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Hillside Family Medicine
& Occupational Medicine

Hillside Family Medicine
& Occupational Medicine

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Triglyceride/HDL Ratio Predicts Heart Attacks, Diabetes

~Dr. Gabe Mirkin's Fitness and Health e-Zine 

Two blood tests that are done during routine physical exams can be used to predict whether you are at increased risk for a heart attack (The Journal of Clinical Hypertension, Jan 13, 2016). It's called the triglyceride/HDL ratio, calculated by dividing your triglycerides number by your HDL number.

* Your triglycerides should be below 150 mg/dL (in Canada less than 1.7 mmol/L)
* Your HDL cholesterol should be above 40 (in Canada, greater than 1.00 mmol/L)
* Thus your Triglycerides/HDL ratio should be under 3.75

The triglycerides/HDL ratio also predicts risk for diabetes and pre-diabetes (J Investig Med, Feb 2014;62(2):345-9). Almost fifty percent of North American adults already have diabetes or pre-diabetes (JAMA, September 8, 2015), diseases that damage every cell in your body to cause heart attacks, strokes, dementia, impotence, many cancers, blindness, deafness, and premature death. If your triglyceride/HDL ratio is above 3.75, you are at increased risk for pre-diabetes or diabetes. Check with your doctor. Since the majority of cases of diabetes are caused by a faulty lifestyle, not just by genetics, diabetes is both a preventable and curable disease with lifestyle changes. Many people with pre-diabetes and early diabetes can return to normal by changing their lifestyles long before they develop any symptoms of the disease.

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Welcome to Dr. Juliana Shields

Please join us in welcoming our new provider
~~ Dr. Juliana Shields ~~
Hillside Family Medicine is proud to have Dr. Shields as part of the team! 
She does not have an official schedule but will be working to cover provider shifts ensuring that there are appointments available for our patients when they need them. 
Her schedule is open and she's ready to see patients!
Juliana Pic

How to Prevent Sports Injuries

~Dr. Gabe Mirkin's Fitness and Health e-Zine

You can help to prevent wear-and-tear injuries during any type of exercise by warming up, stopping exercise when you feel pain and by not exercising intensely when your muscles feel heavy or sore. Muscles are made of millions of individual fibers. When you first contract a muscle, you use only one percent of the fibers. As you continue to exercise, you contract more fibers to share the load, which places less force on each fiber and helps to prevent injuries. Always warm up. Go slow before you go fast. If you take a hard workout and feel sore the next day, go easy on every day that your muscles continue to feel sore after you have warmed up. It usually takes at least 48 hours for muscles to recover from hard exercise. When you feel pain in one muscle during exercise, that's a signal that it may be starting to tear and you should stop exercising for that day.

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Depression or Tiredness: Low Thyroid

~Dr. Gabe Mirkin's Fitness and Health e-Zine

More than nine million North Americans suffer from low thyroid function, but many people are not diagnosed or treated because they have never been tested. One million people take thyroid replacement pills, but some are not being treated properly because they are taking only one thyroid hormone when they need two to really feel better.

Common symptoms of low thyroid function include:
* Depression
* Tiredness
* Weight gain
* Muscle weakness
* Feeling cold
* Dry skin and hair
* Hair loss
* Poor appetite
* Memory loss
* Numbness in hands and feet or feelings of pins and needles
* Constipation
* Irregular periods
* Irritability
* Enlarged thyroid gland

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Who Gets High Blood Sugar After Meals

~Dr. Gabe Mirkin's Fitness and Health e-Zine

Some foods raise blood sugar far more than others, and a high rise in blood sugar after meals can increase risk for diabetes, heart attacks and premature death. A study from Israel shows that some people develop surprisingly high blood sugar levels after eating foods such as bread, pizza, potato, tomatoes or bananas, while others do not develop the expected rise in blood sugar even after drinking a sugared soft drink or eating a cookie (Cell, published online November 19, 2015;163(5):1079–1094). The authors believe that by knowing which foods cause a person's highest rises in blood sugar, they could personalize a diet to lower the rise in blood sugar that follows eating.

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Hillside Family Medicine

9220 Lake Otis Parkway, Ste 9
Anchorage, Alaska 99507
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Hours of Operation:

Monday: 8AM–6PM
Tuesday: 8AM–8PM
Wednesday: 8AM–6PM
Thursday: 8AM–6PM
Friday: 8AM–4PM
Saturday: 8AM–4PM
Sunday: Closed

Closed For Lunch: 12PM-1PM