Chronic Conditions Management: How a Team-Based Approach Leads to Better Long-Term Health Managing a chronic condition can feel overwhelming, but you don’t have to do it alone. A team-based approach to healthcare changes the way chronic illnesses are managed, offering better long-term outcomes for patients. Instead of relying on a single doctor to handle every aspect of care, a collaborative team of healthcare professionals works together to provide comprehensive, patient-centered treatment.  The Challenge of Managing Chronic Conditions Living with a chronic illness, such as diabetes, heart disease, or arthritis, requires ongoing care and lifestyle adjustments. Many patients struggle to manage their symptoms effectively, especially when faced with complex treatment plans, multiple medications, and the need for lifestyle changes. Without proper support, it’s easy to fall into a cycle of poor symptom control, frequent hospital visits, and worsening health. Traditional healthcare models often place the burden of management on one doctor, typically a primary care physician. While these doctors can diagnose and guide treatment, chronic conditions require a broader approach. Patients benefit from a variety of specialists and healthcare providers who can address different aspects of their condition and overall well-being. What Is a Team-Based Approach? A team-based approach to chronic disease management brings together multiple healthcare professionals, each playing a specific role in a patient’s care. This team may include a primary care physician, specialists, nurses, pharmacists, dietitians, mental health counselors, and physical therapists. By working together, they create a comprehensive care plan tailored to the patient’s unique needs. This model focuses on coordination and communication. Instead of each provider working in isolation, they share information and collaborate on treatment decisions. This ensures that patients receive consistent care and benefit from the expertise of multiple professionals who bring different perspectives and skills to the table. Improved Coordination Leads to Better Outcomes When specialists, primary care doctors, and other healthcare professionals communicate regularly, they can make informed decisions that prevent complications and unnecessary treatments. For example, a patient with diabetes may see an endocrinologist for blood sugar management, a nutritionist for dietary guidance, and a podiatrist for foot care. If these providers work together, they can adjust treatments based on the patient’s overall progress rather than treating each issue separately. This leads to more effective care, fewer medication conflicts, and better disease control. Personalized Care for Each Patient Chronic conditions affect everyone differently, which is why personalized care needs to be part of the plan. A team-based approach ensures that treatment plans are tailored to each patient’s specific needs, lifestyle, and health goals. Instead of a one-size-fits-all approach, patients receive care that considers their unique circumstances. A physical therapist may develop a custom exercise plan to improve mobility, while a mental health professional helps a patient cope with the emotional toll of living with a chronic illness. This level of personalization leads to better adherence to treatment plans and, ultimately, improved health outcomes. The Role of Patients in Their Care A team-based approach empowers patients to take an active role in managing their condition. Rather than simply following doctor’s orders, patients become partners in their healthcare journey. They receive education, guidance, and support from different providers, helping them make informed decisions about their health. For example, a pharmacist may educate a patient on how to take their medications properly, while a dietitian helps them make healthier food choices. These small but significant changes can have a major impact on long-term health, reducing the risk of complications and improving overall well-being. Reducing Hospital Visits and Emergency Care When chronic conditions are managed well, patients are less likely to experience complications that require emergency care or hospitalization. A team-based approach helps prevent health crises by providing proactive care, routine monitoring, and early intervention when issues arise. Instead of waiting until symptoms worsen, healthcare teams can adjust treatment plans as needed. Regular follow-ups with a nurse or health coach can help identify problems before they become serious, which prevents unnecessary hospital stays and improves the patient’s quality of life. Mental and Emotional Support in Chronic Disease Management Living with a chronic condition can take an emotional toll, leading to stress, anxiety, and even depression. Many patients struggle with feelings of frustration or isolation as they navigate their health challenges. A team-based approach recognizes the importance of mental health in chronic disease management. Mental health professionals, social workers, and support groups play a part in providing emotional support and coping strategies. By addressing the mental and emotional aspects of chronic illness, patients are more likely to stay engaged in their treatment plans and maintain a positive outlook on their health journey. The Importance of Family and Caregiver Involvement A team-based approach doesn’t just include healthcare professionals—it also extends to family members and caregivers. When managing a chronic condition, having a strong support system at home can make all the difference. Loved ones who are educated about the patient’s condition can help with medication management, encourage healthy lifestyle choices, and provide emotional support. Healthcare teams often work with families to ensure they understand the patient’s treatment plan and can assist in daily care. This collaborative effort leads to better adherence to medical recommendations, reduced stress for the patient, and an overall improvement in quality of life. By integrating caregivers into the care plan, patients receive the consistent support they need to stay on track with their health goals. Technology’s Role in Team-Based Care Advancements in technology are making it easier than ever for healthcare teams to collaborate and monitor patients remotely. Telehealth appointments, wearable health trackers, and patient portals allow providers to stay connected and adjust treatment plans in the moment. For example, a patient with high blood pressure can use a smart blood pressure monitor that automatically shares data with their doctor. If concerning trends appear, the healthcare team can intervene before the condition worsens. This proactive approach means that patients receive timely care without needing frequent in-person visits, making chronic disease management more convenient and effective. The Future of Healthcare As healthcare continues

May is Healthy Vision month. If you’re holding your smartphone at arm’s length to read the screen — not to take a selfie — you could have presbyopia. Presbyopia is when your eyes lose the ability to focus on objects that are close-up. That sounds scary, but presbyopia is a natural part of aging and it happens to everyone. Over time, the lens of your eyes hardens and becomes less flexible, which makes it more difficult for your lens to change shape in order to focus on objects that are close — think reading a book or looking at your watch. In our recent survey, we asked women and people assigned female at birth (AFAB) about eye health and their experience with presbyopia. Overall, prescription glasses were the go-to to help with symptoms of presbyopia (65%). A few creative ways that participants said they adjusted to symptoms of presbyopia included: Holding items at arms length Borrowing reading glasses Making fonts larger Using a magnifying glass Zooming in on pictures Here’s more information on presbyopia, treatments for presbyopia and our survey results. Read: Women’s Eye Health 101 >> Risk factors for presbyopia Age is the top risk factor for presbyopia. Most people start to see symptoms — blurred vision, headaches, eyestrain, inability to read close-up — in their 40s. In our survey, nearly 9 out of 10 people were aware that age has a negative effect on eyesight. But participants who were diagnosed with presbyopia were significantly more likely to believe eyesight gets worse with age compared to participants who haven’t been diagnosed with presbyopia. Although presbyopia happens to pretty much everyone, risk factors for premature presbyopia can include: Being farsighted (the inability to see things that are near to the eyes) Having specific health conditions such as diabetes, cardiovascular disease and multiple sclerosis Taking certain medications such as antidepressants, diuretics and antihistamines How to diagnose presbyopia Presbyopia is diagnosed during a routine eye exam. Your healthcare provider (HCP) will give you a few different tests to check your vision. Visual acuity test (the big letters on a wall chart) to check your eyesight Refraction test for prescription lenses Slit lamp exam to check the structure of the eyes Per our survey, most participants — 7 out of 10 — get a regular eye exam. And most people — also 7 out of 10 — would see an HCP if they were having symptoms of presbyopia, which is crucial for catching changes in eye health. While only a few people surveyed had been diagnosed with presbyopia, it’s crucial to talk to your HCP if you notice any vision changes — however small — and get regular eye exams to catch any problems early when they are easier to treat. Treatments for presbyopia Presbyopia happens with age — so we can’t put the genie back in the bottle. But there are treatment options that can help you see clearly. Treatments for presbyopia include: Glasses (with or without prescription) Contact lenses Surgery Prescription eye drops Survey participants living with presbyopia were more likely to get prescription reading glasses (62%) than people who were not diagnosed with presbyopia (34%). Eye exams are a clear winner Without treatment, presbyopia can cause headaches, eye strain and overall lower quality of life. So, if you’re in your 40s, get your eyes checked and save the arm extensions for taking selfies in your new glasses. This educational resource was created with support from Viatris, a HealthyWomen Corporate Advisory Council member. From Your Site Articles Related Articles Around the Web Source link

Add topic to email alerts Receive an email when new articles are posted on Please provide your email address to receive an email when new articles are posted on . “ data-action=”subscribe”> Subscribe We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. Back to Healio Key takeaways: The FDA approved Bizengri for adults with advanced, metastatic or unresectable NRG1 fusion-positive cholangiocarcinoma. Bizengri is the seventh drug approved under the National Priority Voucher pilot program. The FDA has approved zenocutuzumab-zbco as the first drug for certain patients with a rare and aggressive bile duct cancer. Zenocutuzumab-zbco (Bizengri, Partner Therapeutics) received approval for adults with advanced, metastatic or unresectable neuregulin 1 (NRG1) fusion-positive cholangiocarcinoma who experience disease progression during or after previous systemic therapy. The FDA has approved the first drug for certain patients with a rare and aggressive bile duct cancer Zenocutuzumab-zbco is the seventh drug to receive approval under the National Priority Voucher (CNPV) pilot program. “Patients with this ultra-rare type of cancer desperately need new treatment options,” FDA Commissioner Marty Makary, MD, MPH, said in a press release. “Through the national priority voucher pilot program, the FDA is accelerating therapies for rare diseases with unmet medical needs, reviewing applications in significantly shortened timelines.” The FDA based its approval on a single-arm trial that included 19 patients with NRG1 fusion-positive cholangiocarcinoma. In that study, 36.8% of participants had an overall response, which lasted between 2.8 and 12.9 months. Serious adverse events associated with zenocutuzumab-zbco include infusion-related reactions, interstitial lung disease and pneumonitis, and left ventricular dysfunction. Other common adverse events include abdominal pain, constipation, diarrhea, dyspnea, edema, fatigue, musculoskeletal pain, nausea, rash, and vomiting. Published by: Sources/Disclosures Source: Press release Reference: Ask a clinical question and tap into Healio AI’s knowledge base. PubMed, enrolling/recruiting trials, guidelines Clinical Guidance, Healio CME, FDA news Healio’s exclusive daily news coverage of clinical data Learn more Add topic to email alerts Receive an email when new articles are posted on Please provide your email address to receive an email when new articles are posted on . “ data-action=”subscribe”> Subscribe We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. Back to Healio Source link

Spring is the perfect time to get outside, soak up the sunshine, and enjoy the fresh air. But for those dealing with joint pain, the idea of outdoor exercise can seem daunting. Whether it’s arthritis, an old injury, or just general stiffness, discomfort shouldn’t keep you from being active.  The good news? There are plenty of joint-friendly exercises that let you enjoy the beauty of spring without the ache. The Benefits of Low-Impact Outdoor Exercise Engaging in low-impact activities is one of the best ways to stay active while protecting your joints. Unlike high-impact exercises that put stress on your knees, hips, and shoulders, low-impact movements allow you to build strength, improve flexibility, and boost cardiovascular health without unnecessary strain. Exercising outdoors adds even more benefits. Natural sunlight provides a healthy dose of vitamin D, which supports bone health, while fresh air can enhance mood and energy levels. Plus, moving outside offers a change of scenery that makes workouts feel less like a chore and more like an enjoyable part of your day. The Ultimate Joint-Friendly Activity Walking is one of the easiest and most accessible exercises for people of all fitness levels. It’s a natural movement that helps lubricate the joints, strengthen muscles, and improve circulation—all without putting excessive pressure on your body. To make walking even more joint-friendly, consider choosing soft surfaces like grass, dirt trails, or a rubberized track instead of pavement. Walking poles can also provide extra support by distributing weight more evenly and reducing strain on your lower body. If you want to take your walk to the next level, try adding gentle intervals. Walking at a slightly faster pace for short bursts can help boost your endurance without increasing the impact on your joints. A Smooth Ride for Joint Health Cycling is another excellent way to enjoy the outdoors while being kind to your joints. Unlike running, which places repeated stress on your knees and ankles, biking allows for smooth, controlled movements that strengthen your leg muscles without pounding your joints. For the best joint-friendly experience, consider riding a bike with good suspension and proper seat positioning for proper comfort. A well-adjusted seat helps maintain proper knee alignment and prevents unnecessary strain. If you’re new to cycling or have balance concerns, try a recumbent bike, which offers extra back support and reduces pressure on your hips and knees. Whether you’re riding through a park, along a scenic trail, or around your neighborhood, cycling provides a great mix of exercise and exploration. A Weightless Workout When it comes to protecting your joints while getting a full-body workout, nothing beats exercising in water. Swimming provides a near-weightless environment, reducing stress on the joints while allowing for smooth, fluid movements. The resistance of the water also helps strengthen muscles without the need for heavy weights. If traditional swimming strokes feel too challenging, consider water aerobics or simply walking in the pool. Water walking engages the muscles while supporting your body weight, making it a great choice for those with arthritis or mobility concerns. Many community pools offer water exercise classes designed specifically for joint health, making it easy to get started. Gentle Movements for Flexibility and Strength For those who want to enhance flexibility, balance, and strength without stressing their joints, yoga and tai chi are excellent choices. Both practices focus on slow, controlled movements that promote joint mobility and overall well-being. Not all yoga and tai chi styles are the same, so it’s important to select one that prioritizes gentle movement. Hatha yoga and restorative yoga are ideal for beginners and those with joint pain, as they emphasize stretching and deep breathing rather than intense poses. Tai chi, often referred to as “meditation in motion,” involves slow, flowing movements that improve balance and coordination while being easy on the joints. Practicing yoga or tai chi in a park or garden can enhance the experience by allowing you to connect with nature while moving your body in a soothing, controlled way. Upper Body Strength Without the Strain For those who love being on the water, kayaking is a fantastic way to build upper body strength without putting excessive strain on the joints. The fluid paddling motion engages the arms, shoulders, and core while allowing you to explore lakes, rivers, or coastal areas. To keep kayaking joint-friendly, focus on using smooth, controlled strokes and try not to grip the paddle too tightly. Choosing a kayak with good back support can also help maintain proper posture and reduce strain on your spine and shoulders. Kayaking offers a unique blend of exercise and relaxation, making it a perfect springtime activity for those who enjoy the peacefulness of being on the water. Keeping Joints Happy with Stretching and Mobility Exercises No matter what outdoor activity you choose, incorporating gentle stretching and mobility exercises can help keep your joints feeling their best. Stretching before and after exercise helps maintain flexibility, reduces stiffness, and minimizes the risk of injury. Dynamic stretches, like leg swings or arm circles, are great for warming up before activity, while static stretches, such as seated hamstring stretches or shoulder stretches, can help cool down the muscles afterward. Taking a few minutes to stretch in a quiet outdoor space, whether it’s a local park or your own backyard, can also provide a mental reset, helping you feel more relaxed and refreshed. Adjusting Activities for Comfort One of the most important aspects of staying active with joint pain is listening to your body. While movement is beneficial for joint health, pushing through pain can do more harm than good. If an activity causes you discomfort, try modifying it or switching to something else that feels better. Hydration, proper footwear, and good posture all play big parts in keeping your joints healthy. Drinking enough water helps maintain joint lubrication, while supportive shoes with cushioned soles reduce impact. Maintaining good posture, whether walking, cycling, or practicing yoga, can make sure that your body moves efficiently and minimizes strain. At Pain Treatment

English El número de personas en Estados Unidos que tienen diabetes está aumentando y muchas personas ni siquiera saben que la tienen. Si la diabetes no se trata ni se controla puede causar complicaciones para tu corazón, riñones, ojos y muchos otros órganos. La diabetes también podría incrementar tu riesgo de desarrollar ciertos tipos de cáncer, incluyendo el cáncer pancreático. ¿Qué hace el páncreas? No puedes vivir sin tu páncreas. Es un órgano esencial que secreta enzimas digestivas para que tu cuerpo pueda descomponer los alimentos que comes. También secreta insulina y glucagón que controlan los niveles de glucosa (azúcar) en tu sangre. Si no tienes suficiente insulina en tu cuerpo o si no puedes usar la insulina que tienes apropiadamente, los niveles de azúcar en tu sangre aumentarán, lo cual causará diabetes. Tipos de diabetes Hay tres tipos de diabetes que se conocen comúnmente y un cuarto tipo que es menos conocido: Diabetes tipo 1. Tu páncreas no produce insulina o genera muy poca. El tipo 1 se solía conocer como diabetes juvenil o diabetes insulinodependiente. Diabetes tipo 2. Tu páncreas no produce suficiente insulina o tu cuerpo no la puede usar apropiadamente. El tipo 2 se solía denominar diabetes de inicio en la edad adulta o diabetes no insulinodependiente. Este es el tipo de diabetes que puede pasar sin diagnosticarse durante mucho tiempo. Diabetes gestacional. Este tipo de diabetes solo ocurre durante el embarazo y usualmente desaparece después del parto del bebé. Sin embargo, tener diabetes gestacional incrementa las probabilidades de desarrollar diabetes tipo 2 posteriormente. Diabetes tipo 3c. El tipo 3c lo causan daños del páncreas por trastornos tales como pancreatitis crónica, fibrosis quística o cáncer pancreático. ¿Qué es el cáncer pancreático? El cáncer pancreático afecta a las células de tu páncreas, más frecuentemente de los conductos. Es la tercera causa más importante de muertes relacionadas con cáncer porque usualmente se diagnóstica en etapas tardías cuando el cáncer se ha propagado a otras partes del cuerpo. Las etapas tempranas de cáncer pancreático no muestran señales ni síntomas, pero a veces los proveedores de atención médica lo encuentran por accidente durante pruebas de imagenología del páncreas o de zonas aledañas. Cuando un trastorno se identifica por accidente, eso se denomina un diagnóstico fortuito. ¿Cuál es la relación entre la diabetes y el cáncer pancreático? En lo que se refiere a la diabetes y al cáncer pancreático, los investigadores enfrentan la vieja pregunta de qué vino primero el huevo o la gallina. No están seguros de si la diabetes podría causar cáncer pancreático o si el cáncer pancreático podría causar diabetes. O si ambas opciones son válidas. Estudios han demostrado que hasta 2 de cada 3 personas tenían diabetes o prediabetes antes de recibir el diagnóstico de cáncer pancreático. Estos hallazgos podrían indicar que la diabetes juega un papel importante en el desarrollo de cáncer pancreático. Una teoría es que los niveles continuamente altos de azúcar en la sangre e inflamación a largo plazo en el páncreas de personas con diabetes tipo 2 aumentan el riesgo de cáncer pancreático. Pero, ¿podría pasar lo opuesto? Algunas personas desarrollan repentinamente diabetes sin tener ningún factor de riesgo de ese trastorno. Un poco después, especialmente si tienen más de 50 años, podrían recibir un diagnóstico de cáncer de páncreas. En esos casos, la diabetes podría ser un síntoma de cáncer pancreático. ¿Quién tiene riesgo de diabetes relacionada con cáncer pancreático? Los factores de riesgo de cáncer pancreático relacionado con la diabetes incluyen: Ser de raza negra o hispano Tener diabetes por más de 5 años Tener más de 50 años cuando se recibe el diagnóstico de diabetes, especialmente si no hay antecedentes familiares ni otros factores de riesgo de ese trastorno Lesiones del páncreas causadas por diabetes tipo 3c Vivir con obesidad ¿Cómo puedes reducir tu riesgo de diabetes relacionada con cáncer pancreático? Puesto que muchas personas con cáncer pancreático tienen diabetes o prediabetes antes de su diagnóstico, el primer paso para reducir tu riesgo de cáncer es controlar los niveles de azúcar en tu sangre lo mejor posible. Esto significa, además de tomar tus medicamentos, hacer ejercicio y comer una dieta saludable para minimizar las variaciones de azúcar en la sangre. Otros pasos que puedes tomar para reducir tu riesgo de cáncer pancreático incluyen: No fumar ni usar productos derivados del tabaco Evitar el alcohol Evitar carnes procesadas y rojas Es posible que no puedas prevenir completamente el desarrollo de cáncer pancreático si tienes diabetes, pero puedes mantenerte alerta y tratar de reducir tu riesgo Ve a una consulta con tu proveedor de atención médica (HCP, por sus siglas en inglés) si repentinamente tienes dificultades para mantener el azúcar en tu sangre dentro de los rangos preestablecidos. Y si tienes más de 50 años y recibiste diagnóstico recientemente de diabetes, considera hablar con tu proveedor de atención médica sobre pruebas de detección de cáncer pancreático. Entre más temprano se diagnostique el cáncer pancreático, mejores probabilidades habrá de un tratamiento exitoso. Este recurso educativo se preparó con el apoyo de Merck. From Your Site Articles Related Articles Around the Web Source link

Living with chronic pain can be challenging on its own, but many people notice their symptoms worsening with shifts in the weather. Whether it’s the cold of winter, the humidity of summer, or the changing pressures of spring and fall, seasonal changes have a real impact on conditions like arthritis, fibromyalgia, and migraines.  Luckily, understanding why these shifts occur can help individuals better manage their pain and find ways to stay comfortable year-round. Why Does Weather Affect Pain? Many people with chronic pain conditions report that their symptoms intensify with changes in temperature, humidity, or barometric pressure. While research is still ongoing, the prevailing theory is that changes in atmospheric pressure can cause tissues in the body to expand or contract, leading to increased pain or stiffness. Additionally, cold weather can cause muscles to tighten, reducing mobility and exacerbating joint pain. Another factor is that the weather can impact mood and activity levels. Shorter days in winter can lead to decreased physical activity, which may result in stiffer joints and increased discomfort. Similarly, extreme heat can lead to dehydration, which can trigger headaches and worsen conditions like fibromyalgia. How Weather Affects Different Chronic Pain Conditions Certain chronic pain conditions react differently to various weather changes. For instance, people with osteoarthritis often experience increased stiffness and discomfort in cold, damp weather, while those with fibromyalgia may be more sensitive to humidity and sudden temperature swings. Nerve pain, such as that caused by neuropathy, can worsen in extreme temperatures, both hot and cold. Migraine sufferers frequently report barometric pressure shifts as a major trigger for headaches.  Cold Weather and Joint Pain Winter is often the worst season for those suffering from arthritis and other joint conditions. Cold temperatures cause muscles and joints to contract, making movement more difficult and painful. The drop in barometric pressure before a storm can lead to swelling in the joints, which is why many arthritis patients feel pain intensify before it even begins to rain or snow. Because cold temperatures lead to more pain, it’s extremely important for those with chronic pain conditions to stay warm in the winter. Layering up, using heating pads, and engaging in gentle indoor exercises can help keep joints loose and pain levels more manageable. Some people also benefit from warm baths or hydrotherapy to relieve stiffness and discomfort. The Psychological Impact of Weather on Pain Perception Weather doesn’t just affect physical pain; it also influences mental well-being. Seasonal Affective Disorder (SAD), a condition that causes depression during colder months, can lower pain tolerance and make discomfort feel worse. Dark, gloomy days can lead to decreased motivation to move, worsening stiffness and tension in the body. On the other hand, bright, sunny days can boost mood and make it easier to stay active, which helps reduce pain symptoms. How Humidity and Barometric Pressure Affect Chronic Pain Conditions Humidity can be just as problematic as cold temperatures when it comes to chronic pain. High humidity levels can make the body feel heavy, leading to increased fatigue and discomfort. For people with fibromyalgia, the combination of heat and humidity can trigger widespread muscle pain and brain fog, making it difficult to function normally. Barometric pressure changes, which often occur before a storm, can also contribute to pain flare-ups. When the pressure drops, tissues expand, putting pressure on nerves and joints. This can be particularly troublesome for migraine sufferers, as changes in atmospheric pressure are a known trigger for debilitating headaches. Summer Heat and Chronic Pain While cold weather gets most of the attention, hot summer days can also be difficult for those with chronic pain. High temperatures can lead to dehydration, which exacerbates muscle cramps and headaches. Heat can also cause inflammation that worsens conditions like rheumatoid arthritis. Staying hydrated and avoiding excessive heat exposure are key to managing summer pain. Light exercise in an air-conditioned environment, drinking plenty of water, and using cooling techniques such as cold packs or fans can help keep symptoms under control. The Challenges of the Changing Seasons of Spring and Fall The transitional seasons of spring and fall can be tricky for those with chronic pain because of the constant fluctuations in temperature and pressure. One day might be warm and sunny, while the next brings a cold front or rainstorm. These rapid changes can make it difficult for the body to adjust, leading to increased pain, stiffness, and fatigue. Allergies in the spring can also contribute to inflammation and sinus pressure, triggering headaches and worsening fibromyalgia symptoms. In the fall, cooler temperatures and shorter days can impact mood and energy levels, which may indirectly affect pain perception. The Role of Vitamin D in Seasonal Pain Management Many people with chronic pain experience worsened symptoms during the winter months, and one potential reason is vitamin D deficiency. One of the primary sources we get vitamin D from is sunlight. Because vitamin D plays a big part in bone health and muscle function, low levels of vitamin D have been linked to increased musculoskeletal pain. Luckily, supplementation or dietary adjustments can act as a potential solution for managing seasonal pain. Including vitamin D-rich foods, which includes things like salmon, fortified dairy products, and egg yolks, can greatly help maintain healthy levels throughout the year. Managing Weather-Related Pain While we can’t control the weather, there are steps that individuals with chronic pain conditions can take to minimize discomfort. Dressing appropriately for the season, maintaining a consistent exercise routine, and staying hydrated are all important. It’s also helpful to track pain levels in relation to weather changes. Keeping a journal can help identify patterns and triggers, allowing for better pain management strategies. Some people find relief through treatments like massage therapy, acupuncture, or physical therapy, which can help keep muscles and joints flexible regardless of the season. Seeking Professional Help for Chronic Pain If weather-related pain is interfering with daily life, seeking professional help is a smart step. A pain management specialist can help develop a personalized plan to reduce

April is Parkinson’s Disease Awareness Month. On a recent episode of the popular Apple TV show Shrinking, actor Michael J. Fox made a cameo as a real-life representation of someone living with Parkinson’s disease. “I fall three times a day,” he said. “I’m thinking of becoming a stunt man.” Balance issues and uncontrollable body tremors are common symptoms of Parkinson’s disease. The progressive brain disorder happens when there’s damage to dopamine-producing neurons in the part of the brain that controls movement — hence the involuntary muscle contractions. The disease can also cause non-motor symptoms including sleep disorders and constipation. The cause of Parkinson’s disease is unknown, but a growing body of research suggests the gut microbiome might have something to do with it. What is the gut microbiome? Your gut microbiome is a wild world of trillions of microorganisms including bacteria, viruses and fungi that reside in your digestive system. The complex ecosystem of microbes plays a big part in your health and overall well-being. “The gut microbiome has many diverse functions such as the production of short-chain fatty acids, some vitamins and neurotransmitters, influencing immune system development and regulation, and helping maintain intestinal barrier integrity,” said Kaylyn Koons, MS, RD, LD, a clinical dietitian at Norman Fixel Institute for Neurological Diseases. Everyone’s gut microbiome is unique with microorganisms that are shaped by genetics, early-life experiences (birth method and formula vs. breastfeeding), lifestyle habits and environment among other factors. Read: The Wonderful World of Your Microbiome >> The gut microbiome and Parkinson’s disease People with Parkinson’s disease often have distinct changes in their gut microbiome compared to people who don’t have Parkinson’s. Research shows people with Parkinson’s have reduced overall microbiome diversity, which comes from an imbalance in the microbiome, known as dysbiosis. This means the gut microbiome has an increased amount of bacteria that cause inflammation and a reduced amount of beneficial microbes compared to healthy gut microbiomes. And dysbiosis increases the risk for chronic diseases like Parkinson’s. Koons said people with Parkinson’s disease also show changes within the metabolites (molecules needed for basic survival) produced in the microbiome. These changes include reduced production of short-chain fatty acids and increased production of the metabolite trimethylamine N-oxide — a potential biomarker of Parkinson’s disease. This is significant because reduced levels of short-chain fatty acids can lead to the breakdown of the intestinal barrier — also known as a leaky gut — triggering inflammation in the brain and misfolding of a protein called alpha-synuclein, which is a key hallmark of Parkinson’s disease. The brain-gut axis and Parkinson’s disease iStock.com/ttsz Although Parkinson’s is a brain disorder, there’s been an increased interest in the idea that the disease develops in the gut. A 2019 study found that the misfolded proteins that damage and kill neurons in the brain originate in the gut and travel to the brain via the vagus nerve. When the abnormal proteins accumulate in the gut and the enteric nervous system, they cause symptoms like constipation, which is very common in people with Parkinson’s disease. “Non-motor symptoms of Parkinson’s disease affect multiple organ systems, including the gastrointestinal system and have been found to predate motor symptoms for years — even decades,” Koons said. Research also shows that common gastrointestinal (GI) conditions such as gastroesophageal reflux disease and H. pylori infections may be early risk factors to consider. One recent study found damage to the lining of the upper digestive tract — erosions, esophagitis, ulcers or peptic injury — was associated with a 76% greater risk of developing Parkinson’s. Although research is ongoing regarding the exact role gut health plays in the development or progression of Parkinson’s, the gut-first hypothesis could mean new ways of finding and treating the disease. How to support your gut microbiome if you have Parkinson’s disease Many people with Parkinson’s disease experience digestive problems that affect the entire system, from difficulty swallowing to delayed stomach emptying. In fact, nearly 4 out of 5 people with Parkinson’s experience GI problems, and women can have more severe GI symptoms than men. “Women experience significantly higher levels of fullness after eating, inability to finish a regular size meal and pain in the upper abdomen,” Koons said. For people living with Parkinson’s disease, a high-fiber eating plan can help keep GI symptoms at bay and balance the gut microbiome. When gut bacteria break down fiber, the process produces short-chain fatty acids, which can boost the gut’s mucus barrier to fight inflammation and protect the brain. Incorporating fermented food or foods that contain live cultures such as yogurt can help balance the good bacteria in the gut and keep digestion on track. Koons recommends the Mediterranean diet for her patients with Parkinson’s. “The Mediterranean diet is associated with increased beneficial bacteria such as Faecalibacterium prausnitzii and Bifidobacterium bifidum and greater production of short-chain fatty acids,” she said. Although there’s no cure for Parkinson’s disease, managing GI problems can help with non-motor symptoms and improve overall well-being. If you’re living with Parkinson’s disease, talk to your healthcare provider about what you can do to keep your gut as healthy as possible. Related Articles Around the Web Source link

Add topic to email alerts Receive an email when new articles are posted on Please provide your email address to receive an email when new articles are posted on . “ data-action=”subscribe”> Subscribe We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. Back to Healio Obesity may have met its match in GLP-1 receptor agonists. However, the role of gastroenterologists in obesity management and the administration of this revolutionary class of drugs is complicated and has yet to be defined. “Gastroenterologists are on the front lines of the obesity epidemic,” Andres Acosta, MD, PhD, associate professor of medicine and consultant in the division of gastroenterology and hepatology at Mayo Clinic and American Board of Obesity Medicine diplomate, told Healio. “We need GIs to embrace the disease and all of its impacts, including GERD, IBD, MASLD, fatty liver disease and obesity-related cancer risk.” Image: Andres Acosta, MD, PhD. Reprinted with permission. Hepatologists and primary care providers can handle some of these downstream effects of obesity. They often do, shutting gastroenterologists out of the equation. “It is my overall impression that there still is not sufficient commitment or embrace of the idea among cardiologists, hepatologists, pulmonologists and others that there is this opportunity to treat obesity itself,” Michael Camilleri, MD, DSc, consultant in the division of gastroenterology and hepatology at Mayo Clinic and professor of medicine, pharmacology and physiology at Mayo Clinic College of Medicine and Science, said in an interview. “A couple years ago I was almost evicted from a meeting because I suggested that hepatologists should be treating obesity and not just abnormal liver enzymes,” Camilleri said. Michael Camilleri There is growing recognition that gastroenterologists could play a larger role in obesity management, as well, largely because of GLP-1s. “There is this opportunity to embrace the pharmacology that is available with the FDA approval of GLP-1 receptor agonists,” Camilleri added. As uptake of these medications expands, adverse events are sure to follow. Many of them, such as nausea, constipation, delayed gastric emptying and motility issues, are commonly managed by gastroenterologists. But because the medications are not always prescribed by gastroenterologists, they are often not involved in management of the side effects. Also up for discussion is where GLP-1s fit into wider weight loss paradigms, from diet and exercise to bariatric surgery and endoscopic sleeve gastroplasty. “Many people who offer bariatric and metabolic procedures see this drug class as complimentary to procedural interventions,” Marianna Papademetriou, MD, director of endoscopy and motility at Washington VA Medical Center and associate professor at Georgetown University School of Medicine, told Healio. “We are still learning how to best integrate drugs with procedures.” The next concern is that more patients are turning to GLP-1s to manage obesity not by recommendation from their doctor, but as a result of direct-to-consumer advertising. “The digital and DTC platforms are certainly factors that risk fragmented oversight,” Camilleri said. ‘Truly frightening’ For Sonali Paul, MD, MS, hepatologist and associate professor at University of Chicago Medicine, “fragmented oversight” with this class of drugs is an understatement. Sonali Paul “The rapidly growing companies that are doing digital or direct-to-consumer prescribing of GLP-1s is truly frightening,” she said. “First, these drugs are often compounded so there is a risk of contamination, inconsistent dosing and improper or unsafe formation. Additionally, often there is no virtual visit or visit with a doctor or nurse practitioner prior to prescribing. Some have only a questionnaire.” Paul described a scenario in which a patient with an eating disorder who was severely malnourished was regularly prescribed GLP-1s for months without one consultation with a physician. “GIs have a unique role in bringing structure and safety, but we cannot do it alone,” she said. “Given the widespread use of GLP-1s across many medical specialties, we as a physician entity need to demand better safety and prescribing parameters.” While Papademetriou acknowledged many of these concerns, she took a more measured view. “There are plusses and minuses to online health platforms,” she said. “On the one hand, it is an effective way to improve access to care. On the other hand, many online platforms are zoomed in on the prescribing of weight management medications, and do not necessarily tailor that management to the patient’s overall medical issues.” Marianna Papademetriou For example, a patient with a history of erosive esophagitis and GERD who begins taking a GLP-1 may experience an escalation of symptoms that previously had been under control, according to Papademetriou. “The platforms do not appear to have the capability to work through that issue with a patient,” she said. The complications only get more complicated from there. “That patient may go back to their PCP or their gastroenterologist, and the GLP-1 is not on their medication list, or the patient may feel stigmatized about bringing up their use of GLP-1s,” Papademetriou said. “Their physician is now trying to work through this sudden change of symptoms without having the full picture. That could lead to unnecessary procedures or medication changes that could be avoided with better integrated care.” But there is a solution to this particular issue, according to Papademetriou. “We need to do a better job of improving access to these drugs through conventional medical pathways, and we need to reduce the stigma around these conversations with our patients,” she said. “Many people probably assume that people utilize telehealth for weight management for the ease and convenience,” Papademetriou continued. “But I suspect a significant part of the demand for this is also the bias people experience with conversations surrounding weight in the medical setting.” Whether that bias will decrease with more direct-to-consumer advertising and more patients taking GLP-1s remains to be seen. What is certain is that these patients are likely to experience gastrointestinal-related adverse events commonly reported with these medications. ‘Significant impact’ Patients experiencing side effects of these drugs, including nausea, vomiting, diarrhea and constipation, are

Summer is the perfect time to explore new places, visit family, or simply unwind at the beach. But for those living with chronic pain, the idea of travel can bring more stress than excitement. If you’re dealing with back pain, arthritis, fibromyalgia, or another condition, planning ahead and using the right strategies can help you enjoy your vacation without unnecessary discomfort. Plan Ahead for Comfort and Flexibility Good planning is one of the most effective ways to manage pain while traveling. Start by choosing destinations and accommodations that support your comfort. Look for hotels with elevators, easy access to transportation, and on-site amenities like pools or hot tubs that can help soothe aching muscles. If you’re flying, consider reserving an aisle seat or upgrading for more legroom if possible. A bit of extra space can make a big difference, especially on longer flights. Flexibility is just as important as the destination. Give yourself extra time between activities and avoid overbooking your itinerary. Pacing your schedule helps prevent flare-ups and gives your body time to rest. If possible, schedule downtime every day so you can relax, stretch, and recharge without feeling rushed. Pack Smart for Pain Relief Packing can be stressful when you live with pain, but thoughtful choices can improve your travel experience. Start with the essentials. Bring your prescribed medications in their original bottles and keep them in your carry-on bag so they’re always accessible. Include a written list of your medications in case you need to reference them during the trip. Don’t forget your comfort items. Travel-sized heating pads, gel ice packs, lumbar support cushions, and portable massagers can make long journeys much more tolerable. Compression socks and supportive shoes are great for reducing swelling and foot pain during long walks or flights. By bringing the tools that keep you comfortable at home, you’ll have what you need to manage pain on the go. Try to pack light as well. While it’s understandable to wish to take everything with you while on vacation, a heavier bag is harder to move about with than one that’s on the lighter side. If you do need to pack heavy, get a bag with a strong outer shell and wheels, as this can help you wheel it around instead of having to carry it everywhere. Use Movement to Your Advantage When you’re traveling, it’s easy to become stiff or sore after sitting too long in a car or on a plane. As much as you can, try to keep yourself moving. If you’re flying or taking a train, take short walks up and down the aisle every hour or so. If you’re driving, plan frequent stops to get out, stretch, and walk around for a few minutes. Movement improves circulation, eases tension, and can reduce pain levels throughout the day. Try doing a few gentle stretches when you wake up, after sitting for long periods, and before bed. If you’re not sure which movements are best for your condition, talk to your doctor or physical therapist before your trip. They can recommend a simple routine that helps prevent stiffness and pain. Make Sleep a Priority Travel often disrupts sleep, but getting enough rest is extremely important for managing pain. Fatigue can intensify discomfort and lower your pain threshold, making your vacation less enjoyable. Do what you can to create a relaxing sleep environment. Bring a familiar pillow or a neck roll if it helps support your spine. Use a white noise app to block out unfamiliar sounds in hotels or rental properties. As much as possible, try to stick to your regular sleep schedule as well. Going to bed and waking up at the same times each day can help your body stay in rhythm. Avoid late-night screen time, heavy meals, or caffeine too close to bedtime. A good night’s sleep won’t just help with pain—it will also improve your mood and energy for the next day’s adventures. Eat and Drink to Support Your Body Traveling often means eating out more than usual, but certain foods can worsen inflammation and pain. Aim to include fruits, vegetables, lean proteins, and whole grains in your meals when possible. Stay hydrated by drinking plenty of water throughout the day, especially in hot weather or while flying. Dehydration can increase joint stiffness and muscle cramps, so don’t overlook your water intake. If you have dietary restrictions or sensitivities that affect your pain, plan ahead by packing healthy snacks or researching restaurant menus before you go. Even small nutritional changes can support your pain management efforts while helping you feel your best on vacation. Manage Stress Before It Manages You Pain and stress often go hand in hand, and travel can introduce a lot of unpredictability. Delays, crowds, and unfamiliar settings may trigger anxiety, which in turn can worsen physical discomfort. Learning how to manage stress during your trip is a powerful tool for keeping pain under control. Try simple relaxation techniques like deep breathing, meditation, or listening to calming music. If you enjoy journaling, take a few minutes each evening to write down what went well during the day. Focusing on the positive helps reduce tension and improves your overall mindset. When you feel more relaxed, your body is better able to cope with pain. Talk to Your Healthcare Provider Before You Go Before heading out on your trip, schedule a check-in with your healthcare provider. They can help you assess whether you’re ready for travel and recommend specific tips for staying comfortable. If you’re using medications that require refrigeration or special handling, your doctor can help you find a safe way to transport them. This is also a great time to discuss pain management strategies tailored to your destination and mode of travel. You may be able to get temporary prescriptions or referrals in case of emergencies while you’re away. Being prepared will give you peace of mind and help you focus on making memories, not managing discomfort. If you’re struggling with pain and

Español The number of people in the United States who have diabetes is rising, and many people don’t even know they have the disease. Untreated and uncontrolled diabetes can cause complications for your heart, kidneys, eyes and many other organs. Diabetes may also increase your risk of developing certain types of cancer, including pancreatic cancer. What does your pancreas do? You can’t live without your pancreas. It’s an essential organ that releases digestive enzymes so your body can break down the food you eat. It also releases insulin and glucagon, which control how much glucose (sugar) you have in your blood. When you don’t have enough insulin or your body can’t use the insulin you have properly, your blood sugar levels rise, causing diabetes. Types of diabetes There are three types of diabetes that most people have heard of, and a fourth one that is less commonly known: Type 1 diabetes. Your pancreas doesn’t produce insulin or makes very little of it. Type 1 used to be called juvenile diabetes or insulin-dependent diabetes. Type 2 diabetes. Your pancreas doesn’t produce enough insulin or your body can’t use it properly. Type 2 used to be called adult-onset diabetes or non-insulin-dependent diabetes. It’s the type of diabetes that can go undiagnosed for a long time. Gestational diabetes. This type of diabetes only happens during pregnancy and usually goes away after the baby is delivered. However, having gestational diabetes does increase your chance of getting Type 2 diabetes later in life. Type 3c diabetes. Type 3c is caused by damage to your pancreas from conditions like chronic pancreatitis, cystic fibrosis or pancreatic cancer. What is pancreatic cancer? Pancreatic cancer affects the cells in your pancreas, most often in the ducts. It’s the third leading cause of death by cancer because it’s usually diagnosed in the late stages when the cancer has spread to other parts of the body. Early stages of pancreatic cancer don’t have signs or symptoms but sometimes a healthcare provider will find it by accident during a scan of or around the pancreas. When a disease is found by accident, it’s called an incidental finding. How does diabetes relate to pancreatic cancer? When it comes to diabetes and pancreatic cancer, researchers face the age-old chicken-and-egg question. They aren’t sure if diabetes can cause pancreatic cancer or if pancreatic cancer can cause diabetes. Or both. Studies have found up to 2 out of 3 people had diabetes or prediabetes before they were diagnosed. These findings could mean diabetes has a role in pancreatic cancer development. One theory is that the constant high blood sugar levels and long-term inflammation in the pancreas in people with Type 2 diabetes increases the risk for pancreatic cancer. But could it be the other way around? Some people suddenly develop diabetes without having any risk factors for the disease. Not long after, especially if they’re over the age of 50, they might be diagnosed with cancer of the pancreas. In this case, diabetes could be a symptom of pancreatic cancer. Who is at risk for diabetes-linked pancreatic cancer? Risk factors for diabetes-linked pancreatic cancer include: Being Black or Hispanic Having diabetes for more than 5 years Being over 50 when diagnosed with diabetes, especially if there’s no family history or other risk factors for the disease Damage to the pancreas, resulting in Type 3c diabetes Living with obesity How can you reduce your risk of diabetes-related pancreatic cancer? Since many people with pancreatic cancer have diabetes or prediabetes before their diagnosis, the first step to reduce your risk of cancer is to manage your blood sugar levels as well as possible. This means, in addition to taking your medication, exercising and eating a healthy diet to minimize blood sugar swings. Other steps you can take to reduce your risk for pancreatic cancer include: Not smoking or using tobacco products Avoiding alcohol Avoiding processed meats and red meat You may not be able to completely prevent developing pancreatic cancer if you have diabetes, but you can be vigilant and try to lower your risk. Check in with your healthcare provider (HCP) if you suddenly have trouble keeping your blood sugar within range. And if you’re over 50 and newly diagnosed with diabetes, consider asking your HCP for screening for pancreatic cancer. The earlier pancreatic cancer is diagnosed, the better the chances for successful treatment. This educational resource was created with support from Merck. From Your Site Articles Related Articles Around the Web Source link