couple holding hands

Prediabetes and Infertility in Men

A couple typically receives their infertility diagnosis after not conceiving for one year of unprotected sex. When it comes to infertility, women often feel societal pressure to conceive. However, 40-50% of infertility is due to male factors. 1 New research released in 2018 may also give new insight into why some men are unable to impregnate their partners. This condition, prediabetes, is often undetected and underdiagnosed.

 

What is prediabetes?

 

Prediabetes is a condition in which blood glucose levels are higher than normal. However, these levels are not as high as when type 1 or type 2 diabetes is present. These levels indicate that the body isn’t using its own supply of insulin efficiently.  

 

What does the research show?

 

In the study, researchers checked the glucose levels of 744 men who had not impregnated their partners after 12 months. 15.4% of the participants had fasting and after-meal blood glucose levels in the prediabetes category. 2 This is between 100 milligrams per deciliter (mg/dl) and 125 mg/dl at fasting. At two hours after drinking 75 grams of glucose, it is between 140 and 199 mg/dl. It can also be measured by having an average blood glucose reading, known as a hemoglobin A1C reading, of at least 5.7%.

 

What is the link between prediabetes and infertility?

 

Without treatment or positive lifestyle changes, prediabetes can become type 2 diabetes. Diabetes affects overall sperm quality. Sperm motility also decreases. Sperm DNA integration is affected and semen volume decreases as well.

 

What factors increase the risk of prediabetes?

 

Always take prediabetes seriously. It’s a warning sign that you may develop type 2 diabetes. Those who meet any of the following criteria are more likely to have prediabetes according to the Center for Disease Control:

 

Having a close family member with type 2 diabetes

Age in the mid-forties or older

Exercising less than three times a week

Weighing over the recommendation for your height

Being of certain ethnicities: Hispanic/Latino, African-American, Pacific Islander, Native American, and some Asian American ethnicities

 

How can men combat prediabetes?

 

According to the American Diabetes Association, weight loss and healthy lifestyle changes can help lower blood glucose levels into the nondiabetic range. This range is less than 100 mg/dl at fasting and not higher than 126 mg/dl two hours after eating.

 

Some recommended lifestyle changes include:

 

Losing 5 to 7% of your current body weight

Cooking foods with less fat by roasting, broiling, grilling, steaming or baking rather than frying

Exercising for at least 30 minutes at least five days a week

 

 

Are you diabetic? Learn about diabetic care at CCMH by visiting CcmhHealth.com/Diabetes-Services.

 

Sources

 

1 Naina Kumar and Amit Kant Singh. US National Library of Medicine National Institutes of Health. Trends of male factor infertility, an important cause of infertility: A review of literature. 2015 October.

 

2 Luca Boeri, Paolo Capogrosso,  Eugenio Ventimiglia, et al.  BJUI International. Undiagnosed prediabetes is highly prevalent in primary infertile men – results from a cross‐sectional study. 16 October 2018.

 

Disclaimer

 

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

Older man and woman looking out window and smiling

Conversations Older Men Should Have with Their Doctor

No matter your age, there is no time like the present to make your health a priority! June is Men’s Health Month. So men, why not make it your goal to take care of any health needs or concerns you have this month?

 

For older men, health needs are unique. We know that navigating your health in your older years can be challenging. Here are six conversations we recommend you discuss with your doctor to help you live out your best life in your older years.

 

How can you prevent illnesses?

 

Although there is no way to prevent most serious illnesses completely, there are many simple things you can do to protect yourself.

 

Ask your doctor if you need to:

 

Use sunscreen to protect against skin cancer.

 

Get any immunizations such as the flu shot, tetanus and whooping cough vaccines. Depending on your age, your doctor may also recommend the shingles and pneumonia vaccinations.

 

Take aspirin to lower your risk for heart attack or stroke.

 

Undergo a prostate exam to test for prostate cancer.

 

Are you at risk for depression?

 

Depression is common in older years and is nothing to be ashamed about. You may wish to speak to your doctor if you feel sad, hopeless, or down for a couple of weeks or longer. If you find you aren’t enjoying things you used to, this is another sign you need help also. Your doctor can set up a depression screening for you and, if needed, assist you in getting additional help. Your doctor might also suggest activities for you to avoid isolation and keep your mind active.

 

Do you exercise enough?

 

Exercise is great for even an aging body in numerous ways. It strengthens your muscles and reduces the risk for broken bones. Therefore, discuss with your doctor about a comprehensive exercise program that includes strength training, aerobic exercise, and exercises for balance and flexibility. The right exercise improves your heart strength and keeps your weight down also. This wards off diabetes and other obesity-related health issues.

 

What should you eat?

 

Men have different nutritional needs at different stages of life. For many, eating the right nutrients to lower the risk of heart disease is important. You now may need more calcium, fiber, potassium and Vitamin D. You may also need less sodium and saturated fat. Your doctor will work with you to discover what is best at your age and for your lifestyle.

 

Which vitamins are right for you?

 

Multivitamins and other supplements are important to help you get the nutrients you need. However, some interact with medications your doctor may prescribe. Take a complete list of all of the vitamins and supplements you take to your doctor for a quick review.

 

Should you see a Specialist?

 

A few specialist checkups are often necessary in your older years. You may need to visit an ophthalmologist to get a vision screening, and an otolaryngologist to have your hearing checked. You might want to get your skin evaluated, head to toe, by a dermatologist to look for possible signs of skin cancer if you have been outdoors a lot over the years as well.

 

CCMH is proud to have a variety of general practitioners and specialists to meet your health needs as you age. To find a list of them, visit Ccmhhealth.com/directory.

 

Disclaimer

 

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

 

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

CCMH 2019 Summer Volunteens

CCMH Welcomes 50 Volunteens to Summer Volunteen Program

This month CCMH welcomes 50 Volunteens to our summer Volunteen program. Under the supervision of Michelle Callihan, Volunteer and Gift Shop Supervisor, these teens will offer much needed summer help in many departments. This program allows the teens to gain experience and knowledge from our great CCMH staff in many medical fields. The program allows the teens to discover areas of interest for many who will go on to medical school, and many other medical professions. You can identify our Volunteens by their royal blue shirts. If you see them, take a moment to introduce yourself and welcome them to CCMH!

man sitting on beach with child

Prostate Cancer Prevention

June is Men’s Health Month! The second leading cause of cancer death in American men behind lung cancer is prostate cancer, and about 1 man in 41 will die from this disease. 1 Although some men are more likely to develop prostate cancer than others, there are certain lifestyle choices that may lower the risk.

 

About prostate cancer

 

All men have a prostate. This small, muscular gland produces some of the ingredients of semen. It is situated  just in front of the rectum and below the bladder.

 

Prostate Cancer is the second most common type of cancer affecting men after skin cancer. About one man in nine will receive this diagnosis  during his lifetime. 1

 

Older men and African-American men are most likely to develop prostate cancer. Around 60% of cases are men aged 65 or older; rarely does a diagnosis occur before age 40. The average age when diagnosis occurs is about age 66. 1

 

Who has an increased risk of prostate cancer?

 

Age is the most common risk of prostate cancer. However, African American men are at an increased risk. Those that have a family history of prostate cancer are also more likely to develop the disease.

 

How can prostate cancer be prevented?

 

Diet

 

One way men can lower their prostate cancer risk is through a healthy, low fat diet. Diets high in saturated fats such as those found in meat and dairy are associated with a higher risk for prostate cancer.

 

Other good dietary choices for prevention include eating at least 2.5 cups of fruits and vegetables a day.

 

Although no one diet is typically recommended for prostate cancer prevention, the Mediterranean Diet is a good choice and has proven to lower a man’s risk of prostate cancer development. 2

 

Exercise

 

Men who are obese (a body mass index of 30 or higher) may have an increased risk of developing prostate cancer.

 

Men who exercise regularly may have reduced prostate cancer risk. Always discuss a new exercise program with your primary care physician. In general, a well-rounded exercise program including a half-hour of physical activity most or all days of the week delivers many health benefits.

 

If you are a man who struggles to fit exercise into your day-to-day routine, you needn’t perform this activity all at once. You can break daily exercise into 10-minute segments.

 

 

For those with an increased risk of prostate cancer, medications may also be necessary for risk reduction. You can discuss this possibility with your doctor. If you think you have a high risk of prostate cancer, a CCMH Provider would be happy to review these concerns with you. To learn about cancer care available on the CCMH campus at the Leah M. Fitch Cancer Center, visit Ccmchealth.com/Cancer-Care

 

Sources 

1 The American Cancer Society. Prostate Cancer. 2018.

2 Relevant, Julie. Fox News. 10 foods that can help prevent prostate cancer. 12 September 2016.

 

Disclaimer

 

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

 

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

Bypass Surgery Lunch & Learn - June 21, 2019

Bypass Surgery Luncheon

Bypass Surgery Luncheon

with Dr. Timothy Trotter, Cardiovascular Thoracic Surgeon

Friday, June 21, 2019

11:30am – 1:00pm

CCMH Maple Conference Room 1 & 2

$10 per meal

 

Come to the Lunch & Learn featuring information on bypass surgery – when is surgery needed and what to expect. Comanche County Memorial Hospital is the only comprehensive heart program in southwest Oklahoma.

Heart bypass surgery is the most common type of heart surgery performed on adults. Doctors recommend heart bypass surgery when one or more of the blood vessels that transport blood to the heart muscles become partially blocked.

 

Please RSVP by Friday, June 14, by calling 580.585.5406

mushrooms on table

Mushrooms May Affect Cognitive Health

Love them or hate them, mushrooms are a wonderful addition to your diet. Recent research has shown that mushrooms may have even more health benefits than we previously realized!

 

Why are mushrooms good for you?

 

Many edible varieties of mushrooms are found in the vegetable section of your local grocery store. However, mushrooms are not vegetables. Mushrooms are actually fungi. Edible varieties contain a high amount of antioxidants, protein, dietary fiber, vitamins and also minerals.

According to recent research, eating mushrooms may also reduce the risk for mild cognitive impairment (MCI).

 

What is Mild Cognitive Impairment?

 

MCI is a type of memory impairment which is often a precursor of Alzheimer’s disease. It is the stage between the normal cognitive decline of aging and the more serious decline of dementia. MCI involves problems with language, thinking, memory and judgment that are beyond normal changes as a person ages.

Patients with mild cognitive impairment may be aware that their memory or mental functioning is “off”. Others may also notice a change. MCI is not severe enough to interfere with normal day-to-day functioning, however.

Mild cognitive impairment may increase someone’s risk of developing Alzheimer’s disease or other neurological conditions later in life.

 

What is the relationship between mushrooms and MCI?

 

Researchers in Singapore gathered data on 663 Chinese men and women. All of the participants in the study were over the age of 60. Researchers recorded diet information, including data about the participant’s mushroom consumption. The investigators focused on the consumption of some of the most common mushrooms that people in Singapore eat. These varieties include:

 

oyster mushrooms
golden mushrooms
shiitake mushrooms
dried mushrooms
canned button mushrooms
white button mushrooms

 

They also interviewed each participant and conducted various cognitive tests.

This controlled study accounted for various factors including socioeconomic factors, health and other behaviors. Researchers also considered each participant’s consumption of vegetables, meat, and green fruits and nuts. The participants who ate one to two 5- ounce portions had a 43 percent reduced risk for MCI in comparison to those who had one portion or less. Participants that consumed more than two portions, however, had a 52 percent reduced risk. 1

 

Why do mushrooms help ward off Alzheimer’s?

 

It is unclear why this relationship exists between mushrooms and a reduced risk of MCI. Mushrooms do contain various antioxidants that may inhibit the buildup in the brain of amyloid beta and tau. These are proteins that are present during Alzheimer’s disease.

 

What are the signs of Alzheimer’s?

 

Some of the top signs of Alzheimer’s include:

difficulty remembering what just happened
struggling to manage bills or finances
misplacing things
vision problems
inability to follow conversations
difficulty completing day-to-day tasks
losing track of dates and times
poor decision making
inability to plan or problem solve
withdrawing from work or social activities
getting easily lost in their normal environment
mood/ personality changes
uncommon feelings of depression, suspicion, anxiety or confusion

 

If you or someone you love is experiencing these symptoms, reach out to a CCMH Provider for an appointment. You can find a list of our providers at Ccmhhealth.com/Directory.

 

Resources

1 L Feng, Irwin K-M Cheah, Maisie MX Ng, J Li, SM Chan, SL Lim, R Mahendran, E-H Kua, B Halliwell. Journal of Alzheimer’s Disease. NUS Study: Eating Mushrooms May Reduce the Risk of Cognitive Decline. 13 March 2019.

 

Disclaimer

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

Doctor using stethoscope to measure heart with EKG line

CCMH EMS Receives Lifeline Bronze Plus Award

We’re proud that CCMH’s EMS was recognized by the American Heart Association for their achievement in AHA’s Mission: Lifeline Bronze Award for implementing quality improvement measures for the treatment of patients who experience severe heart attacks. CCMH is committed to providing excellent heart and stroke care that aligns with the latest research-based treatment guidelines.

woman smoking cigarette while looking at phone

How Smoking Affects the Lungs

Each organ in your body plays an important role in keeping your body healthy. If you have healthy lungs, you probably don’t think much about them. Damage to your lungs, however; can quickly cause a noticeable difference in your ability to breathe easily.

 

The primary role of the lungs is delivering oxygen-rich blood throughout the body. You breathe in air and breathe out carbon dioxide as waste exhaling.  No tobacco product is safe. However, combustible products—those that you burn to smoke—are exceptionally harmful to the lungs.

 

How does smoking hurt your lungs?

 

When you smoke, the tissue of the lungs receive damage, impeding them from functioning properly. Smoking also increases your risk of serious health issues. Some examples include: lung cancer, chronic obstructive pulmonary disease (COPD) and emphysema.

 

Upon your very first puff, immediate damage to the lungs begins. Every puff of cigarette smoke contains over 7,000 chemicals.1 When you inhale, the smoke hits your lungs almost instantly. The blood then carries these toxic chemicals throughout the body. Tobacco smoke contains carbon monoxide, a deadly gas that then displaces the oxygen in your blood. This deprives all your organs of needed oxygen.

 

What chemicals are found in cigarettes?

 

Cigarettes also include acrolein. This chemical causes lung damage and a sore throat. Cigarettes may also contain bronchodilators. These chemicals are meant to open up the airways of the lungs. They also can increase the amount of dangerous chemicals absorbed by the lungs.

 

What are the consequences of smoking?

 

Cigarette smoke has negative consequences for individuals of all ages. Babies born to mothers that smoked during pregnancy may have abnormal lung development. Teens who smoke may develop weaker lungs which never operate at full capacity or develop to their full, adult size.

 

Additionally, smoking can destroy the cilia. These tiny hairs in the airway keep dirt and mucus out of your lungs. This may then lead to the development of “smoker’s cough,” a chronic cough common for long-term smokers.

 

Smokers are also at risk for chronic obstructive pulmonary disease (or COPD). 80% of cases of COPD are due to smoking. 2  People with COPD have difficulty breathing and eventually die because of the lack of oxygen.

 

COPD has no cure. Moreover, nearly all lung cancer—the top cause of cancer death— is due to smoking. Smokers are 20 times more likely to develop lung cancer than nonsmokers. 3  Lung cancer may also lead to other respiratory cancers.

 

Are e-cigarettes also harmful?

 

Because e-cigarettes are still relatively new tobacco products, many do not realize the harm they cause. We discussed this in a recent article “Juuling Much More Dangerous than Teens Realize”.

 

Some e-cigarette aerosols contain some of the same chemicals as cigarettes. This includes the lung irritant acrolein, and formaldehyde. Some chemicals that create flavor could be harmful when inhaled too.  Furthermore, fruit flavored e-cigarettes often large amounts of acrylonitrile, a known respiratory irritant.

 

Can I reverse the damage of smoking to my lungs?

 

When you stop smoking, you have overall better health. Lung cancer risk drops drastically in the years after quitting. Furthermore, only 12 hours after quitting, the carbon monoxide level in your blood drops to normal. This, of course, allows more oxygen to circulate to your organs.

 

If you’re struggling to stop smoking, reach out to a CCMH Provider by visiting CCMHHealth.com/Directory. We would love to help!

 

Sources

 

1 U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.

 

2 U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General (Fact Sheet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.

 

3 U.S. Food and Drug Administration. Harmful and Potentially Harmful Constituents in Tobacco Products and Tobacco Smoke.

 

Disclaimer

 

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

 

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

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