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Feather River Bulletin
Quincy, California
December 24, 2014     Feather River Bulletin
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December 24, 2014

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14B Wednesday, Dec. 24, 2014 Bulletin, Record, Progressive, Reporterl > AIC an important tool in controlling diabetes Fuad Kuliyev, MD What is an A1C test? An A1C test measures average blood glucose over time. This test became an important tool in controlling diabetes in the 1980s because it allows a measurement of blood sugars over two or three months. Until this test, people with diabetes were dependent on a urine test or daily finger sticks to measure their blood sugars. Although these tests were accurate, the results were merely a snapshot as blood sugars can vary immensely depending on time of day and activity levels. Who needs an AIC test and how often should I be tested? TIPS Physicians use an A1C test to make a diagnosis of diabetes and to monitor how well your treatment plan is working for people already diagnosed with diabetes. How often you have an AIC tests depends on: , Type of diabetes you have Individual treatment plan your physician has established , How well you have managed your blood sugar levels How does an AIC test help control diabetes? Having a high AIC level can indicate you have pre-diabetes, diagnose diabetes, or that your treatment plan, if already diagnosed, needs modification. If you have pre-diabetes, changing your lifestyle in small ways can have a big impact. Trimming a few pounds or sticking to an exercise plan can move AIC levels back in the normal range. For those who have had diabetes for a long time, higher AIC levels than normal can be a sign medication is necessary or a change in medication is in order. Additional lifestyle changes and closer monitoring of blood glucose on a daily basis may be necessary; About our expert Fuad Kuliyev, MD, is a hospitalist at Banner Lassen Medical Center. To test your knowledge of diabetes, visit, Make hol.iday cerebrations successfut for famity members with dementia During the holidays, families gather to share meals and create special memories. Those of us with family members who suffer from memory loss often agonize about how to include members with dementia. Many family members feet elaborate preparations, large crowds and multiple generations make for great memories, however, the person with dementia may enjoy a simpler celebration. Here are some basic ingredients to create a more successfut holiday celebration. Make sure the person is well-rested. Fatigue can occur in 90 minutes or tess, so a person may do better attending only the meal, rather than the whole day. If the person asks to leave early, take them home or to a place to rest. Do not delay the person's exit as it may cause confusion or agitation for up to 36 hours. Allow the person who has prepared the elaborate dinner in the past to help with minor preparations such as peeUng, mixing or mashing. Be aware people with dementia are highly susceptible to heightened stimuU, especially groups and noise. Avoid alcohol intake, especially if the person is on a mood- modifying medication. All people attending the gathering must need to accept what the person with dementia says and perceives. Attempts to clarify "mistaken memories" will only serve to produce anxiety, worry or anger. Poison Control HoUday Tips From January -October 2014, the Banner Poison Control Center received over 13,000 caLLs regarding poisoning exposures to children 5 years old and younger. This includes medication errors made by caregivers, as weLL as children ingesting medications that are not their own. Each year as the holidays approach, Poison Centers throughout the country see an increase in poison exposures with children. Relatives and friends are visiting and parties are abundant. It's easy to get distracted, even for a few minutes. The re|towing are some tips from the Banner Good Samaritan Poison and Drug Information Center on how to have a safe and healthy holiday season: ~ Medicaticm Lock up all, medications and ask guests to do so,as welL.Remind family members who might be visiting that a child is curious and may took into bags or reach for medications on the counter. /~:ol~t and tot~o: Appoint one person to watch the children during an event, and then clean up all aLcoholic beverages and ashtrays immediately after the guests Leave. Watch for E-Cigarettes which contain colorful, flavored nicotine- this can be fatal to a child if enough swallowed. Food poilooing: The CDC recommends always using a thermometer to guarantee that foods are. cooked to a "safe-to-eat', for a Turkey that internal temperature shou td read165" F! Battsrkll/toy$: With new toys come batterlesl Button batteriesare fiat-shaped, coin-like batteries which are commonly used in watches, cameras, heating aids, games and calculators, and are attractive to children and easy to swallow, Ifa child does swallow this battery or it becomes lodged inthe nose or ear, this is a medical emergencyl - HoUdly ptimt~: Keep all holiday plants out of reach, the brightly colored berries and Leaves are very attractive to young children. Carbon monoxide: Ins~aU carbonmonoxide de~ectors to protect your household against this deadly gas, which is OdorLess and colorless V visit Banner Poison nter's webs for more =ps on how to stay safe throughout the year at poisoncenter $