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Welcome to Start Somewhere, your home for a whole-body approach to vibrance, resilience, and a longer healthspan.  Dr. Debbie Ozment’s thirty-plus years in clinical practice has given her keen insights to health and wellness from a unique vantage point.  Enjoy her fresh perspectives on creating a balanced and healthy environment. Add energy and vibrancy to your life!  Start Somewhere will enable you to create your own environment of sustainable strategies to nurture your mind, body and spirit. Staying healthy need not be stressful or difficult. Dr. Debbie will provide you with scientific insights and practical techniques to guide you on your adventure. 

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Hemoglobin A1C and Healthspan


Why is knowing your Hemoglobin A1C (HbA1C) essential to a vibrant healthspan? Maintaining optimal blood sugar affects your vision, your heart, your ability to move, the stability of your gums and your brain power. Your HbA1C level indicates an average blood sugar level over the past two to three months. When the level of sugar attached to red blood cells is high, it causes a smouldering inflammatory response in the blood vessels going to all parts of the body. The optimal range is between 4% and 5.5%. Levels between 5.6% and 6.4% put you at risk for Type 2 Diabetes. You can take control of this number!


In the United States, Type 2 Diabetes is a full-blown epidemic. And nothing will rob you of your energy and zest for life like Type 2 Diabetes! Almost 10 percent - an estimated 29 million Americans - have some form of Diabetes and approximately three times that number have Prediabetes, many of which are unaware and undiagnosed. Live younger by knowing your HbA1C and what it means to your years of energy and vitality.


Type 2 Diabetes is a disorder that results from problems controlling the hormone insulin. Diabetic symptoms are the result of higher-than-normal levels of sugar (glucose) in the blood. Type 1 Diabetes is typically autoimmune in origin but Type 2 has a large lifestyle component. Prolonged exposure to high blood glucose increases chronic inflammation that can damage the nerve fibers that affect blood vessels to all parts of the body including the eyes, heart, gums, limbs, and organs.


The early symptoms of Type 2 Diabetes are mild and easy to ignore. Early signs of chronically high blood sugar include:

  • Weight gain, even without a change in eating

  • Chronically dry, rashy, or itchy skin

  • Vision changes

  • Patches of dark, velvety skin in the folds and creases of the body such as the armpits and neck. This is known as acanthosis nigricans.

  • Pain, numbness, swelling, tingling of the hands or feet - “pins and needles”

  • Frequent bacterial or yeast infections - urinary, vaginal, groin, hair follicles

  • Styes in the eyes and eyelids

  • Acne

  • Fungal infections in mouth - “thrush”

  • Sexual dysfunction including reproductive problems, loss of libido, erectile dysfunction, vaginal dryness

  • Rapid heart beat

  • Sensitive skin that feels very cold or very hot

  • Muscle aches, unsteadiness, or weakness

  • Problems sleeping

  • Changes in taste or smell

  • Digestive problems including heartburn, nausea, vomiting, constipation, diarrhea or stomach bloating

While Type 2 Diabetes is a serious disease with many risks and symptoms, it can be managed with step-by-step lifestyle changes. Many people are able to reverse their high blood glucose and diabetic symptoms with intentional habit changes. Here are some places to START SOMEWHERE:


  1. Check your mindset: ponder how you want to feel next week, next month, next year

  2. Get a blood test and take responsibility for your hbA1C

  3. Find enjoyable ways to keep moving

  4. Enjoy real food (you don’t have to like everything!)

  5. Consider the Fasting Mimicking Diet

  6. Get your gums healthy

Your Hemoglobin A1C level drastically impacts the number of healthy years that you get to be active mentally and physically. Live with intention so that your Healthspan will, as closely as possible, equal your Lifespan! You can do it. I will help you.


Your Healthspan Strategist,


Dr. Debbie Ozment


P.S.: Be sure to watch and share my TEDx talk called The Forgotten Orifice!

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