feet or legs. Rural populations are particularly hit hard because they have a higher prevalence of diabetes and typically have less access to DSME programs.

The good news is that even though diabetes is a serious disease, it can often be managed through diet, individualized physical activity, weight loss as appropriate and the appropriate use of insulin and other medications to control blood sugar levels.

Research indicates that attending DSME classes can help you take control of diabetes symptoms such as tiredness, pain, depression and prevent the long term complications of diabetes by lowering your HgA1c.

Diabetes Self-Management Education (DSME) which is covered by most insurance, increases the use of preventative care services and reduces glucose levels associated with diabetes complications.

Nationally Certified Diabetes Educators (CDE’s) conduct each class @ Choice Center for Diabetes. The program teaches you how to eat healthy, be active, monitor blood sugar levels, take medication, problem solve, reduce risk for other health conditions and cope with the disease and provide much needed support.

So are you ready to bring down that fasting blood sugar? Would you like help losing that 15-20 lbs. that research shows is all it takes to help reduce your risk for complications of diabetes? How about lowering your HgA1C which is linked to risk of complications from diabetes down the road? Want to reduce some stress?

Integrated Optimal Health’s Choice Center for Diabetes & Weight Loss and Choice Center for Movement might be the place for you! We are an AADE Accredited Diabetes Education Center since September 2014. Our instructors for all programs are highly experienced, credentialed, licensed and or certified in their prospective fields.

Your doctor or nurse practitioner will provide us with a DSME referral and your baseline HgA1c and after finishing the program and follow-ups they will assess your HgA1c again. 

Choice Center for Diabetes Self-Management Education (DSME) in Conway, NH is a program that gets back to the “basics” and includes more fun hands-on learning including how to cook low carb meals. Each class covers some important aspect of better managing your own Diabetes Type 2!

Integrated Optimal Health’s

  • Choice Center for Diabetes & Weight Loss
  • Choice Center for Medical Nutrition Therapy (MNT)
  • Choice Center for Movement

www.choicecenterfordiabetes.com,

Location: Professional Building at 45 Washington Street, Conway, NH

Call to Register: 603-770-4856

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