How Balanced Meal Plans Play an Important Role in Diabetics’ Health

Dr. Hanid Audish serves as the principal investigator at Encompass Clinical Research in Spring Valley, California, where he is responsible for supervising clinical trials. A physician who graduated from the Western University of Health Sciences in Pomona, California, Dr. Hanid Audish supports efforts to educate diabetic patients about how to develop healthy meal plans.

For people with diabetes, eating balanced meals and snacks is an important part of controlling the disease and staying healthy. Nutritionally balanced meals help diabetics avoid many of the complications associated with the disease by keeping blood sugar, cholesterol, and blood pressure at healthy levels.

A well-designed meal plan will help the patient maintain healthy blood glucose levels by controlling portion size and evenly distributing carbohydrates across all meals and snacks. Eating balanced meals at regular intervals and not skipping meals helps diabetics avoid problems caused by their blood glucose levels falling too low. To develop a healthy diabetic diet, patients should consult with registered dietitians to design meal plans based on their personal health goals.

Regular Tests Diabetic Patients Should Have to Monitor Health

The owner and principal investigator at Encompass Clinical Research in Spring Valley, California, Dr. Hanid Audish is responsible for supervising clinical trials. In addition to his work completing patient visits and documenting clinical trial progression, Dr. Hanid Audish enjoys educating patients about the importance of seeking regular check-ups to manage diabetes.

If you have diabetes, keep up with these eight regular exams and tests to monitor your health. First, the American Diabetes Association recommends that you take the A1C test, which measures average blood sugar levels over a several-month period, at least twice a year. Also, keep up with regular blood pressure and cholesterol tests to look for possible cardiovascular and circulatory complications from your disease.

In addition, seek regular foot and eye exams to look for other signs of complications from diabetes, such as numbness or infections in the feet or signs of diabetic retinopathy and other problems in the eyes. Other regular tests recommended for people with diabetes include kidney tests and electrocardiograms to evaluate kidney and heart function. Lastly, make sure to receive regular dental exams to look for signs of gum disease, a lesser-known complication of diabetes.

Connection Between Diabetes and Other Health Problems

Dr. Hanid Audish located in Spring Valley, California is a family practice physician who accepted the role of principal investigator at Encompass Clinical Research. In this role, Dr. Hanid Audish performs diabetes-related research.

Diabetes is a condition that prevents the affected patient from processing glucose properly and has the potential to be the progenitor of other conditions.

The disease itself is crippling to a person because the primary source of energy in the body is glucose or sugar. The inability of the pancreas to regulate the amount of sugar culminates in the body having high glucose levels. Both Diabetes 1 and 2 are manifested in a myriad of symptoms including frequent urination, extreme thirst or hunger, unexplained weight loss, presence of ketones in urine, frequent skin, mouth, and vaginal infections, blurred vision, irritability, fatigue, and slow-healing sores.

Outside of the condition’s immediate symptoms, diabetes has the potential to cause or exacerbate, other conditions. Unchecked diabetes affects the cardiovascular and endocrine systems (hypo/hyperthyroidism and polycystic ovarian syndrome). Diabetes can also cause kidney, eye, and nerve damage. It is responsible for several skin conditions and foot conditions (due to lack of circulation to the feet). Finally, diabetes can make the affected individual more susceptible to catching colds.

Essential Elements of Informed Consent

After nearly a decade working as a staff physician, Dr. Hanid Audish became a full-time principal investigator for Encompass Clinical Research. In this role, Dr. Hanid Audish recruits trial participants by educating patients on the importance of clinical trials and advocating for comprehensive participant consent.

In order to obtain FDA approval, new treatments or alternative uses for existing medications and procedures must clear clinical trials with human participants. Before participating in any clinical trial, patients must be provided with an informed consent form. In order to meet the ethical standards for medical research, all informed consent forms must clearly explain the purpose of the research and any predictable risks.

Participants should also understand how the trials may impact their conditions, and if they are eligible for any other treatment options. The information should be explained in a way that is accessible to the average patient. In trials that focus on pediatric conditions, researchers must obtain permission from a minor’s parent or guardian.

Links between Low T and Depression

In 2017, physician Dr. Hanid Audish transitioned from providing primary care to conducting clinical research. In his work, Dr. Hanid Audish organizes medical trials investigating vaccine effectiveness and procedures that address a range of disorders, such as low testosterone (low T).

It is natural for men’s testosterone levels to drop off gradually as they age. However, if a man’s testosterone levels fall below a certain level, he may experience unpleasant side effects, such as reduced muscle mass, low libido, and memory problems. Since testosterone also affects mood regulation and brain function, researchers have investigated the links between depression and low T.

Studies have suggested that young men and men over 70 with low T are more likely to be depressed. Relatedly, researchers from the Technische Universität in Germany found that prescription testosterone supplements significantly reduced depressive symptoms in men of all ages. More studies are needed to understand the exact role low T plays in depression and other mood disorders such as anxiety.

Osteoarthritis – Common Risk Factors

An experienced osteopathic medicine practitioner, Dr. Hanid Audish founded Encompass Clinical Research in 2010 to focus on clinical studies and research. At Encompass Clinical Research, Hanid Audish, DO, is concerned with raising awareness about lesser-understood medical conditions, such as osteoarthritis.

Osteoarthritis (OA) is a chronic degenerative disease that is characterized by gradual loss of cartilage. Despite being the most prevalent joint disease, its cause is unknown. By 2020 it is estimated that over 50 million Americans will have OA, and that it will be one of the major causes of death and disability in people over 40 years old.

Over time, researchers have discovered several risk factors associated with OA. Four of these factors are described here.

1. Age is perhaps the most common risk factor. Aging causes the laxity of joints to increase, while reducing joint proprioception and chondrocyte function. Recent research has found that 27 percent of an adult group aged between 63 and 70 had knee OA based on radiographic evidence, while the likelihood of knee OA increased to 44 percent in participants aged above 80.

2. Obesity, which is characterized by an increase in adipose tissue, has also been linked to OA. Obese people develop OA earlier, exhibit more serious symptoms, have a higher risk of infection, and experience more technical difficulties in joint replacement surgeries. Obese people transfer between three and six times their body weight to their knee joints as they walk. According to a recent study, every 5 kilogram increase in body mass index (BMI) increases the likelihood of developing knee OA by 1.36 percent.

3. Certain professions also expose people to a higher risk of developing OA–in particular, jobs that require physical effort like knee bending, kneeling, or squatting. The relationship between the constant and repetitive use of joints at work and the onset of OA has been noted by researchers. Knee OA is found to be more prevalent among dockworker and miners.

4. Diet is also a risk factor for OA. People who have low levels of Vitamin C and Vitamin D in their blood have three times as much risk of contracting knee OA. Vitamin C, which contains collagen and antioxidant properties, can delay the onset of OA. Lower intake or serum levels of Vitamin D have been found to increase the risk of knee OA progression.

The Purpose of Diabetic Eye Exams

A principal investigator for Encompass Clinical Research for nearly a decade, Dr. Hanid Audish has dedicated his career to discovering new and effective treatments for chronic conditions. Dr. Hanid Audish and his team focus on clinical trials that test novel medications for high blood pressure, diabetes, and related complications.

Excess blood glucose caused by uncontrolled diabetes can lead to spotted or blurred vision. A person with diabetes is more likely to develop cataracts and glaucoma. Nine out of every ten people with diabetes go on to develop retinal blood vessel damage. Therefore, the American Diabetes Association suggests that all patients diagnosed with diabetes undergo a comprehensive eye exam shortly after diagnosis. Follow up exams should be scheduled every one to two years.

During an exam, the ophthalmologist will examine the retina for damage or abnormal swelling. If caught in the early stages, keeping blood glucose levels regulated can prevent eye damage from progressing. Advanced diabetic eye diseases can be treated with injectable corticosteroids or surgery.

What Is a Diabetic Foot Exam?

For nearly a decade, board-certified family doctor Hanid Audish, DO, has overseen clinical trials for Encompass Clinical Research in San Diego. Dr. Hanid Audish investigates new ways to manage blood sugar for chronic diseases such as diabetes.

If blood sugar levels are not properly controlled, patients with diabetes can develop severe nerve damage, which can lead to infections in foot tissue. Since nerve damage can also result in a loss of sensation in the feet, diabetics may not notice an injury in the foot until it has become critical. For these reasons, doctors recommend annual foot exams for all diabetic patients.

During the exam, doctors look for indications of underlying injury or illness, such as swelling, cuts, or tenderness. Doctors also use various tools to test the foot’s responsiveness to sensory stimuli.

If any injuries, such as ulcers or deformities, are found, the patient may be fitted with a special cast or shoe to reduce pressure and promote healing. Patients are also encouraged to perform daily foot exams and engage in recommended exercises to boost blood circulation in the feet.

Important Vaccine Boosters for Adults

Family medicine physician and clinical researcher Dr. Hanid Audish carries out investigative treatment trials at Encompass Clinical Research. In this role, Dr. Hanid Audish organizes and supervises trials involving new vaccines and medications for chronic conditions.

While most people are aware of the recommended vaccination schedule for infants and young children, there is much less understanding of booster requirements for adults. Many vaccines lose their effectiveness after a decade or so, and many people were not properly vaccinated as children, especially for vaccines that required several doses. Inoculations against tetanus and diphtheria, for example, must be updated every 10 years.

Additionally, adults without prior immunity against chickenpox, shingles, or HPV should get vaccinated as soon as possible. Older people are more susceptible to certain infections, such as pneumococcal disease, and should be vaccinated against this bacteria after age 65. Child-bearing age women should also receive measles, mumps, and rubella boosters in the months preceding pregnancy.

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