September 2017
Why Do I Need to Check My
Blood Sugars Daily?

By Susan J. Smith, Ph.D., CDE
Control is our goal!

Susan Smith, Ph.D., CDE
Keeping track of blood sugars is not only important for your health care team but also for you as apatient. Blood sugars can fluctuate without you knowing. So, if we aren't checking them daily, how  do we know if our diabetes is progressing faster than normal?

Controlling daily blood sugars isn't as easy as it may seem. Blood sugars are affected by medications,  dietary input, physical activity, illness, pain, traveling, stress, and day to day living. We are never 100 percent in control of  all these activities. However, they are part of life that changes minute by minute.

We need to keep juggling all these aspects and keep them in balance by constantly paying some  attention to each of these areas. Read full article.
What is a sleep disorder?

More than 40 million Americans suffer from a sleep disorder, such as snoring or insomnia. Problems with sleep can cause devastating results.  Types of sleep problems include:
  • Snoring - Snoring can be a symptom of obstructive sleep apnea.
  • Obstructive Sleep Apnea - A blockage in the back of the throat that results in snoring and pauses in breathing during sleep.
  • Restless Leg Syndrome - Characterized by uncomfortable sensations in the legs or feet before going to sleep. Once asleep, this causes brief leg movements.
For more information or to schedule an appointment a ppointment, call  559-74-SLEEP.

The Wellness Center staff expands
Andrea Van Beek, RN, MSN, AGPCNP-BC
VMC is pleased to welcome Andrea Van Beek, RN, MSN, AGPCNP-BC, to the staff of our new Wellness Center.
The Wellness Center offers no-cost wellness visits that include creation of a prevention plan designed to keep our Medicare patients healthier and more independent.
Juanita Castellano,
In addition to Andrea, the staff includes Juanita Castellano, RN, NP, and Jamie Ruddy, PA-C.
Andrea, a native of Tulare Count y, has  extensive experience as  a nurse practitioner, as staff  nurse at the Cardiac Catheterization lab at Tulare Regional  Medical Center, and as an intensive  care un it nurse at Kaweah Delta Medical Center. She  is a registered nurse, holds a master's degree in nursing from Duke University and is working toward her doctorate, also from Duke University. She is certified as an adult gerontology nurse practitioner.

Jamie Ruddy,
Each Wellness Center patient receives a personalized Health Risk Assessment that identifies risk factors for future health problems. Staff  then develops a screening schedule to monitor each patient's health going forward, and offers education on health conditions and medications. 
For more information or to schedule an appointment, call 559-738-7536.