By Amanda Godsey, FNP-C

Amanda Godsey, FNP-CLet's acknowledge how difficult it can be as health care providers to explain diabetes to a patient and for the patient to comprehend all the information they need to know regarding diabetes once diagnosed in just one office visit.

Now, I understand we can bring them back to the office for follow-up visits as much as possible and refer them to a nutritionist to help educate them better about their diet. We have all done this in providing patient care for our diabetic patients. But what we really need to do is educate people about how to prevent this dreaded disease and all the problems it brings with it.

First, what is diabetes? There are two types of diabetes that we commonly diagnose - Type 1 and Type 2. Type 1 we have no control over. It involves the body's inability to produce insulin. Patients with type 1 will require insulin injections or an insulin pump throughout their lifetime. Type 1 is typically diagnosed early in life.

Type 2 diabetes can be prevented, and when diagnosed, we can have control over it in many cases. Type 2 can be managed by diet, exercise and may, or may not require insulin. In many cases oral medications are required if the condition cannot be controlled by diet and lifestyle changes alone.

By Amanda Godsey, FNP-C

Amanda Godsey, FNP-CAmanda Godsey is a Nurse Practitioner in our Northwest Primary Care Clinic. Nursing has been Amanda's passion now for 18 years. She loves caring for people and helping them be able to achieve their maximum health benefits throughout their lifetime. You can reach Amanda at Northwest Primary Care Clinic, 200 Carraway Drive, Suite B2, Winfield, AL 35594 or call 205-487-7556.

Summertime is when more rashes occur than at any other time throughout the year. People contract poison oak, poison ivy, sumac rashes, scabies, and even eczema may become more prevalent during the summertime as well. There is one rash that is encountered more often this time of the year. It is not transmitted by plants or animals but is transmitted by people. It is viral in nature and is known as hand-foot-mouth disease, or HFMD. Although this rash can occur any time of the year, it is more prevelant during the warmer months. We have already noted this rash in our clinic this summer.

HFMD usually affects children less than 5 years old but adults also may get this disease as well. It usually begins with fever, decreased appetite, sore throat, and fatigue. One to two days after the fever begins, a painful rash can develop in the mouth, palms of the hands, and soles of the feet. The rash normally looks like flat red spots but can develop blisters that may rupture and drain. Not everyone will experience all the above symptoms. Some patients may only have one or two of them. The rash can spread to the entire body, as well, but usually presents to the hands, feet, and mouth in the beginning.