Well Starts with Digestive Health

According to the Centers for Disease Control and Prevention (CDC), about 1 in 10 Americans have diabetes. Of that group, 90 to 95% have type 2 diabetes. Because this condition often develops in people over 45, getting screened and getting the best treatment to live your healthiest life is essential.

"Diabetes is a chronic and complex condition, and treatments are continuously changing," said Dr. Georgia Forrest, Wellstar primary care physician. "Teaming up with a primary care provider who personalizes your care plan to you and everything that makes you unique should be a top priority."

Whether you currently have type 2 diabetes, a family history of the disease or feel concerned about your overall well-being, you can take proactive steps to manage your health. Here are some key facts to help you better understand the relationship between diabetes and good health.

1. Undiagnosed diabetes costs you money & health
Not knowing you have diabetes carries high medical costs. Undiagnosed diabetes can increase your risk for death and other medical issues.

Diabetes was the eighth leading cause of death in 2021, the most recent data reported by the U.S. Preventive Services Task Force. And according to the American Diabetes Association, having diabetes doubles your risk for heart disease and stroke—heart disease is the number one killer in the U.S. 

2. A diagnosis and personalized treatment can save your life
Knowing you have diabetes and then working to manage your blood sugar, blood pressure and cholesterol effectively can lower your risk of death and help you live a better quality of life.

3. Getting screened for diabetes is easy
The U.S. Preventive Services Task Force now recommends getting screened with a simple blood test at the age of 35 for people with no symptoms but who are overweight or obese. Even if you have no signs or family history of diabetes, it can lurk in your numbers. Getting screened can help you catch it early and even prevent it altogether.

Consider getting screened for diabetes if you:

• Are obese or overweight
• Are physically inactive 
• Have a parent or full sibling with diabetes
• Are an African American, Latino, Native American, Asian American or Pacific Islander 
• Have a history of cardiovascular disease
• Have hypertension
• Have blood work that shows an HDL of less than 35 mg/dl or triglycerides greater than 250 mg/dl
• Have a diagnosis of polycystic ovarian syndrome
• Have other medical conditions that lead to insulin resistance

4. Some people have pre-diabetes
If your screening shows that you have pre-diabetes, your blood sugar levels run higher than average but aren't within the range of type 2 diabetes. However, you have an increased risk of getting type 2 diabetes.

Identifying that diabetes is around the corner can help you stop it before it starts.

5. Diabetes treatment plans should be unique
When crafting a plan to address diabetes, the conversation must be about more than the numbers.

"Additional diseases or conditions you may be experiencing in conjunction with your diabetes should also become part of your individualized health plan," Dr. Forrest said.

A complete medical history helps your healthcare provider understand how other medications and treatments may interact with your symptoms and treatments related to type 2 diabetes.

6. Lifestyle modifications can make a big impact on diabetes
Lifestyle modifications may involve slight changes to your weight, the amount of exercise you get, your diet and even your sleeping patterns.

Changes don't have to be major. For instance, your doctor may suggest you lose around 10 pounds and exercise for 30 minutes five days a week.

Our primary care providers work with patients one-on-one but can also refer patients with pre-diabetes and diabetes to Wellstar Diabetes Services to help prevent the onset or manage the effects of diabetes.

7. S.M.A.R.T. diabetes treatment plans
According to Dr. Forrest, your overall plan should include "specific, measurable, achievable, relevant and timely (S.M.A.R.T.) goals and involve shared decision-making between you and your care provider. There should be plenty of follow-ups to keep the conversation fluid and open to modification."

8. Know your numbers — and acronyms (A1C, CGM, TIR)
Should your screening lead to a type 2 diabetes diagnosis, conversations with your health providers will focus on several acronyms and numbers.

"Know your ABCD’s of diabetes," said Dr. Forrest. "Your A1C, blood pressure, cholesterol and the medications you are taking. Knowing these facts about your health will be key to your success."

• A = Hemoglobin A1C goal is <7 
• B = Blood pressure goal is <130/80 
• C = Cholesterol goal is to keep bad cholesterol <100 
• D = Drugs 

Keeping the A1C low and within an optimal range will help prevent complications like eye damage, blindness, kidney failure and nerve damage. 

A mainstay for type 2 diabetes management centers around constant glucose level monitoring. Continuous glucose monitoring (CGM) provides readings every few minutes via a sensor inserted just below your skin. Monitoring glucose is a common way to help regulate insulin in your body, giving you the readings you need to self-adjust with insulin when appropriate. Average glucose levels should be 100 mg/dl or lower though they can increase if you've just eaten.

New developments introduced the importance of tracking Time in Range (TIR). Along with monitoring your glucose levels, TIR may impact your customized plan for maintenance. According to Dr. Forrest, the goal for TIR is 70% or more.

9. Receive individualized diabetes care at Wellstar
For diabetes management, a personalized, proactive approach can make all the difference. Wellstar primary care providers are here to partner with you to help prevent or manage diabetes, heart disease and many other conditions.

"A true patient-centered approach for managing diabetes is the key to the future of this disease," Dr. Forrest said. "Get screened and speak up when it comes to your care. Opportunities for personalized and individualized medicine should be a part of your treatment plan as you move forward."

Find a primary care provider near you.

For many people, talking about colon health can be a little uncomfortable. However, medical issues don’t just go away if you ignore them.

Being proactive about your well-being with preventative care can help catch colorectal cancer or another serious condition early, often before it becomes a bigger problem.

Wellstar is committed to keeping your colon healthy with preventative screenings and expert care, so you can continue to live well.

Catch colorectal cancer early

Early detection is the best prevention, especially when it comes to colon cancer. If caught early, colorectal cancer has a survival rate of 91%.

“Colon cancer is the second most common cause of cancer death in the United States, so it’s very important that everyone gets screened,” said Dr. Cameron Body, Wellstar gastroenterologist. “For an average risk person, screenings should begin at age 45.”

Those with a higher risk or family history of colorectal cancer may need to start screening even sooner. Talk with your provider to start a screening schedule — and stick with it to stay ahead of the disease.

Schedule your colonoscopy today.

Why colonoscopies work

During a colonoscopy, your physician will view the inside or your colon and look for polyps or any other abnormal tissue that could be cancerous. This preventative testing is key to catching colorectal issues at the start.

“A colonoscopy is the gold standard when screening for colon cancer. The procedure itself is not painful, and we make sure you’re comfortable throughout the process,” Dr. Body said.

“The goal is to do a high-quality exam with a good prep to find polyps when they’re small and get them removed to minimize the risk of them subsequently developing into cancer,” Dr. Body explained.

“For colon cancer, it takes a polyp about five to 15 years to evolve into an invasive cancer,” shared Dr. Carmen Klass, oncologist and hematologist with Northwest Georgia Oncology Centers. “If you have a colonoscopy every five to ten years, they can remove the polyp and it will never be declared an invasive cancer.”

“In fact, if all Americans did their screening colonoscopies every five to ten years, then the death rate for colorectal cancer would drop by 50%,” Dr. Klass shared, urging people not to put off the preventative screening.

See how colorectal cancer screening saves lives.

When Ebony-Joy Igbinoba was diagnosed with bilateral breast cancer at age 38, an interdisciplinary team of Wellstar experts stood by her side to help her face cancer with confidence.

Now she is living cancer-free, with a Wellstar care team dedicated to keeping her healthy.

Ebony-Joy started to feel ill at a church concert in spring 2019. She checked in with her primary care provider Dr. Nandini Sunkireddy, who told her that due to the anatomy of her breasts, a mammogram would give a more accurate picture of her health than a traditional exam. 

Once Ebony-Joy had gotten her mammogram, Wellstar acted quickly, calling her the same day to get additional images and then a biopsy. Ebony-Joy was diagnosed with bilateral breast cancer—cancer in both breasts, which is rare, especially at her younger age.

Ebony-Joy decided to get a double mastectomy with Wellstar Breast Surgeon Dr. Laura Pearson. Then, she got chemotherapy at Wellstar North Fulton Medical Center. At every step, she found a support system, including oncologists Dr. Carlos Osmon and Dr. Nagender Mankan, as well as Physician Assistant Kristen Gue. Dr. Pearson and Dr. Asaf Yalif completed her reconstruction.

Ebony-Joy said her providers are proactive, friendly and approachable. 

“I trust them with my life, and they’re fighting with me,” she said. “They’re rooting for me.”

Ebony-Joy’s care team looked out for every aspect of her well-being—even as she was being treated for breast cancer, her providers paid attention to all her health needs. She saw a Wellstar psychologist, who helped her cope with the diagnosis. 

To watch for any side effects of cancer treatment on her heart, Ebony-Joy sees Cardiologist Dr. Natasha Mamdani. Wellstar Gastroenterologist Dr. Inder Tandon and Wellstar Pulmonologist Dr. Nora Hurt also joined her care team to monitor her health.

“God has blessed me with Wellstar doctors, nurses and staff that are truly dedicated to top-notch comprehensive care,” Ebony-Joy said. “They are my superheroes.”

Ebony-Joy’s care team also knew that her diagnosis did not just affect her—they were concerned for her family’s well-being, too. Her nurse navigators referred her to resources about how to talk to children when their parent has cancer, as well as support groups and financial assistance.

“As a single mother, they knew how important it was for me to fight for my kids,” Ebony-Joy said about her Wellstar providers. “I come from an amazing family, and I am happy to add Wellstar to it as they will continue to support me for years to come.”

Ebony-Joy not only stays informed of her own health—she is looking out for her children, too. She learned that she has a gene mutation that also makes her more likely to be affected by pancreatic cancer. She also discovered that two of her great aunts and her cousin all had breast cancer. Now that she knows her family history, her children will get screened at early ages to stay healthy. 

Visit wellstar.org/cancercare to learn more about fighting cancer with Wellstar. To schedule a mammogram to check in on your breast health, call (678) 581-5900.