Tag: nutrition

  • Medication Management for Chronic Conditions: What Patients and Caregivers Should Know

    Medication Management for Chronic Conditions: What Patients and Caregivers Should Know

    If you’re living with a chronic condition, your medication list can grow quickly. Different dosages, varying schedules and instructions from more than one provider can be a lot to keep track of.  If you’re helping a loved one manage their prescriptions, that responsibility can feel even more demanding.

    Without a clear system, it’s easy to miss a dose, mix up medications or overlook a potential interaction. With support from your care team, medication management brings order to that process.

     

    What Medication Management Means

    Medication management is more than just taking your pills on time. It’s about having a clear understanding of every prescription you take: what each one is for, how and when to take it and how it works alongside your other medications. It also includes reviewing that list now and then to make sure it still reflects your current health needs.

    That’s especially important with conditions like heart disease, diabetes or high blood pressure, which often require long-term treatment that evolves over time. It’s not just about following a schedule. Understanding the purpose behind each medication matters, too. As Sara Smith, Director of Pharmacy at Fisher-Titus, explains, “Patients really need to understand the why behind their medications; why am I taking this, and how is it going to help me?” With chronic conditions, results aren’t always immediate, so knowing what a medication is supposed to do and how long it takes to work helps you stay the course even when you don’t feel an instant difference.

     

    Why Managing Multiple Prescriptions Can Be Challenging

    Some of the most common daily challenges you might face could include:

    • Different dosing schedules: Some medications are taken once a day, others multiple times per day, with or without food and at specific times.
    • Multiple prescribing providers: Your cardiologist, endocrinologist and primary care provider may prescribe medications independently without knowing everything else you’re taking.
    • Similar-looking medications: Pills that are close in color, shape or name can be easy to mix up.
    • Keeping up with refills: Tracking when each prescription needs to be renewed adds another layer of coordination.

    The multiple-provider challenge is compounded by the fact that not all specialists share the same electronic health records platform. That’s part of why your pharmacist can be such a valuable resource. Smith describes it this way: “Your pharmacist is kind of your safety net. They can make sure your medications can all be given together, catch duplicates and ensure that everything you’re taking is working together instead of against each other.” That safety net is strongest when you use a single pharmacy, since your pharmacist can only flag interactions across prescriptions they can see.

     

    How Primary Care Supports Safe and Effective Medication Management

     

    One Central Provider Overseeing the Full Medication List

    Your primary care provider maintains a complete, up-to-date list of your medications and looks at how everything works together rather than reviewing each prescription on its own. Individual specialists aren’t always positioned to do that, given the focused nature of their care. When your PCP knows everything you’re taking, they’re better able to spot potential concerns early and make sure any new prescriptions fit safely within your existing treatment plan.

     

    Preventing Interactions and Reducing Risk

    If you’re taking several medications, potential interactions are worth paying close attention to. Some combinations can reduce how well a treatment works. Others can cause side effects that are easy to mistake for a new or worsening symptom. Your primary care provider can identify those risks, adjust dosages when needed and monitor for side effects over time. That ongoing attention can reduce complications as your treatment evolves.

     

    Simple Strategies to Stay Organized and On Track

    A few practical habits can make your medication routine feel more manageable. You don’t need to change everything at once. Starting with one or two of these habits can make a difference over time.

    Build these steps into your day:

    • Keep an updated medication list: Include the name, dose, prescribing provider and reason for each medication and bring it to every appointment.
    • Use a pill organizer: A weekly or monthly organizer makes it easier to track what you’ve taken, reducing the chance of an accidental double dose.
    • Set reminders or alarms: A phone alert or a written schedule can help you stay consistent, especially when medications have specific timing requirements.
    • Use one pharmacy when possible: A single pharmacy can simplify the refill process.

    It’s also worth knowing that if you’re on Medicare, you may be eligible for a Medication Therapy Management (MTM) review at no cost. Smith notes that this benefit is widely available but frequently missed. “Most patients don’t even realize their insurance would already pay for it.” An MTM review lets you sit down with a pharmacist to go over your full medication list, check for duplicates and identify potential interactions. Ask your pharmacist whether you qualify.

     

    When to Review or Reevaluate Your Medications

    Your medication needs can change as your health does. Regular reviews with your provider make sure your prescriptions still meet your current needs.

    Consider reaching out when:

    • You notice new symptoms or side effects that may be connected to a medication.
    • Your health condition changes, whether that’s a new diagnosis, a shift in an existing condition or a change in how you’re feeling day to day.
    • You start a supplement or over-the-counter medication, since those can interact with prescriptions in ways that aren’t always obvious.
    • You’re having trouble following your schedule due to cost, side effects or the complexity of your regimen. There may be options worth exploring together.

    If cost is a barrier, bring it up. Don’t quietly stop taking a medication. Many manufacturers offer copay assistance programs, and grants or community benefit resources may also be available. As Smith puts it, “It’s not a matter of if the help is there; it’s where is the help and how do I find it.” Your care team can help you find it.

    A medication review is a routine part of managing a chronic condition well, not a sign that something has gone wrong.

     

    Staying Safe, Informed and Confident in Your Care

    Your primary care provider is a long-term partner who can keep your medications organized and your care on track. If it’s been a while since you’ve reviewed your medications or if you have questions about your current schedule, that’s a good reason to get in touch.

    Schedule an appointment today to connect with the Fisher-Titus primary care team.

  • How One Local Woman Took Control of Her Diabetes

    How One Local Woman Took Control of Her Diabetes

    In 2012, Heather Smith was diagnosed with Type 2 diabetes.

    Since she was overweight and the disease ran in her family, Heather wasn’t surprised by the news. Still, she thought, “I can easily manage the condition.”

    What followed, though, was anything but easy. Getting back on the road to wellness would require a commitment and the help of some caring people.

    “I weighed nearly 400 pounds and was a bad asthmatic,” Heather recalled. “I was having trouble breathing, so I was hospitalized and placed on IV steroids. By the time I left the hospital, I was taking four shots of insulin per day. I felt so defeated.”

    Then, Heather’s condition worsened. Doctors placed her on an insulin pump, but when they told her she’d need a highly concentrated form of the hormone reserved for those with severe insulin resistance, she realized she had to make dramatic changes.

    “I knew it was serious,” she said. “That’s when I started to look at other options.”

    So, in 2018, Heather had bariatric gastric sleeve surgery, a procedure that proved to be a turning point for her.

    The early results were positive. Heather lost 100 pounds and completely transitioned away from insulin. But just as quickly, her progress stalled. Her post-surgical, high-protein, low-carb diet drove her blood sugar levels out of control and she was forced back onto insulin.

    After an Esophagogastroduodenoscopy (EGD) and colonoscopy, Heather asked her primary care provider for a referral to a registered dietitian at Fisher-Titus, a process that was as simple as her provider sending an electronic order.

    Soon, Heather met with Kelly Berry, a Registered Dietitian Nutritionist (RDN) and diabetes educator at Fisher-Titus.

    “I would not have understood any of this had it not been for Kelly,” Heather said. “She took the time to explain not only how I should eat, but why I needed to eat a certain way.”

    Kelly helped Heather understand that her high-protein, low-carb diet was the problem. The lack of fiber and carbohydrates led to chronic constipation. And since Heather’s liver sensed that her body was starving for energy, it responded by releasing stored glucose. That’s what drove her blood sugar levels so high.

    “Kelly taught me that not all carbs are bad and that, even if you’re a diabetic, your body needs them to function properly.”

    But still, Heather couldn’t start eating carbs without feeling anxious. For years she’d heard that carbohydrates were the enemy of weight loss, so the idea of eating carb-rich foods again felt counterintuitive, even frightening.

    Heather Smith before and after losing 200lbs with the help of Fisher-Titus Diabetes Education.
    Heather Smith before and after losing 200lbs with the help of Fisher-Titus Diabetes Education.

    “I was very nervous about re-introducing carbs into my diet. I never want my weight to come back on, and many people are told that to lose weight, you must give up carbs. This is such a horrible myth,” Heather said.

    By following Kelly’s nutritional recommendations, though, Heather lost an additional 125 pounds. Her total weight loss now exceeds her current body weight. “I was eating more than I had in five years, but I was eating the right foods.”

    Most importantly, Heather was able to stop using insulin and has not needed it since. She still wears a discrete continuous glucose monitor and takes diabetes medications, but her relationship with the disease has completely transformed.

    “Kelly empowered me so that I could take control of my disease, instead of the disease controlling me,” Heather said. “She gave me the tools I needed to reach total wellness, while working with my physician.”

    Heather’s message to others in a similar situation is one of encouragement and persistence.

    “If you are facing a health struggle, and something does not seem right, I urge you to look at your entire body,” she said. “A medication does not always relieve every symptom. Even if you have been diagnosed for some time, recommendations change, as do our lifestyles. Give the people at Fisher-Titus a chance to help you. You won’t regret it.”

    The Fisher-Titus Nutrition Counseling team is dedicated to helping patients achieve lasting wellness through personalized, evidence-based dietary guidance. Learn more about Nutrition & Lifestyle services here. Ask your primary care provider for a referral today.