Monday, December 10, 2012

Why do you think clients, who are diagnosed with diabetes mellitus, are not compliant with their dietary regim?

Q. Why do you think clients, who are diagnosed with diabetes mellitus, are not compliant with their dietary regimen?

A. They do not understand the gravity of this disease. Plus everything seems fine now , so why worry.
Many doctors are incompetent when it comes to diabetes.

Many people are so ignorant of what to do , that they just coast along. I was one of these , until I got a computer.
Also the same question could be asked about Exercise. One of the key steps in controlling type 2 diabetes. Here are the steps that I take to have a fasting glucose level of 96 and a HBA1C of 5.2

There are 4 key steps to controlling glucose levels.
Here are the 4 keys:
1) Knowledge- http://www.phlaunt.com/diabetes/index.ph� This is a great site for info
2) Meds. Metformin to start. Never , ever take Actos or Avandia. They may kill you. Bone fractures, heart problems and what diabetics really don't need is that they change Bone Stem Cells to Fat Cells.
3)diet- A low carb diet is in order. I can't count carbs so I use Mendosa's Glycemic Index Diet. Great for the whole family. http://www.mendosa.com/gilists.htm
4) EXERCISE- Walking is fine but Nordic Walking is Great. Exercise also lowers Glucose levels , lowers Cholesterol and lowers Blood Pressure. Google it.

Great question , you get a star

Tin


Quick question on diabetes and hypoglycemia?
Q. Type 1 and type 2 diabetes is the lack of response to insulin or no insulin produced. So that would raise blood sugar right? Hyperglycemia?
Where does hypoglycemia fall into diabetes mellitus?

A. While patients who do not have any metabolic problems can complain of symptoms suggestive of low blood sugar, true hypoglycemia usually occurs in patients being treated for diabetes (type 1 and type 2). Patients with pre-diabetes who have insulin resistance can also have low blood sugars on occasion if their high circulating insulin levels are further challenged by a prolonged period of fasting. There are other rare causes for hypoglycemia, such as insulin producing tumors (insulinomas) and certain medications.


What is the average age of onset for type 2 diabetes?
Q. The reason I ask is because my father, fathers father, mothers father all had diabetes before they died. I believe this puts me at 75% or so statistically of getting it. I'm 20 years old and I think I might have it but I'm to young and have only a few of the symptoms which I think could be from other things (thirst, excessive fatigue)

So whens its happen? And how do you go about slowing/preventing it in older age.

A. Diabetes mellitus is impaired insulin secretion and variable degrees of peripheral insulin resistance leading to hyperglycemia. Early symptoms are related to hyperglycemia and include polydipsia, polyphagia, and polyuria. Later complications include vascular disease, peripheral neuropathy, and predisposition to infection. Diagnosis is by measuring plasma glucose. Treatment is diet, exercise, and drugs that reduce glucose levels, including insulin and oral antihyperglycemic drugs. Prognosis varies with degree of glucose control.
Age at onset of Diabetic mellitus type 1 is less than 30 years and type 2 is over 30 years (average age 45 years and above). To postpone the onset of Diabetes, you should change the lifestyle including the following:-
*Reduce overweight and belly stomach. (The abdominal circumference should be less than 100 cms).
*Control Hypertension. Blood pressure. Get your blood pressure checked every visit. (Target: Below 130/80 mm Hg)
*Cholesterol- Get your LDL (bad cholesterol) levels checked at least once a year. (Target: Below 100 mg/dL). Triglycerides. (Target: Less than 150 mg/dL) Serum Cholesterol (Target: Less than 200 mg/dL) HDL (good cholesterol) (Target: More than 50 mg/dL). If you have got high cholesterol in the blood, then reduce consumption of fat and oils in the food.
Eat a low-cholesterol, low-fat diet. This kind of diet includes cottage cheese, fat-free milk, fish (not canned in oil), vegetables, poultry, egg whites, and polyunsaturated oils and margarines (corn, safflower, canola, and soybean oils). Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, lard, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried foods.
*Stop cigarette smoking and consuming alcohol.
*Get your Glycosylated hemoglobin (HbA1c) test done at least once a year. (Target: Below 7).
*Diabetes Education. Know about diabetes & get updated regularly.
*Glucose (Sugar) test. Control your blood glucose & do self-monitoring as & when required. (Target: Fasting blood sugar 60-100 mg/dL; Postprandial blood sugar 2 hours after taking food-Less than 140 mg/dL. Pre-diabetic level-Fasting blood sugar 100-126 mg/dL: Post prandial blood sugar 2 hours after taking food 126-200 mg/dL)
*Health life style. Exercise regularly & stay healthy.
Please see the web pages for more details on Diabetes mellitus.


What type of diabetes do i have?
Q. I just found out i have diabetes 2 days ago. The results are not in yet to say what type i have. Im 17 years old and im not overweight, but throughout my family generations people had diabetes such as my uncle, and my great grandfather, etc. Woyuld i have type 1 or type 2? I know they say people over 45 usually have type 2 but is it possible i can have type 2 as well to?

A. Do You Have Diabetes?
Millions of people have diabetes mellitus, commonly called diabetes. You may be surprised to know that many of these people don�t even know they have it.

Diabetes is a serious disease and should not be ignored. If you have it, correct treatment can help you live a long and healthy life.

What Is Diabetes?
If you have diabetes, your body can�t make or use insulin. Insulin helps change sugar into energy to keep you alive.

There are different kinds of diabetes. The main ones are type 1 and type 2.

Type 1 Diabetes
This type of diabetes is mostly found in children and young adults. If you have type 1 diabetes, your body does not make insulin and you must inject insulin daily.

You May:
urinate often
be very thirsty
be very hungry
lose a lot of weight
be very tired
be irritable
have blurred vision
have trouble seeing.
Type 2 Diabetes
Most people with diabetes have this form of the disease. Type 2 is usually found in people over 45, who have diabetes in their family, who are overweight, who don�t exercise, and who have cholesterol problems. It is also common in certain racial and ethnic groups (blacks, American Indians, and Hispanics) and in women who had diabetes when they were pregnant. If you have type 2 diabetes, your body cannot make enough insulin or correctly use it. Treatment is diabetes pills and sometimes insulin injections, as well as diet and exercise.

You May Have:
any of the symptoms of type 1 diabetes
a lot of infections
cuts or bruises that heal slowly
tingling or numbness in the hands or feet
skin, gum, or bladder infections that keep coming back.
Controlling Diabetes
Daily monitoring and careful control of blood sugar levels are the most important steps to take for people with diabetes. If not treated, diabetes can cause:

High blood sugar (which could make you thirsty, tired, lose weight, urinate often, or give you infections that won�t go away)
Many serious health problems (which could hurt your eyes, kidneys, nerves, or heart).
Warning: Low Blood Sugar
People with diabetes may develop low blood sugar because their blood has too much insulin or other blood sugar-lowering medication or from not eating enough food. It is important to follow the eating and medication schedule your doctor has prescribed to avoid low blood sugar.

Low blood sugar could make you shaky, dizzy, sweaty, hungry, have a headache, have pale skin color, have sudden mood or behavior changes, have clumsy or jerky movements, have difficulty paying attention, feel confused, or have tingling sensations around the mouth.

Taking Care of Your Diabetes
The best way to take care of your diabetes is to make sure the levels or amount of sugar in your blood are near the normal range. This will make you feel better and help you stay healthy.

Your doctor will tell you how often to check your blood sugar level. To do this, you will need to take a drop of your blood and place it on a special test strip. Then a device, called a blood glucose meter, reads the strip. This device measures the amount of sugar in your blood.

Writing down this level, along with the time and date, will help you see how well your treatment plan is working.

Remember:
A person�s blood sugar level rises after eating any meal that contains carbohydrates or protein. Table sugar (also called ?sucrose) counts as a carbohydrate. Artificial sweeteners, such as saccharin, aspartame (NutraSweet), and sucralose (Splenda), do not count as carbohydrates or fats. They make food taste sweet. But they do not raise blood sugar levels and have little or no calories.

What Else Can You Do?
Eat well-balanced meals. The right amount of healthy food will keep your weight under control and help manage your diabetes.

Your body needs food from the four main food groups every day:

Fruits and vegetables (oranges, apples, bananas, carrots, and spinach)
Whole grains, cereals, and bread (wheat, rice, oats, bran, and barley)
Dairy products (milk, cheese, and yogurt)
Meats, fish, poultry, eggs, dried beans, and nuts.
Remember:
Too much fat and cholesterol in your diet can be very harmful to people with diabetes. Food that is high in fat includes red meat, dairy products (whole milk, cream, cheese, and ice cream), egg yolks, butter, salad dressings, vegetable oils, and many desserts.

Can You Do Anything Else?
Exercise is important for good diabetes control. It usually lowers blood sugar and may help insulin work better. Exercise and a healthy diet can also help you take off extra pounds if you are overweight.

Warning:
Check with your doctor before starting any exercise program. You may need a snack before or during the activity to avoid having low blood sugar while you exercise.





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How long does it take for pre diabetes to transform into Type 2?

Q. WellWell this thanksgiving break I've consumed a lot of sugar more than I usually consume and have beginning to have some diabetic symptoms like nausea , dizziness , blurry vision , etc symptoms i usually never experience and I'm really concerned and scared plz help I'm only 16 and a bit overweight and plus the disease runs in my family so idk what to do I already told my mom I wasn't feeling well but she said she's not taking me to the hospital sooo..

A. In adults with a family member with type 2 diabetes, from the time that prediabetes is diagnosed until the time that diabetes develops is an average of 9 years.

But you haven't been diagnosed with diabetes and you don't have symptoms that are really specific to diabetes and not, say, food poisoning. If one of your family members tests blood sugar you could ask to test yours (make sure you use a clean needle to poke your finger with). I don't think it sounds like you have diabetes. If you continue to feel sick, you should make a doctor appointment.


How can you tell if you have Diabetes type 1?
Q. Ive been told I have diabetic symptoms. I frequently urinate and am always wanting water. I just recently changed my diet drastically and as a result Im very fatigued as of lately. Recently a doctor told me that I could be a risk as I had a very rough incident with starting and stopping psych meds last year. I never ended up getting checked out, but how would I know? I mean what would bring one to the doctor to ask if they can be tested for diabetes? Thanks.

A. You may have diabetes symptoms, my friend, but this does NOT automatically mean that you do have diabetes.

The symptoms experienced in diabetes are very generic, meaning that they could also be indicators of something else that's going on.

The ONLY way to know for sure is through having your blood glucose levels checked. This will determine whether or not you have diabetes. You would then need to have what's called a C-peptide test. C-peptide is only produced when insulin is produced so, if there's no C-peptide, you have type 1 diabetes.

As your first respondent correctly points out, side-effects of psychiatric medications does NOT always lead to type 1 diabetes. Type 1 diabetes is an autoimmune condition, whereby your own immune system, for some reason, sees the beta cells (islets of Langerhans) as an invading force and sets out to destroy them.

I am NOT saying that psych medications can't cause type 1 diabetes as anything is possible. It could be that certain psych medications cause your immune system to react in this way.

I wish you well, my friend, and I do hope that you're not diabetic ... though you'd be a welcome member of my gang. ;-)


Can u have sharp pains while having diabetes?
Q. i have all the diabetic symptoms and heart pain do i have diabetes?

A. Hey,

If you have all the diabetic symptoms then I would recommend going to see your doctor or go to the hospital as soon as possible. Also heart pain may be related, as when I was diagnosed I had heart pains sometimes as well. However that is not a known symptom. I can not personally say weather you have diabetes or not, but go and see your doctor or go to the hospital as your better safe than sorry.


Blood work in a few days until then Advice for what to eat? excersise?
Q. I'm currently going through some pre-diabetic symptoms: frequent urination, exessive thirst, increased appettite, blurred vision, fatigue among others. Blood work in a few days.

A. If you haven't already done so, check this out:
http://www.geocities.com/seabulls69/Type_II_Diabetes.html

It's very simple... eat what Mother Nature intended for us to eat and be active in the way our bodies were intended to be. You'll be surprised at how easy and effective it is. After five years of searching and searching, and watching as my blood sugar climbed ever higher while on Metformin, I'm still amazed at how simple (and obvious) the answer was. When I quit the medication in December, the energy I began to feel was incredible.





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How does adaptation and acclimation play a role in gestational diabetes which occurs during pregnancy?

Q. Gestational diabetes occurs during pregnancy when the woman develops diabetes but loses it affect birth sometimes or when treated. I want to know how adaptation and acclimation play a part.

A. I got gestational diabetes when I was pregnant and my Dr. said the stress the baby causes on the body, causes you body to function as if you were in your 50s. The stress brings out any future conditions you may get. When the pregnancy was over I was diabetes free. But I will most likely get it again later if I do not control my diet, sugar intake and exercise regime for the rest of my life.


How does the development of diabetes directly relate to a feedback system?
Q. Paragraph on how Development of diabetes is directly related to feedback system, In your description describe how the feedback system works, organs, & molecules involved, also the direct effect of breakdown of a feedback system.

A. Does this bit of your homework really need to be explained? Glucose is high, pancreas releases insulin to bring it down. Glucose is low, pancreas releases glucagon to bring it up. It's a feedback system. Diabetes is when the insulin either can't be made, not enough can be made or the insulin doesn't work as well as it should and therefore the glucose level stays high.


What type of diabetes happens during pregnancy?
Q. Like the question states, what type of diabetes happens during pregnancy.
More importantly, why does the head of most babies are usually abnormally large after such a pregnancy?
I am more looking for an answer on why there heads are usually large after such a pregnancy.

It is a question my teacher has been asking and he wants to know why.

A. There is a slight increased risk of the fetus or newborn dying when the mother has gestational diabetes, but this risk is lowered with effective treatment and careful watching of the mother and fetus. High blood glucose levels often go back to normal after delivery. However, women with gestational diabetes should be watched closely after giving birth and at regular intervals to detect diabetes early.
Up to 40% of women with gestational diabetes develop full-blown diabetes within 5-10 years after delivery. The risk may be increased in obese women.
Please see the web pages for more details on Gestational diabetes.


What are the relationships between obesity and diabetes?
Q. Diabetes are greatly occur to diabetic person by several fold compare to a non-diabetic person. so there should be some medical explanations right. but i could not really find any relation between them. Help me please.

A. Okay first off lets set something straight, type II diabetes can strike anyone !

Type II diabetes is also mostly genetic, if a family member has it ie,
parent , uncle, grandfather, great aunt...etc.

Then you have a much higher chance of developing it.
You can excercise and diet all you want to ward it off, but that doesn't mean you won't get it !

A lot of medical people will tell you that eating wrong and being fat makes you a candidate for developing type II diabetes.

Thats not quite correct ! There are many thousands of over weight people, and obese people who do not ever develope diabetes.

Diabetes is not caused by what you put in your mouth, but by all means do excercise and eat healthy for other reasons.

It really pisses me off every time some ignoramus says type II
diabetes is caused by being fat and lazy and eating junk food !!!

I'm a type II diabetic and ive never been fat ! Ive never been over weight
and never shoved junk food and sweets down my throat !

I have it because my mother has it, and she too has always been as thin as rake.

But as i said diet and excercise will be of great help to you,
if a family member has it, then dieting and excercise
will not only keep you in shape, but may hold off a diabetes diagnoses
for yourself for many years.





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Is it impossible to lose weight with diabetes type 1?

Q. I'm so disappointed in myself. I haven't been in total control of my diabetes and have been eating pretty crappy lately. Well, I just weighed myself and haven't in about a little over a month and just found out a gained close to 10 pounds, when I already had 25 to lose!!! I'm almost in tears at the thought of weighing what I do right now forever. Is it possible to just eat healthy and excersize and lose weight like a normal person even though I have diabetes type 1?

A. I'll be honest with you. I've been type 1 since I was 1 year old. All of my life my motto has been 'it's the quality of life not quantity'. I'm 38, have had very mild complications, a rough pregnancy and have never been a model diabetic. I enjoy food, especially carbs, and a beer. My a1c is typically a 7. It took me a very long time, 10+years, to loose the pregnancy weight but I'm now 114lbs. I do take lots of vitamins and try to work out at least 3 times a week. I'm a true believer in small portions of any crappy foods. It satisfies my craving and makes me happy too. Six small meals a day helped with the weight too.
You may also want to get your thyroid checked. It is common for type 1 diabetics to develop an under active thyroid. The blood test is called a THS.
Good luck in your search for answers.


How does it feel to have diabetes type 1? please diabetics type 1 only if possible?
Q. What is an Insulin Pump for and what does it do?
What is the insulin in the insulin pump made of?
Also how does it feel to have diabetes type 1?

A. I have type 1 diabetes and use an insulin pump.

I dunno what it's made of lol - the same kinda stuff as any kind of computer or electrical device - I guess a bit like a phone it's got a tough plastic case, but obviously it also has insulin in it!

It's connected to me all the time although I can disconnect to take a shower or go swimming etc. for a short time. It goes into my skin using a cannula - a bit like when you have a drip they put a needle in and then take it out and a little plastic tube is left under your skin. I change this myself every few days. The insulin works like a really high tech syringe - it pushes a little bit forwards every few minutes (I set the rate). So it drip feeds me insulin 24 hours a day but I can also tell my pump if I eat or if my blood sugar's high and how much and it can calculate how much insulin I need, or I can just tell it how much I want to take.

The advantages of having a pump are that I don't need to inject and I can adjust my insulin much more closely according to what I need throughout the day. It also means it's a lot more easy to exercise which is great :) But it's a lot of work and the big needle every couple of days is worse than 4 or 5 small injections / day! Also because I have nhs funding (uk) there is a lot of pressure on me to do well on the pump or they'll cut my funding and I don't have as much choice of consultants. Also having a pump attached to you all the time isn't for everyone - I've had mine for 4 years so it's kinda just a part of me now but sometimes you wish you could forget it for a little while - esp if you're gonna wear a dress or something!

I'm not exactly sure what you mean about how it feels to have type 1? I've had it for 14 years so don't really know any different. A lot of the time it sucks - esp when it stops you from doing something. I wanted to join a new gym at the weekend and they said I have to get a letter from my dr first - it's more anoying than anything else. Then there's when people think they know more about your diabetes than you do so they say things like 'you shouldn't be eating that' when you're eating glucose tablets because you're hypo! Or when you have to stop what you're doing for diabetes - at the gym I sometimes have to leave classes or stop and test my blood during a class and that's embarrassing, although most people at my gym know I have diabetes and that makes me feel a lot safer, so it has it's good and bad points. Most people with type 1 diabetes grow up to be more organised than other people and it teaches us that there's more to life than always meets the eye - it has it's good points as well as bad.

Hope that helps xx


Can you join the army or any armed force when you have diabetes type 1?
Q. I have diabetes type 1 and i've considered the army or national reserve as a way to pay for college but im not certain if i can i have diabetes type 2. Can anyone help me, preferably retired or active soldiers but all are welcome to answer.

A. No you can't join any branch.

Current or history of diabetes mellitus (250) is disqualifying.


What is the difference between Diabetes Type 1 and 2.?
Q. I've been interested and researching some fields involving things that are medical, and I was wondering how one can get the two types of Diabetes and which is worse. Are people with Diabetes type 1 generally not overweight compared to type 2?

How do people who aren't fat at all get Diabetes? Is it a completely different cause to getting it other than eating too much?
I'm thinking it might be past genes.

A. I have been healthy and active my entire life, always skinny as well. But, I was diagnosed with Type 1 Diabetes a couple months ago. Why? Because Type 1 is genetic, meaning, you always have had it, but it was not triggered until something caused it to do so. Type 1 is usually triggered by the flu, or fevers, I've even heard of one guy who got it right after he had a simple cold. Sometimes you don't even get sick first, it just happens. Bottom line is, it has nothing to do with what you do or eat, if you have it, you have it, that is it. Type 1 means your pancreas no longer produces Insulin, Insulin is used to bond with the food you eat and cells and this produces energy.

There is no other option for a Type 1 Diabetic but to need daily shots of Insulin, unless you have the pump which is always connected to you and you manage how much insulin goes into you or not.
There is no cure at this time and it is not something that can go away with time.



Type 2 Diabetes, is also GENETIC. But it has been known to be triggered by excess weight, poor diet, and other factors as well. Living a healthy and active lifestyle can prevent Type 2 in some cases, though not all. Type 2 still produces some insulin though not a lot, and can be treated simply with pills, diet, exercise, and in severe cases insulin injections as well. It is possible for Type 2 to go away over time with proper care, though not always and rarely.

I should also point out that my grandmother got Type 2 later on in life, and she was very very thin. It is a misconception that all Type 2s are overweight.




I would say Type 1 is worse, it has no other option but insulin shots, it starts earlier in life so you really do have it your whole life, and there is not chance of it going away.

But, they are closer to finding a cure for Type one, possibly within 20 years, so I guess it depends on if you have faith in them being able to find a cure or not.

Though, no one should have to have Type 1 or 2, because neither are easy and both require a lot of work.


Hope I helped





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What is the best FREE 1400 calorie diabetic diet to follow which affords a high rate of weight loss?

Q. If you are a diabetic, please offer diet suggestions you've been successful with or offer suggestions from a close friend or relative who is a diabetic.

A. South Beach Diet, definitely. My husband and my brother are both diabetic and their doctors recommended the South Beach Diet. My husband lost the 20 pounds he needed to lose, my brother lost 60 pounds. It's balanced and full of good, healthy foods. It's not one of those obsessively low carb diets.

Both of them have had such awesome success with it that they are now able to control their diabetes strictly with diet and are off of all diabetes medications!

It's totally free in that you prepare your own meals. You can check the book out from the library along with several South Beach cookbooks, and there are free South Beach support forums and communities on the internet.

Best of luck to you!


What is the best way to help diabetic neuropathy, other than watching your blood sugar levels?
Q. I have been a diabetic for 32 years, and I just have been told I have diabetic neuropathy in my legs. Does anyone know any good exercises, lotions etc that will help, besides some meds from the doctor?

A. Diabetic neuropathy is not curable. Of course the primary med prescribed is neurontin. However, it is often thought that over the counter vitamin b-12 and vitamin e benefit the nerves. Wear good socks and shoes...check your feet often and keep them lotioned with any unscented lotion (just make sure alcohol is not in the first few ingredients listed as alcohol is a drying agent). It's also a great idea to see a podiatrist for any nail cutting. One small wound, cut or nik can cost you your foot as neuropathy consists of numbness and tingling of the foot and you could have a sore there but not feel it. As far as exercises that help...haven't heard much out there that benefits neuropathy..but exercise in general is a good idea to promote blood circulation as circulation is decreased in diabetics. Hope this has helped you somewhat. Best wishes.


Where can I find free recipes for diabetic that are super easy to make and buy what is needed to make them?
Q. I am needing some recipes that are for diabetic. I am on a very low fixed income so the ingredences needs to be cheap. I have more time than money. So I don't care if it takes a while to make things. Plus I do love to cook. If you know of a free web site that I can do a whole menu for a month on that would be super. Or even a group that I could join as well to help me with this.

A. Here is a web site with recipes..............

http://vgs.diabetes.org/recipe/index.jsp

Here is a site with both recipes and menus...........

http://www.diabetic-recipes.com/

Here is a site with 5300 or more diabetic recipes...............

http://www.diabetic-recipes.com/

Here is a site with quick, easy and cheap diabetic recipes...........

http://www.diabetic-lifestyle.com/articles/apr03_dinne_1.htm

This site has a meal manager...........

http://www.dlife.com/dLife/do/recipe/RecipeMain

I hope some of these help you.

Good luck.


How important is it that a diabetic eat on time?
Q. My brother, sister-in-law & nephew have a diabetic cat. When I take care of my nephew I also take care of their cat. Sometimes when my nephew and I are out we get back 15 min to 30 min late for for the cat's 1:00 feeding. Last time I actually got back an hour late.

Is this bothering the cat or not? It's hard to tell with him, since he just lays around all day, and sleeps.

Would he be feeling worse?

The diabetes has goten much better and he doesn't need to be given insulin anymore. It's controled by diet.

A. It depends on how the diabetes is treated.

It is less important for diet controlled diabetics and type 2 diabetics who do not take insulin or sulfonurea oral meds to eat on time. This is because sulfonurea drugs actively cause the pancreas to make more insulin which lowers the blood sugar and must be counterbalanced by eating, which raises the blood sugar. If a diabetic takes an insulin injection that is supposed to lower the sugar after a meal, and they don't eat the meal, then their sugar goes too low.

This is especially a problem with the longer acting insulins. If an insulin lasts 12 or 24 hours and the person taking it does not stay on schedule, then there could be problems.

One advantage of a diabetic who has an insulin pump is that they have no long acting insulin in their body, and the insulin they do have acts so quickly that they can actually take it AFTER they eat if they had to. That way they know exactly how much insulin to take and it works so quickly they can be much more flexible with their schedule.

To answer your question...I am not a vet, but I imagine an hour late would not bother the cat any more than it would bother any other cat.





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What are the consequences to people with diabetes who make poor food choices?

Q. I'm doing a research project on the food that people with diabetes can eat. The project is a grant proposal, and I need to find out what the consequences are for people with diabetes who make poor food choices are. Do they get sick, can they die, does their blood sugar spike up? Any help would be appreciated. =]

A. Poor food choices lead up to Blindness , Neuropathy , kidney failure , amputations, heart disease ,feeling sick all the time and dying before their time.

1/3 of type1 diabetics die before age 55.

Type 2 diabetics lose up to 13 years of normal life span.
Complications or Sequelae of Diabetes

Sometimes a complication of diabetes may give a clue to the presence of the disease. The principle complications or sequelae associated with diabetes are retinopathy, neuropathy, nephropathy and arteriosclerosis. Whether these are the unavoidable consequences of the diabetic state over time or whether they may be influenced by controlling the diabetes through aggressive monitoring, treatment and life-style management, including diet and supplements, remains a central topic.

One of the largest, most comprehensive diabetes studies conducted to date2 showed that keeping blood sugar levels as close to normal as possible through aggressive management slows the onset and progression of eye, kidney and nerve diseases caused by diabetes. In fact it demonstrated that any sustained lowering of blood sugar helps, even if the person has a history of poor control.

Specifically it found that lowering and maintaining more constant blood sugar levels reduced the risk of eye disease by 76%, kidney disease by 50%, nerve disease by 60% and cardiovascular disease by 35%.

Since the discovery of insulin nearly 70 years ago, the patterns of morbidity from diabetes have changed. Where the major causes of death were ketoacidosis and infection, they are now the microvascular and cardiovascular complications of diabetes (renal failure and myocardial infarction).

These complications are responsible for a reduction in the life expectancy of a newly diagnosed insulin dependent diabetic by about one-third. The basis of managing diabetes in the 90�s is an improvement in the life-style of the diabetic and prevention of complications responsible for morbidity and mortality in diabetes.

Neuropathy (nerve disease)

Diabetic neuropathies are among the most frequent complication of long-term diabetes. It is estimated that 60% to 70% of diabetics have mild to severe forms of nervous system damage. The femoral nerve is commonly involved giving rise to symptoms in the legs and feet. Pain is the chief symptom and tends to worsen at night when the person is at rest. It is usually relieved by activity and aggravated by cold. Paraesthesias are a common accompaniment of the pain. Cramping, tenderness and muscle weakness also occur but atrophy is rare. Advanced femoral nerve disease is a major contributing cause of lower extremity amputations. Nerves in the arms, abdomen and back may also be affected. Symptoms may include impaired heart function, slowed digestion, reduced or absent perspiration, severe oedema, carpal tunnel syndrome, alternating bouts of diarrhoea and constipation, bladder atony, urinary and faecal incontinence and impotence.

With respect to sexual impotence, diabetes is probably the single most common disease associated with erectile failure (termed neurogenic impotence in the diabetic). Since diabetes is a metabolic disease with vascular and nervous system complications and an erection involves all levels of the nervous system from the brain to the peripheral nerves, lesions anywhere along the path may be responsible for erectile failure. It has been estimated that close to 50% of diabetic males have some degree of erectile dysfunction. Neuropathies usually improve with the control of the diabetes. Severe or chronic changes may require several weeks or months to show maximum improvement.

Retinopathy (eye disease)

Changes occurring in the eye which are distinctive of diabetes involve the narrowing, hardening, bulging, haemorrhaging or severing of the veins and capillaries of the retina. This is a serious complication known as retinopathy and may lead to loss of vision. Visual changes in the earlier stages may include diminished vision, contraction of the visual field, changes in the size of objects or photophobia. In the more advanced stage, termed 'proliferative retinopathy', haemorrhages, retinal detachment and other serious forms of deterioration are observed. When the disease progresses to this late stage total blindness may occur.

It usually takes between 10-13 years for diabetic retinopathy to develop and it is present in some degree in most diabetics who have had the disease for 20 years. In only about half of the diabetics who develop it however, is vision markedly impaired and blindness occurs in only about 6%. Still, diabetes is the leading cause of blindness in adults 20 to 74 years old and is estimated to cause from 12,000 to 24,000 new cases each year. Two other complications of diabetes, cataracts and glaucoma, can also lead to loss of vision

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Where can I find arguments against an approaching Type 1 diabetes cure?
Q. I'm researching the possibility of cure for Type 1 diabetes, and my argument is that there will be a cure in the near future, if funding improves and if beta cell and immune research continues. This is for my AP research paper, and no, I'm not making others write it. Suprisingly, I can't find a sufficient article arguing that a diabetes cure WON'T come soon, so i'm simply asking, does anyone know where I can find one? Any tips or sites are helpful, thank you!

A. ...as much as I dislike the fact that you are asking yahoo-answers for an AP Essay....I'll help you, my approach would be through stem-cell, maybe grow a healthy pancreas and have a transplant it in, and irradiate your immune system and transplant bone marrow


How to lose weight with type ONE diabetes and hypothyroidism?
Q. Ive been trying extremely hard to lose weight but the scale reads the same number. I have type ONE( not adult on set diabetes you get from poor lifestyle) and hypothyroidism which I think is the problem. I'm so tired of bring in twice the effort as a normal person and not seeing ANYTHING change(not a decimal number, nothing) so does anyone out there know of a diet and exercise plan or trick to help a person with my glitches lose weight? Thanks for the answers!

A. Hey there! I am in the same boat as you. I also have hypothyroidism and type ONE. While weight loss has been excruciatingly hard, I can offer some tips that I have been doing that have helped me slowly but surely get on the fast track to losing some weight.

1. Take a multivitamin: Our bodies are always fighting off so much. If you take a vitamin, you will ensure that your body will be getting the vitamins and minerals it needs to fight off infection and allow your body MORE energy to do other things, such as losing weight. Look for multivitamins that promote a health heart and strong bones, as well as a good immune system.

2. Count your calories: This is hard, but when there is a will, there is a way. Ever look on the nutrition facts of food and note the servings? Follow that! Record your total calories, fat, sodium, etc. Keep a journal and do this. I started out by just recording what I ate in a normal day, evaluating it (weaknesses: eat too big portions, not enough meat, too much bread/sugar, etc) and then seeing what I can do to improve it. Try to keep your calories to about 2,300 per day, and then whittle it down. I'm currently at 2,245 at the most per day, and I'm noting a change in my energy.

3. EXERCISE: Speaking of energy, hypothyroidism simply kills your metabolism with an AK-47. :( RIght here, you just need a little more willpower. Think of living longer. At least that's what I do. Don't use elevators: instead, use the stairs. Walk a little more than you need to. Have Nintendo Wii? Do WiiFit. It works out muscles you never thought you could work out! Walk around your neighborhood every day. Go to a track at a school and walk the curves and jog the straights for thirty minutes to an hour. I totally understand taht your energy will deter you from doing this, but even a little effort should help.

4. Stay happy! SOmething you love to do that doesn't compromise your health or well being? Indulge in it! I like to draw and sew among other things. If you keep your feelings and personality up, then you can do all i have listed above and more.

5. Go to sleep on time. Yes this is very important. Your sleep helps regulate SO much.

While ALL are important, the integral plan is to choose a method and STICK WITH IT! Watch your portions, and work out every day for at least thirty minutes. Take that vitamin, get some sleep, and remember to do something you enjoy.

From one hypobetes dealer to another, I HAVE FAITH IN YOU!

And a last note: I've been doing this very method for the past week and a half, and I lost four pounds. Just keep going, and with a little patience you'll get there!


What is the difference between diabetes insipidus and diabetes mellitus?
Q. i've experienced both extreme thirst and frequent urination, which i know are the symptoms of both insipidus and mellitus. I went to the doctor and he said that i could have either one of those diseases. Im going to do a blood test tomorrow and i was wondering if you guys can give me a few facts on both of these conditions. which condition is more serious? Thanks!

A. DI should not be confused with diabetes mellitus (DM), which results from insulin deficiency or resistance leading to high blood glucose, also called blood sugar. DI and DM are unrelated, although they can have similar signs and symptoms, like excessive thirst and excessive urination.

DM is far more common than DI and receives more news coverage. DM has two main forms, type 1 diabetes and type 2 diabetes. DI is a different form of illness altogether.

Diabetes insipidus (DI) is a rare disease that causes frequent urination and excessive thirst.
DI is not related to diabetes mellitus (DM).
Central DI is caused by damage to the pituitary gland and is treated with a synthetic hormone called desmopressin, which prevents water excretion.
Nephrogenic DI is caused by drugs or kidney disease and is treated with hydrochlorothiazide (HCTZ), indomethacin, or a combination of HCTZ and amiloride.
Scientists have not yet discovered an effective treatment for dipsogenic DI, which is caused by a defect in the thirst mechanism.
Most forms of gestational DI can be treated with desmopressin.
A doctor must determine which type of DI is involved before proper treatment can begin with a water deprivation test, urine test, and/or MRI of the brain (magnetic imaging).

They are both serious conditions that need medical attention. DI can result from a genetic condition in birth that affected the kidneys or a pituitary condition, etc. Always stay hydrated, avoid dehydration with the DI.

Hope this helps.





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What are the signs of diabetes?

Q. I have two signs of diabetes, being thirsty all the time, and having to go to the bathroom a lot. What are other signs, so I know if I should get tested or not?

A. Here are the most common symptoms.

Frequent urination (causing the kidneys to work harder) due to excessive urine

Excessive thirst

Tired and weak-flu like symptoms-causing maybe a slow down in activity levels

Hunger and increased appetite-causing weight gain

Weight loss in spite of eating more or weight gain fluctuations

Less common are

Tiredness-just a general lack of energy from the food not being metabolized

Dry skin

Dry mouth-causing thirst

Head aches and pains

Blurred vision

Impotence

Yeast infections

Difficulty in healing sores frequent infections

Nerve damage-numbness in extremities

There is absolutely no harm in erring on the side of caution for these symptoms. It is always best to check especially if you are in a high risk category or have some inherited high risk factors.



http://www.diabetesinfoforyou.com is one of literally hundreds of thousands of resources.


I have a tingling numbness in my feet when I wake up. Is this a sign of diabetes?
Q. I checked the websites on diabetes and found this may be one of the signs of diabetes. But I don't have any of the other symptoms that are listed. Do you think I may have diabetes or is this a symptom of something else?
Also is there any good diagnostic websites you can recommend?

A. If you want to see if you have diabetes you can do a couple of tests with your doctor.
1. Fast Blood Glucose test
2. HgA1C
3. Glucose tolerance test

All those would point to you having diabetes.

As for the neuropathy that you are talking about, it takes diabetics YEARS before they get that. Most Type2 (adult onset) diabetics get neuropathy after having diagnosed/undiagnosed diabetes for years. Type 1 diabetics (juvenile - and you would know if you had this) can get it earlier in life.

As for you, it may be that the mattress you are sleeping on is putting pressure on points in your body when you sleep, causing nerve damage (as slight as it may be) which causes the tingling. When a nerve is pinched for a period of time and then is released it will "Wake up" and cause that shooting, tingling, cramping, numbness feeling.

As a side note... If you were diabetic and had nueropathy, it would be ALL the time and not just in the mornings.


What are all the signs for diabetes and do you think I have it?
Q. Lately, I've been worrying that I have diabetes. First of all, I get thirsty a lot. Second, I tend to have to go to the bathroom a lot. And a lot of times, I have the urge to go, but when I sit down on the toilet, nothing happens. So is it possible that I have diabetes? And also, please list the other signs of diabetes. Thanks for all answers in advance. :)

A. Sounds to me that you may have a Urinary Tract Infection, or Bladder Infection, not diabetes. The signs for diabetes are:
increased thirst
increased hunger
fatigue
increased urination, especially at night
weight loss
blurred vision
sores that do not heal
If you are still worried about having diabetes, or if you have any of the other signs, you need to have your blood sugar level checked immediately. I think you should make an appointment with your doctor anyways, and let him know what's going on with the thirst, and the not being able to urinate. Could be something serious, but easily fixable with some good antibiotics.


Is numbness and that pinching needle feeling like your foot is falling asleep in your legs, a sign of diabetes?
Q. Everytime I put my legs up on my couch or I sit indian style, my feet and bottom part of my legs (like the front of my calves) start getting that tingly feeling and numb feeling, and the feeling gets so strong I have to move into a different position..this has been going on for 6 months now...Should I be worried? IS this an early sign of diabetes?

A. It could be very well a sign of diabetes. It can also be a number of other major problems.

GO! see your doctor for complete physical exam with blood draws. If it is all clear, go see a podiatrist to see why you are not having good circulation in your feet and legs.

For others who think this is not a symptom: I was having these exact problems when I was diagnosed. That was why I went to the doctor!!!





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Where can I find on the web sites for diabetes advocacy participation?

Q. I have had diabetes (type I brittle) over 45 yrs., and recently have had some major low sugar (hypoglycemic) reactions. I want to actively advocate for diabetes, I just need some direction on where to look.

A. Information Diabetes : www.diabetes-kidney.org.
Information about Type 1 Diabetes, Type 2 Diabetes, Diabetic Nephropathy.

And you can search on google, yahoo and bing.


Parent with Brittle Diabetes, and how does one live with them without going insane?
Q. I really could use some help on this one.

A. First things first, a person with brittle diabetes should carry glucagon with them at all times. Sudden severe drops in glucose levels can and do happen in people with brittle diabetes. Glucagon can be a lifesaver! Have some sort of medical ID that informs others in case of an emergency, and for your own piece of mind. Other than that, Take prescribed medications, if there are any, and keep on a low carb diet, avoiding refined sugar and processed foods. Check blood sugars, and check them often, especially at any sign of a change! Glucose levels can change rapidly, and knowing where they're at can help you decide how to fix it before things get out of hand.

Coming from a brittle diabetic, I know how frustrating it can be living with it, and I've only been battling it for about 10 months now, 8 of them being diagnosed. Brittle diabetes is so unpredictable, it can drive a person completely insane! One minute, levels can be normal and under control, no problems, and the next, they can be bouncing all over the place! It's a pretty awful feeling. Keep in touch with your doctor, and hang in there. I was told brittle diabetes can be a sign of developing type 1, and when the pancreas finally gives in, levels can be controlled with insulin and things should level out.

I wish all the best for you, and hang in there! It's a tough road, and things are always okay in the end; if it's not okay, then it's not the end! :)


Is there a type of Diabetes where the blood sugar can swing from too low to too high?
Q. Are people who have sugar metabolizing problems generally either Diabetic or Hypoglycemic? or is there a 3rd kind where the person is both?? if there is, what is the name of the type of Diabetes please??? thanks.

A. Well...

Many people who start off with only hypoglycemia do go on to develop diabetes.

Many diabetics have problems with widely changing glucose levels (the more severe cases used to be called brittle diabetes). It is not a separate type of diabetes, since it can happen to both type 1 and type 2.

Generally, people who are not "brittle" have large swings in their glucose levels because they do not have good control of their diabetes - either because they need more or different medication, or they need to pay more atention to their diet.

For some, constant stress can cause wild swings in glucose levels.


Can emotional instability be a symptom of diabetes?
Q. I was just wondering, because my grandfather was a diabetic, and I also know that he was often emotionally unstable and even abusive towards his wife and children. And don't get me wrong. I know that most diabetics aren't violent or abusive, but a friend of mine who was abused by her mother would sometimes blame her mother's emotional instability on her diabetes. Can diabetes actually lead to violent mood swings in some people?

A. Oh, yes, it surely can. My husband is a diabetic. He is very difficult about taking his medicine, and doesn't eat right, and still drinks way too much alcohol. He's basically in denial (for about four years now) and it scares me silly.

But I can tell when his sugar is whacked. He gets really nasty, and mean as a snake. It's so obvious that I immediately insist he take his sugar. It's hard to deal with for another reason. Some people just have bad days and can be difficult to deal with, but then blame it on their sugar when really they are just doing what comes naturally and being a jerk. Sometimes it's hard to tell the difference unless you can get them to take their sugar. I've caught my husband doing that from time to time. Sometimes it's maddening to tell the difference - and certain people know that and use it against you or to explain their bad behavior so people think "Well, he/she can't help it."

My uncle was a brittle diabetic and he was very abusive to his children. To this day I'm not sure if it was the diabetes or his own "charming" personality that caused his behavior.





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How does the development of diabetes directly relate to a feedback system?

Q. Paragraph on how Development of diabetes is directly related to feedback system, In your description describe how the feedback system works, organs, & molecules involved, also the direct effect of breakdown of a feedback system.

A. Does this bit of your homework really need to be explained? Glucose is high, pancreas releases insulin to bring it down. Glucose is low, pancreas releases glucagon to bring it up. It's a feedback system. Diabetes is when the insulin either can't be made, not enough can be made or the insulin doesn't work as well as it should and therefore the glucose level stays high.


What type of diabetes happens during pregnancy?
Q. Like the question states, what type of diabetes happens during pregnancy.
More importantly, why does the head of most babies are usually abnormally large after such a pregnancy?
I am more looking for an answer on why there heads are usually large after such a pregnancy.

It is a question my teacher has been asking and he wants to know why.

A. There is a slight increased risk of the fetus or newborn dying when the mother has gestational diabetes, but this risk is lowered with effective treatment and careful watching of the mother and fetus. High blood glucose levels often go back to normal after delivery. However, women with gestational diabetes should be watched closely after giving birth and at regular intervals to detect diabetes early.
Up to 40% of women with gestational diabetes develop full-blown diabetes within 5-10 years after delivery. The risk may be increased in obese women.
Please see the web pages for more details on Gestational diabetes.


What are the relationships between obesity and diabetes?
Q. Diabetes are greatly occur to diabetic person by several fold compare to a non-diabetic person. so there should be some medical explanations right. but i could not really find any relation between them. Help me please.

A. Okay first off lets set something straight, type II diabetes can strike anyone !

Type II diabetes is also mostly genetic, if a family member has it ie,
parent , uncle, grandfather, great aunt...etc.

Then you have a much higher chance of developing it.
You can excercise and diet all you want to ward it off, but that doesn't mean you won't get it !

A lot of medical people will tell you that eating wrong and being fat makes you a candidate for developing type II diabetes.

Thats not quite correct ! There are many thousands of over weight people, and obese people who do not ever develope diabetes.

Diabetes is not caused by what you put in your mouth, but by all means do excercise and eat healthy for other reasons.

It really pisses me off every time some ignoramus says type II
diabetes is caused by being fat and lazy and eating junk food !!!

I'm a type II diabetic and ive never been fat ! Ive never been over weight
and never shoved junk food and sweets down my throat !

I have it because my mother has it, and she too has always been as thin as rake.

But as i said diet and excercise will be of great help to you,
if a family member has it, then dieting and excercise
will not only keep you in shape, but may hold off a diabetes diagnoses
for yourself for many years.


What is the difference between diabetes mellitus and just diabetes?
Q. Is diabetes mellitus the specific name for type one diabetes or does mean both type one and two.

A. Diabetes mellitus, often simply referred to as diabetes�is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).

There are three main types of diabetes:

Type 1 diabetes: results from the body's failure to produce insulin, and presently requires the person to inject insulin. (Also referred to as insulin-dependent diabetes mellitus, IDDM for short, and juvenile diabetes.)
Type 2 diabetes: results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. (Formerly referred to as non-insulin-dependent diabetes mellitus, NIDDM for short, and adult-onset diabetes.)
Gestational diabetes: is when pregnant women, who have never had diabetes before, have a high blood glucose level during pregnancy. It may precede development of type 2 DM.
Other forms of diabetes mellitus include congenital diabetes, which is due to genetic defects of insulin secretion, cystic fibrosis-related diabetes, steroid diabetes induced by high doses of glucocorticoids, and several forms of monogenic diabetes.

So simply diabetes mellitus is the specific medical name for all three main Diabetes type 1 , Diabetes type 2, Diabetes gestational (pregnancy related) and other forms that are listed above.

Hope this helps.





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how can I help the change for the children foundation?

Q. i wanna do more for the jonas brothers diabetes foundation, besides donating I don't know how else to help.

A. Perhaps going to the Jonas Brothers web site and send them an email asking for their help and suggestions?


Cheers and good luck with that


Where can I turn in soda can tabs for money?
Q. I live in the Northwest Suburbs of Chicago, IL and I was wondering where I can turn in pop can tabs for money so I can donate the money to the Juvenile Diabetes Foundation. Does anyone know where I can turn them in?

A. They don't actually take them for donations for diabetes. This is a HUGE urban legend.
You can take them to the recycling depot where they will redeem the aluminum for what the weight is worth, which is very little. You would need a lot of tabs.
Snopes says: "Charity groups and the aluminum industry say they have been fighting misconseptions about collecting pop can tabs for years"


Can I name a charity foundation after myself?
Q. The Ferguson Diabetes Foundation?

A. That sounds awesome!!
Of corse you can!
That's so sweet for making a charity for a great cause :)
Good Luck with your charity!


If I am planning on doing a small fundraiser, should I contact the charity first?
Q. I've been thinking about raising money for CODA (Central Ohio Diabetes Association) and JDRF (Juvenile Diabetes Research Foundation) by shaving my head. Kind of like a "How much will you pay me to shave my head?" then giving the money to the two organizations. Should I contact these organizations beforehand?

A. Yes, you should contact them beforehand. First, if someone wants to verify that you are truly collecting money for them, then they have the real answer. 2nd, before you decide, you should have a $ amount in mind. Will you shave your head for $5? What if no one really cares if you shave your head or not and you only get a little money? I think that perhaps the shaving of the head could be a part of the fund raiser, but not the whole thing. How much do you realistically think you can get for shaving your head? Will it be enough to share with 2 such large organizations? Consider joining another fund raiser or donate to a local group. Think out your options before you speak publicly.





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How do you choose and buy diabetic devices/supplies? Do you have a choice or does your doctor/insurance pick?

Q. I'm working on a research project on diabetic devices and how they could be improved, also, my dad has mild diabetes, and I had some questions.

It seems like there are many types and brands of glucose monitoring and insulin delivery devices with a variety of different features, some better than others, but I don't understand how a person comes to choose and buy a particular device.

Does the doctor prescribe a specific kind, or do they give you a prescription for an insulin pump say, then you have a choice of what brand? Do you shop around? Does your insurance only cover certain types?

If you do have a choice, how do you learn about the different available devices?

Are there certain ones that are like the "iPod" of diabetic devices -- the one everyone has or the one everyone wants to have?

If someone who has diabetes or knows someone who does could explain the process you/they use, I'd really appreciate it!
P.S. You can learn more about our YouTube video project here: http://sfbay.craigslist.org/sfc/vol/354715779.html

A. I've had type one diabetes for almost ten years- and that's a long time when you're 17. In the beginning we (my parents and I) chose my supplies based on whatever the doctor told us. As I've gotten older, I've started doing more research on my own.

For things like blood sugar testing equipment, I ask my doctor what the options are, and weigh each product's advantages against what is important to me. Things I keep in mind are cost of the test strips, memory, and range of testing. I used to use the Freestyle Flash because of its size and its backlight. But if something happened to my pump and I didn't get insulin, the testing range of the flash doesn't go past 500. I know that sounds really high, but when you're on short-acting insulin alone, if you don't get the insulin your blood glucose can rise quickly to really bad numbers.

When I chose my pump, I went with MiniMed. At the time that I got my first pump (2002/2003) it had the most features available. When I chose my second pump early this year, I chose MiniMed again. I looked through all of th information given to me, and all that was available on the internet. I go through insulin quickly, and the Minimed pump had the largest reservoir, and that was important to me. It has several compatable infusion sets, and if I wasn't comfortable with one, I could try another.

In a way I think that the MiniMed pumps are becoming the "iPods" of diabetic supplies. They have a wide selection of products for your pump (belt clips, bra pouches, skins).


What are are harmless fruits for diabetic patients?
Q. I have developed some diabetic problems recently. I am not taking any medicenes. I have just started taking suger free contents in for Tea/Milk and started morning walk for 20-30 minutes. I want to know the fruits which can be consumed by a diabetic patient.

A. person suffering from diabetes should abstain from eating foods that are rich in cholesterol and fats. The food should be light, non-greasy and easy to digest with lots of fibre content.

Most fruits fit correctly in this category, and are known for their various beneficial effects on a patient suffering from diabetes. They are low on fats and highly rich in nutrients and vitamins and have a positive effect on the unusual rise in the blood glucose levels.

Visit my free website for more information
http://www.reddiabetes.com

However, one should avoid fruit juices and fruit concentrates, because they contain lot of sugar and many fruits are required to make one glass of juice. Moreover, fruit juices do not provide a person with the dietary fibre.

Choose whole fruits more often than juices. They have more fibre.

Choose fruits and fruit juices without added sweeteners or syrups.

Eat lots of citrus fruit such as oranges, sweet lime, grapefruit, or olives.

You can choose from any of the fruits available in the market. Each one has some benefit or the other.

Although diabetics can have any fruit, but they should preferably avoid mango, custard apple, grapes, chikoo, as they have a high sugar content. There are three fruits in particular that are especially beneficial for diabetic patients - apple, grapefruit and jambul (jamun).

Apple

One the most popular fruit, apples have a high pectin content and are very beneficial to diabetic patients. Pectin is found in the rind and in the pulp, and acts as a detoxifier of the body by supplying an excessive amount of galacturonic acid. This helps remove harmful waste from the bloodstream and can lower a diabetic�s insulin requirements by up to or even more than 35%. Besides being rich in pectin, apples are also rich in Vitamin B1. Vitamin B1 prevents the damage of the brain cells that can occur due to diabetic acidosis.

Grapefruit

Grapefruit � a citrus fruit with a typical, refreshing flavour has several medicinal properties that helps one fight diabetes � can bring down the blood glucose level within a time span of just three days. However, just a diet of grapefruit is not enough. One needs to take more of vegetables and fruits rather than a diet rich in fats.

Nutritionists recommend that anyone suffering from high blood sugar levels should be consuming at least three servings of grapefruit every day. Grapefruit can also be used as a preventative measure against high blood sugar levels, especially when used in conjunction with a low fat, low-sugar, low-starch diet. Diabetic patients should experience a change in less than three months.

Rose apple or jambul

The elements present in jambul have a strong positive effect on pancreas. It prevents the conversion of starch into bad sugar, thus controlling the blood sugar levels. The seeds of this fruit can be dried, powdered and then taken with water. Apart from controlling diabetes, it also relieves thirst and prevents excessive urination.

In addition to the fruit, the bark of the jambul tree is also used to treat diabetes. The bark itself is dried out entirely, then burned into a white-colored ash which is then taken. In Ayurveda, a diabetic patient is given about two grams of this ash in the morning on an empty stomach and two grams each in the afternoon and in the evening - an hour after meals.

The question is not whether or not you should eat fruit but rather how much and what kinds of fruit you should be eating.

People with diabetes are encouraged to eat at least five portions of fruit and vegetables every day. Spreading the fruit you eat through the day will avoid a sudden rise in blood glucose levels. Although some fruits have a lower glycemic index, the important thing is to increase the variety of different fruits that one eats. Eating more fruit and vegetables also helps to improve the overall balance of the diet. Fruit is the perfect snack.

However, one needs to be careful about the fruits chosen to eat, how often you eat them and when you eat them. It is advisable to choose fruits that rank low on the glycemic index. Fruits high on the index are mango, chikoo, custard apple, dates, pineapple.

How fast a fruit will raise your blood sugar also depends on considerations as whether you eat the fruit after a high-calorie meal or drink it as a glass of fruit juice on an empty stomach.

It is also important to pay attention to the size of the fruit you eat - choose a small or medium-sized portion over a large one (or eat only half of the large one).


What is the criteria for deciding which diabetic diet to place someone on?
Q. I am an RN attempting to find this information and coming up short. How do you decide whether to place someone on a 1200 ADA diet or a 2500 ADA diet?

A. It depends on the severity, the age of onset, and the type. I assume you are asking about type II diabetes in an older person. If the person is still producing sufficient insulin to control glucose when the diet is stabilized, then


How often should a diabetic exercise? What kinds of exercise would be appropriate?
Q. I'm not sure how much exercise would also be considered too much. I've heard and read some recommend an exercise of 3 times a week. Would exercising daily be too much? I think other people leading active lifestyles have no problem with daily physical activity. Is it possible for a diabetic to still build up their muscles? Or would their condition make it a little more difficult for them?

A. If you're out of shape or have recently been diagnosed as having diabetes, see your doctor before you begin an exercise program. Your doctor can tell you about the kinds of exercise that are good for you depending on how well your diabetes is controlled and any complications or other conditions you may have. Here are some tips for starting:

* If you're planning to walk or jog, be sure your shoes fit well and are designed for the activity you have in mind. Be alert for blisters. Wear new shoes for a bit each day until they're comfortable and not as likely to cause blisters. Remember, always wear socks.

* Start slowly with a low-impact exercise such as walking, swimming, or biking.

* Build up the time you spend exercising gradually. If you have to, start with five minutes and add a bit of time each day.

* Always wear an ID tag indicating that you have diabetes to insure proper treatment in case there's a problem when you're exercising or you have an injury.

* Avoid lifting very heavy weights as a precaution against sudden high blood pressure.

* If you have foot problems, consider swimming or biking, which is easier on the feet than jogging.

* Stretch for five minutes before and after your workout regardless of how intense you plan to exercise.

How often should you exercise?

Try to exercise at the same time every day for the same duration. This will help control your blood sugar. Exercise at least three times a week for about 30 to 45 minutes.

What about food and insulin?

If you plan to exercise more than an hour after eating, it's a good idea to have a snack. Generally, it's good to have a high-carbohydrate snack such as six ounces of fruit juice or half of a plain bbagel.
If you're doing heavy exercise such as aerobics, running or handball, you may need to eat a bit more such as a half of a meat sandwich and a cup of milk.

If you haven't eaten for over an hour or if your blood sugar is less than 100 to 120, eat or drink something like an apple or a glass of milk before you exercise. Carry a snack with you in case of low blood sugar.

If you use insulin, exercise after eating, not before. Test your blood sugar before, during and after exercising. Don't exercise when your blood sugar is more than 240.

If you're not an insulin user, test your blood sugar before and after exercising if you take pills for diabetes.

When is exercise a problem?

If your blood sugar level is over 300 mg/dl, if you are sick, short of breath, have ketones in your urine or are experiencing any tingling, pain or numbness in your legs, don't exercise. Also if your medication is peaking, it's better not to exercise.
you can visit this site for more information on diabetes
http://diabetes-complications.blogspot.com/





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what is the connection between type II diabetes and overheating?

Q. Id like to know what the connection is between type II diabetes and someone overheating. Ive looked all over the internet and all i find is info on diabetic neuropathy. Is there somewhere that explains scientifically/biologically what process goes on and how this happens? i'd really like to know !! if anyone has a website or SOMETHING i can be directed to....

A. Generally speaking, people with type II diabetes (esp when uncontrolled) have an increased blood glucose level. This not only causes water in the individual to be drawn out of their tissues, but it also causes an increase in water loss through increased urine production. Because water is the key to thermoregulation, when water is lost, so is our ability to manage our own temperature. This dehydration, probably along with a decrease in efficient circulation, is what causes overheating in many people with diabetes.


Which of the following statements about type II diabetes is false?
Q. Which of the following statements about type II diabetes is false?

Type II diabetes can be managed by monitoring blood glucose levels.
Type II diabetes can be managed with drugs that increase cellular responsiveness to insulin.
Type II diabetes can be managed by prescribed diets
Type II diabetes can be managed by insulin injections.

A. Type II diabetes can be managed by monitoring glucose levels - yes, monitoring helps management.
Type II diabetes can be managed with drugs that increase cellular responsiveness to insulin - some of the oral meds used perform that function.
Type II diabetes can be managed by prescribed diets - diet is an important part of diabetes management.
Type II diabetes can be managed by insulin injections - Many type II diabetics use insulin injections to help manage their disease. Here's some more information on that:
Insulin
Iantidiabetic drugs fail (i.e., the clinical benefit stops), insulin therapy may be necessary � usually in addition to oral medication therapy � to maintain normal or near normal glucose levels.[49][50]

Typical total daily dosage of insulin is 0.6 U/kg.[51] But, of course, best timing and indeed total amounts depend on diet (composition, amount, and timing) as well the degree of insulin resistance. More complicated estimations to guide initial dosage of insulin are:[52]

For men, [(fasting plasma glucose [mmol/liter]�5)x2] x (weight [kg]÷(14.3xheight [m])�height [m])
For women, [(fasting plasma glucose [mmol/liter]�5)x2] x (weight [kg]÷(13.2xheight [m])�height [m])
The initial insulin regimen are often chosen based on the patient's blood glucose profile.[53] Initially, adding nightly insulin to patients failing oral medications may be best.[54] Nightly insulin combines better with metformin than with sulfonylureas.[51] The initial dose of nightly insulin (measured in IU/d) should be equal to the fasting blood glucose level (measured in mmol/L). If the fasting glucose is reported in mg/dl, multiply by 0.05551 to convert to mmol/L.[55]

When nightly insulin is insufficient, choices include:

Premixed insulin with a fixed ratio of short and intermediate acting insulin; this tends to be more effective than long acting insulin, but is associated with increased hypoglycemia.[56][57].[58] Initial total daily dosage of biphasic insulin can be 10 units if the fasting plasma glucose values are less than 180 mg/dl or 12 units when the fasting plasma glucose is above 180 mg/dl".[57] A guide to titrating fixed ratio insulin is available.[53]
Long acting insulins such as insulin glargine and insulin detemir. A meta-analysis of randomized controlled trials by the Cochrane Collaboration found "only a minor clinical benefit of treatment with long-acting insulin analogues for patients with diabetes mellitus type 2".[59] More recently, a randomized controlled trial found that although long acting insulins were less effective, they were associated with reduced hypoglycemic episodes.[56]
Insulin Pump therapy in Type 2 diabetes is gradually becoming popular.In an original published study, in addition to reduction of blood sugars, there is evidence of profound benefits in resistant neuropathic pain and also improvements in sexual performance

so really, none of the statements are false


To prevent Type II diabetes, is it more important to avoid sugar and carbs, or to avoid fat?
Q. I understand that it is important to avoid both sugar/carbs and fat, to prevent insulin resistance (which then leads to Type II diabetes,) but which is more important?

A. What will make the most difference in preventing you from becoming full-blown diabetic is to lose weight. If you are obese, do what you need to do to get down into the overweight category. If you are overweight, do what you need to do to get into the normal category. That's not to say there aren't healthy-weight people that still have insulin resistance, but that helps most people.

As for food intake, fat doesn't affect your blood glucose because it has no carb. Carbs impact your blood glucose and need to be moderated. Doesn't matter if it's sugar, fruit, potatoes, bread, or milk - carbs are carbs. Keeping your carb intake at less than 30-35g per meal will not overload your body, and the insulin you produce should be able to metabolize that. Focus on lean meats and veggies as the bulk of your food. 30 minutes of exercise daily also makes a big difference, even if you divide it into two 15-minute brisk walks, because that increase in your metabolism continues throughout the day.


How dangerous is drinking and type II diabetes?
Q. My husband is a heavy drinker and was just diagnosed with type II diabetes. How dangerous is this? He is on Metformin currently, by the way.

I know he is choosing to do something very harmful to his body and I wish he would wise up...but I'd like to know the risks of this.

Thank you in advance.

A. Alcohol with diabetes is tricky. The alcohol can cause serious blood sugar lows if he does not eat adequately and limit his intake of alcohol. And the alcohol itself has 7 calories a gram, so some drinks are very high in calories, resulting in weight gain, which aggravates insulin resistance in Type II. That said, you are not the diabetes police. He is probably in denial to some extent. A diagnosis of diabetes in a previously healthy, or at least relatively healthy individual feels like a huge betrayal by your body. For your part, be supportive. Feed him according to his meal plan. Learn non-food, non alcohol rewards for celebrations, goals achieved, etc. Talk to a certified diabetic educator and/or a dietitian for a meal plan that allows for his lifestyle, likes, dislikes, and caloric needs. Exercise with him-even a walk after dinner is great. I recommend the Dlife.com website for recipes, information on current research and an online open forum for questions. Good Luck to both of you.





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How does the development of diabetes directly relate to a feedback system?

Q. Paragraph on how Development of diabetes is directly related to feedback system, In your description describe how the feedback system works, organs, & molecules involved, also the direct effect of breakdown of a feedback system.

A. Does this bit of your homework really need to be explained? Glucose is high, pancreas releases insulin to bring it down. Glucose is low, pancreas releases glucagon to bring it up. It's a feedback system. Diabetes is when the insulin either can't be made, not enough can be made or the insulin doesn't work as well as it should and therefore the glucose level stays high.


What type of diabetes happens during pregnancy?
Q. Like the question states, what type of diabetes happens during pregnancy.
More importantly, why does the head of most babies are usually abnormally large after such a pregnancy?
I am more looking for an answer on why there heads are usually large after such a pregnancy.

It is a question my teacher has been asking and he wants to know why.

A. There is a slight increased risk of the fetus or newborn dying when the mother has gestational diabetes, but this risk is lowered with effective treatment and careful watching of the mother and fetus. High blood glucose levels often go back to normal after delivery. However, women with gestational diabetes should be watched closely after giving birth and at regular intervals to detect diabetes early.
Up to 40% of women with gestational diabetes develop full-blown diabetes within 5-10 years after delivery. The risk may be increased in obese women.
Please see the web pages for more details on Gestational diabetes.


What are the relationships between obesity and diabetes?
Q. Diabetes are greatly occur to diabetic person by several fold compare to a non-diabetic person. so there should be some medical explanations right. but i could not really find any relation between them. Help me please.

A. Okay first off lets set something straight, type II diabetes can strike anyone !

Type II diabetes is also mostly genetic, if a family member has it ie,
parent , uncle, grandfather, great aunt...etc.

Then you have a much higher chance of developing it.
You can excercise and diet all you want to ward it off, but that doesn't mean you won't get it !

A lot of medical people will tell you that eating wrong and being fat makes you a candidate for developing type II diabetes.

Thats not quite correct ! There are many thousands of over weight people, and obese people who do not ever develope diabetes.

Diabetes is not caused by what you put in your mouth, but by all means do excercise and eat healthy for other reasons.

It really pisses me off every time some ignoramus says type II
diabetes is caused by being fat and lazy and eating junk food !!!

I'm a type II diabetic and ive never been fat ! Ive never been over weight
and never shoved junk food and sweets down my throat !

I have it because my mother has it, and she too has always been as thin as rake.

But as i said diet and excercise will be of great help to you,
if a family member has it, then dieting and excercise
will not only keep you in shape, but may hold off a diabetes diagnoses
for yourself for many years.


What is the difference between diabetes mellitus and just diabetes?
Q. Is diabetes mellitus the specific name for type one diabetes or does mean both type one and two.

A. Diabetes mellitus, often simply referred to as diabetes�is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).

There are three main types of diabetes:

Type 1 diabetes: results from the body's failure to produce insulin, and presently requires the person to inject insulin. (Also referred to as insulin-dependent diabetes mellitus, IDDM for short, and juvenile diabetes.)
Type 2 diabetes: results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. (Formerly referred to as non-insulin-dependent diabetes mellitus, NIDDM for short, and adult-onset diabetes.)
Gestational diabetes: is when pregnant women, who have never had diabetes before, have a high blood glucose level during pregnancy. It may precede development of type 2 DM.
Other forms of diabetes mellitus include congenital diabetes, which is due to genetic defects of insulin secretion, cystic fibrosis-related diabetes, steroid diabetes induced by high doses of glucocorticoids, and several forms of monogenic diabetes.

So simply diabetes mellitus is the specific medical name for all three main Diabetes type 1 , Diabetes type 2, Diabetes gestational (pregnancy related) and other forms that are listed above.

Hope this helps.





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is there any over the counter suppliment to help fight Pre Diabetes?

Q. im at the high end of Pre diabetes, I have cut back on sugars, and do mild exercise on a semi regular basis. i have been about 250lbs for the past 5yrs and am 6 ft tall, i know Im overwgt but its not increasing.
I have a semi physical job as a landscaper/garner.
thanks for all your help.

A. If you consider a healthy diet as an over the counter supplement... There are no magic bulets, dietary supplements are not required to prove any of their claims and often products that are banned by the FDA still have approval as dietary supplements. Your best bet on the hocus pocus snake oil market would be chromium, cinnamon and Stevia. It's carbohydrates that you have to regulate and spread out, sugars are just a carbohydrate. You have to have smaller more frequent meals and select lower glycemic index alternatives to spread out the load so your pancreas can handle it. It's not just about cutting out the sugars. Attend a diabetic education center seminar, most of what you think you know about diabetes is completely wrong.


I have pre-diabetes, probably because of my years of eating Taco Bell daily and not exercising enough?
Q. I read in Prediabetes for Dummies that I can't have diet soda anymore. I'm wondering what it is that I can eat. Also, I'm thinking this pre-diabetes is the cause of my fatigue and lethargy? What do I need to do to prevent more severe complications. I'm willing to cut out all sweets, but what can I eat?

A. Two things....diet & exercise....


My husband was just diagnosed with Pre Diabetes. What can he eat and can't?
Q. I'm worried about it. He is 43 and is a really skinny person. All of the searches I have read said loose wait, loose wait but he doesnt need to. I guess he just needs to watch his diet but we dont know what he can and can't eat. I just dont want him to get Diabetes. :( Any of you with Pre diabetes?? If so, How are you taking care of yourself??
Thank you!

A. Here is a recipe for life..


There are 3 key steps to controlling glucose levels for pre diabetes:
1) EXERCISE- Walking is fine but Nordic Walking is Ghreat. Exercise also lowers Glucose levels , lowers Cholesterol and lowers Blood Pressure. Google it.Exercise is Non-Negotiable !!!Thats why it is Number 1 on the list.
2) Knowledge- http://www.phlaunt.com/diabetes/index.ph� This is a great site for info
3)Diet- A low carb diet is in order. I can't count carbs so I use Mendosa's Glycemic Index Diet. Great for the whole family. http://www.mendosa.com/gilists.htm

Good luck and welcome to the club

Ben Trolled


I need new health coverage. I have pre-diabetes, or am diabetic. I have been denied 5 times and need to know?
Q. I have been denied 5 times and need to know what companies insure those with pre-diabetes or diabetes. I also want one that has the best coverage for the lowest amount.

I will need the insurance for about 2 years. I am a full time student, self-employed in Direct Sales, 39 years old, and a widow. I live in Tennessee.

A. Hi Mandy

There is an article you probably want to check

In the article they 're reviewing the TOP 5 �Resources for Diabetes Care"

To qualify them, they have selected 3 basic criteria:

1. Quality Content
2. Useful Information
3. Valuable Tips

You probably will find some resources more interesting and useful than others. But in general terms they all provide very valuable information which I believe really worth considering. Click the link below to find out more

Hope you find useful, Good luck





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