Hannibal Regional Blog


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

Hypoglycemia means your blood glucose is too low. Because a drop in blood sugar can happen quickly, it is recommended to always have simple carbohydrate snacks available to correct blood glucose. You might have sweating or cold, clammy skin, dizziness, shakiness, or tingling feeling, fast heartbeat, headache, confusion or irritability. If you are feeling any of these symptoms, always check your blood glucose right away. If it is too low:

1. Eat or drink 15 grams of fast-acting carbohydrate (1/2 cup fruit juice, 3-4 glucose tablets)

2. Recheck blood glucose again after 15 minutes. If it is still low, repeat Step 1. Check again after another 15 minutes. If it is still low, contact your healthcare provider immediately.

3. Once your blood sugar rises, eat a small snack if your next meal is not in the next 30-60 minutes.

15-grams of Carbohydrate Snacks:

  • 1 medium fruit
  • 6 oz light yogurt
  • 3 cups popcorn
  • 4 small gingersnaps
  • 5 vanilla wafers
  • 1 ounce pretzels
  • 10 baked potato or tortilla chips
  • 6 saltines
  • 3 squares graham crackers
  • 1 granola bar

Reference: American Diabetes Association (2016). Living Well With Diabetes. (n.p.)

The full impact of diabetes is often overlooked. While some individuals with diabetes have physical symptoms and noticeable signs of high blood sugar, some are asymptomatic (showing no symptoms). High blood glucose damages both large and small blood vessels. Damage to these vessels can lead to complications that affect the whole body.

Stroke, heart attack, nerve damage (neuropathy), eye disease (retinopathy), kidney problems (nephropathy) and peripheral arterial disease are some of the complications of diabetes. You can reduce your risk of complications by controlling your blood glucose. Blood sugars can be managed through dietary adjustments, increasing physical activity and/or taking medication/insulin as prescribed. Your health care team will work with you to create an individualized plan to meet your needs.

Hannibal Regional Weight Management and Diabetes Center has two outpatient dietitians to help guide you to better eating. Contact us by phone at 573-629-3382 or by email at megan.kemp@hrhonline.org to learn more about our nutrition services and/or to schedule an appointment.

Hyperglycemia means your blood sugar is too high. You might experience increased thirst, increased need to urinate, increased tiredness and/or blurred vision. If you feel any symptoms, check your blood glucose right away. If it is too high:

1. Drink plenty of water to stay hydrated.

2. If you take insulin, you may need to adjust your medication. Regularly follow-up with your healthcare provider to better manage your blood sugar. Self-medication is not recommended. Always ask your healthcare provider if wanting to make any changes to medication doses.

3. Check blood sugars at least every 4 hours to make sure your glucose is going down. Call your healthcare provider if it doesn’t go down after two checks, or if symptoms get worse.

Reference: American Diabetes Association (2016). Living Well With Diabetes. (n.p.)

Hannibal Regional Medical Group (HRMG) is pleased to introduce its new weight management program. HRMG Weight Management Program consists of 8 weekly meetings with a registered dietitian and/or a certified health coach who can help you reach your weight loss goals.

The first session of the eight week program is completed individually with a registered dietitian. You will then attend a group nutrition class the following 7 consecutive weeks as we give you the tools and resources to lose weight and keep it off.  These group sessions are scheduled Tuesdays at 8:00 a.m. and Wednesdays at 5:00 p.m. beginning the week of July 23rd. When enrolled in our program, you can attend the session most convenient for you each week. These classes will be available on an ongoing basis.

If you are unable to attend these scheduled weekly sessions, there are also two free support groups available, both led by a registered dietitian. The Diabetic Support Group meets the first Wednesday of every month at 3:00 p.m., and the Weight Loss Support Group meets every Thursday at 4:30 p.m. Meetings are held in the first floor conference room of Hannibal Regional Medical Group.

For additional support, Dr. Purvi Parikh, board-certified Endocrinologist is available to discuss further treatment options.

Program Outline

Session 1: Nutrition Assessment
Session 2: Proper Portion Sizes
Session 3: Getting Active
Session 4: Nutrition Facts Label
Session 5: Meal Planning & Grocery Shopping for Health
Session 6: Healthy Cooking Swaps
Session 7: Emotions & Food
Session 8: Weight Management


You can get started on your weight loss journey at any time. Call (573) 629-3382 to schedule your first appointment.


Certified Health Coach
Trisha Evans, BSN, RN
(573) 629-3519

Registered Dietitian
Megan Kemp, RDN, LD
(573) 629-3382

Marie Niemeyer, RDN, LD, CDE
(573) 629-3382

Healthy dinnerWhat do you have planned for dinner tonight? Meal planning is a useful tool to make grocery shopping more efficient and meals healthier. Meal planning decreases stress and improves variety. There is a long list of pros when it comes to menu planning but for most people, a major con is the lack of free time to do so. The good news: meal planning does not have to be time consuming or tedious! We do not need to make extravagant meals but rather, we can rely on quick and easy entrees like sandwiches and low-sodium canned goods. Add fruits, veggies and low-fat dairy products on the side, and you have a well-balanced meal. Here are some lunch and dinner ideas to get your meal planning started!

Lunch & Dinner:

(1) Tuna or Salmon Packet
(10) Whole Wheat Crackers = 2 Carbs
(1) Small Apple, Banana, Orange = 1 Carb

(2) Whole Wheat Bread = 2 Carbs (2-3 oz.) Deli Meat (Chicken, Turkey, Ham)
(1 slice) Cheese
(1) Small Apple, Banana, Orange = 1 Carb

(3 oz) Rotisserie Chicken
(1 cup) Cooked Brown Rice = 3 Carbs
(1 cup) Frozen Veggies (Broccoli, Cauliflower, Green Beans)

(3 oz) Rotisserie Chicken
(1) Medium Baked Potato = 2 Carbs
(1/2 cup) Corn = 1 Carb
(2 Cups) Salad (Spinach or Romaine, Cucumbers, Carrots, 2 Tbsp Dressing)

(1) Tuna or Salmon Packet
(1 Cup) Salad Kit (Dole or Taylor Farms) = 1 Carb
(10) Whole Wheat Crackers = 2 Carbs

(3 oz.) Cooked Chicken (season with garlic + onion powder)
(1 Cup) Cooked Brown Rice = 3 Carbs
(1 Cup) Frozen Stir Fry Vegetables

(1) Medium Baked Potato = 2 Carbs
(1/2 cup) Manwich = 1 Carb
(¼ Cup) Shredded Cheese
(1 Cup) Steamed Broccoli
(1 Tbsp) Plain Greek Yogurt

(1 Cup) Canned Chili = 2 Carbs
(1) Medium Baked Potato = 2 Carbs
(¼ Cup) Shredded Cheese
(1 Cup) Green Beans

(½ Cup) Cottage Cheese
(1 Cup) Fresh or Frozen Fruit = 1 Carb
(10) Whole Wheat Crackers = 2 Carbs
(1 Cup) Salad Kit (Dole or Taylor Farms) = 1 Carb

(1 Cup) Low-Sodium Soup = 1 Carb
(5) Crackers = 1 Carb
(1) Small Banana, Apple, Orange = 1 Carb
(1 Cup) Salad Kit (Dole or Taylor Farms) = 1 Carb

(3 oz) Cooked Chicken
(½ Cup) Shredded Mexican Cheese
(2) 8” Medium Tortillas = 4 Carbs
(½ Cup) Sliced Green and Red Peppers
(1/4 cup) Chunky Salsa

(1 Roll) Sandwich Thin = 2 Carbs
(¼ Cup) Pizza Sauce = ½ Carb
(½ Cup) Shredded Cheese
(1) Small Apple, Banana, Orange = 1 Carb

(1 Roll) Sandwich Thin = 2 Carbs
(2 Tbsp) Peanut Butter
(1 Tbsp) Jelly = 1 Carb
(2) Small Clementines = 1 Carb

(1 Cup) Cooked Pasta = 3 Carbs
(½ Cup) Shredded Cheddar
(1 Cup) Steamed Broccoli

Blog post provided by: Megan Kemp, RDN, LD