If You Suffer From Diabetes

How To Live Well Even If You Suffer From Diabetes

By Kent Swigg
Millions of people worldwide suffer from diabetes. When someone is diagnosed with the disease, it can turn their life upside down. There are many complications associated with diabetes which can make it highly difficult to live a normal life as before. If you or someone you know is struggling to cope with this disease, this article can be of immense help.

1. Find a meal plan which is suitable for you – Diabetic patients should pay lot of attention to their eating habits. They just cannot eat whatever they like. Count the proteins and carbs for each meal. Browse through cookbooks in order to find low-carb, low-fat, sugar-free recipes which you can cook and eat on regular basis. You should try to find at least a few good recipes which you like eating and which are healthy for you.

2. Find an exercise you enjoy – You need to get some physical exercise daily if you want to stay healthy and fit even while suffering from diabetes disease. Find an activity which you enjoy so that it is easier to stick to it on regular basis. You can try swimming, walking, cycling or play softball.

3. Remember to drink sufficient quantity of water – The sense of thirst in people with high blood sugar can become repressed. Such people may often get confused between thirst and hunger. They might think they are hungry when it is actually thirst which they are feeling. Whenever you feel hungry next time, instead of reaching for food straightaway, have a glass of water and wait for 15-20 minutes before you think of eating anything.

4. Get your eyes checked regularly – People with diabetes have a higher chance of developing eye problems like cataract or glaucoma. So it is a good idea to get your eyes checked regularly in order to catch any potential problem early on before it gets worse.

5. Stop smoking and drinking – Diabetics have much higher risk of developing heart related ailments than other people. So smoking can be more dangerous for diabetic patients than it is for others. Alcohol is another thing which diabetic sufferers should avoid. Alcohol can make the blood sugar levels rise. It can also interfere with insulin and other medicine.

In conclusion I would like to mention that it is possible to live a healthy, happy and normal life even if you suffer from diabetes. It is a scary disease but by following the simple tips given in this article you can control it to a huge extent.

The Health Benefits

By Beverleigh H Piepers
Generous amounts of vegetables and fruits are at the very heart of a healthy Type 2 diabetes diet. In fact, no one has anything really bad to say about vegetables and fruits – they will help keep your weight in check and help protect against heart disease, cancer and several other health issues. Why not plan to fill at least half of your plate with vegetables and fruit at each meal?

To keep your calories and carbohydrates under control, have plenty of low carbohydrate non-starchy vegetables such as…

broccoli,
green beans,
Brussels sprouts,
cabbage,
cauliflower, and
salad vegetables.
If you are looking for a different food to try this week – consider making it green beans. Low carbohydrate non-starchy green beans are a terrific way to not only get in great nutrition but keep your calorie intake in check as well.

Let’s walk you through the nutritional value for green beans so you can see precisely how this stack up…

The Nutritional Density. When looking at the nutrients in green beans, you’ll see an assortment of different vitamins and minerals.

they’re a rich source of vitamin K, manganese, vitamin C, folate, vitamin B2, vitamin B1, copper, magnesium, calcium, iron, as well as phosphorus.
they also contain a small dose of omega-3 fatty acids, making them a great way to help fend off insulin insensitivity.
All of this comes in at just 44 calories per one cup serving.

The Health Benefits. So what health benefits will green beans provide? First, they are excellent for improving heart health as they will help to lower the level of bad cholesterol in your body while increasing the level of good.

In addition, they’re also great for reducing the level of inflammation in your body, which can go on to help prevent Type 2 diabetes.

For those who aren’t suffering yet but are concerned about it in the future, green beans will help you put up an excellent defense.

Serving Suggestions. All of this said, how can you serve green beans? The most common way to serve them is to simply boil them and then to drizzle over the top some balsamic vinegar or alternatively, add a dab of grass-fed butter.

You can also add them into soups and stews if you are looking for a change of pace with those dishes.

Keep in mind you can purchase these fresh or frozen – both varieties will have a very high nutrient density.

There you have the basic facts about green beans. If you’ve been overlooking this vegetable, find a way to include it in your diabetic diet this week so you can reap the health benefits from lower blood sugar levels and weight loss.

Although managing your disease can be very challenging, Type 2 diabetes is not a condition you must just live with. You can make simple changes to your daily routine and lower both your weight and your blood sugar levels. Hang in there, the longer you do it, the easier it gets.

SGLPT2 Inhibitors

The SGLPT2 Inhibitors: Pro’s and Con’s

By Michael A Dempsey
The SGLPT2 inhibitors are the newest class of drugs used to treat people with diabetes.

They work by inhibiting reabsorption of sugar from the kidneys by the SGLPT2 transporters.

Since these transporters account for 90% of sugar reabsorption, their blockage results in significant loss of sugar in the urine. This effect is independent of insulin.

Clinically, this results in lower sugar levels in the blood, both before and after meals. The average HA1c reduction is 0.7-1.2% in studies ranging from 4-90 weeks.

Because calories are being lost as increased amounts of sugar are excreted in the urine (50 grams of glucose in the urine is equivalent to 200 calories), the drugs are also associated with weight loss.

Weight loss averages 5 pounds at 12 weeks.

In 12 month trials, reported weight loss ranges from 6-10 pounds.

Small, but clinically significant reductions in blood pressure are also seen with the SGLPT2 inhibitors, presumably due to both fluid loss and weight loss. Uric acid levels may also decline.

Slight increases in LDL-cholesterol and HDL-cholesterol levels have been reported. Studies are underway to determine their clinical significance.

The most commonly used SGLPT2 inhibitors are canagliflozin (Invokana) and dapagliflozin (Farziga). Clinical efficacy and side effects are similar. Both are once daily oral formulations.

The most common side effects are genital yeast infections (10% of women and 4% of men), presumably due to increased concentration of sugar in the urine. Most of the genital infections in men occur in men who aren’t circumcised. Increased risk has not been reported in all trials.

Some people note increased urination.

Since insulin secretion isn’t increased, and reabsorption is only inhibited when blood sugar levels are 90 mg/dl or more, hypoglycemia (low blood sugar) is rare when the SGLPT2 inhibitors are used alone.

Symptoms of volume depletion may occur (dizzy with standing).

This is seen most often in people 65 years or older, people who are dehydrated or being treated with fluid pills (diuretics), and/or people with underlying kidney dysfunction.

High potassium levels have been reported, most often in people taking blood pressure medications that block the renin-angiotensin system.

The efficacy of SGLPT2 inhibitors is greatest in people with healthy kidneys.

If your kidneys aren’t filtering normally, enough sugar won’t be filtered to allow the drugs to have a significant impact on reabsorption. The drugs are not toxic to the kidneys.

SGLPT2 inhibitors should not be used in people with significantly reduced kidney function (i.e. those with GFR’s < 45-60 ml/min).

Specific recommendations include avoid canagliflozin with a GFR <45 ml/min, at dapagliflozin at <60 ml.min.

Long-term efficacy and safety for the SGLPT2’s are unknown at this time.

As with all medications, discuss the pros and cons of treatment with your physician before beginning therapy.

Blood Vessel Disease

Type 2 Diabetes – The Importance of Screening for Heart and Blood Vessel Disease

Expert Author Beverleigh H Piepers
Medical science is constantly at work finding more efficient and effective ways to detect heart and blood vessel disease early enough to treat it successfully. Researchers at the International Atomic Energy Agency in Vienna, Austria, used myocardial perfusion imaging (MPI) to detect any heart problems in people diagnosed with Type 2 diabetes but who have no signs or symptoms of heart disease. Their work was reported in the journal Nuclear Medicine Communications in November 2014.

Like all tissue in the human body, heart muscle needs blood to supply it with oxygen and the nutrients it requires to keep it doing its job. The coronary arteries supply heart muscle with blood but, when they are blocked parts of the heart can lack oxygen. This can cause some of the muscle to die if it is not remedied. Myocardial perfusion imaging (MPI) takes images of the heart, showing areas where the heart muscle is getting enough blood.

A total of forty-one Type 2 diabetics who had no signs or symptoms of coronary artery blockage were enrolled in the study and given an MPI. Another MPI was performed three-years later…

13 of these diabetics, or 32 percent, showed parts of the heart that were not getting enough blood.
3 years later, 8 of the 13 had normal blood flow into all the heart muscle. The amount of blood their hearts pumped into the circulation also improved due to treatment they had received over the three-year interval.
Type 2 diabetes is a risk factor for coronary artery disease because diabetics often have high blood cholesterol and fat levels which tend to block arteries. The obesity frequently seen in people diagnosed with Type 2 diabetes puts a strain on the heart. Also the sedentary lifestyle that frequently accompanies Type 2 diabetes, does not give the heart muscle the workout it needs.

To maintain a healthy heart, non-diabetics as well as Type 2 diabetics need to…

keep their body mass index between 20 and 24.9.
eating not less but the right kinds of foods, is a big help.
eating lots of salads provides roughage that helps slow down the absorption of carbohydrates, preventing blood sugar spikes.
going for a walk each day is helpful too, as is taking medications on schedule.
While Type 2 diabetes is clearly treatable, it is a complex disease that can be managed through a multilayered approach. The goal of treatment is not just to relieve symptoms, but to prevent a range of other diseases down the road. It is important for diabetics to make and keep their checkup appointments with their primary care doctor and also see a cardiologist every 5 years to check how well their heart is functioning. If the coronary arteries are too restricted for normal heart function, surgery is an option, but preventive medicine is always best.

Kidney Disease

Beating Kidney Disease

By Paul D Kennedy
You have two kidneys. They are shaped like beans with concave and convex sides and are about the size of a fist. They are located at the bottom of the rib cage, one to the left and one to the right of your spine.

Functions of kidneys

Your kidneys are multi-functional. But their main job is to get rid of waste. They remove the waste products that arises when you digest food and drink, as well as excess organic molecules (such as glucose).

They are an essential part of your urinary system. Kidneys filter your blood and remove water soluble wastes which are sent to your bladder. While producing urine, the kidneys also excrete wastes such as urea and ammonium.

Your kidneys also regulate electrolytes, maintain the acid-base balance, and keep your levels of salt, potassium and phosphorus in check. By maintaining the salt and water balance, and producing the enzyme renin, they help regulate your blood pressure. The kidneys also produce hormones that help make red blood cells, as well as an active form of vitamin D needed for the health of your bones.

As you can see, your kidneys are a vital part of your body’s processes and have a lot of work to do. Every day they filter enough blood to fill a large 200 litre bathtub and produce about half a gallon of urine.

Kidney transplants

Your kidneys are highly versatile and have built in redundancy.

If you are missing a kidney—some people are born with only one kidney—or if one of your kidneys is damaged or has been removed, the remaining one can grow until it is nearly as large as two kidneys together. That helps the sole kidney do the job of both.

This means that you can donate a kidney to someone else, such as a member of your family, a friend or even a stranger. Thousands of people do so every year and stay perfectly healthy afterwards. In fact, kidney transplants are the most common organ donations in the world.

Kidney stones

Kidney stones are pieces of hard solid matter made in the kidneys from minerals in the urine. They are formed when there is too much of a particular substance (such as calcium) in your urine. They can vary in size from as tiny as a grain of sand to as big as a pearl or (rarely) a golf ball.

Kidney stones usually go down the urinary tract and pass out when you urinate. Indeed many stones are formed and passed without causing symptoms. But if the stones grow large enough (at least 3mm) they can block the urethra. This causes pain, beginning in the lower back and radiating to the groin. Other symptoms include nausea, vomiting, fever, blood in the urine and painful urination.

One of the major causes of the formation of stones is dehydration due to a low intake of fluids. The risk of forming kidney stones is increased when you eat lots of animal protein, salt, refined sugars, fructose, and high fructose corn syrup. Drinking grapefruit and apple juice also increases the risk.

Developing kidney stones can run in the family. The best way to prevent stones from developing is to drink enough fluids that you produce more than two litres of urine every day, and adhere to a low-sugar, low-salt diet that contains minimal animal protein. You should also avoid drinking colas.

How kidneys are damaged

There are two broad types of damage to your kidneys:

– acute kidney injury, and

– chronic kidney disease

Acute kidney injury

Acute kidney injury, also known as acute renal failure (ARF), is a sudden loss of kidney function. There are many ways in which this can happen. ARF can occur following:

– a sudden reduction in the flow of blood to the kidneys due to a traumatic injury with severe loss of blood

– damage to the kidneys due to shock from a severe infection

– damage from toxins or certain drugs

– obstruction of the flow of urine

– complications during pregnancy

Runners who don’t drink enough fluids when competing in long-distance endurance events can suffer a sudden breakdown of muscle tissue. The breakdown releases myoglobin, a protein found in muscle tissue which only appears in the bloodstream after muscles are injured; this protein can damage the kidneys severely and result in ARF.

Chronic kidney disease

Kidney damage that lasts longer than three months is known as chronic kidney disease (CKD). It is particularly dangerous because you may not have any symptoms until considerable (often irreparable) damage has been done.

The two most common causes of CKD are:

– diabetes (both types 1 and 2), and

– high blood pressure

Other causes of CKD include chronic viral illnesses (such as HIV/AIDS and hepatitis B and C), urinary tract infections within the kidneys themselves, inflammation following a strep infection, congenital defects, toxins, some medical drugs, and the use of recreational drugs that are injected. You can also damage your kidneys by eating too much animal protein and not drinking enough water.

Your kidneys are made up of millions of extremely small filtration units which purify your blood and send the waste products out into the urine. These tiny filtration units can be damaged by high glucose levels (diabetes) and high blood pressure (hypertension).

Unused glucose in your bloodstream is filtered by your kidneys and then normally reabsorbed back into the bloodstream. However there is a limit to the rate at which the kidneys can filter and return glucose. When this limit is exceeded—as it can be if you don’t get your diabetes under control—your kidneys become stressed from over-work and the glucose starts to spill into the urine.

Your kidneys are particularly sensitive to high blood pressure. At the same time, they play an important role in the regulation of blood pressure and if they have been damaged, they can lose some of their ability to keep blood pressure down.

The problem is circular—high blood pressure damages the kidneys and damage to the kidneys can contribute to high blood pressure.

Beating kidney disease

In the early stages of the disease there are usually no symptoms. But as things get worse, changes in bathroom habits—having to go more or less often—can signal a problem. You may also feel tired, have muscle cramps, lose your appetite, and have swollen hands or feet and dry, itchy skin.

The only fix is to regulate your blood pressure, using medication prescribed by your doctor, and beat the effects of diabetes by following a low-sugar, low-fat, low-salt and high-fibre diet and avoiding eggs and dairy products.

Getting both your blood pressure and blood glucose levels under control is imperative because once your kidneys stop working your body begins filling up with wastes, fluids, and toxins. With your kidneys out of action, the only way to get rid of these is to go on dialysis—using a machine that acts as an artificial kidney, cleaning your blood—a very inconvenient, extremely messy and highly uncomfortable procedure.

If you allow damage to your kidneys to develop, you will end up needing kidney dialysis at least three times a week. In the end, you will probably need a kidney transplant.

Above all else, drink plenty of water. Check when you go to the toilet: is your urine clear to light yellow in colour? It should be—if you are drinking enough liquids.

Diabetes Burn Out

Diabetes Burn Out – I Have Been A Bad Girl

By Nadia Al-Samarrie
Diabetes is on your to-do list every day. At night, you cross out all the things you did to take care of yourself. The next day you wake up, to start all over again with diabetes being on the top of the list. Some days you feel like a champion. Other days you feel hopeless. Wondering if there really is a loving God.

Our society sets an unrealistic goal of perfection. More damaging, if you are not perfect in your self-care, then you get the inadequate head stamp of being non-compliant. Once you identify yourself with the non- compliant stamp associated with your self-care, hopelessness sets in. The daily task of self-care starts feeling like Bill Murray’s “Groundhog Day” movie. Every day you wake up, knowing the same scene is going to play over and over again.

I use to watch my mother test her blood sugars. The high reading on her meter made her feel hopeless. In fact, it discouraged her so much, she started testing less and less. I remember the first time I asked her what her blood glucose meter read, she replied, ” I have been a bad girl.” That was the first time I experienced my “Groundhog Day” moment with her. Every time we were together, and she experienced a less than satisfactory reading, I would remind her that her blood sugar readings are simply feedback. I would go on by pointing out how blessed we are to have technology that can read blood sugars, allowing adjustments to be made to her insulin.

The truth of the matter is, you can eat right and exercise and get a “good girl reading.” You can eat right and exercise and get a “bad girl reading.” It is not about being compliant vs. non-compliant. There are other conditions that affect your blood sugar that aren’t as obvious to you. Stress, medication for acute illness and some invisible variable can completely throw you off you game.

Be Easy on Yourself

If you were only to judge yourself by diet and exercise, then you are setting yourself up to identify with the bad girl camp. Be easy on yourself. The daily task of self-care is a job in itself. I do believe at times, we all feel that we have been dealt a hand that does not seem fair. However, when you look a little deeper and embrace the change, you find it gives you the strength you did not know you have. My mother passed away 11 years ago. She is still a teacher to me. The diabetes community I touch benefit from my experience with her.

Some of us go to school to learn a profession. For others, life teaches us our profession. My profession comes from my life experience with my family whom I loved so dearly.

Losing my mother and brother to diabetes had much to do with the hopelessness they felt. The impossible grind of trying to be perfect allowed denial to steer them into giving up.

This is my poem to anyone and everyone that feels a let down after seeing their blood sugar reading.

Blood Sugar Blessing

I have diabetes,

It does not have me

Blood sugar reading

Is a blessing to me

It’s simply technology

Reading me

I do not need to plea

Or kneel down fearfully

Knowing what I need to know

Helps me internally

My blood sugar reading

Is a blessing to me.

Diabetes is both Preventable and Reversible

Expert Author S Keiser
Diabetes is a chronic disease that comes with an array of serious health problems. The short list is kidney failure, blindness, loss of limbs and strokes.

Many people are not aware that they have this condition. More than 40 percent of people 20 or older have diabetes or pre-diabetes. Pre-diabetes is when you have a condition that will lead to diabetes within a few years. In order to prevent this from happening we have to change the way we approach diabetes and our diets/lifestyles. Removing the cause is what can reverse the disease.

What a lot of people don’t realize is that diabetes is both preventable and reversible.

Type 1 diabetes is not known to be caused by weight gain or obesity. People who are Type 1 diabetics will always need insulin to prevent the high blood sugar that can cause many life threatening health issues. A high nutrient diet / lifestyle is imperative for the Type 1 diabetic. It is essential for health and a lengthy life. Type 1 diabetics can have healthy, normal and long lives.

By integrating a high nutrient diet in to their lives, the diabetic can lower their need for insulin. Their glucose and lipid levels can stay under control with the use of minimal insulin. The goal is for them to require less insulin to manage their diabetes.

I know the word “diet” has negative connotations. Try to not think of it as a diet. But as a lifestyle.

I am going to give you a short overview of the types of things that would be helpful for a high nutrient diet.

• You can have poultry, eggs and oils once a week or less.
• Fish and fat free dairy two times a week.
• The majority of your diet should consist of raw nuts and seeds, fruits, beans and vegetables.

Do your best to avoid sweets, cheese, milk and processed foods.

When you are on a nutrient rich diet your appetite and cravings will be reduced… hence the natural occurrence of weight loss will take place. You will lose weight and feel better. Then you will be motivated to stay on this high nutrient lifestyle. Remember you will feel better so you will now feel like getting some exercise. Exercise is an important factor in all of our lives. A sedentary lifestyle leads to a number of health problems. Get up and get moving as often as you possibly can. With exercise you will see your weight reduce even more.

Change is tough. I know. I’ve been there. But once you get started you will realize that it’s all worth it. Good luck on your venture to rid yourself of diabetes. Remember, only you can do it for yourself.

Children

Author Helen T Dellomes
About 29.1 Million Americans had diabetes and 86 Million adults had pre-diabetes in 2012 according to a report released by the Center of Disease Control and Prevention.

In 2010, these statistics were 28.8 and 79 Million, respectively showing an alarming increase. As incidence of Type 2 Diabetes progress more rapidly in children than in adults and is hard to cure. According to Dr. David Nathan, an author and Director of the Diabetic Center of Massachusetts General Hospital. “It’s frightening how severe this metabolic disease is in children.”

Before 1990, this disease is not prevalent in children. It is hard to treat diabetes in children and teens because the cause is not yet known. The rapid growth and hormonal change in poverty can be the reason but this remains to be proven yet. Usual oral medicines that work in adults are not effective to about 50% of children treated prior to the research.

The issue on such findings is quite alarming as uncontrolled diabetes significantly increases the risk of heart disease, eye problems, nerve damage and kidney failure. A diabetic patient is also prone to amputation and lung disease. The longer the patient had the disease, the greater the risk. Children suffering from diabetes are most likely to have a higher risk than adults with diabetes.

Differences Found in Type 1 and 2 Diabetes

Type 1 Diabetes

This type of Diabetes occurs when the patient’s immune system breaks down and destroys the cells in the pancreas that make insulin, a hormone needed to control blood sugar levels. Patients with this type of diabetes need to take a regular dose of insulin.

Type 2 Diabetes

Diabetes Type 2 is said to be brought about by an obesity problem plus the inactivity in people with genetic imbalance. People with this type of diabetes has inborn tendency to put on weight and has an insulin-resistant condition. The pancreas of a patient with this condition is still producing insulin though not enough and the body fails to use it properly. High blood pressure and high level of cholesterol often signify this type. Initial treatment is a dietary program, daily exercise and oral medicine. Eventually, patients will be needing insulin as part of their medication.

Obesity as the Link

The alarming increase in the number of diabetic children was noted among Hispanic and black children coming from poor families in 1990. However, there had been reported cases among the American Indians even before that.

Obesity seems to have established a direct link to poor people with diabetes type 2.

2. Patients affected are those coming from families with single parents or children raised by guardians. Mostly came from families with a history of diabetes or with relatives with kidney failures or amputations. Stress also seems to play a lead role on the disease. Patients with this type of diabetes should be easily treated with a well-balanced diet and regular exercise but proves to have no effects on the children with type 2 diabetes.

Type 2 Diabetes claims its toll on American children as medication seems not to be working well on them. Rapid growth and hormonal growth seem to be the reasons for it but still remains to be seen. The common factor apparent among patients is obesity and genetic disorder. Where will this lead the country in the future if no medication will be discover to cure the deadly disease?