Diabetes is a disease where our bodies do not produce enough or make well use of a hormone called insulin. Insulin is a hormone that responsible for glucose to get into our cells and provide us with energy. Without enough insulin, glucose will stay in our blood and cause our blood glucose levels to raise. Over time, high glucose level will lead to serious damages in heart, kidneys, eyes and nerves. There are generally three types of diabetes. It is important to understand that not all diabetes can be managed through diabetic diet alone.
Read more on Home Remedies for Diabetes and Maintain Blood Sugar Level. Also visit on Control Diabetes
Diabetes Type 1: This form of diabetes is generally found in child and young adults with heart disease. It is also known as "juvenile" diabetes or "insulin dependent" diabetes. In type 1 diabetes the body does not produce insulin. Diabetes Type 1 must be treated by regular injection of insulin; it cannot be control with a diabetic diet or exercise alone.
Diabetes Type 2: This is the most common type of diabetes. It is also know as non insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. In type 2 diabetes, the body does not produce enough insulin or make well use of the insulin. Approximately 90% of people with type 2 diabetes are obese or overweight, in most cases it can be managed by engaging in a diabetic diet weight loss plan together with proper amount of exercise.
Gestational Diabetes: Gestational diabetes is a form diabetes that develop in some women during the late stages of pregnancy. Gestational diabetes usually disappear after pregnancy. Treatment for gestational diabetes includes special diabetic diet meal and scheduled physical activity. In some cases it may also include daily blood glucose testing and insulin injections.
Diabetes Natural Cure
1. Bitter gourd is the best natural remedy for diabetes. As often as possible eat this vegetable or at least have 1 tablespoon of bitter gourd juice everyday for reducing blood glucose levels.
2. Indian gooseberry is also an effective remedy for controlling diabetes. Add 1 tablespoon of Indian gooseberry juice to a cup of bitter gourd juice and drink it daily for nearly 2 months. This enhances pancreas in the secretion of insulin hormone. This is one of the best natural cures for diabetes.
3. Everyday with an empty stomach take 10 leaves each of Holy basil, neem and bael with a glass of water. This controls the blood sugar levels very efficiently.
4. Bastard teak is an efficient natural cure for diabetes. This reduces blood sugar levels and also useful in glycousia.
5. Two tablespoons of fenugreek seeds can be swallowed or can be taken along with milk everyday. This is a well known remedy for diabetes.
6. Take 250 grams of ozokerite or mineral wax as a single dose twice a day along with stone apple juice.
7. Everyday eat 10 fresh fully grown curry leaves in the early morning for nearly 3 months. This helps in the prevention of diabetes caused due to heredity factors. This also cures diabetes caused because of obesity.
8. Overnight soak black raisins in water. Next morning strain water and drink that solution. For best results follow the same procedure for next few days.
9. Mix equal amounts of raw mango and Indian plum juices and drink this for thrice in a day. This helps in curing diabetes naturally if regularly taken for a month.
Diabetic Diet Plan and Food
Diabetic diet plan is simply a healthy balanced meal plan followed by diabetes patient. A good diet plan will not only help you improve your blood glucose levels but also help keep your weight on track. Diabetic diet plan differ from person to person due to our nutritional needs, daily activity and type of diabetes a patient suffers. Following are some important points suggested by the American Diabetic Association when planning your meal.
1. Eat lots of vegetables and fruits.
2. Choose whole grain foods over processed grain products.
3. Include dried beans (like kidney or pinto beans) and lentils into your diabetic diet meal.
4. Include fish in your meals 2-3 times a week.
5. Choose lean meats like cuts of beef and pork that end in "loin" such as pork loin and sirloin.
6. Choose non-fat dairy such as skim milk, non-fat yogurt and non-fat cheese.
7. Choose water and calorie-free "diet" drinks instead of regular sugar-sweetened drinks.
8. Choose liquid oils for cooking instead of solid fats that can be high in saturated and trans fats.
9. Eating too much of even healthful foods can lead to weight gain. Watch your portion sizes.
10. Cut back on high calorie foods like chips, cookies, cakes, and full-fat ice cream in your diabetic meal.
This blog contains about diabetes, begin from the causes to the way the treatment of diabetes
Tuesday, January 25, 2011
Sunday, January 23, 2011
Tips on how to Reverse Diabetes in four Weeks Or Much less
Having diabetes is definitely an more and more typical problem affecting more than 3 million individuals inside UK alone; most individuals possess a good friend or member from the loved ones who has having diabetes. The problem is escalating as a result of several variables, obesity, unhealthier lifestyles and from getting plain lazy.
Millions of men and women are at danger of growing to be an additional patient of type two diabetes with out even understanding it; if you are overweight you aren't only placing your self at chance from hundreds of other situations but in addition diabetic issues. Folks having a loved ones background of type two diabetes are also a lot more most likely to become impacted by juvenile diabetes.
On the other hand you'll be able to manage and reverse diabetes, even though the amount of diabetic sufferers is growing the quantity of individuals who don't will need insulin shots and reside a standard way of life can also be growing as a result of these 3 components.
You'll be able to reverse diabetes normally just by utilizing the Diet regime Remedy plan. This really is since with the proper mixture of wholesome meals plus a correct consuming prepare, you may have the option to reduce your large blood vessels sugar with out medicines. The extremely 1st action to reversing having diabetes effortlessly is understanding the best meals to consume at anytime.
In the event you believe how the Eating habits Alternative plan is for all those who need to shed fat and appear shapely only, you far better hear this. The Diet regime Answer is specially developed to aid you cut down your substantial blood vessels sugar, substantial blood vessels stress along with other troubles triggered by not consuming healthful meals.
Consuming a lot of green veggies for instance cucumber, cabbage and coriander has become confirmed to aid reverse diabetes normally.
Adding the proper level of cinnamon for your dishes may be verified to aid reduced bloodstream sugar to some secure degree. A teaspoon of cinnamon a day time can help regulate your blood vessels glucose degree to some secure and healthful degree.
Fiber-rich meals are crucial to flushing toxic compounds through your entire body. These toxic compounds contribute to some big extent to diabetic issues. If it is possible to effectively flush out these toxic compounds, it can help your entire body to reverse diabetes normally and rapidly. Furthermore, it can help you to reduce your bloodstream stress.
Consuming the correct types of fats slows lower the absorption of sugar into your bloodstream stream. It truly is critical that you simply select olive oil, coconut oil, Omega-3 oil, flaxseed oil and avocado oil more than any other kind of oil.
Workout now this must be an critical aspect of anyone's life style regardless of whether they've having diabetes or not, it must be one thing that they make aspect of their living. Even so a lot of men and women are lazy and will not really feel the have to workout, nonetheless folks with juvenile diabetes can manage their diabetic issues by means of workout and inside lengthy phrase reverse diabetes.
Applying a controlled cautiously planned out doing exercises routine you may handle your blood vessels ranges and aid to reverse diabetes.
Dieting by developing a diabetic diet regime strategy you'll be able to substantially lower the volume of insulin injections you might need to have, you'll be able to even quit getting to bring them all with each other (wouldn't that be fantastic).
Produce a diabetic eating habits prepare which includes all of the foods dietary supplements that you simply will need to have for any wellness diabetic eating habits.
Fat reduction diabetic fat reduction can be a good method of reversing having diabetes this might be attained making use of the two approaches I suggested previously.
You will discover fantastic numbers of proof saying how the cautious utilization of diet dietary supplements and natural treatments can aid to avoid and reverse diabetes in all those persons who've produced the ailment currently. Therapy for type two diabetes, lifestyle fashion adjustments, nutritional dietary supplements and natural treatments, all set with each other in great mixture remove the will need for medication in diabetics. Healthy treatment method for having diabetes aids in stopping some with the organ and tissue destruction associated with uncontrolled bloodstream sugar amounts.
Lots of diabetics had utilized diabetic issues organic to treat type two diabetes. Individuals normal herbs which are most successful are fairly non-toxic.
Use Asian ginseng to reverse diabetes: It's frequently utilised in conventional Chinese medicine for curing type two diabetes. The ginseng may be proven to improve the release of insulin within the pancreas and to boost the quantity of insulin receptors. Also it includes a direct blood vessels sugar-lowering impact.
Malabar Kino or Indian Kino is 1 from the treatment plans for type two diabetes: The tree (Pterocarpus massupium) could be the source in the Kino in the European pharmacopeas. This herb includes a extended background of use in India being a therapy for having diabetes. This herb has truly been utilized to regenerate functional pancreatic beta cells. No other healthy agent or drug have been proven to produce this activity. Epicatechim and flavonoid, gotten through the bark of this plant may be proven to induced beta cell destruction in rats and avoid alloxan. It's really very good alternative to reverse diabetes.
You'll be able to reverse diabetes with blueberry leaves: Blueberry's leave are generally utilised by several men and women like a cure for type two diabetes. Blueberry's most active ingredient is myrtillin (an anthocyanoside).
A dose creates helpful results and it last for some weeks. The leaves enhance the tone with the vascular program; inhibit free-radical harm and raises capillary integrity. It could be applied to handle eye condition, mostly diabetic retinopathy.
An additional normal treatment for juvenile diabetes is gymnema Sylvester: Gymnema aids the pancreas to develop insulin in juvenile diabetes Sort two. Gymnema Sylvester improves the capability of insulin to reduce blood vessels sugar in Variety I and Variety two having diabetes. It assists to lessen the cravings for sweet. Some people can bring about 500 mg of gymnema on the everyday basis.
Billberry lowers the danger of diabetic issues like retinopathy and diabetic cataracts.
Ginkgo biloba: Ginkgo biloba extract might prove helpful for prevention and cure of early stage diabetic neuropathy.
General making use of these ideas which can be also medically advised you'll be able to handle and invert your type two diabetes. If your sick of getting to bring insulin injections then attempt these recommendations, should you will need enable using a diabetic diet plan program or will need far more info then go through and analysis.
Millions of men and women are at danger of growing to be an additional patient of type two diabetes with out even understanding it; if you are overweight you aren't only placing your self at chance from hundreds of other situations but in addition diabetic issues. Folks having a loved ones background of type two diabetes are also a lot more most likely to become impacted by juvenile diabetes.
On the other hand you'll be able to manage and reverse diabetes, even though the amount of diabetic sufferers is growing the quantity of individuals who don't will need insulin shots and reside a standard way of life can also be growing as a result of these 3 components.
You'll be able to reverse diabetes normally just by utilizing the Diet regime Remedy plan. This really is since with the proper mixture of wholesome meals plus a correct consuming prepare, you may have the option to reduce your large blood vessels sugar with out medicines. The extremely 1st action to reversing having diabetes effortlessly is understanding the best meals to consume at anytime.
In the event you believe how the Eating habits Alternative plan is for all those who need to shed fat and appear shapely only, you far better hear this. The Diet regime Answer is specially developed to aid you cut down your substantial blood vessels sugar, substantial blood vessels stress along with other troubles triggered by not consuming healthful meals.
Consuming a lot of green veggies for instance cucumber, cabbage and coriander has become confirmed to aid reverse diabetes normally.
Adding the proper level of cinnamon for your dishes may be verified to aid reduced bloodstream sugar to some secure degree. A teaspoon of cinnamon a day time can help regulate your blood vessels glucose degree to some secure and healthful degree.
Fiber-rich meals are crucial to flushing toxic compounds through your entire body. These toxic compounds contribute to some big extent to diabetic issues. If it is possible to effectively flush out these toxic compounds, it can help your entire body to reverse diabetes normally and rapidly. Furthermore, it can help you to reduce your bloodstream stress.
Consuming the correct types of fats slows lower the absorption of sugar into your bloodstream stream. It truly is critical that you simply select olive oil, coconut oil, Omega-3 oil, flaxseed oil and avocado oil more than any other kind of oil.
Workout now this must be an critical aspect of anyone's life style regardless of whether they've having diabetes or not, it must be one thing that they make aspect of their living. Even so a lot of men and women are lazy and will not really feel the have to workout, nonetheless folks with juvenile diabetes can manage their diabetic issues by means of workout and inside lengthy phrase reverse diabetes.
Applying a controlled cautiously planned out doing exercises routine you may handle your blood vessels ranges and aid to reverse diabetes.
Dieting by developing a diabetic diet regime strategy you'll be able to substantially lower the volume of insulin injections you might need to have, you'll be able to even quit getting to bring them all with each other (wouldn't that be fantastic).
Produce a diabetic eating habits prepare which includes all of the foods dietary supplements that you simply will need to have for any wellness diabetic eating habits.
Fat reduction diabetic fat reduction can be a good method of reversing having diabetes this might be attained making use of the two approaches I suggested previously.
You will discover fantastic numbers of proof saying how the cautious utilization of diet dietary supplements and natural treatments can aid to avoid and reverse diabetes in all those persons who've produced the ailment currently. Therapy for type two diabetes, lifestyle fashion adjustments, nutritional dietary supplements and natural treatments, all set with each other in great mixture remove the will need for medication in diabetics. Healthy treatment method for having diabetes aids in stopping some with the organ and tissue destruction associated with uncontrolled bloodstream sugar amounts.
Lots of diabetics had utilized diabetic issues organic to treat type two diabetes. Individuals normal herbs which are most successful are fairly non-toxic.
Use Asian ginseng to reverse diabetes: It's frequently utilised in conventional Chinese medicine for curing type two diabetes. The ginseng may be proven to improve the release of insulin within the pancreas and to boost the quantity of insulin receptors. Also it includes a direct blood vessels sugar-lowering impact.
Malabar Kino or Indian Kino is 1 from the treatment plans for type two diabetes: The tree (Pterocarpus massupium) could be the source in the Kino in the European pharmacopeas. This herb includes a extended background of use in India being a therapy for having diabetes. This herb has truly been utilized to regenerate functional pancreatic beta cells. No other healthy agent or drug have been proven to produce this activity. Epicatechim and flavonoid, gotten through the bark of this plant may be proven to induced beta cell destruction in rats and avoid alloxan. It's really very good alternative to reverse diabetes.
You'll be able to reverse diabetes with blueberry leaves: Blueberry's leave are generally utilised by several men and women like a cure for type two diabetes. Blueberry's most active ingredient is myrtillin (an anthocyanoside).
A dose creates helpful results and it last for some weeks. The leaves enhance the tone with the vascular program; inhibit free-radical harm and raises capillary integrity. It could be applied to handle eye condition, mostly diabetic retinopathy.
An additional normal treatment for juvenile diabetes is gymnema Sylvester: Gymnema aids the pancreas to develop insulin in juvenile diabetes Sort two. Gymnema Sylvester improves the capability of insulin to reduce blood vessels sugar in Variety I and Variety two having diabetes. It assists to lessen the cravings for sweet. Some people can bring about 500 mg of gymnema on the everyday basis.
Billberry lowers the danger of diabetic issues like retinopathy and diabetic cataracts.
Ginkgo biloba: Ginkgo biloba extract might prove helpful for prevention and cure of early stage diabetic neuropathy.
General making use of these ideas which can be also medically advised you'll be able to handle and invert your type two diabetes. If your sick of getting to bring insulin injections then attempt these recommendations, should you will need enable using a diabetic diet plan program or will need far more info then go through and analysis.
Friday, January 21, 2011
Diabetes effects on Pregnancy
What is diabetes?
Diabetes is a condition where sufficient amounts of insulin are either not produced or the body is unable to use the insulin that is produced. Insulin is the hormone that allows glucose to enter the cells of the body to provide fuel. When glucose cannot enter the cells, it builds up in the blood and the body's cells literally starve to death.
What are the different types of diabetes?
There are three basic types of diabetes including:
* type 1 diabetes - also called insulin dependent diabetes mellitus (IDDM), type 1 diabetes is an autoimmune disorder in which the body's immune system destroys, or attempts to destroy, the cells in the pancreas that produce insulin. Type 1 diabetes accounts for 5 to 10 percent of all diagnosed cases of diabetes in the US. Type 1 diabetes usually develops in children or young adults, but can start at any age.
* type 2 diabetes - a metabolic disorder resulting from the body's inability to make enough, or to properly use, insulin. It used to be called non-insulin-dependent diabetes mellitus (NIDDM) and usually develops after age 45.
* gestational diabetes - a condition in which the blood glucose level is elevated and other diabetic symptoms appear during pregnancy in a woman who has not previously been diagnosed with diabetes.
Diabetes is a serious disease, which, if not controlled, can be life threatening. It is often associated with long-term complications that can affect every system and part of the body. Diabetes can, among other things, contribute to eye disorders and blindness, heart disease, stroke, kidney failure, amputation, and nerve damage.
What happens with diabetes and pregnancy?
During pregnancy, the placenta supplies a growing fetus with nutrients and water, as well as produces a variety of hormones to maintain the pregnancy. In early pregnancy, hormones can cause increased insulin secretion and decreased glucose produced by the liver, which can lead to hypoglycemia (low blood glucose levels). In later pregnancy, some of these hormones (estrogen, cortisol, and human placental lactogen) can have a blocking effect on insulin, a condition called insulin resistance.
As the placenta grows, more of these hormones are produced, and insulin resistance becomes greater. Normally, the pancreas is able to make additional insulin to overcome insulin resistance, but when the production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results or there may be worsening of pre-existing diabetes.
Why is diabetes a concern in pregnancy?
Diabetes in pregnancy can have serious consequences for the mother and the growing fetus. The severity of problems often depends on the degree of the mother's diabetic disease, especially if she has vascular (blood vessel) complications and poor blood glucose control. Diabetes that occurs in pregnancy is often listed according to White's classification:
* Gestational diabetes - when a mother who does not have diabetes develops a resistance to insulin because of the hormones of pregnancy.
o Non-insulin dependent - Class A1
o Insulin dependent - Class A2
* Pre-existing diabetes - women who already have insulin-dependent diabetes and become pregnant.
o Class B - diabetes developed after age 20, have had the disease less than 10 years, no vascular complications.
o Class C - diabetes developed between age 10 and 19 or have had the disease for 10-19 years, no vascular complications.
o Class D - diabetes developed before age 10, have had the disease more than 20 years, vascular complications are present.
o Class F - diabetic women with kidney disease called nephropathy.
o Class R - diabetic women with retinopathy (retinal damage).
o Class T - diabetic women who have undergone kidney transplant.
o Class H - diabetic women with coronary artery or other heart disease.
It is very important for a mother to maintain very close control of her diabetes during pregnancy. Generally, the poorer the control of blood glucose and the more severe the disease and complications, the greater the risks for the pregnancy.
Maternal complications of diabetes on a pregnancy:
Complications for the mother depend on the degree of insulin need, the severity of complications associated with diabetes, and control of blood glucose.
Most complications occur in women with pre-existing diabetes and are more likely when there is poor control of blood glucose. Women may require more frequent insulin injections. They may have very low blood glucose levels, which can be life threatening if untreated, or they may have ketoacidosis, a condition that results from high levels of blood glucose. Ketoacidosis may also be life threatening if untreated. It is not clear whether pregnancy worsens diabetic related blood vessel damage and retinal changes, or if it causes changes in kidney function.
Complications for fetus and baby:
Infants of mothers with diabetes are at greater risk for several problems, especially if blood glucose levels are not carefully controlled, including the following:
* birth defects
Birth defects are more likely in infants of diabetic mothers, especially insulin-dependent women who may have two to six times greater the risk of major birth defects. Some birth defects are serious enough to cause fetal death. Birth defects usually originate sometime during the first trimester of pregnancy. They are more likely in women with pre-existing diabetes, who may have changes in blood glucose during that time. Overall, major birth defects may occur in about 5 to 10 percent of infants born to insulin-dependent women. Major birth defects that may occur in infants of diabetic mothers include the following:
o heart and connecting blood vessels
o brain and spine abnormalities
o urinary and kidney
o digestive tract
* stillbirth (fetal death)
Stillbirth is more likely in pregnant women with diabetes. The fetus may grow slowly in the uterus due to poor circulation or other conditions, such as high blood pressure, that can complicate diabetic pregnancy. The exact reason stillbirths occur with diabetes is unknown. The risk of stillbirth increases in women with poor blood glucose control and with blood vessel changes.
* macrosomia
Macrosomia refers to a baby that is considerably larger than normal. All of the nutrients the fetus receives come directly from the mother's blood. If the maternal blood has too much glucose, the pancreas of the fetus senses the high glucose levels and produces more insulin in an attempt to use this glucose. The fetus converts the extra glucose to fat. Even when the mother has gestational diabetes, the fetus is able to produce all the insulin it needs. The combination of high blood glucose levels from the mother and high insulin levels in the fetus results in large deposits of fat that causes the fetus to grow excessively large.
* birth injury
Birth injury may occur due to the baby's large size and difficulty being born.
* hypoglycemia
Hypoglycemiais low levels of blood sugar in the baby immediately after delivery. This problem occurs if the mother's blood sugar levels have been consistently high causing the fetus to have a high level of insulin in its circulation. After delivery, the baby continues to have a high insulin level, but no longer has the high level of sugar from the mother, resulting in the newborn's blood sugar level becoming very low. The baby's blood sugar level is checked after birth, and if the level is too low, it may be necessary to give the baby glucose intravenously.
* respiratory distress (difficulty breathing)
Too much insulin or too much glucose in a baby's system may delay lung maturation and cause respiratory difficulties in babies. This is more likely if they are born before 37 weeks of pregnancy.
How is diabetes diagnosed?
Women with diabetes before pregnancy have already been diagnosed. Depending on the severity of their disease, they may need continued care by their medical physician along with their obstetrician.
Nearly all non-diabetic pregnant women are screened for diabetes between 24 and 28 weeks of pregnancy. In addition to a complete medical history and physical examination, a glucose screening test is given, which involves drinking a glucose drink followed by measurement of glucose levels after a one-hour interval.
If this test shows an increased blood sugar level, a three-hour glucose tolerance test will be performed after a few days of following a special diet.
If results of the second test are in the abnormal range, diabetes is diagnosed.
Treatment for diabetes:
Specific treatment for diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
Treatment for diabetes focuses on keeping blood glucose levels in the normal range. Treatment may include:
* special diet with controlled amounts of carbohydrate
* exercise
* blood glucose monitoring
* insulin injections
Managing diabetes during the pregnancy:
Special fetal testing and monitoring may be needed for pregnant diabetics, especially those who are taking insulin (because of the increased risks for stillbirth). These tests can include the following:
* fetal movement counting - counting the number of movements or kicks in a certain period of time, and watching for a change in activity.
* ultrasound - a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels.
* nonstress testing - a measurement of the fetal heart rate in response to the fetus' movements.
* biophysical profile - a test that uses the nonstress test and ultrasound to examine fetal movements, heart rate, and amniotic fluid amounts.
* Doppler flow studies - a type of ultrasound which uses sound waves to measure blood flow.
Infants of diabetic mothers may be delivered vaginally or by cesarean, depending on the estimated fetal weight and the mother's health. Because infants of diabetic mothers tend to be large compared to fetuses of the same gestational period, they may need to be delivered a few weeks early. This can often help prevent difficulties in labor and birth that can happen when a baby is very large. An amniocentesis may be performed in the last few weeks of pregnancy to check the amniotic fluid for fetal lung maturity. If the lungs are mature, some mothers may have labor induced or a cesarean delivery.
Diabetes is a condition where sufficient amounts of insulin are either not produced or the body is unable to use the insulin that is produced. Insulin is the hormone that allows glucose to enter the cells of the body to provide fuel. When glucose cannot enter the cells, it builds up in the blood and the body's cells literally starve to death.
What are the different types of diabetes?
There are three basic types of diabetes including:
* type 1 diabetes - also called insulin dependent diabetes mellitus (IDDM), type 1 diabetes is an autoimmune disorder in which the body's immune system destroys, or attempts to destroy, the cells in the pancreas that produce insulin. Type 1 diabetes accounts for 5 to 10 percent of all diagnosed cases of diabetes in the US. Type 1 diabetes usually develops in children or young adults, but can start at any age.
* type 2 diabetes - a metabolic disorder resulting from the body's inability to make enough, or to properly use, insulin. It used to be called non-insulin-dependent diabetes mellitus (NIDDM) and usually develops after age 45.
* gestational diabetes - a condition in which the blood glucose level is elevated and other diabetic symptoms appear during pregnancy in a woman who has not previously been diagnosed with diabetes.
Diabetes is a serious disease, which, if not controlled, can be life threatening. It is often associated with long-term complications that can affect every system and part of the body. Diabetes can, among other things, contribute to eye disorders and blindness, heart disease, stroke, kidney failure, amputation, and nerve damage.
What happens with diabetes and pregnancy?
During pregnancy, the placenta supplies a growing fetus with nutrients and water, as well as produces a variety of hormones to maintain the pregnancy. In early pregnancy, hormones can cause increased insulin secretion and decreased glucose produced by the liver, which can lead to hypoglycemia (low blood glucose levels). In later pregnancy, some of these hormones (estrogen, cortisol, and human placental lactogen) can have a blocking effect on insulin, a condition called insulin resistance.
As the placenta grows, more of these hormones are produced, and insulin resistance becomes greater. Normally, the pancreas is able to make additional insulin to overcome insulin resistance, but when the production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results or there may be worsening of pre-existing diabetes.
Why is diabetes a concern in pregnancy?
Diabetes in pregnancy can have serious consequences for the mother and the growing fetus. The severity of problems often depends on the degree of the mother's diabetic disease, especially if she has vascular (blood vessel) complications and poor blood glucose control. Diabetes that occurs in pregnancy is often listed according to White's classification:
* Gestational diabetes - when a mother who does not have diabetes develops a resistance to insulin because of the hormones of pregnancy.
o Non-insulin dependent - Class A1
o Insulin dependent - Class A2
* Pre-existing diabetes - women who already have insulin-dependent diabetes and become pregnant.
o Class B - diabetes developed after age 20, have had the disease less than 10 years, no vascular complications.
o Class C - diabetes developed between age 10 and 19 or have had the disease for 10-19 years, no vascular complications.
o Class D - diabetes developed before age 10, have had the disease more than 20 years, vascular complications are present.
o Class F - diabetic women with kidney disease called nephropathy.
o Class R - diabetic women with retinopathy (retinal damage).
o Class T - diabetic women who have undergone kidney transplant.
o Class H - diabetic women with coronary artery or other heart disease.
It is very important for a mother to maintain very close control of her diabetes during pregnancy. Generally, the poorer the control of blood glucose and the more severe the disease and complications, the greater the risks for the pregnancy.
Maternal complications of diabetes on a pregnancy:
Complications for the mother depend on the degree of insulin need, the severity of complications associated with diabetes, and control of blood glucose.
Most complications occur in women with pre-existing diabetes and are more likely when there is poor control of blood glucose. Women may require more frequent insulin injections. They may have very low blood glucose levels, which can be life threatening if untreated, or they may have ketoacidosis, a condition that results from high levels of blood glucose. Ketoacidosis may also be life threatening if untreated. It is not clear whether pregnancy worsens diabetic related blood vessel damage and retinal changes, or if it causes changes in kidney function.
Complications for fetus and baby:
Infants of mothers with diabetes are at greater risk for several problems, especially if blood glucose levels are not carefully controlled, including the following:
* birth defects
Birth defects are more likely in infants of diabetic mothers, especially insulin-dependent women who may have two to six times greater the risk of major birth defects. Some birth defects are serious enough to cause fetal death. Birth defects usually originate sometime during the first trimester of pregnancy. They are more likely in women with pre-existing diabetes, who may have changes in blood glucose during that time. Overall, major birth defects may occur in about 5 to 10 percent of infants born to insulin-dependent women. Major birth defects that may occur in infants of diabetic mothers include the following:
o heart and connecting blood vessels
o brain and spine abnormalities
o urinary and kidney
o digestive tract
* stillbirth (fetal death)
Stillbirth is more likely in pregnant women with diabetes. The fetus may grow slowly in the uterus due to poor circulation or other conditions, such as high blood pressure, that can complicate diabetic pregnancy. The exact reason stillbirths occur with diabetes is unknown. The risk of stillbirth increases in women with poor blood glucose control and with blood vessel changes.
* macrosomia
Macrosomia refers to a baby that is considerably larger than normal. All of the nutrients the fetus receives come directly from the mother's blood. If the maternal blood has too much glucose, the pancreas of the fetus senses the high glucose levels and produces more insulin in an attempt to use this glucose. The fetus converts the extra glucose to fat. Even when the mother has gestational diabetes, the fetus is able to produce all the insulin it needs. The combination of high blood glucose levels from the mother and high insulin levels in the fetus results in large deposits of fat that causes the fetus to grow excessively large.
* birth injury
Birth injury may occur due to the baby's large size and difficulty being born.
* hypoglycemia
Hypoglycemiais low levels of blood sugar in the baby immediately after delivery. This problem occurs if the mother's blood sugar levels have been consistently high causing the fetus to have a high level of insulin in its circulation. After delivery, the baby continues to have a high insulin level, but no longer has the high level of sugar from the mother, resulting in the newborn's blood sugar level becoming very low. The baby's blood sugar level is checked after birth, and if the level is too low, it may be necessary to give the baby glucose intravenously.
* respiratory distress (difficulty breathing)
Too much insulin or too much glucose in a baby's system may delay lung maturation and cause respiratory difficulties in babies. This is more likely if they are born before 37 weeks of pregnancy.
How is diabetes diagnosed?
Women with diabetes before pregnancy have already been diagnosed. Depending on the severity of their disease, they may need continued care by their medical physician along with their obstetrician.
Nearly all non-diabetic pregnant women are screened for diabetes between 24 and 28 weeks of pregnancy. In addition to a complete medical history and physical examination, a glucose screening test is given, which involves drinking a glucose drink followed by measurement of glucose levels after a one-hour interval.
If this test shows an increased blood sugar level, a three-hour glucose tolerance test will be performed after a few days of following a special diet.
If results of the second test are in the abnormal range, diabetes is diagnosed.
Treatment for diabetes:
Specific treatment for diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
Treatment for diabetes focuses on keeping blood glucose levels in the normal range. Treatment may include:
* special diet with controlled amounts of carbohydrate
* exercise
* blood glucose monitoring
* insulin injections
Managing diabetes during the pregnancy:
Special fetal testing and monitoring may be needed for pregnant diabetics, especially those who are taking insulin (because of the increased risks for stillbirth). These tests can include the following:
* fetal movement counting - counting the number of movements or kicks in a certain period of time, and watching for a change in activity.
* ultrasound - a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels.
* nonstress testing - a measurement of the fetal heart rate in response to the fetus' movements.
* biophysical profile - a test that uses the nonstress test and ultrasound to examine fetal movements, heart rate, and amniotic fluid amounts.
* Doppler flow studies - a type of ultrasound which uses sound waves to measure blood flow.
Infants of diabetic mothers may be delivered vaginally or by cesarean, depending on the estimated fetal weight and the mother's health. Because infants of diabetic mothers tend to be large compared to fetuses of the same gestational period, they may need to be delivered a few weeks early. This can often help prevent difficulties in labor and birth that can happen when a baby is very large. An amniocentesis may be performed in the last few weeks of pregnancy to check the amniotic fluid for fetal lung maturity. If the lungs are mature, some mothers may have labor induced or a cesarean delivery.
Sunday, January 16, 2011
Aloe vera in the Management of Type-2 Diabetes
Introduction:
Diabetes is a chronic and incurable disease that is characterize by uncontrolled elevated blood glucose levels that lead to numerous secondary diseases of the kidney, cardiovascular system and nervous system. There are two major types of diabetes classified by mechanism of blood glucose deregulation.
Type-1 diabetes, also known as insulin-dependent diabetes, is an absolute lack of insulin production in the body caused by autoimmune-mediated destruction of the pancreatic β-cells. Type 1 diabetes can occure at any age but is most often diagnosed in children, adolescents or young adults. Type1 diabetes represents only a minor fraction of the total cases of diabetes in the U.S. accounting for approximately 10 percent of the diagnoses cases. Because of the total lack of insulin production, type-1 diabetics are absolutely dependent on receiving insulin from external sources.
Type-2 diabetes, also known as insulin-independent diabetes, usually starts adulthood. Type-2 diabetes is characterized by uncontrolled chronic elevated blood glucose levels. Type-2 diabetes is caused by a combination of insulin resistance of fat, liver, and muscle cells, reduced insulin levels, and increased hepatic glucose production. Type-2 diabetes can usually be managed through diet and exercise. But several antidiabetic drugs have emerged for the management of severe cases of type-2 diabetes.
It is estimated that more than 28.5 million Americans (or 8.3% of the total US population) suffer from diabetes. (1) The percent of the population with diabetes increases with age such that by ages 65 and older 26.9% of the population has diabetes. The number of people with diabetes is growing at an alarming rate with approximately 1.9 million new cases of diabetes diagnosed each year. Even more concerning is that 2005-2008 survey data suggest that 35 percent of U.S. adults ≥20 years of age and 50 percent of adults ≥65 years of age had pre-diabetes. Based on the 2010 U.S. population it is estimated that 79 million adults in the U.S. ages ≥20 years are in some stage of pre-diabetes. (2) Because type-2 diabetes usually develops slowly, most pre-diabetics are not aware of their condition until they have an acute diabetic event.
Risk factors for type-2 diabetes include age (≥45 years), obesity, high blood pressure, HDL cholesterol ≤ 35 mg/dl, triglyceride level ≥ 250 mg/dl, lack of exercise, as well as other environmental and genetic factors. Symptoms of type-2 diabetes include blurred vision, fatigue, increased appetite, increased thirst, and increased urination. Complications of diabetes include heart disease, stroke, high blood pressure, kidney disease, nervous system disease, amputations, disability, and early death. Diabetes is the leading cause of blindness among adults age 20-74 years old. About 4.2 million diabetics (28% of diabetics ≥40 years of age have significant diabetic related vision problems. The direct medical cost of diabetes in the U.S. is $116 billion and the indirect cost (disability, work loss, premature mortality) is $58 billion. (2)
In many cases disease progression and complications of type 2 diabetes can be delayed, minimized, or avoided with early detection and proper blood glucose management through diet and exercise. Type-2 diabetes has a long asymptomatic pre-diabetic phase during which complications begin to develop. The earlier the detection of pre-diabetes or type-2 diabetes the higher the likelihood of avoidance of serious complications. In spite of best efforts, some particularly difficult cases of type-2 diabetes may require additional medication to control blood glucose levels. These medications often have significant side effects including acute hypoglycemic episodes and possible cardiovascular side effects. (3) The most severe cases of type-2 diabetes fail to respond to medication leaving the patient with few therapeutic alternatives. Helpful information regarding steps that can be taken to diagnose and manage pre-diabetes and type-2 diabetes can be found on the American Diabetes Association web site. (4)
Aloe vera has been recognized and coveted as a medicinal plant for thousands of years. (5) More recently, through modern scientific research, the active ingredients and their underlying mechanisms of action, responsible for Aloe vera's many beneficial medicinal activities are being uncovered. In 1989, Acemannan, a long chain, mannose rich, polysaccharide was identified as the primary active ingredient in Aloe vera inner leaf gel. (6, 7) Since then more than 3,690 scientific articles have been published worldwide exploring the various medicinal activities of Aloe vera and Acemannan preparations. One important outcome of these studies has been the recognition that the medicinal activities of Aloe vera are acutely sensitive to the methods of preparation and that many of the commonly used methods of preparation actually destroy or inactivate Acemannan. (8, 9) As a result, many early scientific studies were conducted using what we now recognize as likely suboptimal preparations of Acemannan. This broad range of Acemannan activity used in early scientific studies has led to conflicting scientific reports, which, in turn, has led to many myths and misconceptions about the true medical benefits of Aloe vera inner leaf gel and its major active ingredient Acemannan. (10)
Currently there is no standardized method to measure Acemannan activity, as a result, there still remains a broad range of Acemannan quality and activity in Aloe vera products on the market today. (11, 12) To begin to address this The International ALOE Science Council (IASC) has set minimum standards for products to receive IASC certification. (13) The IASC also publishes lists of: Companies, Finished Products & Raw Materials Completing IASC Certification; Companies & Products No Longer Certified by the IASC; and Facilities Certified by the IASC. (14-16)
This short article aims to explore the mounting evidence that preparations of Aloe vera inner leaf gel may be beneficial as a dietary supplement in the management of type-2 diabetes.
Animal Studies:
Many animal studies have consistently shown that preparations of Aloe vera inner leaf gel help control and normalize blood glucose levels in experimentally induced diabetes. (17-29) In all of these studies diabetic animals treated with preparations of Aloe vera inner leaf gel had significantly reduced blood glucose levels compared to untreated animals. In some studies, glibenclamide, a marketed antidiabetic drug used in the treatment of type-2 diabetes, was used as a positive control and Aloe vera inner leaf preparation gave similar or superior results as glibenclamide. (22, 30) However, glibenclamide has several known significant adverse side effects while Aloe has virtually no adverse side effects at therapeutic doses. Collectively these results in animal studies provide a strong rationale for the use of Aloe vera inner leaf gel preparations in the management of blood glucose levels in type-2 diabetes.
Human Clinical Trials:
Because Aloe vera is classified as a nutraceutical or herbal medicine there has not been interest or financial support from the pharmaceutical industry to conduct clinical trials. Therefore, there are very few clinical trials. Never-the-less in the few clinical trials that have been conducted have generally shown promising results in a variety of diseases including type 2 diabetes. (19, 30-33)
In one early study, 94% of 3,167 diabetic patients had blood glucose levels fall to normal levels within two months of initiating treatment. (33) Although the design of this study was focused on heart disease, a common complication of diabetes, and not on diabetes, the observed benefits on blood glucose levels over the course of the study are more anecdotal in nature but never-the-less quite compelling.
In a later study, 36 type-2 diabetic patients were given an 80% Aloe vera juice (1 tbsp twice a day) for 42 days. (32) A second group of 36 type-2 diabetic patients received a placebo control on the same schedule and duration. Prior to initiating treatment patients were randomized into an aloe treatment group or a placebo control group. Both study groups were indistinguishable with regard to blood markers, blood glucose levels, and disease history. At the end of the study, the Aloe treated group showed a 57% reduction in blood glucose levels as well as a 55% reduction in blood triglycerides levels compared to pretreatment levels. No changes in blood glucose or triglycerides were observed in the placebo control group. No changes in Cholesterol were observed in either group over the course of the study.
In a follow-up study Aloe vera juice was evaluated in diabetic patients who were unresponsive to glibenclamide an antidiabetic medication in common use at the time of the study. (30) In this study patients who received Aloe juice alone showed a 51% reduction in blood glucose and 48% reduction in blood triglycerides at day 42 which was in good agreement with the previous study. Patients who received glibenclamide showed no reduction in any parameter at day 42. Patients receiving Aloe juice + glibenclamide showed reductions similar to those who received Aloe juice only. These results confirm and extend the results of the earlier study and clearly show that Aloe vera inner leaf gel is working through a different mechanism of action than glibenclamide. Aloe vera may, therefore, be useful in the management of glibenclamide resistant cases.
Conclusions:
These data do not provide sufficient evidence to support the conclusion that Aloe vera inner leaf gel preparations are an effective treatment for type-2 diabetes. However, collectively they show a strong trend suggesting that, when properly prepared, Aloe vera inner leaf gel preparations should be included as part of a comprehensive treatment plan for type-2 diabetes that includes appropriate diet and exercise plan. Aloe vera may be especially useful in the management of drug resistant type-2 diabetes.
AceAloe+ is a new Aloe vera product that contains the highest and most consistent Acemannan content of any Aloe product on the market today. For the manufacture of AceAloe+, aloe plants are grown and harvested under organic conditions. The aloe leaves are processed using a proprietary method that preserves the integrity of the primary active ingredient. AceAloe+ is formulated with additional natural herbs that enhance and complement the natural activities of Aloe vera. AceAloe+ comes in capsule form with a recommended dose of 2 capsules a day.
Diabetes is a chronic and incurable disease that is characterize by uncontrolled elevated blood glucose levels that lead to numerous secondary diseases of the kidney, cardiovascular system and nervous system. There are two major types of diabetes classified by mechanism of blood glucose deregulation.
Type-1 diabetes, also known as insulin-dependent diabetes, is an absolute lack of insulin production in the body caused by autoimmune-mediated destruction of the pancreatic β-cells. Type 1 diabetes can occure at any age but is most often diagnosed in children, adolescents or young adults. Type1 diabetes represents only a minor fraction of the total cases of diabetes in the U.S. accounting for approximately 10 percent of the diagnoses cases. Because of the total lack of insulin production, type-1 diabetics are absolutely dependent on receiving insulin from external sources.
Type-2 diabetes, also known as insulin-independent diabetes, usually starts adulthood. Type-2 diabetes is characterized by uncontrolled chronic elevated blood glucose levels. Type-2 diabetes is caused by a combination of insulin resistance of fat, liver, and muscle cells, reduced insulin levels, and increased hepatic glucose production. Type-2 diabetes can usually be managed through diet and exercise. But several antidiabetic drugs have emerged for the management of severe cases of type-2 diabetes.
It is estimated that more than 28.5 million Americans (or 8.3% of the total US population) suffer from diabetes. (1) The percent of the population with diabetes increases with age such that by ages 65 and older 26.9% of the population has diabetes. The number of people with diabetes is growing at an alarming rate with approximately 1.9 million new cases of diabetes diagnosed each year. Even more concerning is that 2005-2008 survey data suggest that 35 percent of U.S. adults ≥20 years of age and 50 percent of adults ≥65 years of age had pre-diabetes. Based on the 2010 U.S. population it is estimated that 79 million adults in the U.S. ages ≥20 years are in some stage of pre-diabetes. (2) Because type-2 diabetes usually develops slowly, most pre-diabetics are not aware of their condition until they have an acute diabetic event.
Risk factors for type-2 diabetes include age (≥45 years), obesity, high blood pressure, HDL cholesterol ≤ 35 mg/dl, triglyceride level ≥ 250 mg/dl, lack of exercise, as well as other environmental and genetic factors. Symptoms of type-2 diabetes include blurred vision, fatigue, increased appetite, increased thirst, and increased urination. Complications of diabetes include heart disease, stroke, high blood pressure, kidney disease, nervous system disease, amputations, disability, and early death. Diabetes is the leading cause of blindness among adults age 20-74 years old. About 4.2 million diabetics (28% of diabetics ≥40 years of age have significant diabetic related vision problems. The direct medical cost of diabetes in the U.S. is $116 billion and the indirect cost (disability, work loss, premature mortality) is $58 billion. (2)
In many cases disease progression and complications of type 2 diabetes can be delayed, minimized, or avoided with early detection and proper blood glucose management through diet and exercise. Type-2 diabetes has a long asymptomatic pre-diabetic phase during which complications begin to develop. The earlier the detection of pre-diabetes or type-2 diabetes the higher the likelihood of avoidance of serious complications. In spite of best efforts, some particularly difficult cases of type-2 diabetes may require additional medication to control blood glucose levels. These medications often have significant side effects including acute hypoglycemic episodes and possible cardiovascular side effects. (3) The most severe cases of type-2 diabetes fail to respond to medication leaving the patient with few therapeutic alternatives. Helpful information regarding steps that can be taken to diagnose and manage pre-diabetes and type-2 diabetes can be found on the American Diabetes Association web site. (4)
Aloe vera has been recognized and coveted as a medicinal plant for thousands of years. (5) More recently, through modern scientific research, the active ingredients and their underlying mechanisms of action, responsible for Aloe vera's many beneficial medicinal activities are being uncovered. In 1989, Acemannan, a long chain, mannose rich, polysaccharide was identified as the primary active ingredient in Aloe vera inner leaf gel. (6, 7) Since then more than 3,690 scientific articles have been published worldwide exploring the various medicinal activities of Aloe vera and Acemannan preparations. One important outcome of these studies has been the recognition that the medicinal activities of Aloe vera are acutely sensitive to the methods of preparation and that many of the commonly used methods of preparation actually destroy or inactivate Acemannan. (8, 9) As a result, many early scientific studies were conducted using what we now recognize as likely suboptimal preparations of Acemannan. This broad range of Acemannan activity used in early scientific studies has led to conflicting scientific reports, which, in turn, has led to many myths and misconceptions about the true medical benefits of Aloe vera inner leaf gel and its major active ingredient Acemannan. (10)
Currently there is no standardized method to measure Acemannan activity, as a result, there still remains a broad range of Acemannan quality and activity in Aloe vera products on the market today. (11, 12) To begin to address this The International ALOE Science Council (IASC) has set minimum standards for products to receive IASC certification. (13) The IASC also publishes lists of: Companies, Finished Products & Raw Materials Completing IASC Certification; Companies & Products No Longer Certified by the IASC; and Facilities Certified by the IASC. (14-16)
This short article aims to explore the mounting evidence that preparations of Aloe vera inner leaf gel may be beneficial as a dietary supplement in the management of type-2 diabetes.
Animal Studies:
Many animal studies have consistently shown that preparations of Aloe vera inner leaf gel help control and normalize blood glucose levels in experimentally induced diabetes. (17-29) In all of these studies diabetic animals treated with preparations of Aloe vera inner leaf gel had significantly reduced blood glucose levels compared to untreated animals. In some studies, glibenclamide, a marketed antidiabetic drug used in the treatment of type-2 diabetes, was used as a positive control and Aloe vera inner leaf preparation gave similar or superior results as glibenclamide. (22, 30) However, glibenclamide has several known significant adverse side effects while Aloe has virtually no adverse side effects at therapeutic doses. Collectively these results in animal studies provide a strong rationale for the use of Aloe vera inner leaf gel preparations in the management of blood glucose levels in type-2 diabetes.
Human Clinical Trials:
Because Aloe vera is classified as a nutraceutical or herbal medicine there has not been interest or financial support from the pharmaceutical industry to conduct clinical trials. Therefore, there are very few clinical trials. Never-the-less in the few clinical trials that have been conducted have generally shown promising results in a variety of diseases including type 2 diabetes. (19, 30-33)
In one early study, 94% of 3,167 diabetic patients had blood glucose levels fall to normal levels within two months of initiating treatment. (33) Although the design of this study was focused on heart disease, a common complication of diabetes, and not on diabetes, the observed benefits on blood glucose levels over the course of the study are more anecdotal in nature but never-the-less quite compelling.
In a later study, 36 type-2 diabetic patients were given an 80% Aloe vera juice (1 tbsp twice a day) for 42 days. (32) A second group of 36 type-2 diabetic patients received a placebo control on the same schedule and duration. Prior to initiating treatment patients were randomized into an aloe treatment group or a placebo control group. Both study groups were indistinguishable with regard to blood markers, blood glucose levels, and disease history. At the end of the study, the Aloe treated group showed a 57% reduction in blood glucose levels as well as a 55% reduction in blood triglycerides levels compared to pretreatment levels. No changes in blood glucose or triglycerides were observed in the placebo control group. No changes in Cholesterol were observed in either group over the course of the study.
In a follow-up study Aloe vera juice was evaluated in diabetic patients who were unresponsive to glibenclamide an antidiabetic medication in common use at the time of the study. (30) In this study patients who received Aloe juice alone showed a 51% reduction in blood glucose and 48% reduction in blood triglycerides at day 42 which was in good agreement with the previous study. Patients who received glibenclamide showed no reduction in any parameter at day 42. Patients receiving Aloe juice + glibenclamide showed reductions similar to those who received Aloe juice only. These results confirm and extend the results of the earlier study and clearly show that Aloe vera inner leaf gel is working through a different mechanism of action than glibenclamide. Aloe vera may, therefore, be useful in the management of glibenclamide resistant cases.
Conclusions:
These data do not provide sufficient evidence to support the conclusion that Aloe vera inner leaf gel preparations are an effective treatment for type-2 diabetes. However, collectively they show a strong trend suggesting that, when properly prepared, Aloe vera inner leaf gel preparations should be included as part of a comprehensive treatment plan for type-2 diabetes that includes appropriate diet and exercise plan. Aloe vera may be especially useful in the management of drug resistant type-2 diabetes.
AceAloe+ is a new Aloe vera product that contains the highest and most consistent Acemannan content of any Aloe product on the market today. For the manufacture of AceAloe+, aloe plants are grown and harvested under organic conditions. The aloe leaves are processed using a proprietary method that preserves the integrity of the primary active ingredient. AceAloe+ is formulated with additional natural herbs that enhance and complement the natural activities of Aloe vera. AceAloe+ comes in capsule form with a recommended dose of 2 capsules a day.
Thursday, January 13, 2011
Knowing The Warning Signs of Diabetes and Tips for Reversing Diabetes
Not being ignorant about this debilitating condition that is affecting more and more people as times go on is very important. Much of the increase in diabetes mellitus cases is due to poor lifestyle choices that a lot of people make. This article discusses the various symptoms of diabetes mellitus. Knowing the warning signs of diabetes and the various tips for reversing diabetes should hopefully allow you to make better choices for yourself and help you fight this disease.
Properly managing diabetes and curing diabetes in some cases will allow you to greatly improve the quality of your life. Diabetes is one of the identified silent killers mainly because the symptoms of diabetes if any at all, can develop over many years without the diabetic being any the wiser which makes periodic checkups vital in the fight against diabetes mellitus.
What is Diabetes?
To answer the question "what is diabetes?" it is important to understand what happens in the body after consuming food. When we consume food, mainly carbohydrates and sugars, it is converted by the body into glucose which is the simplest form of sugars. This is one of the reasons that most people refer to this disease as sugar diabetes.
This glucose is then released into the bloodstream and must be removed from the blood to prevent damage to vital organs in the body such as the heart and kidneys and distributed to the various cells in the body because this is the source of the energy that the body needs to function properly and for day to day activities.
Insulin which is a hormone produced by the pancreas that when properly functioning is responsible for the removal and distribution of this glucose to the various cells or stored for later use as needed.
When the pancreas produces no insulin, too little insulin or the body develops a resistance to the insulin produced, this leads to diabetes mellitus. With this disease and the problems with insulin, the glucose ends up accumulating in the bloodstream with no place to go only to be secreted in urine which is a waste of glucose and the energy that it provides.
The accumulation of this glucose in the blood with no place to go after an extended period of time will lead to diabetes related complications such as nerve damage that could lead to the necessity for limb amputations, heart and kidney disease from the damage to these organs resulting from the excess glucose levels in the blood stream, diabetic comas, various skin conditions, high blood pressure that can lead to eye problems, stroke, heart attack and kidney disease, etc.
Types of Diabetes Mellitus
Type 1 diabetes
The first type of of this disease is type 1 diabetes which occurs when insulin is not produced by the pancreas. This is also known as juvenile diabetes because it usually begins in childhood. Due to no insulin being produced, the person suffering from this disease requires daily shots of insulin for survival.
Type 2 diabetes
The second type of diabetes is type 2 diabetes that usually develops in adulthood. This is when the pancreas does not produce sufficient quantities of insulin that is required to remove all the glucose from the blood. This also develops when the body develops a resistance to the insulin that is produced by the pancreas which causes the glucose to accumulate in the blood.
Gestational diabetes
The third type of diabetes is gestational diabetes which usually develops in a soon to be mother usually during the third trimester of a pregnancy. After childbirth, gestational diabetes may disappear on its own after a few months. In some other cases, the woman may develop type 2 diabetes at a later point in life.
Diabetes Symptoms
There are various types of diabetes symptoms that can develop over several years. Proper treatment of diabetes and diabetes symptoms is important for survival and to allow a diabetic to lead a full and productive life. Here a some of the symptoms of diabetes that are related to type 1 diabetes and type 2 diabetes. Identifying the warning signs of diabetes will help a diabetic manage and even cure diabetes.
Type 1 diabetes
- Being excessively thirsty
- Frequent urination
- Experiencing excessive hunger
- Unusual weight loss that is sudden and without a reasonable explanation
- Fatigue and a level of irritability during the day
Type 2 diabetes
- Experiencing any of the above symptoms
- Unusual and sudden changes in vision and eyesight
- Slow healing of cuts and wounds
- Developing infections quite frequently
- Experiencing numbness and/or tingling in the feet and hands
- Suffering from very dry skin or itchy skin
Type 2 diabetes which is more common than type 1 diabetes may not produce any warning signs of diabetes which is why diabetes is sometimes referred to as one of the silent killers as mentioned previously. Since no symptoms of diabetes may be produced with type 2 diabetes, annual diabetes testing is important.
Tips for Reversing Diabetes
There are many treatment options that can be used to not only overcome diabetes and the related symptoms of diabetes as well as the diabetes related complications but that will also help you cure diabetes.
The first step of course is periodic checkups to ensure that you do not have the disease and if it is discovered that you do have the disease, following the recommended treatment methods will help to treat this condition successfully. Your doctor may recommend various diabetes medications for the management of diabetes. Diabetes meters are an important way to monitor your blood sugar levels and take remedial steps if the sugar levels are too high or too low.
Natural methods for the treatment of diabetes are probably the best way to combat this disease that will either allow you to properly manage the disease or to cure it. Following a proper diabetic diet that may include carbohydrate counting is important to treat the condition naturally. Increasing your level of physical activity is also key.
Properly managing diabetes and curing diabetes in some cases will allow you to greatly improve the quality of your life. Diabetes is one of the identified silent killers mainly because the symptoms of diabetes if any at all, can develop over many years without the diabetic being any the wiser which makes periodic checkups vital in the fight against diabetes mellitus.
What is Diabetes?
To answer the question "what is diabetes?" it is important to understand what happens in the body after consuming food. When we consume food, mainly carbohydrates and sugars, it is converted by the body into glucose which is the simplest form of sugars. This is one of the reasons that most people refer to this disease as sugar diabetes.
This glucose is then released into the bloodstream and must be removed from the blood to prevent damage to vital organs in the body such as the heart and kidneys and distributed to the various cells in the body because this is the source of the energy that the body needs to function properly and for day to day activities.
Insulin which is a hormone produced by the pancreas that when properly functioning is responsible for the removal and distribution of this glucose to the various cells or stored for later use as needed.
When the pancreas produces no insulin, too little insulin or the body develops a resistance to the insulin produced, this leads to diabetes mellitus. With this disease and the problems with insulin, the glucose ends up accumulating in the bloodstream with no place to go only to be secreted in urine which is a waste of glucose and the energy that it provides.
The accumulation of this glucose in the blood with no place to go after an extended period of time will lead to diabetes related complications such as nerve damage that could lead to the necessity for limb amputations, heart and kidney disease from the damage to these organs resulting from the excess glucose levels in the blood stream, diabetic comas, various skin conditions, high blood pressure that can lead to eye problems, stroke, heart attack and kidney disease, etc.
Types of Diabetes Mellitus
Type 1 diabetes
The first type of of this disease is type 1 diabetes which occurs when insulin is not produced by the pancreas. This is also known as juvenile diabetes because it usually begins in childhood. Due to no insulin being produced, the person suffering from this disease requires daily shots of insulin for survival.
Type 2 diabetes
The second type of diabetes is type 2 diabetes that usually develops in adulthood. This is when the pancreas does not produce sufficient quantities of insulin that is required to remove all the glucose from the blood. This also develops when the body develops a resistance to the insulin that is produced by the pancreas which causes the glucose to accumulate in the blood.
Gestational diabetes
The third type of diabetes is gestational diabetes which usually develops in a soon to be mother usually during the third trimester of a pregnancy. After childbirth, gestational diabetes may disappear on its own after a few months. In some other cases, the woman may develop type 2 diabetes at a later point in life.
Diabetes Symptoms
There are various types of diabetes symptoms that can develop over several years. Proper treatment of diabetes and diabetes symptoms is important for survival and to allow a diabetic to lead a full and productive life. Here a some of the symptoms of diabetes that are related to type 1 diabetes and type 2 diabetes. Identifying the warning signs of diabetes will help a diabetic manage and even cure diabetes.
Type 1 diabetes
- Being excessively thirsty
- Frequent urination
- Experiencing excessive hunger
- Unusual weight loss that is sudden and without a reasonable explanation
- Fatigue and a level of irritability during the day
Type 2 diabetes
- Experiencing any of the above symptoms
- Unusual and sudden changes in vision and eyesight
- Slow healing of cuts and wounds
- Developing infections quite frequently
- Experiencing numbness and/or tingling in the feet and hands
- Suffering from very dry skin or itchy skin
Type 2 diabetes which is more common than type 1 diabetes may not produce any warning signs of diabetes which is why diabetes is sometimes referred to as one of the silent killers as mentioned previously. Since no symptoms of diabetes may be produced with type 2 diabetes, annual diabetes testing is important.
Tips for Reversing Diabetes
There are many treatment options that can be used to not only overcome diabetes and the related symptoms of diabetes as well as the diabetes related complications but that will also help you cure diabetes.
The first step of course is periodic checkups to ensure that you do not have the disease and if it is discovered that you do have the disease, following the recommended treatment methods will help to treat this condition successfully. Your doctor may recommend various diabetes medications for the management of diabetes. Diabetes meters are an important way to monitor your blood sugar levels and take remedial steps if the sugar levels are too high or too low.
Natural methods for the treatment of diabetes are probably the best way to combat this disease that will either allow you to properly manage the disease or to cure it. Following a proper diabetic diet that may include carbohydrate counting is important to treat the condition naturally. Increasing your level of physical activity is also key.
Wednesday, January 12, 2011
Diabetes (Type 1, 2, and Gestational)
What is type 1 diabetes?
Type 1 diabetes may also be known by a variety of other names, including the following:
* insulin-dependent diabetes mellitus (IDDM)
* juvenile diabetes
* brittle diabetes
* sugar diabetes
There are two forms of type 1 diabetes:
* idiopathic type 1 diabetes - refers to rare forms of the disease with no known cause.
* immune-mediated diabetes - an autoimmune disorder in which the body's immune system destroys, or attempts to destroy, the cells in the pancreas that produce insulin.
Immune-mediated diabetes is the most common form of type 1 diabetes, and the one generally referred to as type 1 diabetes. The information on this page refers to this form of type 1 diabetes.
Type 1 diabetes accounts for 5 to 10 percent of all diagnosed cases of diabetes in the US. Type 1 diabetes usually develops in children or young adults, but can start at any age.
What causes type 1 diabetes?
The cause of type 1 diabetes is unknown, but it is believed that genetic and environmental factors (possibly viruses) may be involved. The body's immune system attacks and destroys the insulin producing cells in the pancreas. Insulin allows glucose to enter the cells of the body to provide energy.
When glucose cannot enter the cells, it builds up in the blood and the body's cells literally starve to death. People with type 1 diabetes must take daily insulin injections and regularly monitor their blood sugar levels.
What are the symptoms of type 1 diabetes?
Type 1 diabetes often appears suddenly. The following are the most common symptoms of type 1 diabetes. However, each individual may experience symptoms differently. Symptoms may include:
* high levels of sugar in the blood when tested
* high levels of sugar in the urine when tested
* unusual thirst
* frequent urination
* extreme hunger but loss of weight
* blurred vision
* nausea and vomiting
* extreme weakness and fatigue
* irritability and mood changes
In children, symptoms may be similar to those of having the flu.
The symptoms of type 1 diabetes may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
What complications may be associated with type 1 diabetes?
Type 1 diabetes can cause many different problems. However, the three key complications of diabetes include the following:
1. hypoglycemia - low blood sugar; sometimes called an insulin reaction; occurs when blood sugar drops too low.
2. hyperglycemia - high blood sugar; occurs when blood sugar is too high, and can be a sign that diabetes is not well controlled.
3. ketoacidosis - diabetic coma; loss of consciousness due to untreated or under-treated diabetes.
Treatment for type 1 diabetes:
Specific treatment for type 1 diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
People with type 1 diabetes must have daily injections of insulin to keep their blood sugar level within normal ranges. Other parts of the treatment protocol may include:
* appropriate diet (to manage blood sugar levels)
* exercise (to lower and help the body use blood sugar)
* careful self-monitoring of blood sugar levels several times a day, as directed by your physician
* careful self-monitoring of ketone levels in the urine several times a day, as directed by your physician
* regular monitoring of the hemoglobin A1c levels
The hemoglobin A1c test (also called HbA1c test) shows the average amount of sugar in the blood over the last three months. The result will indicate if the blood sugar level is under control. The frequency of HbA1c testing will be determined by your physician. It is recommended that testing occur at least twice a year if the blood sugar level is in the target range and stable, and more frequently if the blood sugar level is unstable.
Advances in diabetes research have led to improved methods of managing diabetes and treating its complications. However, scientists continue to explore the causes of diabetes and ways to prevent and treat the disorder. Other methods of administering insulin through inhalers and pills are currently being studied. Scientists are investigating gene involvement in type 1 and type 2 diabetes, and some genetic markers for type 1 diabetes have been identified. Pancreas transplants are also being performed.
What is type 2 diabetes?
Type 2 diabetes is a metabolic disorder resulting from the body's inability to make enough, or to properly use, insulin. It used to be called non-insulin-dependent diabetes mellitus (NIDDM).
Without adequate production or utilization of insulin, the body cannot move blood sugar into the cells. It is a chronic disease that has no known cure. It is the most common type of diabetes, accounting for 90 to 95 percent of diabetes cases.
What is prediabetes?
In prediabetes, blood glucose levels are higher than normal but not high enough to be defined as diabetes. However, many people with prediabetes develop type 2 diabetes within 10 years, states the National Institute of Diabetes and Digestive and Kidney Diseases. Prediabetes also increases the risk of heart disease and stroke. With modest weight loss and moderate physical activity, people with prediabetes can delay or prevent type 2 diabetes.
What causes type 2 diabetes?
The exact cause of type 2 diabetes is unknown. However, there does appear to be a genetic factor which causes it to run in families. And, although a person can inherit a tendency to develop type 2 diabetes, it usually takes another factor, such as obesity, to bring on the disease.
Prevention or delay of onset of type 2 diabetes:
Type 2 diabetes may be prevented or delayed by following a program to eliminate or reduce risk factors - particularly losing weight and increasing exercise. Information gathered by the Diabetes Prevention Program, sponsored by the National Institutes of Health and the American Diabetes Association, continues to study this possibility.
What are the symptoms of type 2 diabetes?
The following are the most common symptoms of type 2 diabetes. However, each individual may experience symptoms differently. Symptoms may include:
* frequent infections that are not easily healed
* high levels of sugar in the blood when tested
* high levels of sugar in the urine when tested
* unusual thirst
* frequent urination
* extreme hunger but loss of weight
* blurred vision
* nausea and vomiting
* extreme weakness and fatigue
* irritability and mood changes
* dry, itchy skin
* tingling or loss of feeling in the hands or feet
Some people who have type 2 diabetes exhibit no symptoms. Symptoms may be mild and almost unnoticeable, or easy to confuse with signs of aging. Half of all Americans who have diabetes do not know it.
The symptoms of type 2 diabetes may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
What are the risk factors for type 2 diabetes?
Risk factors for type 2 diabetes include the following:
* age
People over the age of 45 are at higher risk for diabetes.
* family history of diabetes
* being overweight
* not exercising regularly
* race and ethnicity
Being a member of certain racial and ethnic groups, such as African-Americans, Hispanic Americans, and Native Americans increases the risk for type 2 diabetes.
* history of gestational diabetes, or giving birth to a baby that weighed more than 9 pounds
* a low level HDL (high-density lipoprotein - the "good cholesterol")
* a high triglyceride level
Treatment for type 2 diabetes:
Specific treatment for type 2 diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
The goal of treatment is to keep blood sugar levels as close to normal as possible. Emphasis is on control of blood sugar (glucose) by monitoring the levels, regular physical activity, meal planning, and routine healthcare. Treatment of diabetes is an ongoing process of management and education that includes not only the person with diabetes, but also healthcare professionals and family members.
Often, type 2 diabetes can be controlled through losing weight, improved nutrition, and exercise alone. However, in some cases, these measures are not enough and either oral medications and/or insulin must be used. Treatment often includes:
* proper diet
* weight control
* an appropriate exercise program
* regular foot inspections
* oral medications, other medications, and/or insulin replacement therapy, as directed by your physician
There are various types of medications that may be used to treat type 2 diabetes when lifestyle changes such as diet, exercise, and weight loss are not effective. Oral medications of several different types are available, with each type working in a different manner to lower blood sugar. One medication may be combined with another one to improve blood sugar control. When oral medications are no longer effective, insulin may be required.
New medications for treating diabetes are in development. GLP-1 agonists are one of the new types of medications. GLP-1 agonists work by stimulating insulin production by the pancreas, slowing the emptying of food from the stomach, and inhibiting the production of glucagon in the pancreas (glucagon is a hormone produced by the pancreas that stimulates release of glucose by the liver). Byetta®, a GLP-1 agonist approved by the FDA in 2005, is given by injection.
* regular monitoring of the hemoglobin A1c levels
The hemoglobin A1c test (also called HbA1c test) shows the average amount of sugar in the blood over the last three months. The result will indicate if the blood sugar level is under control. The frequency of HbA1c testing will be determined by your physician. It is recommended that testing occur at least twice a year if the blood sugar level is in the target range and stable, and more frequently if the blood sugar level is unstable.
Untreated or inappropriately-treated diabetes can cause problems with the kidneys, legs, feet, eyes, heart, nerves, and blood flow, which could lead to kidney failure, gangrene, amputation, blindness, or stroke. For these reasons, it is important to follow a strict treatment plan.
What is gestational diabetes?
Gestational diabetes is a condition in which the glucose level is elevated and other diabetic symptoms appear during pregnancy in a woman who has not previously been diagnosed with diabetes. All diabetic symptoms disappear following delivery.
Unlike type 1 diabetes, gestational diabetes is not caused by a lack of insulin, but by blocking effects of other hormones on the insulin that is produced, a condition referred to as insulin resistance.
Approximately 7 percent of all pregnant women in the United States are diagnosed with gestational diabetes.
What causes gestational diabetes?
Although the cause of gestational diabetes is not known, there are some theories as to why the condition occurs.
The placenta supplies a growing fetus with nutrients and water, as well as produces a variety of hormones to maintain the pregnancy. Some of these hormones (estrogen, cortisol, and human placental lactogen) can have a blocking effect on insulin. This is called contra-insulineffect, which usually begins about 20 to 24 weeks into the pregnancy.
As the placenta grows, more of these hormones are produced, and insulin resistance becomes greater. Normally, the pancreas is able to make additional insulin to overcome insulin resistance, but when the production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results.
What are the risks factors associated with gestational diabetes?
Although any woman can develop gestational diabetes during pregnancy, some of the factors that may increase the risk include the following:
* obesity
* family history of diabetes
* having given birth previously to a very large infant, a still birth, or a child with a birth defect
* having too much amniotic fluid (polyhydramnios)
* age
Women who are older than 25 are at a greater risk for developing gestational diabetes than younger women.
Although increased glucose in the urine is often included in the list of risk factors, it is not believed to be a reliable indicator for gestational diabetes.
How is gestational diabetes diagnosed?
Gestational diabetes maybe diagnosed with a 50 gram glucose screening test, which involves drinking a glucose drink followed by measurement of blood sugar levels after one hour.
If this test shows a blood sugar level of greater than 140 mg/dL, a three-hour glucose tolerance test may be performed after a few days of following a special diet. If results of the second test are in the abnormal range, gestational diabetes is diagnosed.
Treatment for gestational diabetes:
Specific treatment for gestational diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
Treatment for gestational diabetes focuses on keeping blood glucose levels in the normal range. Treatment may include:
* special diet
* exercise
* daily blood glucose monitoring
* insulin injections
Possible complications for the baby:
Unlike type 1 diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first trimester (before the 13th week) of pregnancy. But, the insulin resistance from the contra-insulin hormones produced by the placenta does not usually occur until approximately the 24th week. Women with gestational diabetes generally have normal blood sugar levels during the critical first trimester.
The complications of gestational diabetes are usually manageable and preventable. The key to prevention is careful control of blood sugar levels just as soon as the diagnosis of gestational diabetes is made.
Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but, in general, there are two major problems of gestational diabetes: macrosomia and hypoglycemia.
* macrosomia
Macrosomia refers to a baby that is considerably larger than normal. All of the nutrients the fetus receives come directly from the mother's blood. If the maternal blood has too much glucose, the pancreas of the fetus senses the high glucose levels and produces more insulin in an attempt to use this glucose. The fetus converts the extra glucose to fat. Even when the mother has gestational diabetes, the fetus is able to produce all the insulin it needs. The combination of high blood glucose levels from the mother and high insulin levels in the fetus results in large deposits of fat which causes the fetus to grow excessively large.
* hypoglycemia
Hypoglycemia refers to low blood sugar in the baby immediately after delivery. This problem occurs if the mother's blood sugar levels have been consistently high, causing the fetus to have a high level of insulin in its circulation. After delivery, the baby continues to have a high insulin level, but it no longer has the high level of sugar from its mother, resulting in the newborn's blood sugar level becoming very low. The baby's blood sugar level is checked after birth, and if the level is too low, it may be necessary to give the baby glucose intravenously.
Type 1 diabetes may also be known by a variety of other names, including the following:
* insulin-dependent diabetes mellitus (IDDM)
* juvenile diabetes
* brittle diabetes
* sugar diabetes
There are two forms of type 1 diabetes:
* idiopathic type 1 diabetes - refers to rare forms of the disease with no known cause.
* immune-mediated diabetes - an autoimmune disorder in which the body's immune system destroys, or attempts to destroy, the cells in the pancreas that produce insulin.
Immune-mediated diabetes is the most common form of type 1 diabetes, and the one generally referred to as type 1 diabetes. The information on this page refers to this form of type 1 diabetes.
Type 1 diabetes accounts for 5 to 10 percent of all diagnosed cases of diabetes in the US. Type 1 diabetes usually develops in children or young adults, but can start at any age.
What causes type 1 diabetes?
The cause of type 1 diabetes is unknown, but it is believed that genetic and environmental factors (possibly viruses) may be involved. The body's immune system attacks and destroys the insulin producing cells in the pancreas. Insulin allows glucose to enter the cells of the body to provide energy.
When glucose cannot enter the cells, it builds up in the blood and the body's cells literally starve to death. People with type 1 diabetes must take daily insulin injections and regularly monitor their blood sugar levels.
What are the symptoms of type 1 diabetes?
Type 1 diabetes often appears suddenly. The following are the most common symptoms of type 1 diabetes. However, each individual may experience symptoms differently. Symptoms may include:
* high levels of sugar in the blood when tested
* high levels of sugar in the urine when tested
* unusual thirst
* frequent urination
* extreme hunger but loss of weight
* blurred vision
* nausea and vomiting
* extreme weakness and fatigue
* irritability and mood changes
In children, symptoms may be similar to those of having the flu.
The symptoms of type 1 diabetes may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
What complications may be associated with type 1 diabetes?
Type 1 diabetes can cause many different problems. However, the three key complications of diabetes include the following:
1. hypoglycemia - low blood sugar; sometimes called an insulin reaction; occurs when blood sugar drops too low.
2. hyperglycemia - high blood sugar; occurs when blood sugar is too high, and can be a sign that diabetes is not well controlled.
3. ketoacidosis - diabetic coma; loss of consciousness due to untreated or under-treated diabetes.
Treatment for type 1 diabetes:
Specific treatment for type 1 diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
People with type 1 diabetes must have daily injections of insulin to keep their blood sugar level within normal ranges. Other parts of the treatment protocol may include:
* appropriate diet (to manage blood sugar levels)
* exercise (to lower and help the body use blood sugar)
* careful self-monitoring of blood sugar levels several times a day, as directed by your physician
* careful self-monitoring of ketone levels in the urine several times a day, as directed by your physician
* regular monitoring of the hemoglobin A1c levels
The hemoglobin A1c test (also called HbA1c test) shows the average amount of sugar in the blood over the last three months. The result will indicate if the blood sugar level is under control. The frequency of HbA1c testing will be determined by your physician. It is recommended that testing occur at least twice a year if the blood sugar level is in the target range and stable, and more frequently if the blood sugar level is unstable.
Advances in diabetes research have led to improved methods of managing diabetes and treating its complications. However, scientists continue to explore the causes of diabetes and ways to prevent and treat the disorder. Other methods of administering insulin through inhalers and pills are currently being studied. Scientists are investigating gene involvement in type 1 and type 2 diabetes, and some genetic markers for type 1 diabetes have been identified. Pancreas transplants are also being performed.
What is type 2 diabetes?
Type 2 diabetes is a metabolic disorder resulting from the body's inability to make enough, or to properly use, insulin. It used to be called non-insulin-dependent diabetes mellitus (NIDDM).
Without adequate production or utilization of insulin, the body cannot move blood sugar into the cells. It is a chronic disease that has no known cure. It is the most common type of diabetes, accounting for 90 to 95 percent of diabetes cases.
What is prediabetes?
In prediabetes, blood glucose levels are higher than normal but not high enough to be defined as diabetes. However, many people with prediabetes develop type 2 diabetes within 10 years, states the National Institute of Diabetes and Digestive and Kidney Diseases. Prediabetes also increases the risk of heart disease and stroke. With modest weight loss and moderate physical activity, people with prediabetes can delay or prevent type 2 diabetes.
What causes type 2 diabetes?
The exact cause of type 2 diabetes is unknown. However, there does appear to be a genetic factor which causes it to run in families. And, although a person can inherit a tendency to develop type 2 diabetes, it usually takes another factor, such as obesity, to bring on the disease.
Prevention or delay of onset of type 2 diabetes:
Type 2 diabetes may be prevented or delayed by following a program to eliminate or reduce risk factors - particularly losing weight and increasing exercise. Information gathered by the Diabetes Prevention Program, sponsored by the National Institutes of Health and the American Diabetes Association, continues to study this possibility.
What are the symptoms of type 2 diabetes?
The following are the most common symptoms of type 2 diabetes. However, each individual may experience symptoms differently. Symptoms may include:
* frequent infections that are not easily healed
* high levels of sugar in the blood when tested
* high levels of sugar in the urine when tested
* unusual thirst
* frequent urination
* extreme hunger but loss of weight
* blurred vision
* nausea and vomiting
* extreme weakness and fatigue
* irritability and mood changes
* dry, itchy skin
* tingling or loss of feeling in the hands or feet
Some people who have type 2 diabetes exhibit no symptoms. Symptoms may be mild and almost unnoticeable, or easy to confuse with signs of aging. Half of all Americans who have diabetes do not know it.
The symptoms of type 2 diabetes may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
What are the risk factors for type 2 diabetes?
Risk factors for type 2 diabetes include the following:
* age
People over the age of 45 are at higher risk for diabetes.
* family history of diabetes
* being overweight
* not exercising regularly
* race and ethnicity
Being a member of certain racial and ethnic groups, such as African-Americans, Hispanic Americans, and Native Americans increases the risk for type 2 diabetes.
* history of gestational diabetes, or giving birth to a baby that weighed more than 9 pounds
* a low level HDL (high-density lipoprotein - the "good cholesterol")
* a high triglyceride level
Treatment for type 2 diabetes:
Specific treatment for type 2 diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
The goal of treatment is to keep blood sugar levels as close to normal as possible. Emphasis is on control of blood sugar (glucose) by monitoring the levels, regular physical activity, meal planning, and routine healthcare. Treatment of diabetes is an ongoing process of management and education that includes not only the person with diabetes, but also healthcare professionals and family members.
Often, type 2 diabetes can be controlled through losing weight, improved nutrition, and exercise alone. However, in some cases, these measures are not enough and either oral medications and/or insulin must be used. Treatment often includes:
* proper diet
* weight control
* an appropriate exercise program
* regular foot inspections
* oral medications, other medications, and/or insulin replacement therapy, as directed by your physician
There are various types of medications that may be used to treat type 2 diabetes when lifestyle changes such as diet, exercise, and weight loss are not effective. Oral medications of several different types are available, with each type working in a different manner to lower blood sugar. One medication may be combined with another one to improve blood sugar control. When oral medications are no longer effective, insulin may be required.
New medications for treating diabetes are in development. GLP-1 agonists are one of the new types of medications. GLP-1 agonists work by stimulating insulin production by the pancreas, slowing the emptying of food from the stomach, and inhibiting the production of glucagon in the pancreas (glucagon is a hormone produced by the pancreas that stimulates release of glucose by the liver). Byetta®, a GLP-1 agonist approved by the FDA in 2005, is given by injection.
* regular monitoring of the hemoglobin A1c levels
The hemoglobin A1c test (also called HbA1c test) shows the average amount of sugar in the blood over the last three months. The result will indicate if the blood sugar level is under control. The frequency of HbA1c testing will be determined by your physician. It is recommended that testing occur at least twice a year if the blood sugar level is in the target range and stable, and more frequently if the blood sugar level is unstable.
Untreated or inappropriately-treated diabetes can cause problems with the kidneys, legs, feet, eyes, heart, nerves, and blood flow, which could lead to kidney failure, gangrene, amputation, blindness, or stroke. For these reasons, it is important to follow a strict treatment plan.
What is gestational diabetes?
Gestational diabetes is a condition in which the glucose level is elevated and other diabetic symptoms appear during pregnancy in a woman who has not previously been diagnosed with diabetes. All diabetic symptoms disappear following delivery.
Unlike type 1 diabetes, gestational diabetes is not caused by a lack of insulin, but by blocking effects of other hormones on the insulin that is produced, a condition referred to as insulin resistance.
Approximately 7 percent of all pregnant women in the United States are diagnosed with gestational diabetes.
What causes gestational diabetes?
Although the cause of gestational diabetes is not known, there are some theories as to why the condition occurs.
The placenta supplies a growing fetus with nutrients and water, as well as produces a variety of hormones to maintain the pregnancy. Some of these hormones (estrogen, cortisol, and human placental lactogen) can have a blocking effect on insulin. This is called contra-insulineffect, which usually begins about 20 to 24 weeks into the pregnancy.
As the placenta grows, more of these hormones are produced, and insulin resistance becomes greater. Normally, the pancreas is able to make additional insulin to overcome insulin resistance, but when the production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results.
What are the risks factors associated with gestational diabetes?
Although any woman can develop gestational diabetes during pregnancy, some of the factors that may increase the risk include the following:
* obesity
* family history of diabetes
* having given birth previously to a very large infant, a still birth, or a child with a birth defect
* having too much amniotic fluid (polyhydramnios)
* age
Women who are older than 25 are at a greater risk for developing gestational diabetes than younger women.
Although increased glucose in the urine is often included in the list of risk factors, it is not believed to be a reliable indicator for gestational diabetes.
How is gestational diabetes diagnosed?
Gestational diabetes maybe diagnosed with a 50 gram glucose screening test, which involves drinking a glucose drink followed by measurement of blood sugar levels after one hour.
If this test shows a blood sugar level of greater than 140 mg/dL, a three-hour glucose tolerance test may be performed after a few days of following a special diet. If results of the second test are in the abnormal range, gestational diabetes is diagnosed.
Treatment for gestational diabetes:
Specific treatment for gestational diabetes will be determined by your physician based on:
* your age, overall health, and medical history
* extent of the disease
* your tolerance for specific medications, procedures, or therapies
* expectations for the course of the disease
* your opinion or preference
Treatment for gestational diabetes focuses on keeping blood glucose levels in the normal range. Treatment may include:
* special diet
* exercise
* daily blood glucose monitoring
* insulin injections
Possible complications for the baby:
Unlike type 1 diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first trimester (before the 13th week) of pregnancy. But, the insulin resistance from the contra-insulin hormones produced by the placenta does not usually occur until approximately the 24th week. Women with gestational diabetes generally have normal blood sugar levels during the critical first trimester.
The complications of gestational diabetes are usually manageable and preventable. The key to prevention is careful control of blood sugar levels just as soon as the diagnosis of gestational diabetes is made.
Infants of mothers with gestational diabetes are vulnerable to several chemical imbalances, such as low serum calcium and low serum magnesium levels, but, in general, there are two major problems of gestational diabetes: macrosomia and hypoglycemia.
* macrosomia
Macrosomia refers to a baby that is considerably larger than normal. All of the nutrients the fetus receives come directly from the mother's blood. If the maternal blood has too much glucose, the pancreas of the fetus senses the high glucose levels and produces more insulin in an attempt to use this glucose. The fetus converts the extra glucose to fat. Even when the mother has gestational diabetes, the fetus is able to produce all the insulin it needs. The combination of high blood glucose levels from the mother and high insulin levels in the fetus results in large deposits of fat which causes the fetus to grow excessively large.
* hypoglycemia
Hypoglycemia refers to low blood sugar in the baby immediately after delivery. This problem occurs if the mother's blood sugar levels have been consistently high, causing the fetus to have a high level of insulin in its circulation. After delivery, the baby continues to have a high insulin level, but it no longer has the high level of sugar from its mother, resulting in the newborn's blood sugar level becoming very low. The baby's blood sugar level is checked after birth, and if the level is too low, it may be necessary to give the baby glucose intravenously.
Monday, January 3, 2011
Diabetes Mellitus: Management and Remedies
Diabetes Mellitus: Management and Remedies
Diabetes mellitus is the inability or compromised ability for the body to produce or assimilate insulin. Insulin is a hormone produced by beta cells in the pancreas and released into the bloodstream to help regulate serum glucose (blood sugar) levels. Insulin helps to transport glucose to cells, where it is either converted to energy for use or stored as glycogen, or fat. Inadequate assimilation of insulin prevents the body from efficiently converting glucose to energy. The inability to convert glucose to energy results in high blood sugar levels (hyperglycemia), which manifest with various symptoms collectively known as diabetes. According to the American Diabetes Association, 23.6 million people in the United States have diabetes (2007 data).
When glucose cannot be transported to the cells, excess glucose remains in the bloodstream. The body has several mechanisms to get rid of this excess. Water is excreted by the kidneys so that the glucose is diluted and eliminated through urine. Thus, people who have diabetes may experience thirst and frequent urination. Urine may also have a "sweet" smell. If glucose is not available for use as energy, the body then begins to use fat cells to produce energy, which can have serious side effects.
Types of Diabetes
Several types of diabetes have been identified, including prediabetes, type 1, type 2 and gestational.
Treating Diabetes Mellitus
Prediabetes is a condition which may lead to diabetes. People diagnosed with prediabetes can often prevent the onset of diabetes by establishing healthy eating habits and exercising. Symptoms may be subtle or non-existent. The condition is identified in consultation with the physician who will perform a series of tests and examinations. People who are overweight have a higher risk of becoming diabetic.
Type 1 Diabetes
In type 1 diabetes, previously known as juvenile-onset or insulin-dependent diabetes, the pancreas is unable to produce insulin. In this type of diabetes, the body's immune system attacks and destroys the beta cells in the pancreas, resulting in the inability to produce insulin. Scientists do not yet know why this occurs, but it is not caused by overeating, poor diet or other controllable variables. Type 1 diabetes is relatively uncommon and often develops at an early age, or before the age of 30, although it can occur at any age.
Type 2 Diabetes
Type 2 diabetes, also known as adult-onset or non-insulin-dependent diabetes, is the condition in which the body does not produce enough insulin or cannot effectively utilize the insulin produced. In some instances, insulin is produced but is not utilized by the cells of the body; this condition is termed "insulin resistant" or IR.
Type 2 diabetes is more prevalent in certain population groups including Native Americans, Hispanics, African Americans, Asian Americans and Pacific Islanders, although it occurs in all population groups. Once considered to be a disease that manifested later in life, it is now becoming prevalent at alarming rates in younger adults and children. Type 2 diabetes can often be prevented and controlled by diet and exercise. Obese people are more likely to develop type 2 diabetes.
Gestational diabetes is the occurrence of raised blood glucose levels in the mother during pregnancy, usually after the 20th week, when the mother has not previously been diagnosed as having diabetes. After delivery, the condition often resolves by itself, but some women with gestational diabetes will develop type 2 diabetes later in life.
Symptoms of Diabetes
The symptoms of type 1 and type 2 diabetes are similar but may vary in intensity. Symptoms of type 1 diabetes may occur quickly, whereas symptoms of type 2 diabetes may be more gradual and less intense. People with type 2 diabetes may be undiagnosed for years because the symptoms are mild or occur gradually and are not noticed.
The most common symptoms of diabetes include:
* Increased thirst
* Increased urination
* Fatigue
* Blurred vision
* Sudden weight loss
* Constant hunger
Additional symptoms may include:
* Drowsiness
* Nausea
* Tingling or numbness in hands and feet
* Cuts and bruises that are slow to heal
* Frequent infections or recurring infections that are slow to heal
The release of energy from fat cells produces ketones, which make the blood too acidic. This can lead to diabetic ketoacidosis, more prevalent in untreated type 1 diabetes. Symptoms of ketoacidosis include:
* Abdominal pain
* Nausea
* Vomiting
* Excessive thirst
* Rapid breathing
* Breath has "chemical" smell like nail polish
Diagnosis
To diagnose diabetes, a fasting blood test is done, normally after eight hours or overnight without food. Fasting blood levels should fall below100 mg/dl (milligrams per deciliter). Two occurrences of fasting blood sugar levels higher than 126 mg/dl indicate diabetes. Blood testing after food can also be used to determine glucose levels. Glucose levels over 200mg/dl indicate diabetes. Based on these tests, the doctor will discuss treatment options with the patient, taking into account the type of diabetes, stage of the disease, lifestyle, age and diet.
Complications and Risk Factors of Diabetes
Many serious health conditions can occur as a result of diabetes. Risk factors increase over time and are higher with poor management of the disease. High levels of glucose in the blood over time result in narrowing of blood vessels and build-up of fatty acids in large blood vessels. This, in turn, affects circulation. The most common complications include neuropathy, atherosclerosis, heart attack and stroke. Other complications include kidney failure, muscle deterioration, poor circulation, increased infection, resistance to healing and blindness.
Diabetic neuropathy is present in the majority of patients with diabetes. Numbness, tingling and pain in hands and feet are common; because blood flow is reduced, nerve damage results. This can affect the ability to feel injuries or for wounds to heal, resulting in chronic or recurring infections and even gangrene. In severe cases in which gangrene is present, amputations may sometimes be required.
Nerve damage can also affect the stomach and intestines, resulting in nausea, ineffective intestinal contractions or slow emptying of food from the intestines.
Diabietes and Heart Disease
More serious is the relationship between diabetes and heart disease. Heart disease is the leading cause of death among diabetics. High blood pressure, heart attack and stroke occur at higher rates among diabetics. Because of the damage to nerves and poor nerve receptivity, chest pain and other symptoms associated with a heart attack may not be felt by a diabetic patient.
Treatment
Proper diet and exercise are critical elements in the control and treatment of all types of diabetes.
In type 1 diabetes, insulin must be used to regulate blood glucose levels. Insulin must be used for life. Several types of insulin are available, classified by the length of time it takes to reach the bloodstream and the amount of time it remains in the bloodstream. Selection of the type of insulin to be used is made in consultation with the doctor and dietician. Lifestyle, age, commitment to management of the disease and diet are considered in the decision about which type of insulin to use.
Careful monitoring of insulin levels is important. A drop in insulin levels can result in hypoglycemia, or low blood sugar. Symptoms include disorientation, weakness, headache, trembling or unconsciousness. This condition requires immediate intervention by administering oral glucose such as fruit juice, sugar water, candy or honey if the person is conscious. If the person is unconscious, glucagon should be injected.
In type 2 diabetes, several options are available for patients, including medicine, diet and exercise. Diet is perhaps the most effective and the most manageable remedy in the control of type 2 diabetes. Recent research has substantiated the importance of a diet high in complex carbohydrates, high in fiber, low in fats and moderate in protein. The goal in management of diabetes with diet is to regulate the amount of insulin that enters the bloodstream. Thus, consuming small meals throughout the day, eating at regular times and carefully selecting foods can have a dramatic effect in the positive management of diabetes. Avoiding foods that cause insulin levels to rise or spike is important.
Glycemic Index
The glycemic index is often used to identify foods that are high in carbohydrates, which may exacerbate surges in blood sugar levels and insulin production. The glycemic index measures how much blood sugar is raised after eating a food. Low glycemic index foods are slow to be digested and absorbed, causing a low rise in blood sugar. Although the glycemic index has application to diabetics, the amount of dietary fiber in the diet is equally important. Often foods high in fiber have a low glycemic indexl. Foods with high levels of dietary fiber cause a slow rise in blood glucose levels and help to keep insulin production stable. Examples of foods with high fiber and a low glycemic index include:
* Whole grains
* Oats
* Lentils and other beans such as chick peas or black beans
* Spaghetti
* Some fruits such as apples, cherries and grapefruit
Exercise has been proven to ameliorate the complications and intensity of diabetes. Because the complications of diabetes affect many systems of the body, exercise is a main factor in leading a healthy, longer life as a diabetic. Exercise lowers blood pressure, lowers bad cholesterol levels and lowers the risk of stroke and heart disease. It also lowers blood glucose levels, helps to keep the circulation system healthy and contributes to weight loss. Exercise also helps to reduce stress. It provides muscular fitness, which helps to avoid falls and provides overall strength.
Diabetes Mellitus Symptoms
Medications may be prescribed to help control type 2 diabetes. Several types of oral medications are available: those that stimulate production of insulin in the pancreas, those that lower blood sugar and those that slow digestion of starches. One of these types, or a combination, may be suggested by the attending physician. If type 2 diabetes eventually results in lack of insulin production, the patient must then also use insulin.
Alternative Treatments
Alternative treatments for diabetes have been used in other cultures around the world for centuries. Allopathic medical research is now exploring many of the medicines, herbs and treatment methods used in these other systems. Often, as new potential treatments are identified, these discoveries are lauded by the media as wonder cures. Over time, as research progresses, scientific evidence provides a more balanced view.
Ayurveda
Ayurveda, meaning science of life, originated in India and is practiced in many countries in Asia and around the world. Ayurveda uses herbs and other natural substances to treat many health conditions including diabetes.
Ayruveda is a system of medicine with treatment given by a trained vaidyan, or Ayurvedic doctor. Medicines are carefully chosen for the specific condition to be treated. Many vaidyans prepare their own medicines, or work in treatment centers that prepare medicines. These remedies are usually in the form of tonics, oils, powders and pastes which combine specific ingredients in carefully measured amounts to produce a formulated concoction prescribed for specific symptoms.
Rather than focusing on a named disease or syndrome such as diabetes, the vaidyan takes into account the entire medical condition of the patient. Age, specific symptoms, diet, stage of the disease, body structure and lifestyle are among the factors considered. Patients may be asked to severely modify their diets, such as avoiding all fat or not eating any acidic foods, while under treatment.
Treatments Under Scrutiny
Some of the herbs used in Ayurveda are under study by Western medical practitioners and are advocated by consumers who want natural treatments. The temptation to select a "natural herb" as a treatment for diabetes should be done with caution because the herb used in isolation, or the part of the herb used, may not provide the desired results. For example, the herb Ficus racemosa is used to treat several conditions including diabetes; however, the latex sap is used for diarrhea, the leaves are used for bilious excesses and the root is used for diabetes. Combinations of different herbs also produce different results; particular combinations may promote weight loss, open blood vessels or lower cholesterol levels.
Herbal Remedies
The National Institutes of Health's National Center for Complementary and Alternative Medicine provides discussion of specific herbal remedies for diabetes. The summaries include results of studies and clinical trials, side-effects and proven efficacies. Some herbal therapies have shown promise in lowering blood sugar levels or stimulating production of insulin in the pancreas; people on insulin using these remedies are advised to closely monitor insulin levels to avoid hypoglycemia.
Some herbal remedies that may be effective in controlling diabetes and the complications resulting from the disease are as follows.
Coccinia Indica
Coccinia indica, kovakkai, is a small cucumber-like vegetable consumed in India. Some studies show promising effects in its ability to lower blood glucose levels. A study in rats combining this vegetable with Abroma augusta suggested that the combination has a greater effect that either one by itself in lowering glucose levels.
Curcuma Longa
Curcuma longa, turmeric, is used to treat many ailments. It has known anti-inflammatory properties, and has been shown to improve circulation and reduce cholesterol. Turmeric is used for treatment of diabetes in India. Clinical trials in animals show promising results for glycemic control. Its other effects are of benefit to diabetics as well. .
Gymnema Sylvestre
Gymnema sylvestre, cluster fig, is a tree native to southern India. Encouraging research suggests this herb may reduce blood sugar levels. It is also suggested that it may block sugar receptors on the tongue, thereby reducing appetite and sugar cravings.
Momordica Charantia
Momordica charantia, bitter gourd, is a vegetable used in India in the treatment of diabetes. The vegetable is diced and boiled in water, which is consumed as a broth. Scientific studies evaluating its effectiveness in reducing blood sugar levels are inconclusive.
Trigonella Foenum-Graecum
Trigonella foenum-graecum, fenugreek, is traditionally used in India in the treatment of diabetes. The seeds are roasted and ground, added to water and consumed one hour before food each morning. The fiber-rich seeds slow the absorption of glucose, which aids in lowering blood glucose levels and regulating insulin production.
The use of herbs as a part of the treatment regimen for control of type 2 diabetes is promising. Western medical scientists are evaluating these potential treatments through controlled studies and clinical trials.
Costs of Diabetes Treatment
The primary costs of diabetes treatment can be relatively low if the disease is well-managed and the patient does not develop complications. Proper diet and exercise are key factors in achieving health and lessening the risks of complications. Poorly managed diabetes can lead to other serious health problems. The costs associated with the complications of diabetes can be high.
For people with type 1 diabetes, daily insulin injections are required. Regular medical check-ups are advised to ensure that other health problems do not go unchecked. The costs of insulin, needles or insulin pumps and glucose monitors and strips are basic to proper care for type 1 diabetes.
People with type 2 diabetes may have costs for oral medications, glucose monitors and strips and routine doctor's visits. Costs for prescription medications vary; calling pharmacies to determine prices can help to keep costs down. If more than one type of oral diabetes medication is required, the combination may be available as a single pill rather than two, which can help to reduce costs.
Avoiding Treatments
Skipping doses in order to save money is not cost-effective. Unchecked high blood glucose levels will require more medication in the long run and the risk of developing other complications of diabetes increases.
Because heart disease is more prevalent in diabetics, additional medication for cardiovascular management may be required. Kidney failure is another serious complication prevalent in diabetics, often resulting in hospitalization and dialysis.
Although the costs of medications may appear to be high, not taking them, or not making regular visits to the doctor can result in serious health problems that may require hospitalization and days away from work. Actively managing diabetes by adhering to a proper diet, taking medications as directed and exercising is the best way to reduce overall costs and maintain health.
Diabetes mellitus is the inability or compromised ability for the body to produce or assimilate insulin. Insulin is a hormone produced by beta cells in the pancreas and released into the bloodstream to help regulate serum glucose (blood sugar) levels. Insulin helps to transport glucose to cells, where it is either converted to energy for use or stored as glycogen, or fat. Inadequate assimilation of insulin prevents the body from efficiently converting glucose to energy. The inability to convert glucose to energy results in high blood sugar levels (hyperglycemia), which manifest with various symptoms collectively known as diabetes. According to the American Diabetes Association, 23.6 million people in the United States have diabetes (2007 data).
When glucose cannot be transported to the cells, excess glucose remains in the bloodstream. The body has several mechanisms to get rid of this excess. Water is excreted by the kidneys so that the glucose is diluted and eliminated through urine. Thus, people who have diabetes may experience thirst and frequent urination. Urine may also have a "sweet" smell. If glucose is not available for use as energy, the body then begins to use fat cells to produce energy, which can have serious side effects.
Types of Diabetes
Several types of diabetes have been identified, including prediabetes, type 1, type 2 and gestational.
Treating Diabetes Mellitus
Prediabetes is a condition which may lead to diabetes. People diagnosed with prediabetes can often prevent the onset of diabetes by establishing healthy eating habits and exercising. Symptoms may be subtle or non-existent. The condition is identified in consultation with the physician who will perform a series of tests and examinations. People who are overweight have a higher risk of becoming diabetic.
Type 1 Diabetes
In type 1 diabetes, previously known as juvenile-onset or insulin-dependent diabetes, the pancreas is unable to produce insulin. In this type of diabetes, the body's immune system attacks and destroys the beta cells in the pancreas, resulting in the inability to produce insulin. Scientists do not yet know why this occurs, but it is not caused by overeating, poor diet or other controllable variables. Type 1 diabetes is relatively uncommon and often develops at an early age, or before the age of 30, although it can occur at any age.
Type 2 Diabetes
Type 2 diabetes, also known as adult-onset or non-insulin-dependent diabetes, is the condition in which the body does not produce enough insulin or cannot effectively utilize the insulin produced. In some instances, insulin is produced but is not utilized by the cells of the body; this condition is termed "insulin resistant" or IR.
Type 2 diabetes is more prevalent in certain population groups including Native Americans, Hispanics, African Americans, Asian Americans and Pacific Islanders, although it occurs in all population groups. Once considered to be a disease that manifested later in life, it is now becoming prevalent at alarming rates in younger adults and children. Type 2 diabetes can often be prevented and controlled by diet and exercise. Obese people are more likely to develop type 2 diabetes.
Gestational diabetes is the occurrence of raised blood glucose levels in the mother during pregnancy, usually after the 20th week, when the mother has not previously been diagnosed as having diabetes. After delivery, the condition often resolves by itself, but some women with gestational diabetes will develop type 2 diabetes later in life.
Symptoms of Diabetes
The symptoms of type 1 and type 2 diabetes are similar but may vary in intensity. Symptoms of type 1 diabetes may occur quickly, whereas symptoms of type 2 diabetes may be more gradual and less intense. People with type 2 diabetes may be undiagnosed for years because the symptoms are mild or occur gradually and are not noticed.
The most common symptoms of diabetes include:
* Increased thirst
* Increased urination
* Fatigue
* Blurred vision
* Sudden weight loss
* Constant hunger
Additional symptoms may include:
* Drowsiness
* Nausea
* Tingling or numbness in hands and feet
* Cuts and bruises that are slow to heal
* Frequent infections or recurring infections that are slow to heal
The release of energy from fat cells produces ketones, which make the blood too acidic. This can lead to diabetic ketoacidosis, more prevalent in untreated type 1 diabetes. Symptoms of ketoacidosis include:
* Abdominal pain
* Nausea
* Vomiting
* Excessive thirst
* Rapid breathing
* Breath has "chemical" smell like nail polish
Diagnosis
To diagnose diabetes, a fasting blood test is done, normally after eight hours or overnight without food. Fasting blood levels should fall below100 mg/dl (milligrams per deciliter). Two occurrences of fasting blood sugar levels higher than 126 mg/dl indicate diabetes. Blood testing after food can also be used to determine glucose levels. Glucose levels over 200mg/dl indicate diabetes. Based on these tests, the doctor will discuss treatment options with the patient, taking into account the type of diabetes, stage of the disease, lifestyle, age and diet.
Complications and Risk Factors of Diabetes
Many serious health conditions can occur as a result of diabetes. Risk factors increase over time and are higher with poor management of the disease. High levels of glucose in the blood over time result in narrowing of blood vessels and build-up of fatty acids in large blood vessels. This, in turn, affects circulation. The most common complications include neuropathy, atherosclerosis, heart attack and stroke. Other complications include kidney failure, muscle deterioration, poor circulation, increased infection, resistance to healing and blindness.
Diabetic neuropathy is present in the majority of patients with diabetes. Numbness, tingling and pain in hands and feet are common; because blood flow is reduced, nerve damage results. This can affect the ability to feel injuries or for wounds to heal, resulting in chronic or recurring infections and even gangrene. In severe cases in which gangrene is present, amputations may sometimes be required.
Nerve damage can also affect the stomach and intestines, resulting in nausea, ineffective intestinal contractions or slow emptying of food from the intestines.
Diabietes and Heart Disease
More serious is the relationship between diabetes and heart disease. Heart disease is the leading cause of death among diabetics. High blood pressure, heart attack and stroke occur at higher rates among diabetics. Because of the damage to nerves and poor nerve receptivity, chest pain and other symptoms associated with a heart attack may not be felt by a diabetic patient.
Treatment
Proper diet and exercise are critical elements in the control and treatment of all types of diabetes.
In type 1 diabetes, insulin must be used to regulate blood glucose levels. Insulin must be used for life. Several types of insulin are available, classified by the length of time it takes to reach the bloodstream and the amount of time it remains in the bloodstream. Selection of the type of insulin to be used is made in consultation with the doctor and dietician. Lifestyle, age, commitment to management of the disease and diet are considered in the decision about which type of insulin to use.
Careful monitoring of insulin levels is important. A drop in insulin levels can result in hypoglycemia, or low blood sugar. Symptoms include disorientation, weakness, headache, trembling or unconsciousness. This condition requires immediate intervention by administering oral glucose such as fruit juice, sugar water, candy or honey if the person is conscious. If the person is unconscious, glucagon should be injected.
In type 2 diabetes, several options are available for patients, including medicine, diet and exercise. Diet is perhaps the most effective and the most manageable remedy in the control of type 2 diabetes. Recent research has substantiated the importance of a diet high in complex carbohydrates, high in fiber, low in fats and moderate in protein. The goal in management of diabetes with diet is to regulate the amount of insulin that enters the bloodstream. Thus, consuming small meals throughout the day, eating at regular times and carefully selecting foods can have a dramatic effect in the positive management of diabetes. Avoiding foods that cause insulin levels to rise or spike is important.
Glycemic Index
The glycemic index is often used to identify foods that are high in carbohydrates, which may exacerbate surges in blood sugar levels and insulin production. The glycemic index measures how much blood sugar is raised after eating a food. Low glycemic index foods are slow to be digested and absorbed, causing a low rise in blood sugar. Although the glycemic index has application to diabetics, the amount of dietary fiber in the diet is equally important. Often foods high in fiber have a low glycemic indexl. Foods with high levels of dietary fiber cause a slow rise in blood glucose levels and help to keep insulin production stable. Examples of foods with high fiber and a low glycemic index include:
* Whole grains
* Oats
* Lentils and other beans such as chick peas or black beans
* Spaghetti
* Some fruits such as apples, cherries and grapefruit
Exercise has been proven to ameliorate the complications and intensity of diabetes. Because the complications of diabetes affect many systems of the body, exercise is a main factor in leading a healthy, longer life as a diabetic. Exercise lowers blood pressure, lowers bad cholesterol levels and lowers the risk of stroke and heart disease. It also lowers blood glucose levels, helps to keep the circulation system healthy and contributes to weight loss. Exercise also helps to reduce stress. It provides muscular fitness, which helps to avoid falls and provides overall strength.
Diabetes Mellitus Symptoms
Medications may be prescribed to help control type 2 diabetes. Several types of oral medications are available: those that stimulate production of insulin in the pancreas, those that lower blood sugar and those that slow digestion of starches. One of these types, or a combination, may be suggested by the attending physician. If type 2 diabetes eventually results in lack of insulin production, the patient must then also use insulin.
Alternative Treatments
Alternative treatments for diabetes have been used in other cultures around the world for centuries. Allopathic medical research is now exploring many of the medicines, herbs and treatment methods used in these other systems. Often, as new potential treatments are identified, these discoveries are lauded by the media as wonder cures. Over time, as research progresses, scientific evidence provides a more balanced view.
Ayurveda
Ayurveda, meaning science of life, originated in India and is practiced in many countries in Asia and around the world. Ayurveda uses herbs and other natural substances to treat many health conditions including diabetes.
Ayruveda is a system of medicine with treatment given by a trained vaidyan, or Ayurvedic doctor. Medicines are carefully chosen for the specific condition to be treated. Many vaidyans prepare their own medicines, or work in treatment centers that prepare medicines. These remedies are usually in the form of tonics, oils, powders and pastes which combine specific ingredients in carefully measured amounts to produce a formulated concoction prescribed for specific symptoms.
Rather than focusing on a named disease or syndrome such as diabetes, the vaidyan takes into account the entire medical condition of the patient. Age, specific symptoms, diet, stage of the disease, body structure and lifestyle are among the factors considered. Patients may be asked to severely modify their diets, such as avoiding all fat or not eating any acidic foods, while under treatment.
Treatments Under Scrutiny
Some of the herbs used in Ayurveda are under study by Western medical practitioners and are advocated by consumers who want natural treatments. The temptation to select a "natural herb" as a treatment for diabetes should be done with caution because the herb used in isolation, or the part of the herb used, may not provide the desired results. For example, the herb Ficus racemosa is used to treat several conditions including diabetes; however, the latex sap is used for diarrhea, the leaves are used for bilious excesses and the root is used for diabetes. Combinations of different herbs also produce different results; particular combinations may promote weight loss, open blood vessels or lower cholesterol levels.
Herbal Remedies
The National Institutes of Health's National Center for Complementary and Alternative Medicine provides discussion of specific herbal remedies for diabetes. The summaries include results of studies and clinical trials, side-effects and proven efficacies. Some herbal therapies have shown promise in lowering blood sugar levels or stimulating production of insulin in the pancreas; people on insulin using these remedies are advised to closely monitor insulin levels to avoid hypoglycemia.
Some herbal remedies that may be effective in controlling diabetes and the complications resulting from the disease are as follows.
Coccinia Indica
Coccinia indica, kovakkai, is a small cucumber-like vegetable consumed in India. Some studies show promising effects in its ability to lower blood glucose levels. A study in rats combining this vegetable with Abroma augusta suggested that the combination has a greater effect that either one by itself in lowering glucose levels.
Curcuma Longa
Curcuma longa, turmeric, is used to treat many ailments. It has known anti-inflammatory properties, and has been shown to improve circulation and reduce cholesterol. Turmeric is used for treatment of diabetes in India. Clinical trials in animals show promising results for glycemic control. Its other effects are of benefit to diabetics as well. .
Gymnema Sylvestre
Gymnema sylvestre, cluster fig, is a tree native to southern India. Encouraging research suggests this herb may reduce blood sugar levels. It is also suggested that it may block sugar receptors on the tongue, thereby reducing appetite and sugar cravings.
Momordica Charantia
Momordica charantia, bitter gourd, is a vegetable used in India in the treatment of diabetes. The vegetable is diced and boiled in water, which is consumed as a broth. Scientific studies evaluating its effectiveness in reducing blood sugar levels are inconclusive.
Trigonella Foenum-Graecum
Trigonella foenum-graecum, fenugreek, is traditionally used in India in the treatment of diabetes. The seeds are roasted and ground, added to water and consumed one hour before food each morning. The fiber-rich seeds slow the absorption of glucose, which aids in lowering blood glucose levels and regulating insulin production.
The use of herbs as a part of the treatment regimen for control of type 2 diabetes is promising. Western medical scientists are evaluating these potential treatments through controlled studies and clinical trials.
Costs of Diabetes Treatment
The primary costs of diabetes treatment can be relatively low if the disease is well-managed and the patient does not develop complications. Proper diet and exercise are key factors in achieving health and lessening the risks of complications. Poorly managed diabetes can lead to other serious health problems. The costs associated with the complications of diabetes can be high.
For people with type 1 diabetes, daily insulin injections are required. Regular medical check-ups are advised to ensure that other health problems do not go unchecked. The costs of insulin, needles or insulin pumps and glucose monitors and strips are basic to proper care for type 1 diabetes.
People with type 2 diabetes may have costs for oral medications, glucose monitors and strips and routine doctor's visits. Costs for prescription medications vary; calling pharmacies to determine prices can help to keep costs down. If more than one type of oral diabetes medication is required, the combination may be available as a single pill rather than two, which can help to reduce costs.
Avoiding Treatments
Skipping doses in order to save money is not cost-effective. Unchecked high blood glucose levels will require more medication in the long run and the risk of developing other complications of diabetes increases.
Because heart disease is more prevalent in diabetics, additional medication for cardiovascular management may be required. Kidney failure is another serious complication prevalent in diabetics, often resulting in hospitalization and dialysis.
Although the costs of medications may appear to be high, not taking them, or not making regular visits to the doctor can result in serious health problems that may require hospitalization and days away from work. Actively managing diabetes by adhering to a proper diet, taking medications as directed and exercising is the best way to reduce overall costs and maintain health.
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