Hannibal Regional Blog


Our blog offers content about healthcare, healthy living and the culture at Hannibal Regional.

Dr. Parikh and her patientAfter being referred by her primary care provider in Bowling Green, Missouri a year and a half ago, Patricia Sinapole came to see Dr. Purvi Parikh, Endocrinologist at Hannibal Regional Medical Group, about her health concerns. Pat, who was diagnosed with Type II Diabetes 14 years ago, was having difficulty keeping her blood sugar under control. “Within a week of seeing Dr. Purvi Parikh, my blood sugar levels were finally in a good place and I felt so much better,” she explained.

Becoming a patient of Dr. Parikh transformed her health completely. “Without Dr. Parikh, I would not be here today,” said Pat. “First of all, she changed my medications to treat me and my disease - not just my symptoms - which made a huge difference in how I felt; it was like night and day. Secondly, during an exam, Dr. Parikh noticed an odd sound in my carotid artery (on the left side of my neck) and sent me to a pre-cautionary CT scan which would end up saving my life.” Through that CT scan, Dr. Parikh found that Pat’s carotid artery was 99% blocked. After this discovery, Pat underwent surgery to have the artery cleared. Now, along with Dr. Parikh, she is keeping a watchful eye on the carotid artery on her right side, which also has some blockage, so she doesn’t have another close call like before. “I had seen four other physicians who did not notice anything wrong, but Dr. Parikh noticed, and she is the reason I am still here,” stated Ms. Sinapole.

“I would recommend everyone I know to come see the providers here,” stated Pat. “They are so nice and if I really need to see them, they make sure to get me in as soon as they can. I wouldn’t go anywhere else.”

what is diabetes and how do I know if I'm at riskIt is known that with time, we are prone to developing certain illnesses. One of the most common chronic illnesses that people develop is diabetes. This is a disease in which the pancreas gradually puts out less insulin, and eventually results in a high blood sugar and the symptoms of diabetes. In honor of Diabetes Alert Day on March 28th, 2017, Hannibal Regional Medical Group would like you to know about diabetes and how to determine if you are at risk.

“There are many different types of diabetes, but the most common types are Type 1 and Type 2 diabetes.” explains Dr. Purvi Parikh, Endocrinologist at Hannibal Regional Medical Group. “In type 1 diabetes mellitus, the problem is that the pancreas (an organ in the abdomen) does not make enough insulin early on and eventually makes no insulin. In type 2 Diabetes mellitus, the pancreas does not make enough insulin and the body becomes resistant to normal and/or even high levels of insulin. In the United States, Canada, and Europe, about 90 percent of all people with diabetes have type 2 diabetes. You can actually do a great deal to delay or even prevent ever getting type 2 diabetes by being aware of your risk factors and leading an active lifestyle with healthy eating habits.”

The cause of type 2 diabetes is a combination of genetic and environmental factors. Many people who are diagnosed with type 2 diabetes have family members who are diabetic or have medical problems associated with diabetes like high cholesterol levels, high blood pressure, heart disease or obesity. Some environmental factors that contribute to your risk of diabetes are physical inactivity, high caloric foods consumption, as well as genetic factors. Dr. Parikh would like for you to be aware of some symptoms of diabetes: needing to urinate frequently, increased thirst, increased hunger (even after eating), dry mouth, fatigue, headaches, tingling/numbness in toes/feet and blurred vision. It is important to know, however, that many people with type 2 diabetes may have no symptoms at all.

Screenings and timely diagnosis and treatment help prevent more serious complications of this disease. Chronic hyperglycemia (chronic high blood sugars) causes long-term damage of eyes, kidneys, nerves, heart, or blood vessels, stroke, coronary heart disease, and peripheral vascular disease. You should get tested for Diabetes if you have any of the symptoms listed above, are overweight, over the age of 45, have a family history of diabetes, have a history of gestational (pregnancy) diabetes, and/or have a history of polycystic ovarian disease. If you believe you are at risk, call 573-629-3500 to get tested by your primary care provider.

sleep hygieneAccording to healthypeople.gov, 25 percent of U.S. adults are reporting insufficient sleep or rest (defined as someone who sleeps less than 6 hours a night) at least 15 out of every 30 days. Getting enough sleep helps prevent chronic diseases and promotes overall health. Sleep is associated with a number of endocrine, metabolic, and neurological functions that are critical to the maintenance of individual health. Adequate sleep is necessary to fight off infection and support the metabolism of sugar to prevent diabetes. If left untreated, sleep disorders and chronic insufficient sleep are associated with an increased risk of, heart disease, high blood pressure, obesity and diabetes.

Did you know that quality sleep can also has positive impacts on outer beauty? According to leading dermatologists, “beauty” sleep is not just an old wives’ tale.

Medical research has shown that lack of sleep leads to increased levels of stress hormones in the body. Chronic high levels of stress hormones in the body cause increased inflammation within the skin that subsequently leads to an acceleration of aging (wrinkles!) and worsening of acne. People with poor sleep habits can have trouble with skin sensitivity and irritation due to a reduction in the skin’s ability to protect itself from chemicals and pollutants in the environment. Sleep allows the skin to restore its natural balance and increases the effectiveness of certain skin care ingredients, potentially increasing their benefit to your skin. When you don’t get enough sleep, your skin will show it. Eyes look dark and puffy after even a single night of poor sleep, but chronic sleep deprivation is particularly damaging. It leads to a dull, dehydrated complexion.

Make Sleep A Priority

Take a serious look at your sleeping routine. If you are an adult who gets 7 to 9 hours of sleep each night that is great! But, if you are still sleepy keep a sleep diary next to your bed for a week or so. Write down your routine bedtimes and how you feel each morning after you shower and get ready for your day. Think about what you might change to enhance your sleep quality.

1) Keep a routine sleep/wake schedule.
Try to go to bed and get up at the same time each day. This helps maintain your circadian rhythm or body clock.

2) Exercise.
A regular, moderate exercise routine has proven to be beneficial to the quality and quantity of sleep and will help you feel more alert during waking hours.

3) An hour before bedtime create a daily ritual to allow your body to get drowsy.
Dim the lights, take a warm shower or bath, listen to relaxing music or read.

4) Keep the bedroom cool, dark and quiet.
Body temperature drops when we are getting drowsy. Light and sound from TVs, electronic devices and the environment will disrupt sleep.

5) Limit drinking beverages and eating large meals in the evening too close to bedtime.
Your body will have to metabolize the food and drinks you consumed, and this disrupts sleep too.

6) Invest in comfortable bedding.
Your bed should be comfortable and inviting, make sure your mattress is supportive and linens and pillows are fresh and comfortable.

If you think you may be suffering from a sleep disorder please discuss this with your primary care provider, you may have an undiagnosed sleep disorder such as sleep apnea. Please call Hannibal Regional Sleep Lab at 573-248-5344 with any questions you may have about sleep.

Mary Duesterhaus, RPSGT, REEGT, CRT
Clinical Coordinator Neurodiagnostics
Hannibal Regional Hospital - Sleep Services

diabetesDiabetes (“dy-ah-BEE-teez”) is a leading cause of disability and death in the United States. If it’s not managed, diabetes can cause serious health problems. While there’s no cure for diabetes, it can be managed.

Unmanaged diabetes increases the risk of:

  • Blindness
  • Nerve damage
  • Kidney disease
  • Heart diseaseStroke

    The good news is that you can do a lot to prevent or delay getting type 2 diabetes, including:
  • Watching your weight
  • Eating healthy
  • Staying active