After-Hours Care Appointments

Avance Care is committed to providing the most up to date and effective care to our patients. We have introduced Nutrition Care Services at our clinics, as clinical research has clearly shown that the adoption and maintenance of healthy dietary and lifestyle behaviors can effectively prolong life and delay the onset of chronic conditions such as diabetes, high blood pressure and heart disease. A Licensed Dietitian/Nutritionist is now available at our locations to provide consultations to patients who will benefit significantly from this service.

What We Offer:

  • Effective Weight loss and Weight Management Solutions.
  • Nutrition Interventions for Pre-diabetes, Diabetes, Hypertension, High Cholesterol, Heart Disease and many other conditions.
  • Customized Nutrition and Lifestyle Care Plans.
  • Ongoing support, coaching and monitoring to ensure your success.

Chronic Conditions: A Global Perspective

All around the world including in the USA there has been an increase in the incidence of chronic disease conditions. The National Centers for Chronic Disease Prevention and Health Promotion (CDC) have this to say about chronic conditions in America: 

  • 7 out of 10 deaths among Americans each year are from chronic diseases
  • Heart Disease and Stroke remain the 1st and 3rd leading cause of death in the USA and are among the leading causes of disability.
  • Cancer continues to claim more than half a million lives each year in the US and remains the nation’s second leading cause of death.
  • Nearly 24 million Americans have diabetes. An estimated 57 million American adults have prediabetes, placing them at risk for developing type 2 diabetes.
  • It is estimated that two-thirds of Americans are Overweight with 1 in 3 Adults Obese.                                                

Why Is This Happening?

Many of us understand that a family history of certain conditions such as diabetes can increase one’s risk for developing the same condition. Nonetheless, researchers agree that genetic changes are unlikely to explain the rapid spread of obesity and chronic disease around the world. That’s because the “gene pool”—the frequency of different genes across a population—remains fairly stable for many generations. If our genes have stayed largely the same, what has changed over the past 40 years contributing to rising obesity and chronic disease rates? Our environment has changed – the physical, social, political, and economic surroundings that influence how much we eat and how active we are. Environmental changes that make it easier for people to overeat, and harder for people to get enough physical activity, have played a key role in triggering the recent surge of overweight, obesity and chronic disease.

According to the CDC we are not powerless to act against this growing pandemic of chronic disease, there is a lot we can do to prevent and manage chronic conditions.

Nutrition and Lifestyle Solutions That Work

Small Changes Can Make a Big Difference

According to key opinion leaders and researchers associated with the World Health Organization (WHO), nutrition and lifestyle interventions targeting adults start to generate health effects immediately after their implementation, and benefits are even faster for interventions that narrowly target high-risk individuals and age groups. This means it is never too late to benefit from nutritional or lifestyle changes which do have the ability to change the course of a chronic condition and/or delay the onset of complications.

Here is what the National Centers for Chronic Disease Prevention and Health Promotion (CDC) have to say about adopting healthy dietary and lifestyle behaviors:

Better Management of Diabetes and Prediabetes

Lifestyle changes in diet and exercise, including a 5%–7% maintained weight loss and at least 150 minutes per week in physical activity, can prevent or delay the onset of type 2 dia­betes for Americans at high risk for the disease.

Successful dietary and lifestyle changes, as well as moderate weight loss, has been shown to reduce the risk of getting diabetes in susceptible individuals by 58%.

Improved blood sugar control benefits people with either type 1 or type 2 diabetes. In general, every percentage point drop in A1c blood test results (e.g., from 8.0% to 7.0%) can reduce the risk of complications associated with small blood vessels (eye, kidney, and nerve diseases) by 40%. 

Lower Heart Disease Risk by lowering Blood Pressure and Cholesterol

An adult with healthy blood pressure and healthy blood cholesterol levels has a greatly reduced risk for heart disease. A 12 to 13 point reduction in systolic blood pressure can reduce cardiovascular disease deaths by 25%, and a 10% decrease in total cholesterol levels reduces the risk for coronary heart disease by 30%.

Winning With Weight Loss and Keeping it Off

The National Weight Control Registry (NWCR), analyzes the behavior of people who have successfully lost weight and sustained weight loss over time. Registry participants have lost an average 66 lbs of weight and kept it off for more than 5.5 years. Many people included in the registry have lost more weight than this, and the range of weight loss for successful participants is between 30 – 300 lbs. Researchers from the NWCR have analyzed the behavior of registry participants and report that 55% of people attribute their success to receiving assistance from a professional or weight loss program. 98% report that they modified their diet and 94% report they increased their physical activity. It seems that having a professional provider support your weight loss effort is most valuable and that knowing how and what to eat for your particular needs contributes significantly to successful outcomes.

Weight Loss Helps to Manage Chronic Conditions 

The good news is that one does not need to reach one’s ideal body weight to realize the benefits of weight loss. Research has shown that a small weight loss of 5% to 10% of body weight can significantly help to lower blood pressure, LDL cholesterol levels, and triglycerides, and improve other heart disease risk factors as well as reduce one’s risk for developing diabetes.

Getting Started

  1. Request a referral during a medical appointment with your Avance Care provider, or directly request services by contacting Nutrition Services at 919-237-1337, Contact Us or LiveChat
  2. Before beginning therapy, our Nutrition Services Coordinator helps you understand your insurance coverage. Behavioral Wellness services are covered by most insurance plans.

What is a Registered Dietitian/Nutritionist (RDN)?

A licensed dietitian/nutritionist is a nutrition professional, recognized as your most credible source of nutrition information. In addition, RDNs are trained how to use nutrition to prevent and control disease.

What is Medical Nutrition Therapy (MNT)?

Medical Nutrition Therapy is the translation of evidence based nutrition practice guidelines into a customized program as well as a personalized plan of healthy eating based on an individual’s nutritional needs and medical history. Our licensed dietitian/nutritionist will use MNT to help you reach your personal health and wellness goals.

Who Will Benefit Most From MNT?

Research has clearly shown that if you are overweight, or if you have been diagnosed with Pre-diabetes. Diabetes, Pre-hypertension, Hypertension, Heart Disease, High Cholesterol or other forms of elevated blood lipid levels, then MNT can significantly and positively impact the course of these chronic conditions.

Nutrition therapy is also able to help you manage a number of other conditions, such as: Fatty Liver Disease, Gastrointestinal Disorders, Poly Cystic Ovary Syndrome and Osteoarthritis to name a few other conditions. Speak to your provider to find out more about this essential service. To learn more about how MNT can help you better manage a chronic condition click here.

How Much Will This Cost?

Most insurers will cover nutritional counseling provided by a Licensed Dietitian/Nutritionist. Currently, Avance Care provides in-network services to members of Blue Cross and Blue Shield (BCBS), United Health Care, and Medicare. We also offer these services at an affordable rate if you need to pay for the service as an out of pocket expense.

To learn more about this service and benefits that may be available to you click here.