Friday, November 7, 2008

Health Supplements For Diabetes

Diabetes maintenance can be extremely difficult for the patient, there are several different health supplements for diabetes which will help maintain insulin and blood sugar levels, if used in conjunction with a healthy diet and exercise. Before beginning any new supplement, exercise program or diet- please consult with your physician. It's a good idea to work with a physician to help maintain your insulin and blood sugar levels, and to help control diabetes in general. Diabetes can be deadly, so if at any point- regardless of whether you are using traditional medicine or alternative remedies- your symptoms worsen, then please contact your physician immediately! New, different, or an increase in symptoms could mean your condition is worsening.

As far as some general herbal health supplements for diabetes, there are several out there that will help control blood sugar, insulin levels, and increase your body's ability to properly use insulin. Chromium is a wonderful supplement, often used in the form of "chromium picolinate" for weight loss, but when used for supplementing for diabetes, Chromium makes your body's cells more sensitive to insulin, which will help your body make proper use of insulin. A lot of people with Type 2 Diabetes have a chromium deficiency, which makes the symptoms of diabetes less once Chromium is started in most people.

Evening Primrose Oil is a good herbal remedy for one of the most common complications of diabetes, called "neuropathy." When a person with diabetes has difficulty converting linoleic acid into GLA, circulation problems result because GLA deficiency causes less oxygen to reach the nerves in a person's neurosystem. Evening Primrose oil helps with this because Evening Primrose oil is a direct source of GLA. It is for this reason that Evening Primrose Oil is one of the best health supplements for diabetes. It's suspected that taking Evening Primrose Oil before symptoms of neuropathy caused by diabetes start, will actually help prevent diabetes-related neuropathy.

Other good herbal supplements include aloe vera (the juice or capsules containing aloe powder), antioxidants (commonly found in capsule or pill form, or even in tea form), burdock, biotin, coenzyme Q10, dandelion (found in tea or capsule/caplet form, most common is the tea form), DHEA, fiber, ginseng, l-carnitine, magnesium, onions, vitamins C and E. There are many health supplements for diabetes, and several of the herbal remedies have been known to be very effective. It's just important to remember, before starting any kind of supplement or medication- whether herbal or traditional- consult with your physician and a naturopath before beginning any new supplements.

Just like traditional medications and treatments, herbal remedies can- and do- interact with one another and also with traditional medications. The best way to control diabetes is with your physician's guidance, educating yourself, and by making sure you take care of your general over-all health and well-being. A balanced diet, exercise, and education are the best health suppliments for diabetes that there are. Follow the advice of your physician and/or a naturopath to determine which other supplements or herbal remedies are right for you.

Lucy Bushman is an accomplished niche website developer and author.



Article Source: http://EzineArticles.com/?expert=Lucy_Bushman

What is Diabetes Type 2?

Diabetes is a condition that occurs when the pancreas fails to produce enough insulin. Some people are born with this condition or has the onset of diabetes at an early age. This is called juvenile diabetes or type 1. Type 1 diabetes usually requires insulin injections. The onset of diabetes later in life is called type 2. Type 2 diabetes can be treated and in most cases prevented with simple lifestyle changes.

There have been several factors in the cause of diabetes type 2, but none are definitive. Some studies indicate heredity, obesity, and living a sedentary lifestyle. Also, there are insulin abnormalities that can be the cause of diabetes type 2.

Insulin Abnormalities-
Muscle cells can become resistant to insulin which make excessive insulin to compensate for the resistance. What then happens is a drop in insulin production.

Obesity-
Too much body fat causes the body to work harder to make insulin. Extra sugar is stored in the body as fat, which makes losing weight harder.

Heredity-
Having a sibling or parent who has diabetes means that your are more likely to develop diabetes.

Age-
Nearly 20% of adults over the age of 65 commonly have diabetes type 2.

Lifestyle-
Living a sedentary lifestyle is a cause of diabetes type 2. People who don't exercise at all are at greater risk than those who exercise even a small amount.

Making life decisions will reduce your risk of developing diabetes, and can help reverse the damage to an extent. Losing weight is first and foremost on the list of changes to be made. Getting exercise and drinking lots of water also helps considerably. If you have a parent, or brother or sister who has diabetes, have your doctor check you out. Keep watch on your own glucose levels, and make sure you catch problems as soon as they arise.

Gestational diabetes can also be a cause of diabetes type 2. Seeing a doctor as soon as you suspect you are pregnant will help catch symptoms early. Hypertension is another factor for diabetes. High blood pressure is also another medical problem that is inherited, so check your family history. If your blood pressure runs 140/90 mm Hg or higher, then you are at a greater risk, and should be treated before it can develop into something more.

Knowing your family history and having a good family doctor can help catch early signs of type 2 diabetes. Some symptoms include excessive thirst, frequent urination, excessive hunger, unexplained weight loss, or a general feeling of fatigue. Diabetes often goes undetected which can lead to serious complications, therefore it is extremely important to know the warning signs, especially if someone in your family has diabetes.

Type 2 diabetes can be treated with medications in the form of pills, or insulin injections. However, lifestyle changes such as your diet and getting enough exercise can be enough to lower blood sugar levels and medication may not or may no longer be needed. Know your body and know your family history, it could save your life.

Lucy Bushman is an accomplished niche website developer and author.



Article Source: http://EzineArticles.com/?expert=Lucy_Bushman

Monday, November 3, 2008

Diet Ideas For Gestational Diabetes

Women of all ages can develop gestational diabetes, but that does not mean that you can't enjoy your pregnancy and eat the foods you crave. Many women find that, as long as they eliminate sugars and carbs, that they can enjoy many of their favorite foods. There are many ways to modify a favorite recipe in order to meet your specific dietary needs without sacrificing flavor. A sample diet for gestations diabetes is a good idea to get you started, along with some ideas on how to meet your nutritional needs.

Breakfast Ideas

Breakfast truly is the most important meal of the day, and making a poor choice is going to leave you either hungry for a few hours, or with elevated blood sugar for the rest of the day. You need to choose a high-protein food for breakfast, since the protein will help you stay fuller, longer.

Some good ideas for breakfast are:

Peanut butter (all natural; one tablespoon) on one slice of whole wheat bread
An egg with a slice of whole wheat toast
Half a banana or a small handful of blueberries with a few almonds when you are in a rush

Most of the time, you will be allowed to have one carbohydrate with your breakfast, along with a food that is high in protein. Make sure that you choose the items that you need to be healthy, but you can also look for creative ways to make your diet fit your pregnancy cravings, as well.

Lunch Ideas

You may be one of the many women who experience the lunch rush, and need to be able to find foods that fit your sample diet for gestational diabetes quickly and with little or no prep work involved. Now is the time to look at convenience foods, which are easy to grab on the go. One of the best choices is fish or lean meats that are low in sodium and high in protein.

Most women are allowed 45 grams of carbohydrates for their midday meal, so you will have plenty of options available. You can choose fresh veggies, turkey on whole wheat wraps with lettuce and tomato, or even a small piece of fruit. You can also consider preparing whole skinless chicken breasts for part of your lunch the night before.

Dinner Ideas

With a little planning, dinners can be satisfying and easy to prepare. A sample diet for gestational diabetes will contain plenty of protein foods, such as steak and fish. Both of these meats are carb-free, and can be used in many different ways. You can easily grill fish and veggies wrapped in tin foil, and then add a starchy side to meet your carb allowance.

You may also want to include an after dinner snack in your meal plan, so make sure that you do not go over your carb allowance at dinner. There are many sugar and carb free options currently available, either at your local health food store or online, so your diet can be diverse and delicious.



Article Source: http://EzineArticles.com/?expert=Ian_Pennington

Challenges You Face With Being Diabetic

Age can affect diabetes substantially from childhood through old age. With every phase of life, there may be additional or simply different factors at play that you will need to adapt to. Dealing with emotional issues in youngsters, puberty, college years, job stresses, family issues and becoming frailer with age are issues that tend to affect diabetes. Being aware that these issues exist is the first step in dealing with it. Know that these issues occur naturally in life and knowing that diabetes may exacerbate them will make dealing with them a lot easier.

There are lifestyle issues that may greatly complicate the effects of diabetes. School, work, family life, dating and going out with friends can all challenge even the most diligent of diabetes sufferers. It is difficult to be spontaneous when you have diabetes but as long as you are prepared and aware, there is no reason why you can not enjoy all the same activities as your friends and family. You will only need to make some minor adjustments and ensure you are fully prepared in case of a diabetic emergency.

Talking to friends and family about your disease and making them aware of how certain issues should be handled is a great way to make them more aware as well as protect yourself in case you are unable to seek help alone. Make sure you adhere to your dietary requirements. This may be tempting not to do especially if on vacation or out on a date at a fancy restaurant. However, most dining establishments will be more than happy to alter recipes in order to accommodate your needs.

Make sure you always take your medication regularly and on time. In addition, making sure you have extras just in case will allow you a certain amount of freedom and spontaneity. While you and your friends are out and decide to hop a plane to Vegas, you can do so knowing that you are already fully prepared with your prescriptions. You don't have to inconvenience others or miss out on some fun just because you have diabetes.

Depression is common among those with diabetes and part of that is due to the stressors involved with adhering to strict routines. It is also based on the belief that you are missing out on particulars in life. While living with diabetes does mean making some adjustments to your life, they do not have to be extreme. With a little planning and discipline, the preparations and maintenance become routine. Living with diabetes can mean living as normal a life as the rest of your friends and family as long as you take a few precautions.



Article Source: http://EzineArticles.com/?expert=Selina_Anderson

Friday, October 31, 2008

Diabetic Meal Plan and Body Weight

Diabetics with no normal blood sugar levels need care about their body weight. The weight of the body with no control of diabetes depends on the regular diet taken by the individual. If there is no awareness to diabetic meal plan, the condition becomes worse than in any other issue. Weight of the body with diabetic symptoms ought to be kept under control. If it is done, there is much chance for long survival with least problems.

Weight loss and obesity:

If you are not able to see where you are going, you cannot drive the car towards the destiny with safe and secure. Similar thing happens with diabetic diet foods without any control of weight loss or weight increase. A charted program should be there on hand with you regarding the regular meal plan. Increase in body weight affects health with probable diabetes while the vice versa doubles the risk to the body condition. In alternative sense, prevalence of diabetes may hurt the body either with weight loss or obesity. In this regard, regular monitoring of cardiovascular conditions and blood glucose levels are emphasized for a healthy survival against diabetes. The main role is with the diabetic meal plan.

Body mass index:

You can calculate this by a simple formula which implies BMI= (Weight in kilogram) ÷ (Height in meter) 2. If the resultant value is less than 18.5, it is an indication of weight loss. If it gives a value above 25, then the case of obesity is confirmed. It is always safe that the calculated value lies between these two limits having a high risk for health with a mass index value above 30.

Diabetic diet tips for good health:

1. Take breakfast without fail: It prevents from feeling starved and eating a chocolate paste from the shop around the morning hours.

2. Drink 3litres of water daily: It keeps the digestion system free and clean and makes to feel full in general.

3. Eat at regular intervals: it is not at all advisable until you feel starving for food.

4. Eat much fruits and vegetables: Fruits prevent lowering blood sugar and vegetables preferably raw ones enrich energy.

5. Limit your alcohol intake: It stimulates the appetite. If at all you have a taste for it, be confined with dry white wine.

6. Brush your teeth often: When brushing and gargling with pure water, you are less likely to be tempted to snack.

7. Divided meals: It is always good for diabetics to follow this system instead of bulk intake.

Diabetes diet menu to lose weight

1. Eating vegetables: Most of the vegetables are low in calories, but high in volume.

2. Eating fruits: Practically almost all fruits are good for health but with less sweet is the best choice. Canned fruits with no added sugar are better options than fruit juices and dried fruits.

3.Carbohydrates: Low carb diet foods like Cereals, rice, bread and pasta are rich food items for body build up. Whole grains are best since they're higher in fiber and essential nutrients.

4. Protein/Dairy: The best choice of foods high in protein, but low in fat and calories are such as beans, peas, lentils, fish, skinned white-meat poultry, fat-free dairy products and egg whites.



Article Source: http://EzineArticles.com/?expert=Varadharajan_R

Don't Let Diabetes Stop You From Traveling

Back in the day, if you had diabetes taking a trip was almost out of the question. But nowadays, with a little effort, the right prescription, and proper planning, stress free vacation is within your reach.

First and foremost, make sure that you pack enough insulin before you leave. To make it easier to carry your insulin and diabetes supplies, it's a good idea to diabetic supply case. Good cases have compartments for insulin pens, lancing devices, meters, and test strips. They are essential for organizing all of your diabetic supplies when you're on the go.

Now that you have your supplies organized, you'll want to get a diabetic bag designed for travel. Having sufficient drinking water and snacks is essential in maintaining proper blood sugar levels. That's why you need a bag that will hold your supply case and include room for carrying health snacks, juices, and water. Top of the line diabetic bags also have cell phone holders and room for your laptop computer. There are also diabetic purses just for women.

Apart from your travel-pack, wearing your medical alert bracelet and other medical information along with you diabetic traveling case at all times is very crucial. People around you are not mind readers. Chances of a doctor present at the time you faint or collapse is not very high so to take the extra measures wouldn't hurt you. It could save you. With the necessary medical information with you, people will know how to help you in case of an emergency.

Being a person diagnosed with diabetes, your blood glucose level can fluctuate easily. People often times take part in many recreational activities on vacations such as swimming, surfing, or rock climbing. Sometimes physical activity can trigger insulin. fluctuation so be careful with what you do and how you do it. Another safety tip while planning a trip is to let your family and friends know your traveling details. It is always good to let your closest people know your whereabouts so that they can help in case of emergency.

Maintaining proper nutrition is often hard to do on vacations because you eat out a lot at different restaurants. Here's a tip that might help a lot of diabetics. When going to new food outlets and eateries, check their nutritional information so that it is in line to your doctor's dietary recommendation. It's often helpful to keep dietary recommendation checklist in your diabetic organizer.

Diabetes, in no way, should be a restriction to your traveling. By following the tips that I have provided, you can still travel and enjoy an active lifestyle.



Article Source: http://EzineArticles.com/?expert=J._A._Glynn

Tuesday, October 21, 2008

Self-Care For Individuals With Diabetes

A proactive attitude towards your diabetes treatment is crucial in preventing complications. Diabetics can't just delegate their care to their health care provider. They have to be constantly involved.

While everyone should have an annual physical, eye exam, and dental exam, this is especially important for diabetics. You also need to inform the dentist and eye doctor that you are diabetic so they can be alert to the special problems that accompany diabetes.

Since high blood sugar levels weaken your immune system, you are more vulnerable to infections, flu and pneumonia. It is there important to do as much as possible to prevent these. Make sure your vaccinations for flu, tetanus, and pneumonia are current.

Diabetics need to take particularly good care of their feet. Diabetes can damage the nerves in your feet as well as reduce the flow of blood to your feet. That means you can injure a foot and not even be aware of it. It also means that the injuries will be more difficult to heal. So you need to check your feet daily for blisters, cuts, bruises, cracking, redness, and swelling.

You also need to keep your feet clean and dry. Wash your feet daily using gentle motions, a soft washcloth and a mild soap. Gently dry your feet giving careful attention to your toes. If your skin is dry, apply a moisturizer.

Change socks daily and avoid bulky socks or sock with tight elastic bands. Buy comfortable, safe shoes. They should have soft leather tops and flexible soles. Shoes with low heels and closed toes are safer and provide more comfort.

Diabetics need to be very particular about shoe fit. It is recommended that you shop for shoes late in the afternoon or evening. Then you will be trying them on at the time of day when your feet are most likely to swell. Your shoes should be large enough to accommodate normal swelling.

Diabetics should positively not smoke. People who have diabetes and smoke are increasing their risk of heart attack, stroke, nerve damage and kidney infections. In spite of that, it is estimated that 25% of Americans who are diabetic do smoke.

Diabetics also need to monitor their blood pressure. They are more vulnerable to developing high blood pressure than people who do not have diabetes. This is especially true of Blacks and Hispanics. High blood pressure causes from 35% to 75% of all complications that can accompany diabetes.

Individuals with diabetes also need to learn to manage stress. When we're under stress we tend not to eat properly or get the right amount of sleep.
The lifestyle practices that accompany stress are very detrimental to diabetics. Also, if the stress is excessive or lasts for a long time, our bodies produce hormones that block the effect of insulin. The result is a rise in blood sugar.

So it is important to employ stress-reduction techniques such as maintaining a healthy diet, getting enough sleep and exercising regularly.

Also look for ways to lighten the stress. This could mean evaluating your daily commitments to see what could be eliminated or reduced; avoiding or limiting time with people who cause you stress, and if work is the problem, seeking out ways to lighten your load.

There are also stress-busting practices such as yoga, meditation, deep breathing and relaxation that you can learn to do and apply in stressful situations.



Article Source: http://EzineArticles.com/?expert=Brenda_Williams

A Guide to Tap Water Filters and Tap Water Purifiers

What's the difference between a tap water filter and a tap water purifier? Basically, a tap water filter will reduce only certain contaminants, usually just chlorine. A multi-stage tap water purifier on the other hand removes a wide range of contaminants by including a number of stages.

It's important to understand the difference before you go shopping. There are many products on the market and many are a real waste of money.

The least expensive (typically Brita) will only reduce chlorine and lower the lead content, according to their product performance data. A tap water purifier should do much more.

If you are serviced by a public treatment facility, this is a list of the contaminants that are most likely present in your water supply, along with the health problems that these impurities can cause.

· Cysts, parasites in an early stage of development that cause waterborne illnesses similar to food poisoning. Children with poorly developed immune systems and adults with dysfunctional immune systems can die from the infection. The EPA warns that cysts may be present in any supply at any time and can even be found in bottled brands.
· Chlorine and other chemical disinfectants cause anemia in children, gastrointestinal problems in adults.
· Trihalomethanes, THMs or disinfection byproducts are present in any publicly treated supply. Exposure occurs through drinking, bathing, cooking, washing dishes and showering. This exposure doubles your risk of bladder cancer and increases your risk of colorectal cancer by 40%.
· Lead, a heavy metal, causes brain damage, learning disorders, anti-social behavior and other problems in children. Tiny traces build up in the body over the course of one's lifetime and increase the risk of heart disease and high blood pressure.
· Other cancer causing chemicals including Atrazine, lindane, alachlor, benzene and TCE.

A tap water filter may remove some of these things. An effective tap water purifier removes more than 99% of each one. You can check for certifications and product performance data, before you buy, but here are some of the facts about the different systems on the market.

A reverse osmosis tap water filter will remove cysts and reduce lead to the "federal action level". Although expensive, they are not effective against chemical contaminants, at all. The only effective system that includes a reverse osmosis step costs nearly $800 and that's just for an under-the-counter unit. The thing about it is you do not need a reverse osmosis step.

A tap water purifier that includes submicron filtration will remove cysts. A system that includes ion exchange will reduce 99.99% of all of the traces of lead that may be present in your home. A multi-media block will trap all of the chemicals mentioned above. Just three steps and about $100 for the safest, best tasting water on the planet.

Remember that THM exposure occurs in the shower, as well. You should also remember to purify what you cook with. Any tap water filter is better than none. But, the purer, the better, in my opinion, so check water purifiers out today. The sooner the better.



Article Source: http://EzineArticles.com/?expert=Juanita_Ruby

Friday, October 17, 2008

Atkins Diet - Perfect For Diabetics?

The main idea of the Atkins diet is to improve one's eating habits. It is focused on having a balanced intake of proteins and carbohydrates. In reality, this is not what's happening to most people. Most are going for the much easier to prepare processed foods which contains high content of sugar and carbohydrates. With this, high rates of people with diabetes and related conditions occur nowadays. This is regardless of diabetes having worsened in stages and can be easily identified.

How does diabetes develop? One factor is the glycemic index which is the index of carbohydrates taken in and produces reactions to create insulin. Carbohydrates with high glycemic index will release a lot of insulin. Refined sugar is an example of food that has high glycemic index.

Children digest high carb foods easily because young bodies have a more active metabolism than adults. This is the reason why weight gain and mood swings are doubtful during our younger years. But as we age, effects are getting more visible. One clear example of this is the high percentage of adults being obese as they reach their middle age.

Obesity is caused by insulin resistance. People experiencing this are not able to utilize their insulin for proper exclusion of glucose from the bloodstream. This also injures the pancreas where a lot of insulin is released. This causes the blood sugar level to decrease.

Prolonged intake of foods high in carbohydrate will cause diabetes. Fat is created by the insulin produced in the body, once weight boosts up; it leads to late onset diabetes. Diagnosis can detect a pre-diabetic condition. It must be taken care of right away or it might lead to an irrecoverable diabetic state.

It is easy to diagnose diabetes. Insulin test can be done to detect this disease. If confirmed, the patient is then given a low carb diet like the Atkins diet. This diet helps manage the blood sugar.

The Atkins diet is consisting of important carbohydrates with fats and proteins. These keeps the body feels satisfied and full to prevent cravings for food. Thus, helps the pancreas to function well and avoid further problems that will be caused by diabetes. Atkins diet helps keep the blood sugar level at a desirable rate which keeps you away from a dangerous disease like diabetes.

See the only Master Cleanse diet used by Hollywood Celebrities such as Beyonce to lose 20 Pounds!



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"Pork Rinds Are Healthy" and Other Lies We Tell

This week an administrator in one of my buildings asked me to talk to a female resident about her diet. I will call this resident "Ethel". Ethel chronically complains to me and the staff about her food. She said the food from the nursing home kitchen is too "greasy" and "spicy". She also stated she had two strokes and it was because of the nursing home food. What she did not tell me on my prior visits was she had a staff member buying her food. The staff member provided me Ethel's shopping list. The list included Pepper Jack cheese, Vienna sausage and fried pork rinds. When I approached Ethel about her shopping list, Ethel responded, "Pork Rinds are healthy. Besides, I only started eating them with the colored gal here. She's my friend" I shot back with my usual dry humor, "Ethel what color is she"? Ethel yelled, "You know what color she is, she's your color!" I did not want to upset her so I asked if I could also explain the situation to her friend. Ethel told me her friend died six months ago from a stroke. I realized at that point Ethel was not exactly "connecting the dots."

Ethel's lack of understanding is justifiable. She has a diagnosis of schizophrenia and a limited amount of education. Anyone in the 21st century who refers to another grown woman as a "colored gal" is not obviously receptive to change. Furthermore, pork rinds are advertised as low carbohydrate food and we all know low carbohydrate food equals healthy food, right? Now, I would like to discuss some other lies we tell:

1. Size does not matter.

Let me explain my position. You should feel good about yourself no matter how much you weigh. I have no problem if you want to wear a bikini on the beach and weigh 400 pounds. This is not a matter of your self-esteem; it is a matter of your health. If you have a BMI (body mass index) greater than 25, you are at risk of developing type II diabetes. If you already have type II diabetes, losing 5% to 7% of your body weight (10 to 14 pounds if you weigh 200 pounds) can improve your blood sugar. You do not have to look like Kate Moss to control your diabetes.

2. Only people who go to the gym get proper exercise.

The National Weight Control Registry is an organization that monitors individuals who have lost at least 30 pounds and kept the weight off longer than one year. The average weight loss of the participants is 66 pounds and the average time of maintaining their weight is five years. According to the registry, walking is the number one exercise. Most of the participants walk daily. You can start slowly by walking for 10 minutes several times a day. You can also burn calories by cleaning your house, gardening or washing your car. You can even exercise in your chair. Just move!

3. Eating at restaurants is cheaper than cooking.

Eating at McDonald's or the nearest buffet may be more convenient than cooking at home but it is definitely not cheaper. In addition, processed food is not cheaper than whole food. You can make more chips from a bag of potatoes as opposed to buying a bag of potato chips; however I would not recommend it. The old credo "time is money" does not apply either. Think of how much time and money are wasted with extra doctor visits or medications because you did not take control of your health. Plus, think of time lost because you die earlier than you intended.



Article Source: http://EzineArticles.com/?expert=Allison_Boyd

Diabetes Medications Could Suffer From Drug Spending Caps

Diabetes medications are necessary for chronic illnesses like diabetes but many seniors have to stop taking them when they go beyond their drug plan's annual spending limits. The drug spending caps made some seniors stop taking key medicines. This finding has been reported by a Rand Corporation research.

This study which observed how seniors registered with a national private health plan reacted, gives insight into what responses seniors have under the Medicare's new drug plan. This will leave about a third of those registered without coverage for diabetes medications for some part of the year when the quota is reached.

Geoffrey Joyce, Rand's lead author of this study, said that prescription use falls considerably when the patients reach their limit. So this is troubling because most of the drugs studied by Rand, a nonprofit research organization, prevent complications. Therefore there will be unfavorable health effects for seniors who reach their limit.

This research examined the use of prescription drug from 2003 to 2005 of more than 60,000 patients enrolled in the plan for retirees. The prescription drug examined included diabetes medications. There were two plans offered with a drug benefit limit of $1000 or $2500 and another with no limit.

For each plan the enrollee had to pay part of each drug purchase. Of those enrolled, the study found about 6% to 13% reached their limit in each of the years. Half of these went without benefits for more than three months. The trouble is that when the benefits resume at the beginning of a new plan year, a considerable number of seniors do not restart their treatment including the use of diabetes medications.

These findings were reported in the September/October issue of the journal "Health Affairs". Dana Goldman, the director of health economics at Rand and this study's senior author, said that this is worrying for although drug limits are a cost-saving measure, the results of the study show that in the long run this may result in more medical costs due to more hospital admissions.

Medicare Benefits are of two parts: Parts A and B, It is highly recommended for diabetics to get Medicare Part B. However, neither covers diabetes pills. Medicare Part C is not available everywhere and it covers almost the same as what Parts A and B cover. Yet one is required to get Parts A and B before qualifying. It was good that by January 1, 2006, it is no longer available in its old form.

By December 2003, the Medicare Modernization Act was passed. This allowed people on Medicare to enroll in Medicare-Approved Drug Discount card which allowed them to save money until the Part D prescription drug benefit began in January 2006.

It is hoped that the policy makers will take this into consideration. Coverage for preventive care like how to prevent diabetes is key and in 2005 Medicare started offering screening test. This way people can work on reversing diabetes through lifestyle changes. Hopefully then they may not have any need for diabetes medications.



Article Source: http://EzineArticles.com/?expert=Roger_Guzman

Tuesday, October 14, 2008

Gestational Diabetes Symptoms and Gestational Diabetes Overview

The types of diabetes that most people know of are type 1 diabetes and type 2 diabetes. Today, we are going to look into another "not so popular" but a common type of diabetes for pregnant mothers - gestational diabetes. Apart from explaining briefly what gestational diabetes is all about, we are going to dive into gestational diabetes symptoms as well.

Gestational Diabetes Overview

It occurs when a pregnant mother's body forms insulin resistance due to the higher production rate of hormones like estrogen and cortisol. Under a normal situation, the amount of insulin produced by a pregnant mother will be much higher than a normal person in order to counter the resistance.

In the case of a gestational diabetes, the amount of insulin produced by the mother is not enough to combat the overwhelming hormone production. Pregnant mothers have a high risk of contracting the disease during the 19th to 24th week of pregnancy. Gestational diabetes is manageable through various glucose levels monitoring.

For the baby, however, something called macrosomia will develop. The baby will have a larger size compared to others due to the high glucose level that prompts the fetus to produce its own insulin that turns the excess glucose into fat. Hypoglycemia is also very likely to happen to the baby but all these are manageable if gestational diabetes symptoms are spotted early on.

Gestational Diabetes Symptoms

The symptoms faced by these mothers are usually same as those face by a diabetes patient. Some of the common symptoms include frequent urination, fatigue, extreme weight loss even with nutritional menu, vision problems and nausea. However, since this type of diabetes is not as serious as type 1 and type 2, the symptoms are not as significant and patients might not even have any symptoms.

Spotting the Symptoms of Gestational Diabetes

Since the symptoms may be vague, doctors will have to depend on the accuracy of blood glucose tests. These tests are normally carried out in the 23rd to 26th week during pregnancy. If the results are positive, doctors will put the mother under monitoring and will do their best to lower the glucose level.

Some women have a very low risk of contracting the disease. Women who are younger than 25 years old, have a normal weight prior to pregnancy, with no genetic traits of diabetes and no history of excessive glucose levels are normally free from the clutches of the disease and glucose level tests are not required.



Article Source: http://EzineArticles.com/?expert=Randy_Pickler

How to Maintain Normal Blood Sugar Levels - Real Life Experience

Human health and Mechanical life:

By years rolling on, it is getting mechanized in all walks of life. This is due to the vast development of latest technologies in various areas influencing human life. In one angle, the enhancement of technical support makes human life lazier as well as easier. Naturally the love for sophisticated life is increasing proportionally everyday with everybody. In another angle, sophisticated life style is the worst machinery resulting in several bodily diseases. Among them, Blood pressure and blood sugar are significantly serious ones. The main reason is want of sufficient knowledge about the actual nature of diabetes and controlling blood sugar.

What is normal blood sugar level?

It is simply beating the same track repeatedly to mention that it is 70 - 100 as fasting blood sugar level and 100 - 140 mgms as random. But anyhow it is not exclusive since there are some factors influencing normal blood sugar.

Tips to diabetics with high blood sugar:

Diabetes can be overcome by following tips for controlling blood sugar.

1. Consulting a physician and taking medicines to reduce blood sugar
2. Planning and fixing the life style and taking balanced diet.
3. Self study and avoiding unnecessary fear.
4. Observing other diabetic patients and getting clues
5. Saying good bye to mechanized way of life
6. Physical exercise to boost up the heart function
7. Awareness of the problem and avoiding unnecessary fears and imaginations
8. Blood sugar level should be compared with age
9. Know that sugar level depends on dosage and quality of tablets taken
10. Know that sugar level in random test depends on the time passed after taking food, quantity and quality of food


Success rate to maintain normal sugar levels:

If a diabetic patient is simply to depend on medical care alone, the level of success rate to maintain normal blood sugar levels is not so appreciable. If the patient plans well his ways, it helps to fix the cause and effect in which the success rate to maintain normal fasting blood sugar level as well as random blood sugar level is a little higher. If he takes efforts to study his health condition by introspection with reference to each and every action taken by him and the consequences, it helps more to maintain his own health against diabetes. Along with these, close observation and sharing of experiences regarding the diabetic problems of others also gives him confidence that he is better than others.

Psychological support to reduce high blood sugar level:

Psychologically one should think to feel better than others. Unnecessary fears created by medical warnings like "Diabetes cannot be cured totally but can be maintained only", " You cannot overcome the hereditary effects of diabetes from parents", " Diabetes follows and has its end until the last day of life", "Diabetes is a silent killer", "Periodical test should be taken at least once in three months". It is true to certain extent only and not to worry much. There are diabetics who have overcome its intensity and maintain normal health even without paying for consultants and medicines but simply by following the tips in guiding how to maintain normal blood sugar levels sticking to the restricted and balanced food habits.



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Sunday, October 12, 2008

Diabetes - Historical Overview

The word "diabetes" from Greek means "outflow"; so actually it means "out flowing of glucose" or "losing glucose" which shows that one of the basic symptoms of the disease is the loss of glucose with urine.

The history of diabetes goes back to 100 BS when it was first defined as the separate disease. In 100 BS a physician Aretains said that diabetes is a mysterious disease. These words are fair nowadays because the cause of the disease and its complications are still not explained. It is also still unclear how to treat the disease - the symptoms can be removed or eliminated but not the disease itself.

In XVII Tomas Willis was the first to find out the sweet taste of urine of patients with diabetes. His discovery was used by physicians to make a diagnosis. In 1889 Paul Langergans in his research work with microscopical structure of pancreatic gland saw the group of morphologically same cells called 'islets of Langergans' but he wasn't able to explain their function and significance in the human body.

Mering and Mincovsky in 1889 in their experiments caused the developing of diabetes in animals by resecting pancreatic gland.

In 1921, Banty and Best extracted insulin from pancreatic tissues. This substance stopped the symptoms in diabetic dogs. Since then insulin has been the main cure of the disease.

In 1922 insulin was used to treat a man with diabetes.

In 1960 the chemical structure of human insulin was determined.

And in 1979 the human insulin was created using the method if genetic engineering.



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Food on a Budget and Diabetes Type II

Shopping on a budget is never easy, but it can be more challenging if you are a diabetic. With the cost of living always going up, the importance of shopping wisely increases too. In order to keep costs down it is imperative that you know what you can eat and what substitutes you can use so that you can look around for the best bargains while maintaining a healthy eating regime that you can enjoy.

Although frozen and tinned vegetables can help as you can keep them the food larder and use them as additions and top ups to your food, the most important thing is to plan your meals. This way you can decide exactly what foods you need for your meals and shop accordingly. If you have a garden or access to a vegetable plot, now might be a good time to grow your own vegetables. This will help with your exercise needs as well as ensuring you have a cheap but nutritious supply of healthy vegetables when ever you need them. Careful planning can ensure a reasonable all year supply of different aspects of the food chain, especially if you have access to a greenhouse or conservatory.

Foods containing carbohydrates such as potatoes and bread, are the most recommended foods for Type II diabetes. It may mean changing your lifestyle but the benefits can be huge. If you plan carefully, you can follow a fairly regular diet that few of your friends would realize was a diabetic diet. In fact, a diabetic diet is a well balanced and healthy diet with all the main food groups and nutrients included. It is eating in moderation rather than in gluttony and coupled with exercise is one that many of our friends may well want to copy.

Eating The Right Foods Can Preserve Your Life

When the disease is first diagnosed, it can be a shock and the apparent end of "normal" life. However, it can also be used to start a healthy lifestyle and begin enjoying life to the full. Many people with diabetes will have been feeling unwell and as soon as they start to follow a healthier diet, much of this will change.

It is often a good idea to consult a dietician, who will offer suggestions and support to explain the kinds of foods you should be eating and the ones to reduce or avoid. This will help to relieve the initial emotional strain and stress of the diagnosis. It will also serve as a template for future eating habits. It is really important to follow such a diet as it will help to regulate your body's functions and enable it to maintain a more stable blood sugar level which is essential. You will probably find you are eating more raw fruit and vegetables, which are low in fat as well as salt, and supply sugar in its more natural state which is easier for the body to process.

There is also a buddy system available which many find extremely helpful. This is especially so for those who are living on their own. It is really important to view this situation as the chance to start to live and enjoy a healthier lifestyle, a springboard to a new and better future.


Article Source: http://EzineArticles.com/?expert=Karen_E_Jones

Tuesday, October 7, 2008

Challenges of Treating Diabetes in Seniors

Diabetes is a disease that is increasingly common and affects more than 24 million Americans. Those who are over the age of 55 are at increased risk of getting diabetes and almost 1/2 of all cases of Diabetes are diagnosed in people who are 55 or older.

In all people diabetes is a disease that can affect how efficiently your body uses insulin and how much it produces. There are several symptoms of diabetes, such as frequent urination, increased thirst, blurry vision, and slow healing wounds, but for many the onset of the symptoms is gradual, so they go unnoticed. For seniors, the symptoms, like blurry vision or increased fatigue, are things that occur with age, so they might not realize that they have diabetes until they become seriously ill.

Testing for diabetes is something that can and should be done at all ages, but people who are over 40 should begin regularly scheduled tests. This is because almost 20% of all people who are over 60 have diabetes and beginning at age 40, you are at increased risk.

For seniors, the treatment of diabetes can present several problems. Often if the senior does not drive, then it can become difficult to make it to the doctor. Things like memory loss and poor sight can also complicate the treatment of diabetes.

Part of the treatment of diabetes usually involves regularly testing your blood sugar levels. If blood sugar is too low or high, then there are special medicines that should be administered. Seniors with memory loss might not be able to consistently remember to test their blood sugar and take their medicine as scheduled.

Poor vision can make the treatment more difficult in several ways. Cuts and wounds are much slower to heal for those that have diabetes. A foot ulcer, which is an open sore, is in many ways the most dangerous to an individual with diabetes and if un-treated can lead to amputation. It is important to inspect your feet and the rest of your body for cuts or sores, because in order to be treated, they must be caught quickly.

Seniors who have limited vision often are unable to visually inspect their body, so must rely on feel, to feel their body for cuts or sores. This can make inspecting the feet difficult as many are unable to bend that far. Sometimes due to reduced sensitivity of the fingers, cuts and wounds are also missed.

Another important part of treating diabetes is maintaining a well regulated diet. This means eating the right foods at the right time. Often seniors have difficulty not only remembering to eat, but also following a diabetic menu. Most cities offer services to seniors and can bring them food on a regular basis, so this is often the best choice.

Exercise is another factor that is very important for properly treating diabetes, but getting motivated and following a workout plan is not always easy. Most cities host senior workout groups and this can be a good activity, both mentally and as a means of treating diabetes. Many pools also offer water exercise programs, which are a safe and fun way to exercise.

Seniors face some addition difficulties when diagnosing and treating diabetes. Understanding these difficulties is the first step in dealing with and maintaining a healthy lifestyle after being diagnosed with diabetes.



Article Source: http://EzineArticles.com/?expert=Steve_Wynler

Identifying Symptoms of Diabetes

Diabetes is a disease that affects many millions of people all over the world. It can usually be successfully treated and in most cases, individuals are able to lead healthy lives, but it is important to properly diagnose diabetes as quickly as possible.

What is Diabetes

There are two main types of diabetes, but they both affect the way that the body produces and uses insulin. Insulin is a hormone that is produced by the pancreas and is used by the body to turn food, like sugar, into energy. In Type 1 diabetes, the body does not produce enough insulin and this means that your blood sugar is not properly handled. Type 2 diabetes, is distinguished by a resistance to the effects of insulin, but, like Type 1 diabetes, and also involves a reduction in the amount of insulin produced by the pancreas.

Symptoms

Knowing and recognizing the symptoms of diabetes are very important, because an un-diagnosed case of diabetes can result in death or serious injury. Sluggishness, extreme fatigue, excessive thirst, increased urination, and blurry vision are some of the more common signs of diabetes. Slow healing wounds are also often a characteristic and can result in serious complications, such as amputation, in those affected by diabetes. Usually those that are affected by Type 1 diabetes will notice that the symptoms set in very quickly, often in only a few weeks.

Those that have Type 2 diabetes might not notice the symptoms, because they set in much slower and can often be very subtle. Often in these cases diabetes is not detected until a serious health problem occurs. This includes strokes, heart attacks, foot ulcers, and fungal infections, which are often caused by untreated diabetes. Other conditions, like high blood pressure, elevated cholesterol, and pancreatitis can also be indications of diabetes.

Treatment

It is a good idea to be screened periodically for diabetes, but for people who are overweight or those that have experienced the symptoms stated above, it is imperative to have a blood screening. There are several different tests, but they generally involve glucose monitoring.

The type of treatment prescribed will vary and depends on the type of diabetes the patient has. Generally those that have Type 1 diabetes use a type of insulin replacement treatment. This involves constant measuring of the blood glucose levels and then injecting insulin as needed. Some people use insulin pumps instead of shots. Insulin pumps are devices that attach to the body and administer doses of insulin automatically.

People who have Type 2 diabetes are generally not able to inject insulin and it is usually dangerous to do so, because their body does not properly use it. Proper diet and exercise, while also important for Type 1 diabetes, is essential for those who have Type 2 diabetes. In large part maintaining a healthy diet and regularly exercising can control Type 2 diabetes. There are also several drugs that are used to increase the bodies absorption of insulin or glucose.

Diabetes is a disease that can, in most cases, be treated, but it is essential to diagnose it as early as possible.



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Saturday, October 4, 2008

Diabetes Affects Millions

Over 15 million Americans have diabetes but half of them don’t know it. Most live in the city and the disease is prevalent among white collar workers. Of the diabetics surveyed, only about one-fourth consulted a doctor and were being treated.

"Worldwide, more than 50 million people suffer from some form of diabetes. Diabetes used to be considered a disease of rich people and rich nations. Not anymore. Experts from the World Health Organization (WHO) have noted that the highest prevalence rates of diabetes are found in developing countries," said the editors of Health Alert, a publication of the Health Action Information Network (HAIN).

Diabetes mellitus has been with us since ancient times. The Greeks gave the disease its present name which means "to run through" after observing diabetics urinated more than other people. The word mellitus or sweet was added in the 17th century to distinguish it from diabetes insipidus, a different disease caused by a pituitary gland disorder.

Most people think that diabetes is caused by eating too much sugar or sweets. But even if you eat tons of sugar, you won't get diabetes provided you have enough insulin, a hormone produced by the pancreas that is needed to metabolize and maintain normal levels of blood sugar.

"Although people with diabetes usually must limit their intake of sugar, it is the inability to produce or use insulin, not the amount of sugar they consume, that causes the disease," according to Carol Ann Rinzler in Feed A Cold, Starve A Fever: A Dictionary of Medical Folklore.

There are two types of diabetes. One is insulin-dependnotent diabetes mellitus (IDDM) which is also known as type I, juvenile, ketosis-prone, or juvenile-onset diabetes. In this condition, the pancreas produces little or no insulin because special cells within that organ needed to create insulin have been destroyed by the body.

"This is a good example of an autoimmune disease in which a 'normal* constituent is perceived by the body to be an 'enemy' and so 'killed.' We're not sure why this happens in some children and not in others. It has been suggested that a viral infection early in life is the trigger for this bizarre response. Regardless of the underlying cause, these diabetic youngsters have no insulin," explained Dr. Isadore Rosenfeld of the New York Hospital - Memorial Sloan-Kettering Cancer Center in The Best Treatment.

IDDM can affect anyone but it usually occurs in children and young adults. Young males appear to be more susceptible to the disease than females. Heredity is believed to be a factor since children who have two diabetic parents have a 20 percent risk of acquiring the disease. To prevent complications and death, these people regularly need insulin injections. (Next: Symptoms of diabetes.)

Since obesity can worsen diabetes, keep your weight down to a healthy level. You can do this with the help of Zyroxin, a safe and natural supplement that will maximize your weight loss through its unique fat-burning ingredients.



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Diabetes Symptoms.

Diabetes is the disease, caused by the absolute or relative insufficiency of insulin and characterizing by the disturbance of the exchange of carbohydrates with hyperglycemia and glucosuria, and also by other metabolism disturbances.
Diabetes is a very wide spread disease about 2-4% of all people suffer from it. According to the statistical data 50% of patients with diabetes die from the myocardial infarction, from blindness, from atherosclerosis of extremities, pyelonephritis, urolithic disease.
The basic internal reasons which cause diabetes mellitus include: heredity, autoimmune, vascular disorders, obesity.
The external reasons are mental and physical injuries, virus infections, injury, intoxication, hypodynamia.
The insufficiency of insulin leads to the disturbance of carbohydrate, fat and protein metabolism. Hyperglycemia and glucosuria appears. The production of fats is reduced and disintegration of fats is strengthened. All of these increases the ketonic bodies production . This causes acidosis.
There are different types of diabetes:

Type 1 diabetes, which is characterized by inability of pancreas to produce insulin. In most cases it appears in young people under 25 years old. Type 1 has the expressed clinical symptomatology including ketoacidosis. It begins very quickly, sometimes with the appearance of diabetic coma.

The main patient complaints are xerostomia, thirst, polyuria(frequent urination), weight loss, weakness, reduction of the ability to work, increased appetite, skin itch, pyoderma, furunculosis. Headache, insomnia, irritability, pain in the heart area and in the gastrocnemius muscles are frequently observed. In patients with decreased immunity tuberculosis, kidney diseases can develop. The increased level of glucose is determined during blood and urine tests.

Type 2 diabetes is caused by insulin resistance. It appears usually in elders with the excess weigh of the body. Type 2 diabetes is characterized by a slow inception. The level of insulin is usually within the limits of standard or can exceed it. The main complaints are: thirst, frequent urination, the increased appetite, patients suffer obesity.

Diabetes mellitus can have different complications: microangiopathy, neuropathy, angiopathy of the vessels and skin, muscles, accelerated development of atherosclerosis.

Diabetic retinopathy is characterized by dilation of retina's veins, by exudation and petechial hemorrhages into retina, thrombosis of capillaries. In severe cases scaling of retina, atrophy of the optical nerve are possible. Frequently the concomitant eye diseases can occur : blepharitis, the disturbance of refraction and accommodation, cataract, glaucoma and others.

The kidney disorders are manifested with intercapillary glomerulosclerosis and sclerosis of afferent arterioles. Diabetic neuropathy causes the involvements of central and peripheral nervous system.
The patients complain about the numbness, the spasms in the extremities, the pains in the feet. Reflexes, tactile, painful sensitivity are reduced. Also disorders can appear if bladder 's function or potency in men is decreased.

Diabetic ketoacidosis is developed as a result of insulin insufficiency during the incorrect treatment of diabetes mellitus, as a result of diet disturbance, mental and physical injury. This condition is characterized by intensive production of ketone bodies in the liver and an increased level in blood. Some hemodynamic disturbances can be developed.


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As Diabetes Costs Rise, Nutrition Education Can Help Companies And Employees

Diabetes is a very expensive health problem for employees, people with diabetes, and ultimately everyone. The American Diabetes Association reports in the United States we have 17.5 million people with diabetes. The total estimated cost of diabetes in 2007 was $174 billion, with $116 billion being medical spending and $58 billion coming from reduced productivity at work. (Source: Diabetes Care March 2008) Ultimately diabetes increases costs for everyone due to higher insurance premiums.

How can employers help reduce cost from diabetes? Until we have a cure there are two ways to decrease cost. One is to screen for diabetes at the workplace to catch diabetes in the early stages when it is easier and less costly to manage. The second strategy is to help employees with diabetes get better control of their diabetes to reduce the chance of costly complications.

To explain further these two strategies, we need to understand where the highest costs of diabetes occur. The average cost for a diabetes hospital stay is $1853 per day. Compare that to a doctor visit for diabetes at $132. Which one is more cost effective? Regular doctor visits every 3-6 months are recommended for achieving optimal diabetes care. The physician will ideally have diabetes educators also to help the patient learn how to better manage their diabetes with medication, monitoring, food and exercise. However, what if your employee does not like to go to the doctor? Then they will not be getting the blood tests, exam and education that help them manage their diabetes and prevent costly complications. If they are not feeling well they may miss more work days as well.

What if you have a diabetes nutrition educator at your workplace? Registered dietitians that are also certified diabetes educators are a great resource for the worksite. They have the nutrition, exercise and diabetes knowledge and can set up education and diabetes screening programs. Many dietitians are already contracting with companies to nutrition and wellness programs for worksites.

Early screening for diabetes can catch prediabetes, which is diagnosed when blood sugars are higher than normal but not yet high enough to be diagnosed as Type 2 diabetes. Learning how to make lifestyle changes at this stage can delay the onset of diabetes for years, thus reducing the overall cost of diabetes.

The April 2008 issue of Diabetes Care discusses how nutrition education is linked to fewer hospitalizations. In a study of 18,404 diabetic patients that were followed for 4.7 years on average, 9.1% had at least one nutrition visit. Compared to those patients who had no education, those who had one education visit had 34% lower hospitalization rate. This lower rate was associated with $11,571 less in hospital charges. Nutrition visits were associated with the greatest reductions in hospitalization.

To quote the American Diabetes Association position statement regarding the economic costs of diabetes, "Much of this cost is preventable through improved diet and exercise, prevention initiatives to reduce the prevalence of diabetes and its co-morbidities, and improved care for people with diabetes to reduce the need for costly complications." Dietitians who specialize in diabetes are the experts to look for in helping to accomplish these three tasks because they have a combined knowledge of food, nutrition and diabetes treatments.



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Tuesday, September 30, 2008

Would Your Doctor Take This Diabetes Drug?

Would your doctor take Avandia for diabetes? I doubt it, especially since it could cause a heart attack.

A study found that people, who took Avandia for at least a year, increased their risk of heart failure or a heart attack by 109 percent and 42 percent, respectively.

These numbers are alarming.

Thankfully this knowledge has lessened its use but simply switching to metformin may not be the answer either. Metformin is a drug that makes your body's tissues more sensitive to insulin and it's the drug of choice for type 2 diabetes.

This is unfortunate because type 2 diabetes is 100% avoidable and can be treated primarily through proper diet and exercise.

Type 2 diabetes stems from an insulin problem where leptin signaling is working as it should. Therefore, diabetes can be controlled by recovering your insulin and leptin sensitivities.

There is a lot of help out there for those that wish to normalize their weight and treat diabetes naturally. Here are some things you can start by doing on your own which are easy to do and don't cost an arm and a leg.

Start by following these simple guidelines:

1. Cut out or severely limit sugar and grains in your diet. Determining your body metabolic type is also important since you need to know whether you burn carbs or proteins best. Therefore, along with reducing grains and sugars, determining your nutritional type will give you some insight into what foods you should use to replace the grains and sugars.

2. Exercise regularly. I'm sorry but you cannot get away from it. Exercise increases the sensitivity of your insulin receptors, causing the insulin already present to work much more effectively, so your body doesn't need to produce as much.

3. Avoid trans fats. The damage that the introduction of margarine has done to our bodies will never be quantified. Thankfully, today we are much more aware of trans fat dangers and many companies are removing it from their products. However these products are all processed and don't need to be in your cupboard in the first place.

4. Get plenty of omega-3 fats. These are available in fish, supplements, Chia or flax seeds. All are easy to find and inexpensive to add to your daily diet.

5. Get a good night's sleep every night and natural adaptogens can really help in this area.

6. Look to EFT for eliminating or dealing with emotional issues that lead to eating the wrong kind of food. EFT is easy to learn and quite effective.

7. Deal with weight issues effectively by cleansing/detoxifying in order to give your body the tools it needs to repair the damage done by toxins you are exposed to in your daily life.

Article Source: http://EzineArticles.com/?expert=Marie_Leonard

Holidays and Diabetes

If you have been diagnosed with diabetes, it does not mean that you cannot have holidays or that you cannot travel. With the current advances in medical science it is possible to have holidays and even fly to other countries even if you are insulin dependent. Obviously it is always advised that you chat things through with your doctor and to include any advice they may offer, but it is possible to lead a good quality of life with diabetes.

Vacation Planning And Tips

The key thing is planning. Anything is possible from Air Travel to Cruising, from driving to foreign climates to holidaying in your own country. Always plan your excursions so that someone knows when you leave and when you are due to arrive and keep in contact with them if you know you will be late (this is normal courtesy but it also covers you if something unexpected happens). Depending on where you are going, your doctor can advise you of the list of medical supplies you will need while away. The list will probably include things like Insulin doses, diabetic food (always carry snacks and drink in case your sugar levels fluctuate), Insulin pumps (for those who are insulin defendant), and most important of all make sure you wear your medical emergency bracelet (this will alert even those in a different country that you are diabetic should an emergency arise).

If you are staying at an hotel, or cruising it is always best to inform the travel organisers so that they can cater for your diabetes - many vegans would do this too so it is not an unusual request.

With regard to flying and leaving the country, it is important to check with the travel arrangers since they will need to make special arrangements for you. One thing they will need to do is to allow for their metal detectors. It is better for example that they know you have a needle in your arm (if you are insulin dependent) than that you set of an emergency with the detecting system). It is also good for passport control and you will need to seek advice with regard to the best procedures for leaving and entering countries.

Emergency Kit

You will need to get your own version from your doctor but it may well include things like:- Diabetic food and drink, Urine ketone test strips, Glucagon emergency kit, Disposal container for syringes and test strips, Insulin dispensing products (such as vials, pens, preloaded insulin syringes, etc), Lancets, Cotton swabs, Glucometer, Vial of insulin, etc. Basically anything you would normally need in your everyday life plus a few emergency items that you might need.

With planning you can do almost anything. If you are going abroad, it would also be a good idea to learn a few phrases regarding your diabetic needs or at least have them written down in your phrase book. Being diabetic need not mean no holidays or breaks to foreign countries.

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Early Symptoms of Diabetes

Diabetes is something that many people fear but don't know what to look for as early warning signs. This disease is best treated early and the effects of the disease can be limited and sometimes cured with a change of lifestyle. It is generally best if you notice anything that is not usual, or concerning to you, that you get a check up. There is much that doctors can do nowadays that can bring relief to sufferers. Diabetes is not the "bad news" it used to be in days gone by.

Common Symptoms Of Diabetes

Extreme thirst is one of the unusual symptoms of diabetes. It may be that you are noticing an unexplained thirst that you have noticed has been happening. This sort of thirst will be unusual, not explained by a heat wave or the taking up of a sport or the lack of drinking done in a day. The average person needs about eight large glasses of water a day. If you are in any doubt, then it may be a good idea to check it out with a doctor.

Another common symptom is dry, itchy skin. This symptom is not often associated with diabetes, but if it is unusual or has started to develop then again it is worth checking.

Treatment for Diabetes

There is much that can be done to treat this disease, both through medication and also through lifestyle changes. If your doctor confirms diabetes it is important to know that it is not the doom and gloom it used to be.

Firstly your doctor will want to check your weight, and discuss your diet and general lifestyle. The answers to these initial questions, will help to determine the treatment that he will advise.

If you are overweight then part of the treatment will focus on reducing your excess weight, Similarly if you do not exercise he will probably advise taking up a sport or active pastime, or even simply increasing your walking.

Another area he will look at is your diet. He may well arrange for you to see a specialist dietician as a well balanced diet will help to keep your glucose levels at a more constant level and avoid the highs and lows that you may have been experiencing. If you need medication, then the diet will be planned with that fact in mind as well as the move to increase your exercise levels.

Diabetes is a difficult condition to deal with but it is not impossible. Working with your doctor and his medical staff can help you to deal with this condition. Many people with Type II diabetes even find they can reduce their medication and if caught early enough, some even find the change of lifestyle such that their diabetes virtually goes away and they are no longer in the medical zone of diabetes.



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Sunday, September 28, 2008

Diabetes on the upswing

Percent of people age 65 or older with diabetes
by race in the United States

1984-1984 2001-2004

White 17% 24%
Black 27% 28%
Mexican American 30% 35%

SOURCE: CDC/NCHS

Note: Table made from bar graph.

Diabetes

Diabetes is a chronic disorder characterized by either an absolute or relative absence of insulin. Insulin is secreted primarily by the beta cells located in the anterior head, body, and tail of the pancreas. Type 1 and type 2 are the primary categories of diabetes, but other types do exist (gestational diabetes, impaired glucose tolerance, and diabetes related to other conditions). Early detection and treatment of pre-diabetes and diabetes are essential to prevent the serious complications associated with this disease. The focus of this discussion is type 1 and type 2 diabetes.

Type 1 diabetes represents an absolute lack of insulin caused by a decrease in beta cell mass. It affects about 10% of the diabetic population and usually occurs before the age of 30. It is typically detected by an abrupt onset of symptoms of hyperglycemia. The affected patient is often prone to ketoacidosis, which occurs when accumulation of ketones (byproducts of fat metabolism) leads to acidosis, causing diuresis, dehydration, loss of electrolytes, and eventually renal failure, coma, and death.

Type 2 diabetes is related to insulin resistance and a defect in insulin secretion. Sustained hyperglycemia is diagnostic of type 2 diabetes and occurs over a long period of time. Symptoms usually occur after the age of 30 but can occur at any age. Obesity and a sedentary lifestyle are primary factors of occurrence. Type 2 diabetes usually is not prone to ketoacidosis because some insulin is still produced. Treatment is centered on diet, exercise, weight loss, oral medications, and/or insulin as indicated, with careful monitoring of blood glucose levels by the patient and physician.

Patient self-monitoring involves glucose testing four times per day for type 1 diabetes and as indicated for glucose control in type 2 diabetes. Glycosylated hemoglobin (HbA1c) levels are used to determine long-term (about 3 months) glucose control. HbA1c should be maintained at < 7%. Monitoring is aimed at preventing chronic complications, including eye disorders, kidney disease, peripheral neuropathies, and cardiovascular disease.

Treatment protocols involve a combination of diet, exercise, and medications to maintain blood glucose levels as close to normal as possible. Nutrition is no longer based on American Diabetes Association diets but is individualized to patient need and associated with exercise and lifestyle. When diet and exercise do not provide adequate control of blood glucose, medications may be added to the treatment plan. Medications can be oral agents, insulin, or a combination of both for type 2 diabetes. Type 1 diabetes will always require insulin.

For further information on diabetes, review Chapter 22 in the Core Curriculum for Medical-Surgical Nursing (3rd edition), then answer the following questions.

1. The nurse is teaching a patient with a new diagnosis of diabetes mellitus about disease management. Among the "survival skills" that the nurse should identify is:

a. Weight loss.

b. Eliminating sugar from the diet.

c. Self-monitoring of blood glucose.

d. Limited physical activity.

2. Which of the following is characteristic of type 2 diabetes?

a. Absolute lack of circulating insulin

b. Decreased mobilization of glucose by the liver

c. Resistance to insulin by cell receptors

d. Sustained hyperglycemia in both fasting and postprandial blood glucose levels

3. Which of the following is used to measure chronic glucose control?

a. Microalbuminuria

b. HbA1c

c. Fasting plasma glucose

d. Serum ketones

4. To decrease the risk for developing diabetic neuropathy, the nurse will encourage the patient to:

a. Drink 8 to 10 glasses of water daily.

b. Eliminate alcohol.

c. Decrease consumption of red meat.

d. Stop smoking.

1. c--Self-monitoring of blood glucose is the foundation of successful disease management for the patient with diabetes mellitus.

2. d--Insulin resistance is a cause of sustained hyperglycemia in fasting and postprandial blood glucose levels.

3. b--HbA1c provides a picture of glucose control over a period of approximately 3 months.

4. d--Risk factors for the development of diabetic neuropathies include hypertension, smoking, and chronic hyperglycemia.

Diabetes

What the clinical trials found: A phase III study suggested that exenatide LAR may offer improved blood glucose control over the currently marketed formulation, Byetta.

Adis R&D Insights Rating & Comment: 70. Exenatide LAR is expected to replace the existing, immediate-release formulation of exenatide (Byetta), also developed by Amylin and Lilly. Byetta requires twice daily subcutaneous administration, so a once-weekly formulation would be a more convenient option. An NDA for exenatide LAR is expected to be submitted in 2009, and if approved, the agent is predicted to supersede Byetta as an adjunctive therapy in patients with type-2 diabetes mellitus.

What the analysts had to say:

* In the GLP-1 class, interest will remain high, given the need for better post-prandial control, beta cell preservation and weight control. But competitors will have to demonstrate clear and meaningful benefits for acceptance by physicians, payers and patients.

-David Jacobson, SVP, GfK Market Measures

* We believe exenatide LAR has now demonstrated the most convincing clinical profile of all GLP-ls to date. Efficacy appears to be best in class. We forecast $2 billion in peak sales.

-ING Wholesale Banking's Tun Race

Liraglutide Novo Nordisk

Indication: Type-2 diabetes mellitus (Ph.III)

What the clinical trials found: Phase III clinical trials found oncedaily liraglutide + glimepiride gave superior glycemic control compared with a rosiglitazone-glimepiride combination and with glimepiride monotherapy. The triple combination of glimepiride, metformin and liraglutide was also superior to glimepiride, metformin and insulin glargine. Notably, three trials demonstrated that liraglutide promoted weight loss and had a good safety profile with no serious adverse events reported.

Adis R&D Insights Rating & Comment: 72. Liraglutide may face direct competition from exenatide LAR. A direct, head-to-head study of liraglutide vs. exenatide, initiated this year, may show which is the more effective agent in maintaining glycemic control and hence provide a better therapeutic option for patients with type 2 diabetes.

What the analysts had to say:

* Long-term we have reduced our 2013 sales for liraglutide form $1.3 billion to $1.1 billion reflecting the potential for exenatide LAR to dominate the market. If liraglutide reaches the market, Novo Nordisk is likely to have significant competition to its only major new compound.

-ING Wholesale Banking's Tun Race

Saxagliptin Bristol-Myers Squibb/AstraZeneca/Otsuka

Indication: Type-2 diabetes mellitus (Ph.III)

What the clinical trials found: Preliminary six-month data from a phase III study in patients with type 2 diabetes, which was poorly controlled with metformin, showed that add-on, once daily saxagliptin was safe and well tolerated. The compound significantly improved glycemic control compared with metformin alone. Saxagliptin is currently in phase III multi-center clinical trials worldwide. BMS and AZ plan to file an NDA with the FDA in the first-half of 2008. Studies are assessing the compounds as monotherapy, as an adjunct to diet and exercise, and as an add-on therapy in combination with metformin, sulfonylurea or thaizolizinediones.

Adis R&D Insights Rating & Comment: 74. It remains to be seen whether saxagliptin will have a successful run in the diabetes market. Its future depends on the results from pending clinical trials and its ability to outperform other gliptins already on the market.

What the analysts had to say:

* Saxagliptin is emerging as a serious competitor to Merck's Januvia.

-Rodman & Renshaw 's Michael King

* Saxagliptin could add $750 million to peak US sales by 2017.

-Lehman Brothers PharmaPipelines estimates,

cited by Adis R&D Insight

OTHER KEY PRODUCTS IN THE DIABETES PIPELINE

AJD 101 Ajinomoto/Sankyo

Diabetes (Ph.I)

Insulin inhalation Alkermes/Eli Lilly

Diabetes (Ph.III)

DiaPep277 Andromeda

Type 1 diabetes (Ph.III), Latent autoimmune diabetes in adults (Ph.II)

AZD AstraZeneca

Diabetes (Ph.I)

AZD 2207 AstraZeneca

Diabetes (Ph.I)

BAY 737977 Bayer

Diabetes (Ph.I)

Insulin inhalation Baxter

Diabetes (Ph.I)

Insulin inhalation Coremed

Diabetes (Ph.I)

Insulin oral Coremed

Diabetes (Ph.I)

Diabetes mellitus vaccine Diamyd Medical

Latent autoimmune diabetes in adults (Ph. I), Type 1 diabetes (Ph.II)

LABI Flamel/BristoWAyers Squibb

Diabetes (Ph.II)

Metformin XL Flamel

Diabetes (Ph.II)

KRP 101 Kyorin

Diabetes (Ph.II)

MK 0533 Merck

Diabetes (Ph.II)

MK 0893 Merck

Diabetes (Ph.I)

MK 0941 Merck

Diabetes (Ph.I)

MK 3887 Merck

Diabetes (Ph.I)

MP 513 Mitsubishi/Mitsubishi Tanabe

Diabetes (Ph.II)

Aliskiren Novartis Hypertension in diabetes (Ph.III),

Diabetic nephropathies (Ph.II)

Insulin inhalation QDose

Diabetes (Ph.I)

Friday, September 26, 2008

Care for Diabetic Feet

A diabetic has a host of problems to deal with besides just the blood sugar. The skin and feet are very important to care for, because if they are not, serious complications like gangrene and even amputation can occur. Diabetics can die due to complications from foot problems. It is extremely important to care for the feet.

50% of leg amputations are performed on diabetics. The risk of foot infections is 40 times higher in diabetics. Risk of gangrene is 17 times higher in diabetics. 25% of diabetic hospitalizations are the result of foot problems.

Diabetes causes two types of problems for your feet:

* Neuropathy, which is damage to the nerves in the legs and feet, can cause lack of feeling, so that a sore or cut can go undetected because you do not know it is there. The feet become insensitive to hot and cold, and can be burned or chilled without your knowledge.
* Poor blood flow can cause peripheral vascular disease. Peripheral vascular disease slows down the healing process. Smoking when you have diabetes can make the blood flow problems much worse.

What should one do to prevent problems and remain healthy? Prevention is the key: regular screening for neuropathy and artery problems, monthly pedicures, daily foot examinations, daily use of a foot product to prevent calluses, and moisturize the skin and retain its protective role. How do you do this?

1. Manage your diabetes. Keep all of your medical appointments and do what your professional tells you to do. Have your doctor inspect your feet at each visit.
2. Make sure you monitor your blood sugar and keep it level. Take your medicine as prescribed. Eat the proper diet.
3. Stay active and keep your body in shape. Working out can help accomplish that.
4. Care for your feet daily. Set a time of day to inspect you feet, so that you do this every day. Check them for cuts, blisters, sores, swelling, redness, or sore toenails.
5. Every day, bathe your feet and dry them thoroughly, especially between the toes.
6. Put cream or lotion on your feet every day. This helps to keep the skin hydrated and smooth, so that no cracks develop.
7. Keep your toe nails trimmed straight across and filed. This helps to prevent ingrown nails. Have monthly pedicures.
8. Always wear shoes and socks. Never go barefoot, even at home. This helps to prevent any injury.
9. Ask your doctor if you need special shoes. Most insurance will help with the cost of shoes prescribed by your doctor.
10. Make sure that you have good circulation to your feet. Just putting them up when you sit, wiggling your toes and moving your feet around a few times a day will help this immensely. Get in the habit of not crossing your legs when you sit.
11. Do not smoke. This slows down the circulation.
12. Start today to care for yourself.

Even though diabetes is not easy to live with, taking these precautions can go a long way in helping you to maintain your disease and have healthy feet.

Diabetic Foot Infection Control With Ultraviolet Light

Diabetic foot infections arising from ulcerations are the largest non-traumatic cause of lower extremity amputations. Many of the infections are acquired by improper care of the ulcer as well as failure to protect the open wound from contaminants. Contributing factors include peripheral neuropathy and vascular disease, rigid pedal deformities, local trauma and pressure, extensive soft tissue loss, multi-system failure, non-compliance and severe infection. For Podiatrists it is a recurring problem.

The recent Infectious Diseases Society of America (IDSA) Diabetic Foot Infection Guidelines emphasize the following point:

"Aerobic gram positive cocci (especially Staphylococcus aureus) are the predominant pathogens in diabetic foot infections. Patients who have chronic wounds or who have recently received antibiotic therapy may also be infected with gram negative rods, and those with foot ischemia or gangrene may also have obligate anaerobes."

The guidelines specifically note the dated thinking that all DFIs are mixed infections is not evidence based. There is a difference in microbial flora based on the severity of the infection and the presence of comorbidities. Even in the more complicated infections in which a myriad of other organisms may be isolated, their importance as primary pathogens needing antibiotic coverage is debatable. Many represent colonization only.

MRSA Continues To Be Evolving Problem

While the number and types of true pathogens in the majority of DFIs may be limited to Staphylococcus and Streptococcus, it does not mean that the clinician can rest assured that traditional therapies active against these two organisms will be enough. MRSA as well as VRE are emerging as serious threats to the diabetic patient.

The traditional therapies of systemic antibiotics often compromise the healing of the ulcer itself as well as many of the topical agents that are branded generics of common ingredients such as silver, povidone iodine, and other traditional topicals.

"Wound Healing, Alternatives in Management" by Kloth, McCullouch also point out that many chronic wounds are not chronic in nature but are acute injuries that are consistently reinjured in treatment and appear to be chronic. An example of improper treatment would be the use of sterile gauze as filler yet the gauze is allowed to dry out and the results are the gauze now adheres to the new granulating tissue and each removal destroys the new growth and sets back the healing while exposing newly injured tissue to external contaminants. Eschar develops, which is a wonderful breeding ground for MRSA and other pathogens, because the top cells die from dehydration and the dead tissue becomes the eschar.

In the past five years, there has been a seemingly logarithmic growth in the incidence of methicillin resistant Staphylococcus aureus (MRSA) as a pathogen in the diabetic foot. This organism was once associated only with nosocomial infections but now community-acquired strains of MRSA have become common in DFI cases. While it is outside the scope of this feature to review MRSA in detail, it is important to examine the situation in the diabetic foot.

As recently as 1996, Goldstein reported that 20 percent of the staphylococcal isolates from his diabetic foot population in California were methicillin resistant.4 In 1999, Tentolouris showed 40 percent of the staphylococcal isolates in their diabetic foot clinic in the United Kingdom were methicillin resistant.5 In 2003, the same group published a follow-up study entitled "Methicillin resistant Staphylococcus aureus in the diabetic foot clinic: A worsening problem."6 Although the absolute percentage of MRSA among their staphylococcal isolates only increased to 42.2 percent, the number of patients that actually presented with MRSA doubled. Fortunately, their study found many of these MRSA isolates could be treated effectively with debridement, topical therapy and isolation.

Unfortunately traditional treatments continue to be used and the population of drug resistant strains of "super germs" continues to develop faster than new antibiotics. This is not necessary.

Ultraviolet C- range ( 254 nm) has consistently shown the ability to not only kill all forms of pathogens, especially bacterial, but no bacteria has ever been capable of mutating or avoiding the lethal effects of UVC. Ultraviolet C range is easy for the patient to self-treat and one of the lamps is FDA approved for dermatological applications such as destroying pathogens on the skin surface thus avoiding new contamination. Total treatment time is less than 90 seconds. Cost once device purchased or rented is only the cost of electricity for a 4 watt bulb for 90 seconds, or less than a penny.

Ultraviolet can be used for not only topical treatment where the bacteria has localized but is also indicated for systemic infections.

Tens and Interferential electrotherapy can be used post Ultraviolet treatment to facilitate faster growth as well as controlling the swelling and increasing blood flow to the foot.

There are many tried and true therapies such as ultraviolet that will stop the necessity of amputation for the patient with a diabetic foot infection or any other foot wound that becomes infected.

Gestational Diabetes Diet Information

Gestational Diabetes Diet

Gestational diabetes is seen in pregnant women when they develop high blood glucose levels during pregnancyA gestational diabetes diet will provide essential nutrients for both mother and unborn baby without making the baby grow too much.

One concept is that the pressure of the pregnancy itself affects it, but whatever the reason every woman who is detected with it will require to go after a gestational diabetes diet plan.

In those cases wherever gestational diabetes diet and exercise are sufficient to get blood levels back to normal, and day by day medications are prescribed.

Pregnant women with type 1 or type 2 of diabetes meet a higher chance of miscarriage and early birth. A well-considered diet plan plays an enormous role in the life of a pregnant woman.

Gestational diabetes diet is calling for dietary changes which, the pregnant woman may not be used to, however controlling this type of diabetes it is vital.

A gestational diabetes diet, along with additional treatments decreases successfully the problems caused by having abnormally large babies, as women with this problems often do. Gestational diabetes diet needs including a daily chart that keeps track of the quantity of calories eaten.

A pregnancy gestational diabetes diet is uncommon from the best pregnancy diet for women without diabetes and consists of a number of uncommon parts. Most of the women gain from a gestational diabetes diet and exercise, however some may necessitate medication beside everyday life adjustments. To prepare your gestational diabetes diet, seek advice from a dietitian who can advise you a appropriate diet based on your health condition, your height, weight, age, the growing baby needs, in addition to your glucose level intolerance.

The dietitian will ask you to take the place of the sweetened foods the non-natural sweetener in your gestational diabetes diet. A complete gestational diabetes diet plan takes into considerations the physical, psychosocial, and educational requirements.

Your dietitian will assess your nutritional eating and drinking and prepare an appropriate gestational diabetes diet plan with the accurate quantity of protein, fat and carbohydrates for you and your unborn baby.

The goal of a high-quality pregnancy diabetes diet is to make sure with the intention of you do not have to resort to insulin shots until it becomes needed.

Undercooked meat, raw fish such as sushi and underdone eggs should not be eaten whilst pregnant. When you are pregnant, you may be extra vulnerable to the illnesses these foods may hold and your response will be complexes by the pregnancy.

Normal blood glucose examining is essential all through this time, however more essential is the gestational diabetes diet.

Suggestions for eating fruit in a gestational diabetes diet: Consume fruits uncooked or cooked, as fruit juice with no sugar added, canned in their own juice, or dried.

Gestational Diabetes Diet Information

If you have more than one portion at a mealtime, you can choose different types of fruit or have two servings of one fruit.

Milk and yogurt serving sizes in a gestational diabetes diet: You have four to five servings of milk and yogurt every day as fraction of your gestational diabetes diet.

Cakes, cookies, ice creams, candies, soft drinks, pies, commercial fruit yogurt, jams and jelly could be very damaging if you are on a gestational diabetes diet.

Lactose found in milk is processed into glucose fast in the body and several gestational diabetes diet plans limit the quantity of milk. Eating lots of fiber is essential to a gestational diabetes diet. Besides, following a carefully designed gestational diabetes diet plan, the pregnant woman should try to break her daily food eating into a lot of little mealtime to give the pancreas enough time to break the sugar in the blood.

Establishing the right blend between gestational diabetes diet and the right blood sugar level takes time.

A gestational diabetes diet, beside the other insistent actions, Effectively reduced the problems caused by having unusually big babies, as women with these problems often do.

Remembering my efforts of trying to understand and get as many details as possible, and finding answers for my uncertainties directed me into writing and giving out all I know about gestational diabetes. Three years ago, during my pregnancy, I came to know that I had gestational diabetes. However, there are few subtle symptoms, which I did not particularly notice that help to diagnose gestational diabetes in its early stage. The information is written in simple language, easy to read and leads the reader step by step to get knowledge of deterrence, note the symptoms and know what questions to ask your physician.

Wednesday, September 24, 2008

The Lowdown on Diabetes

Diabetes Mellitus is a disorder in which blood levels of glucose (a simple sugar) are abnormally high because the body doesn't release or use insulin adequately. The full name of diabetes is Diabetes Mellitus. Doctors use the full name in order to distinguish this disorder from Diabetes Insipidus which is a rare disease. Insulin, a hormone released from the pancreas, is the primary substance responsible for maintaining appropriate blood sugar levels. Insulin allows glucose to be transported into cells so that they can produce energy or store the glucose until it's needed. Diabetes results when the body doesn't produce enough of this insulin to maintain normal blood sugar levels.

There are two types of diabetes: Type 1 and Type 11.

Type 1 Diabetes Mellitus (insulin- dependent diabetes) and Type 11 Diabetes Mellitus (non-insulin dependent diabetes.) Type 1: produces little or no insulin, although about 6 percent of the United States population has some form of diabetes. Only about 10 percent of all diabetics have Type 1 of this disease. Most people who have Type 1 diabetes developed the disease before age 30. A person with Type 1 diabetes must regularly inject insulin to survive.

Type 11: the pancreas continues to manufacture insulin, sometime higher than normal levels.

However the body develops resistance to its effects, as a result, a relative insulin deficiency. This type may occur in children and adolescents and usually begins after age 30 and become progressive with age. About 15 percent of people over age 70 have Type 11.

The first symptoms of diabetes are related to the direct effects of high blood sugar levels. These symptoms include: increased flow and abnormal thirst, weight lost, feels excessively hungry, blurred vision, drowsiness, nausea, and decreased endurance during exercise.

Also, people whose diabetes is poorly controlled are more susceptible to infection. Because of the severity of insulin deficiency, people with Type 1 normally lose weight before undergoing treatment; in addition, the symptoms begin abruptly and may progress rapidly to a condition called Diabetic Ketoacidosis. People with Type 11 don't lose weight, and might not have any symptoms for years or decades, when insulin deficiency progresses, symptoms may develop. Increased flow and thirst are mild at first and gradually worsen over weeks or months. Ketoacidosis is rare. If the blood sugar level becomes very high, (exceeding 1,000 mg/dl) usually as the result of some superimposed stress, such as an infection or drugs, the person may develop severe dehydration, drowsiness, seizures, and a condition called Nonketotic Hyperglycemic-Hyperosmolar Coma. This coma is similar to Diabetic Ketoacidosis. There is no cure for diabetes, but it can be successfully managed or controlled with diet, exercise, and medicine.

At Risk For Diabetes?

There are two types of diabetes, type one and type two. Diabetes is the leading cause of blindness in adults and untreated it can lead to nerve damage and amputation, as well as vision problems. In men, it can lead to erectile dysfunction, as well as leading cause of hypertension - adults with diabetes are 50% more likely to develop higher blood pressure. Diabetes is a condition in which the pancreas decreases the rate in which insulin is produced and blood glucose levels become too high, or too low. Diet and exercise or treatments of injections or oral tablets of insulin can maintain a normal blood glucose level.

Type-one diabetes includes symptoms such as excessive thirst, weight loss, fatigue and frequent urination and an increase in appetite.

The second type of diabetes, type-two diabetes has some of the same symptoms as type 1 diabetes but also more severe symptoms as skin and bladder infections as well as blurred vision or tingling in the legs, arms and extremities. Type-two diabetes is more common and can occur without any symptoms at all. Type-two diabetes is often referred to as type-two diabetes. Interestingly enough, forty percent of the people with type-two diabetes can change the prognosis of the disease through diet and exercise.

Those over the age of forty-five should have their blood sugar tested every three months. Those under the age of forty five with significant risk factors should have yearly tests as well. A simple visit to your family physician to ask for a lab test for blood glucose levels can yield blood glucose levels. Many lab tests for glucose require fasting for eight hours to receive accurate results. Most often, these tests are included with physical exams, and should be completed at least once per year.

Those at highest risk for diabetes are those who are; overweight, having given birth to a large baby, those with previous abnormal glucose levels or those who are over the age of forty five.

Drug therapies differ between type-one and type-two diabetes. Drug therapies used for type one diabetes patients include; insulin pens and insulin injections. There are four types of insulin injections, short acting, long acting, rapid acting and intermediate acting. Insulin pens are more convenient than traditional syringes and are favored by more patients diagnosed with diabetes than the traditional syringes. Depending on the history of the patient and the reaction that the body has with the insulin, short or long acting insulin will be prescribed by the health care professional.

There are many other treatment options available for those diagnosed with type-two diabetes. These include oral medications, or specific diet and exercise regimens. Alpha glucosidase inhibitors slow the absorption of carbohydrates within the blood stream and the small intestines and assist in lowering the blood sugar. Meglitinide is a new course of medications that encourage the pancreas to produce and secrete insulin, thereby lowering the blood sugar. As an alternative to these chemical medications, oral medications, the more traditional type of type-two diabetes management are most prescribed by doctors in North America.
 
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