From Visually.
The Difference between an Internist and a Primary Care Physician
To understand the difference between an internist and a primary care physician, it is important to realize that one is a specialty, and the other is a role. An internist is a physician who specializes in internal medicine, and is an expert in the diagnosis and treatment of adult diseases. While an internist can function as a primary care physician, he or she may also focus their practice on hospital medicine, medical education and/or research. On the other hand, a primary care physician may be an internist, a pediatrician, a geriatrician, a family practitioner, a gynecologist or an obstetrician, because primary care involves the practice of promoting overall health for the entire individual within the specific population (geriatrics, pediatrics, etc.) of the physician’s specialty. Let’s first look at the specialty of internal medicine, and then examine how these and other physicians practice in the primary care environment.
The Internist: The Internal Medicine Specialist
Internists are physicians who have specialized training in the diagnosis and management of illness in adult patients. This means that they are capable of helping their patients stay healthy and prevent illness, but are also able to diagnose and treat both acute and chronic illnesses. Just a few of the many illnesses an internist would treat include hypertension, diabetes, high cholesterol, kidney disease, asthma, heart disease, arthritis, bronchitis, ear infections, back pain and the common cold. The list is exhaustive but basically includes any illness than can affect adults.
Internists are particularly skilled in reviewing the symptoms of patients with complex problems, performing physical exams, ordering diagnostic tests, and using this information to identify both common and rare illnesses. They are basically the detectives and problem-solvers of adult medicine; and they are also experts in treating extremely ill adults. This is why internists are found in a variety of roles and settings. You may have an internist as your primary care physician, treating you in an office or clinic. However, some internists, known as hospitalists, care for acutely ill patients in the hospital. And some do both. Because of their specialized education and training, internists are exceptionally suited for treating patients with multiple medical problems, understanding how these illnesses, their medications, and their treatments interact, and adjusting the plan of care to best suit the individual patient’s needs.
The Primary Care Physician
A primary care physician (PCP) is basically the physician that you’ve always known as “your family medicine provider.” They are responsible for the ongoing health and wellbeing of their patients, by promoting healthy behavior, helping you prevent illness, and quickly diagnosing and treating any new or potential health problems. He or she is the family medicine provider who knows you the best and who you can turn to for any health concerns. The primary care physician is usually your first contact with the health care system, and they are skilled in providing a comprehensive assessment of health care needs, as well as continuous monitoring of chronic illnesses and treatment of new problems. They will also know when a referral to another specialist is warranted.
The central person in primary care is the patient, and the primary care family medicine provider will focus on you as a whole individual. They work hard to maintain a trusting relationship with their patients and will partner with you to come up with the best plan for your good health. This plan will usually include age-appropriate health maintenance, routine monitoring, immunizations, counseling, patient education, and treatment of acute and chronic illnesses. To realize the real benefit of having a primary care physician, you should look at them as your focal point of all your health care needs. By turning to your primary care physician first, you will make sure that the family medicine provider treating you knows and understands you; and you will avoid unnecessary tests or trips to specialists.
The role of primary care physician is performed by more than one type of physician, and each provides care to the population that they have specialized in. Internists are experts in the care of adults, or those 18 years and older. Geriatricians, on the other hand, are internists that have additional training for the medical needs of adults 65 and older. Family Practice physicians are qualified to provide primary care for patients of all ages, from newborns to the elderly, while pediatricians see patients from infancy through adolescence. Specialists in obstetrics and gynecology (OB/GYN) can provide primary care for women, including reproductive health and family planning. While we often think of primary care practices as those in outpatient offices and clinic, in reality, primary care can be performed in a number of settings. This includes long-term care settings such as nursing homes, home care, day-care and even in the hospital. Whichever the setting, the primary care physician carefully tailors the healthcare plan to meet the individual needs of each patient, with the goal of helping their patients achieve their highest level of health.
When your family medicine provider knows and understands you, and is carefully monitoring your health needs, the results are bound to be of benefit to you. With the focus on prevention and early action when an illness arises, the primary care physician can often help patients avoid severe illness, the need for specialists and hospitalizations. Experts agree that primary care increases everyone’s access to healthcare and improves the quality of health care. On a more personal level, patients and physicians are given the opportunity to form trusting and lasting relationships.
We would be happy to answer any questions you may have about internal medicine or primary care. At Advanced Medical, PA, we pride ourselves in providing quality health care in both internal medicine and primary care. To learn more about us and the services we offer, or to schedule a visit, call us at (561) 434-1935 to request an appointment, or request one online.
Getting the Most From Your Primary Care Visit
Have you ever gotten home from a family medicine provider visit and realized you forgot to mention something you wanted to talk about? Or maybe you arrived at your visit without important information, like the name of the new medication a specialist prescribed. Your next appointment may not be scheduled for months, and it’s often difficult to make time for an extra trip. Yet, good communication is essential for insuring that all your health needs are met. So, whether you are seeing a new provider, or returning for a follow-up appointment, here are some tips to make sure you get the most from all of your primary care visits.
Go Prepared
The time to organize your thoughts is before you get to your appointment. Preparing ahead of time will help you maximize the time you spend with your provider. Write your questions down and bring the list to the appointment with you. If you’ve researched a new treatment or have questions about a specific illness, don’t bring pages of literature with you. There’s just not enough time to review this during an office visit. It’s better to add these concerns to your list of questions so that you don’t get bogged down on one topic and miss out on addressing other health issues.
To create the best plan to meet your healthcare needs, it is important that you supply all pertinent information. If you have orders for blood work, X-rays, or other diagnostic tests, make sure you complete them in enough time that the results have been sent to the office. Also, if you had any “homework,” such as keeping a log of your blood sugars or blood pressures, make sure you bring it to the visit. And, if you have seen a specialist, have been to an emergency room, or have been in the hospital, it is best if you arrange for your records to be forwarded to your primary care office before your scheduled visit. This gives your family medicine provider the time to review the information before you arrive, leaving more time for discussion and your physical exam.
If you are seeing a new primary care provider for the first time, it is even more important that you arrive with updated and accurate information. Try to have your medical records, including all your past immunizations, forwarded before your visit. It is also a good idea for you to write out your medical history, chronologically, in your own words and bring it to the visit. Additionally, you should include a history of any illnesses your siblings, parents, aunts, uncles, cousins and grandparents had and the age that these illnesses occurred. This overview will give your new provider an even better picture of your healthcare needs.
All of Your Medications Matter
It cannot be stressed enough how important it is that your family medicine provider know ALL the medications you are taking. Five to 17% of all hospitalizations of older patients are the result of problems with medications; and drug interactions cost billions of dollars while increasing the average hospital stay by 7 days. Bring a complete list of all the medications, over the counter drugs, vitamins, herbs and supplements you are taking. It is also important to list the dosage and how many times per day you are taking them. Try to include why you are taking these medications and who originally prescribed them if you can. If you are unsure, or have any questions about what information is important regarding your medications, just put everything you are taking on a regular basis into a shopping bag, and bring it to the appointment. Updating your medication record is an important part of every visit, so make a routine of bringing updates regularly.
Use your Time Wisely
It is important to have a good relationship with your provider and he or she is genuinely interested in you, but be realistic about what can be accomplished in one visit. If you have a number of health issues, it is important to organize your thoughts and address all of your concerns. While telling stories may be entertaining, it may not be productive and could take time away from discussing important issues. So, budget your time and try to stay focused on your health. This is also not the time to paint rosy pictures or avoid embarrassing topics. Honesty and full disclosure will go a long way to help you achieve health. Use your primary care visit to its fullest potential by trusting your provider with sincere information.
Don’t Go It Alone
Sometimes you might have a lot to discuss at your visit, or you might be worried about the results of your tests. Not everyone is comfortable with medical information, so you may have trouble remembering everything your family medicine provider tells you during a visit. In these situations, you might bring a trusted friend, spouse or family member with you. They can offer you support, take notes for you, help you remember to cover all your concerns, or maybe even think of questions that you don’t.
Leave with a Plan
So now you have gone prepared, brought all your important information with you, and reviewed all of your concerns and test results. Most likely, there will be recommendations to be followed, prescriptions to be filled, or follow up testing to be done. Often, you will be advised to return within a certain amount of time. Make sure you understand all that is expected of you. Your health depends on it! So, ask questions, take notes, and clarify what you may not understand. Make sure you know the plan, agree with the plan, and are capable of carrying out all that is recommended. By arriving prepared, making the most of your time during the visit, and leaving with a good understanding of a realistic plan, you will have made the most of your primary care visit, and will be well on your way to good health.
At Advanced Medical PA, we look forward to providing you with all your primary care needs. To learn more about us and the services we offer, or to schedule your primary care visit, call us at (561) 434-1935 to request an appointment, or request one online.
At Home Tips for Dealing with High Blood Pressure
Has your family medicine provider told that your blood pressure is too high? Maybe you’re already taking blood pressure medication. You’re not alone. Hypertension, or high blood pressure, is one of the most common chronic illnesses in the world. Uncontrolled blood pressure can cause a number of additional health problems, including heart disease, kidney disease, circulation problems, vision problems, and stroke. Unfortunately, high blood pressure often goes unnoticed because there usually are no symptoms, so it’s important that you know what you can do to keep your blood pressure normal. Here are some important tips on how you can deal with high blood pressure at home.
What is High Blood Pressure?
Blood pressure is actually the amount of pressure inside of your arteries, which are the blood vessels that carry blood filled with oxygen to the rest of your body. The top number, or systolic pressure, is the pressure produced when the heart contracts. The bottom number, or diastolic pressure, is the pressure in your arteries in between contractions. Both numbers are important. The goal is to keep the systolic pressure below 140, and the diastolic pressure below 90. Pressures higher than this that go untreated cause damage to the heart, arteries and organs, such as the kidney, eyes, or brain.
What are the Risk Factors of High Blood Pressure?
Some causes of high blood pressure are genetic. Men have a higher incidence than women. African Americans are also at a higher risk. However, while family history increases your chances of having high blood pressure, lifestyle plays a big role. People that are overweight have poor dietary habits including a high sodium intake and those who don’t exercise regularly are more likely to develop high blood pressure.
How is High Blood Pressure Treated?
If you have hypertension, it is important that you work closely with your health care provider to keep your blood pressure controlled. You may be prescribed one or more medications to help lower your blood pressure. It is very important to take the medications as directed, near the same time every day. Get into a routine and stick to it. You should also buy a home monitor, check you blood pressure and even keep a log that you can bring to your next appointment. However, just as important as taking your medications, there are changes that you can make to your lifestyle that can help control your blood pressure:
Low Sodium Diets
Sodium is found in most foods, and it plays an important role in controlling the fluid balance in your body. It is also the main ingredient of table salt. If you eat too much sodium, you will start retaining fluid. The extra fluid increases the pressure within your arteries, resulting in an increase in blood pressure. There are a number of things you can do to lower the amount of sodium you take in every day.
· Don’t use a saltshaker and don’t add salt when you’re cooking.
· Try experimenting with other spices, but check the ingredients because they may have added salt.
· Use lemon instead of salt.
· Use fresh foods; canned, boxed, frozen and processed foods have more sodium.
· Avoid foods high in sodium such as olives, soy sauce, Chinese food, bacon and bottled condiments.
· Beware of chips and pretzels, cold cuts, pizza, poultry injected with sodium solutions, soups and sandwiches
· Read food labels. Low sodium is 140 mg or less and no sodium is 5 mg or less per serving.
· When dining out, ask for no salt, no spices and no sauces.
Healthy Diet/Healthy Weight
Body Mass Index (BMI) is a measurement of body fat based on height and weight. The ideal BMI for both men and women is between 20 and 25. By following a healthy diet you will not only maintain your ideal BMI; you will also have a positive effect on your blood pressure and decrease your consumption of the high fat foods that are bad for your heart and cardiovascular system. Here are some basic dietary guidelines to keep you on the road to good health.
· Reduce your alcohol intake to two or fewer drinks per day.
· Eat more fruits and vegetables.
· Eat more fish and more low fat animal proteins (but watch the sodium content).
· Consume the recommended daily amount of fiber, which is 20 to 35 grams per day.
· Reduce the amount of caffeine you consume. Limit coffee to less than 2 cups per day.
Exercise
Daily exercise will help to lower your blood pressure. It is recommended that you exercise 30 minutes per day, most days per week. Walking is an ideal form of exercise, but you must continue a regular routine. Stopping routine exercise will cause your blood pressure to rise again. If you are not exercising regularly now, you should follow the rule of “start low and go slow.” Start with 15, or even 10 minutes per day. Increase just a little every day, until you reach 30 minutes.
Avoid some Medications
Some prescription and over-the-counter medications can increase your blood pressure. Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen or naproxen, are readily available at your local store, yet they can cause an increase in blood pressure. Other medications to avoid are nasal decongestants, weight loss products, and illicit drugs. Some women will experience an increase in blood pressure while taking oral contraceptives. It is advised to talk to your family medicine provider before taking any of these medications if you have high blood pressure.
Signs that You Should Seek Emergency Care
Even with careful adherence to your medication and lifestyle plan, there are times when you blood pressure may be high enough for you to go to the emergency room, or to call 911. If you experience any of the following symptoms with a blood pressure of 180/110 or higher, please seek immediate help:
· Chest pain
· Shortness of breath
· Numbness or weakness
· Change in vision
· Difficulty speaking
· Severe headache
Remember that high blood pressure often occurs with no symptoms. That is why it is important to have regular checkups with your healthcare provider. Once you know that you have hypertension, it is important to talk to your family medicine provider about your plan, and follow the recommendations. High blood pressure is a chronic illness, and chances are that you will have to continue to take your medication and adjust your lifestyle for the rest of your life, so don’t ever stop taking your medications without consulting your family medicine provider. But remember, there are a lot of things that you can do at home to keep your blood pressure under control.
To learn more about high blood pressure, its treatment, and what you can do to keep yours controlled, call Advanced Medical PA at (561) 434-1935 to request an appointment, or request one online.
How Walking Can Prevent Diabetes
Diabetes is a metabolic disease in which the body’s inability to produce any or enough insulin causes elevated levels of glucose in the blood. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy, and those with diabetes have problems metabolizing it.
When someone is diabetic, the pancreas, an organ that lies near the stomach, does not produce enough insulin, which is what helps glucose get into the cells of our bodies. Diabetes can also interfere with your body’s ability to fight infection. Therefore, exercise is crucial in helping keep your immune system healthy and help prevent other diseases, such as cardiovascular disease and strokes.
If you have diabetes or have a family history of diabetes, and would like to prevent it from developing, physical activity is crucial. It is also important to maintain your blood glucose levels with a healthy meal plan and lifestyle. Exercising has many benefits, which include:
- Lowers blood pressure
- Controls weight and keeps weight down
- Increased level of good cholesterol (HDL)
- Leaner, stronger muscles
- Stronger bones
- More energy
- Improved mood
- Better sleep
- Stress management
Walking is the best medicine and form of exercise to prevent diabetes. Research has shown that walking can dramatically boost energy levels, burn fat, and protects your heart. In other words, if you have high blood sugar, or if you have been diagnosed with prediabetes or diabetes, walking can be a lifesaver. An active lifestyle can help perpetuate a total body wellness, where more of a focus goes towards diet and exercise.
Obesity is an epidemic that affects more than 35 percent of people in the United States, and is one of the biggest factors leading to type-2 diabetes. Walking shrinks your abdominal fat, reducing your risk of diabetes. Excess fat around your abdomen causes inflammation in cells, making them even more resistant to insulin, a hormone that controls blood sugar; this increases your odds of developing the disease. According to everydayhealth.com, walking for 30 minutes a day, can reduce your risk of diabetes by 30 percent.
To learn more about how regular exercise and activity can help prevent diabetes, call Advanced Medical PA at (561) 434-1935 to request an appointment, or request one online.
Pre-Diabetes: When to See Your Physician?
Prediabetes is also known as borderline diabetes or impaired glucose tolerance, a condition that develops before someone receives a diagnosis of Type 2 Diabetes. It occurs when there is a glucose intolerance, meaning your blood sugars are at a higher level than normal, but not enough to be put in the diabetes diagnosis category.
Fortunately, during the prediabetes phase the pancreas still produces insulin, but your blood sugar still remains too high, because the insulin doesn’t remove the sugar out of your bloodstream. This is a condition called insulin resistance, and requires a visit to your physician.
Someone who has prediabetes may not even know that they have it, as symptoms are not always present, and if they are, they can be mistaken or misdiagnosed for another condition. It is often the case where someone who struggles with insulin resistance may develop type 2 diabetes, if not treated properly. That’s why going to see your provider to get tested is important, especially if some common symptoms are present. Symptoms of prediabetes include:
- Obesity
- High blood pressure
- High cholesterol
- Having a family history of diabetes
- Lack of exercise
- Blurry vision
- Increased thirst
- Tiredness/fatigue
- Cuts that won’t heal
- Inflammation in your gums
As mentioned before, prediabetes is a silent condition, so getting a checkup is important in early detection and diagnosis. If left untreated, other systems in your body will be affected. If there is concern, your provider will perform the following tests, to see if the insulin in your body is doing what it should. These tests include:
1. A fasting blood glucose test: This test measures your blood sugar before you eat, and after you drink something sugary.
2. A1c (HbA1c) test (Hemoglobin)
3. Oral glucose tolerance test (OGTT)
Being on a proper diet plan and exercise regimen will help you reduce your risk of developing type 2 diabetes. To learn more about prediabetes, call Advanced Medical in Wellington and Royal Palm Beach, at (561) 434-1935 to request an appointment, or request one online.
Selecting the Right Provider
Changes to healthcare laws and the way insurance works and what’s covered make selecting the right provider more important than ever. Your primary care provider is a vital member of your healthcare team. Find out why a small practice may offer the best overall care for your health.
Primary Care Provider
The right Primary Care Physician, or PCP gives you access to the best possible healthcare. As the “point person” on your medical team, your provider gets to know you and your health history. He or she knows the specialists you’ve seen and which medications you take. They will help manage your health through acute illnesses or chronic disease, and always explain conditions and treatment options.
Continuity of Care
Healthcare can be big business. More and more, providers work in a large practice where a patient may be seen by a different practitioner at each visit, especially if an appointment is made on short notice in the case of illness. Patients in the Welling and Royal Palm Beach, Florida areas can choose Advanced Medical Clinic for their care, and always see Dr. Ishan Gunawardene or his wife, nurse practitioner Shariffa Gunawardene.
Here are some reasons why continuity of care from your provider is so important
- Your whole health picture – if you always see the same provider, he will know details about your health that can’t all be recorded in your file.
- Hospital care – if you require treatment in a hospital, the Advanced Medical team will be there to advocate treatments that are in your best interest, keep you and your family informed, and provide first-hand health history information that could significantly improve treatment outcomes.
- Accessibility – Ask your primary care provider a question without having to explain symptoms or events that have already been treated.
Advanced Medical Clinic offers personal care with continuity throughout. Call (561) 434-1935 for an appointment in Wellington or Royal Palm Beach, Florida today. Get a same day appointment or just walk in.
The Importance of an Annual Wellness Exam
Everyone wants to live a long and healthy life. It takes conscious effort to achieve and maintain good health, and the effects can last your whole lifetime. Having an annual wellness exam is one of the most important things you can do for your body.
An annual wellness exam:
· Is vital for the early detection and prevention of diseases
· Provides time to review current medications and discuss side effects and benefits
· Gives you an opportunity to work with your family medicine provider to change or adjust bad habits that can lead to poor health and long-term problems
· Ensures you are current with vaccines
· Offers the opportunity to measure cholesterol, blood sugar, and other indicators of potential problems through lab tests
Many times, we don’t seek medical help until a small problem has become a large one. Making the right choices for your body can eliminate a lot of pain and help extend your life! Prevention is the best way to avoid sickness. At your annual well exam, your family medicine provider gets a chance to learn about you and your health history, so that you have a baseline in case of illness or injury.
A wellness visit may include:
· Weight and BMI
· Blood work and labs
· Urine analysis
· Discussion of lab results
· Blood pressure check
· Discussion of history and any concerns
· New prescriptions to address health issues
As a primary care physician, Dr. Ishan Gunawardene takes the time to get to know patients at their wellness exams, and is there throughout any hospital or rehabilitation stay to coordinate care and eliminate miscommunications among providers who don’t know your complete health history.
Advanced Medical Clinic provides comprehensive wellness exams with a family medicine provider who will get to know you and be there when you need him. Call (561) 434-1935 for an appointment in Wellington or Royal Palm Beach, Florida today. We offer same day appointments.
Chronic vs. Acute Pain
Pain, from the perspective of the medical professional, is often divided into two main categories: acute pain, and chronic pain. Acute pain is the type of pain that we feel as the immediate result of an injury (for example, your finger hurts after getting hit by a hammer when you are trying to drive a nail). Chronic pain is a pain that is more lasting or frequent in nature. Chronic pain, for example, might be more along the lines of having a back or joint pain that is either constant or comes and goes on a fairly regular basis. There are many different conditions linked to chronic and acute pain. These include autoimmune disorders, spine and nerve damage, neurological conditions like migraines, broken bones, nerve damage, burns, blunt trauma and lacerations, and much more.
The fact is that even minor pain caused by stubbing a toe, is seldom pleasant. Nor is it meant to be – pain is, after all, your body’s way of signaling you that something is wrong. Nature has hard wired us to feel pain when our body is injured or compromised in some way. The problem is though, that much like an alarm system that keeps blaring and refuses to shut off, your body can continue to send signals when you already know the issue exists. Acute pain is most often treated by treating the underlying cause of the pain. A broken arm for instance, normally begins to decrease in pain after the bone is set and the healing process has begun.
Chronic pain is often difficult to manage, becoming a quality of life issue. The degree of pain may vary from mild to debilitating, and in many cases, it is accompanied by other symptoms such as ongoing fatigue, depression or anxiety, irritability and an inability to concentrate. This is completely understandable. Some recent studies have also shown that chronic pain may actually alter brain chemistry, especially in the area of the brain that controls how emotions are processed.
Chronic pain conditions include:
· Arthritis
· Fibromyalgia
· Cancer
· Back or spine injuries
· Neuropathy or other nerve damage
· Multiple sclerosis
· AIDS or HIV
· Osteoarthritis
· Migraines
When treating chronic pain, family medicine providers may employ a variety of treatments ranging from targeted injections to surgery, physical or occupational therapy, prescription medications, bracing, and other pain management treatments.
At Advanced Medical Clinic, we understand pain. We treat people from all walks of life, and we know how to deal with both acute and chronic pain. If you are concerned about how chronic pain is affecting your quality of life, Dr. Ishan Gunawardene of Advanced Medical Clinic can answer all your questions. To make an appointment with us in Wellington or Royal Palm Beach, request an appointment online or call (561) 434-1935 today.
Why Eating Fresh Fruit Can Lower Your Risk for Diabetes
Eating fresh fruit is one of the great and delicious ways to eat healthy and still pack more flavor into your diet. Not only is fresh fruit a wonderful way to help balance your diet and lose weight, it may help you avoid developing type II diabetes. Medical researchers have known for some time that the risks for developing diabetes are heavily tied to daily lifestyle habits.
Studies, for instance, have consistently shown that a diet rich in fresh fruits and vegetables, whole grains, and heart healthy fats can significantly lower your risk for developing adult onset, or type II diabetes – especially when combined with other healthy choices such as walking or other regular exercise.
Healthy Eating Can Lower Your Risk for Diabetes, Heart Disease, and Certain Cancers
Fresh whole fruits may also boost your immune system and lower your risks of both heart disease and even certain cancers. As with any diet, it is important to remember to add a wide variety of natural, healthy food sources rather than simply eating just one or two kinds of fruit. You should also talk to your family medicine provider to create a comprehensive diet and exercise program that works with your body to help you sustain a healthier lifestyle.
Keep in mind that the best diets reduce or eliminate poor food choices such as saturated fats, empty calories, high fructose corn syrup and sugar, adding heart and blood sugar healthy foods like fresh fruit and vegetables, and lean protein sources instead.
Surprisingly, fresh fruits are not the only thing that may help prevent diabetes. Peanut butter has a high fiber content, and monosaturated (good) fats that people enjoy eating. Be sure to carefully note portion sizes though, as it can ratchet up your calories. And even with fresh fruit, while overwhelmingly healthy, too much of a good thing can cause unwanted weight gain.
Fresh fruits should be eaten as whole as possible, removing only what is inedible such as the outer peel or rind. The skins of some fruits like apples also contain additional vitamins and trace minerals. Just be sure to thoroughly wash them to remove any pesticide residue that may have been used in growing them, or look for organic varieties instead.
Be aware that fruit juices or processed fruit may have added sugars, or have stripped away healthy fiber, which can cause a rise in blood sugar levels (fiber slows down absorption and improves blood sugar levels). A diet rich in whole grains, fresh fruits, nuts, berries and vegetables is a tasty way to reduce your chances of developing diabetes.
If you are concerned about how your diet is affecting your chances of developing diabetes, Dr. Ishan Gunawardene of Advanced Medical Clinic can answer all of your questions. To make an appointment with us in Wellington or Royal Palm Beach, request an appointment online or call (561) 434-1935 today.