SAFE CAMPING

Some people love the great outdoors and are willing to pitch a tent in the nearest glade and set up a rustic campsite. Other people prefer to camp with all the comforts of home in an RV or trailer. (This is often called “glamping.”) Whatever your preference, being prepared is essential for a safe and successful camping trip.  “Being prepared for emergency situations is critical when people are out in remote areas with limited access to phone service, hospitals and emergency help,” said Don Lauritzen.

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LET YOUR KIDS STOP AND SMELL THE ROSES AT THE ARBORETUM

Are you looking for something that can provide your children a very special opportunity? Something that at the same time will allow them to experience stimulating sensations? The place you seek is right here in Lexington on the campus of the University of Kentucky. The Arboretum is Kentucky’s state botanical garden and includes the Home Demonstration Garden, the Rose Garden and the Fragrance Garden.  Start your exploration with a stop at the Dorotha Smith Oatts Visitor Center, which is open Monday through Friday....

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KEEPING KIDS ACTIVE IN THE SUMMER

Kids these days are heading down the path leading to a sedentary lifestyle, and that makes it important for adults to spark a passion for activity in them. This will keep their bodies, brains and development on track. Summer is the right time to get them moving.

Here are five ways to encourage your kids to live and love an active and healthier lifestyle outdoors.

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often lead to irritability, interfering with thoughts and feelings, which leads to displaced anger, impaired relationships, poor eating habits, lack of exercise and a neglect of the necessities of good diabetes management.


There are a few reasons for the behavioral changes seen with diabetes. One is the effect of abnormally low glucose levels in the bloodstream. Both anxiety and subsequent depression can be triggered by a diagnosis of diabetes. The burden of daily management and fear of complications can seriously trouble the patient. Low glucose levels can cause impaired judgment, anxiety, moodiness, belligerence, fatigue, apathy, confusion, dizziness, blurred vision and a lack of coordination. The symptoms improve if blood glucose levels are stabilized. This is when a patient and his or her caregivers must recognize the need to obtain the professional help of a diabetes educator, registered dietician or clinical health psychologist. The American Diabetes Association is committed to educating the public about how to stop diabetes and supporting those living with the disease. Visit its Web site at www.diabetes.org.


Sources and Resources:


•  Gonzalez, J.S. (2013). Depression and Diabetes. In: Peters A., Laffel L., eds. Type 1 Diabetes Sourcebook. 169-179.

•  Joslin Diabetes Center (2016). Recognizing Diabetes: General Facts and Information.

•  WebMD (2016). Diabetes Care and Treatment. When Your Diabetes Treatment Isn’t Working For You.

Noticing sudden weight loss, periods of extreme thirst, frequent urination and feeling tired and fatigued, a visit to your primary care physician reveals you have diabetes. This diagnosis can have both an emotional and psychological impact. You must deal with some significant lifestyle changes and dietary restrictions as integral components to diabetes management. The primary purpose of diabetes management is to restore carbohydrate metabolism to normal levels. To accomplish this, people with diabetes must consider the behavioral management of their condition. Along this journey, behavioral changes may lead to emotional frustration that results in anger, resentment and difficulties with interpersonal relationships.


Managing blood sugar levels within the range recommended by your primary care physician can be challenging. It can cause distress because a variety of factors affect blood sugar levels. Published data underscore the prevalence of psychological issues associated with diabetes. Reported rates of anxiety and major depressive disorder, which affects 6.7 percent of adults in the United States, are twice as great among individuals with Type 1 or Type 2 diabetes across a life-span. Furthermore, depression is higher among youth with Type 1 diabetes compared to those without the disease (Gonzalez 2013).


When psychological factors are involved, careful monitoring of blood

PSYCHOLOGICAL FACTORS MAY ACCOMPANY DIABETES

levels and maintaining healthy eating habits are the cornerstones of good management. You will need to adopt the lifestyle of an astute self-manager. Knowing how what you eat affects your blood sugar levels is critical. It’s not only the type of food you eat but also how much you eat and the combinations of food you eat. It is also important to realize physical and mental health are closely related and each affects the other in a person with diabetes. It’s undoubtedly more difficult to comply with your diabetes treatment plan when you feel physically and emotionally distressed.


Elevated blood sugars can result in feelings of sluggishness and fatigue, which in turn impacts psychological wellness. Stressful life events (Miller 2013) can suppress the body’s immune function, resulting in high cortisol levels. For some people with diabetes, stress levels are compounded day after day just by living with the disease. When emotional stress is thrown into the mix, it becomes even more important for people with diabetes to learn how to cope with it and eliminate any further negative impact on their physical and mental health. Furthermore, emotional stress leads to the secretion of many hormones that can counteract the actions of insulin and disrupt blood sugar control. These stress-induced emotions

DR. THOMAS W. MILLER, PH.D, ABPP

Thomas W. Miller, Ph.D., ABPP, is a professor emeritus and senior research scientist, Center for Health, Intervention and Prevention, University of Connecticut; retired service chief from the VA Medical Center; and tenured professor in the Department of Psychiatry, College of Medicine, University of Kentucky.

more articles by Dr thomas w. miller