Primary Care
(352) 224-2225

SIMED's tenets are: Respect, Trust and Fairness.

Southeastern Primary Care will demonstrate:

Respect for your patient confidentiality and your wishes in how you would like to direct your healthcare needs.

Trust is reliance on another person to do the right thing at the appropriate time. We have a team of providers who have complete trust in each other. Your provider has a tremendous amount of support from peers and ancillary staff, this equates to confidence in our practice and in caring for you.

Fairness is how we care for our patients regardless of race, color, creed, religion or financial status.

SIMED Primary CareYour primary care providers strive to give patients accessibility and accountability. We are in good standings in our respective specialties and continue to educate ourselves in the latest consensus recommendations and technologies.

All of our providers see patients in the office or clinic setting. Some of our providers also care for our patients in the hospital setting (in-patient), nursing homes and specialty rehab care setting. This gives us the best opportunity to care for our "patient family." Our providers are in communication with our inpatient physicians and we work together to improve your health.

SIMED providers will see you at any of our convenient locations in North and Central Florida to include: Gainesville, Chiefland, Ocala, McIntosh and The Villages.

Your primary care provider is a part of a team of enthusiastic individuals coordinating your health care. Our ancillary staff excel in making your appointments timely and convenient, your referrals expedient, your billing needs efficient and your questions answered in a timely fashion. Our ancillary staff allows your physician to focus on you and not all the intricacies of the ever changing health care model.

By choosing a Southeastern Primary Care Provider you will be in essence adopting a team of individuals have respect for the importance of your health to you and the trust that together, as a team, we can provide you the quality health care you and our communities deserve.

We look forward to serving you now and in the future.

For Information on how we can assist you click here.
Diabetes The Growing American Epidemic
December 8, 2014

Diabetes Mellitus is a growing American epidemic.  This common metabolic disease is due to glucose (sugar) being at a high level in the blood stream over a prolonged period of time.  Untreated Diabetes can result in damage to many organs and systems resulting in long term, and often life-threatening body changes. We have recently interviewed SIMED Primary SIMED Health | Diabetes AwarenessCare’s Daniel Duncanson, MD about this issue.

What is Diabetes?
“The elevated glucose levels occurring with Diabetes is a result of not enough insulin being present when needed.  The inadequate insulin levels can be due to the pancreas not producing enough insulin or the body not responding to the insulin.”  

What are the complications of Diabetes?  
“The complications of poorly controlled Diabetes include:  heart disease, stroke, kidney failure, poor wound healing, skin ulcers or pigment changes, and/or eye damage possibly resulting in loss of sight.  Symptoms include increased urination, increased thirst, dry mouth, hunger, unexplained weight loss, blurred vision, frequent or continuous infections and tingling or pain in the hands and/or feet.”

Is their just one type of Diabetes? Or are there different types of the disease?
"The most common variety of Diabetes Mellitus is Type 1, Type 2 and Gestational diabetes."
How are those types of Diabetes different?
  • "Type 1 Diabetes is also known as "juvenile diabetes" and "insulin-dependent diabetes."  Seventy percent of Type 1 Diabetics are diagnosed prior to the age of 30 however it can be diagnosed at any age. Only 5 - 10 percent of diabetics have this type."
  • "Type 2 Diabetes Also known as "adult onset diabetes" or “non-insulin diabetes.”  Type 2 Diabetes is the most common form of Diabetes, affecting ninety percent of those diagnosed, and the frequency has been increasing over the last two decades."
  • "Gestational Diabetes Developing during pregnancy, Gestational Diabetes results from increased hormone production of pregnancy causing less efficient use of insulin.  Fortunately this type of diabetes often resolves with completion of the pregnancy."
How are the different types treated? 
  • "With type 1 diabetes, the pancreas produces little to no insulin.  Type 1 Diabetes is always treated with insulin, either through injections or through an insulin pump."
  • "Type 2 Diabetes is commonly associated with being overweight as the lipid (fat) cells result in a resistance to insulin so there isn’t enough insulin available to effectively control the glucose levels. Type 2 is treated with proper diet and exercise."
  • "Women with Gestational Diabetes are at increased risk of developing future Type 2 Diabetes, these types is generally limited to pregnancy."
What steps can you recommend for a diabetic to take in order to make a pro active approach to battling the disease?
“Regardless of the type of Diabetes you have it is important to eat a diet balanced in carbohydrates, proteins and fats and to control the amount of food eaten.  Regular aerobic activity is also important to help regulate the glucose."

How do you monitor diabetes?
"Most people with diabetes monitor their blood sugar with home test kits.  Regular visits with your health care provider is advised to monitor Diabetes control and for complications.  Your health care provider can also monitor for blood pressure and cholesterol control as these issues are also important to minimize the long-term complications from Diabetes. Consider wearing a medical alert bracelet indicating you have Diabetes, especially if you take insulin.”

How do I know if I have diabetes?
"Whether you are diagnosed with Diabetes or at risk for the disease it is best to get checked regularly by your local Primary Care Physician or Endocrinologist. SIMED Primary Care has physicians, physician's assistants and nurse practitioners available to help you prevent or control Diabetes.  Contact us at (352) 224-2225 or click here to request an appointment online."
SIMED Welcomes Eric Svestka, MD
August 13, 2014
Eric Svestka Intro Ad
FDA Proposes New Nutrition Labels
August 11, 2014
Nutrition Facts Label Proposed Format (350x660)The U.S. Food and Drug Administration today proposed to update the Nutrition Facts label for packaged foods to reflect the latest scientific information, including the link between diet and chronic diseases such as obesity and heart disease. The proposed label also would replace out-of-date serving sizes to better align with how much people really eat, and it would feature a fresh design to highlight key parts of the label such as calories and serving sizes.The changes proposed affect all packaged foods except certain meat, poultry and processed egg products, which are regulated by the U.S. Department of Agriculture’s Food Safety and Inspection Service.
Some of the changes to the label the FDA proposed today would:
  • Require information about the amount of “added sugars” in a food product.
  • Update serving size requirements to reflect the amounts people currently eat.
  • Present “dual column” labels to indicate both “per serving” and “per package” calorie and nutrition information for larger packages that could be consumed in one sitting or multiple sittings.
  • Require the declaration of potassium and vitamin D, nutrients that some in the U.S. population are not getting enough of, which puts them at higher risk for chronic disease. Vitamin D is important for its role in bone health. Potassium is beneficial in lowering blood pressure. Vitamins A and C would no longer be required on the label, though manufacturers could declare them voluntarily.
  • Revise the Daily Values for a variety of nutrients such as sodium, dietary fiber and Vitamin D.
  • While continuing to require “Total Fat,” “Saturated Fat,” and “Trans Fat” on the label, “Calories from Fat” would be removed because research shows the type of fat is more important than the amount.
  • Refresh the format to emphasize certain elements, such as calories, serving sizes and Percent Daily Value, which are important in addressing current public health problems like obesity and heart disease.
For more information on the proposed guidelines click here.  Speak with your SIMED physician to find out if you're eating properly and what you can do to improve your nutrition.

© 2012 Southeastern Integrated Medical, PL