Showing posts with label treatment for diabetes. Show all posts
Showing posts with label treatment for diabetes. Show all posts

Saturday, December 8, 2012

How come you can not cure diabetes?

Q. I know there are treatments for diabetes but I do not know the reason on why you can not cure diabetes, any type of diabetes. Please Help! Thank You.

A. It all boils down to the fact that it is just too complicated to cure.
Many people have had pancreas transplants but the transplant is difficult due to the fact that the pancreas is very delicate and not everyone is an organ donor. Right now they only do these transplants when someone is dying from diabetic complications. My uncle had a pancreas/kidney transplant and lived for 15 years until he had a heart attack.

Doctors all over the US and Canada have been working on islet cell transplantation. I know that in Philadelphia they had cured several people this past summer. The islet cell transplantation is only in the clinical trial stages right now. The medical community has recently found a better way to transplant these cells and they have had better results but it will be years before this is available to all diabetics. I was in the clinical trial in Philly and only know all of this info because I asked. I unfortunately had other health problems and had to drop out.

The medical community has been working for years on an artificial pancreas or implantable insulin pump. There have been way too many problems with these however.

There seems to be new discoveries and hope on the horizon everyday. I've been reading for years that a cure is just around the corner. Hopefully one day soon someone will find the thing that finally works perfectly.


Could a Dr. help me design an integral treatment for diabetes?
Q. Hello, I would like some help. Could a Dr. or any other qualified health professional help me with an integral project for treatment of Diabetes Type 2? It needs to be more complete than pills, diet and exercise.

It's for a homework. Im currently a Med Student, and was asked to create a Complete Treatment for Diabetes Type 2 for my Public Health Class.

Thank you.

A. Now im not another teenager but i highly suggest cannabis its relieving helps with ALOT.


How does the Canadian health care system work?
Q. What do you do on these three scenarios: 1. You want your normal annual physical, 2. It's midnight, and you or your child is sick (fever, aching, throwing up-you get the picture already) and you need to see a doctor ASAP and 3. You need a major surgery (knee replacement) or a long term treatment (cancer, diabetes)
Do you call for an appointment or you just show up? Can you pick your doctor? How long you usually wait to get to see a physician? How long for an specialist? Is there a 9/11 number to call? Do you have to pay anything for anything? Where do you go, to Hospitals or Doctor's offices? How do you get your medications? If you are required special exams e.g. MRI, CT scan, etc, are those available? I just read that Canada's Health budget was a little tight in investing in this sort of equipment, opposite to Americans that love any new toy out there. What about this Aussie comment: "In the USA they treat you legally right, in Canada and Australia they treat you ethically right?

A. I will do my best to answer as many of these as I can:

1. You book an appointment for an annual physical.
2. You can go to the hospital, or to a drop-in clinic, in that kind of situation.
3. I'm not sure of the exact procedure, but I know you would get on some kind of waiting list for a major surgery such as knee replacement. Cancer or diabetes treatment would obviously start pretty much immediately, if you needed it.

-You call for an appointment to a doctor (i.e., a general practitioner, or a specialist)
-You can certainly choose your doctor.
-To see a physician, you can probably go the day you call, or a day or 2 later
-Specialists might be a fair bit longer
-There is indeed a 911 number to call: 911.
-You don't have to pay for things that the Canada Health Act says you don't have to pay for, basically. In addition, employers often offer health plans to cover things like dental appointments, orthodontics, etc., which aren't covered under the Canada Health Act. Something you would have to pay for, as an example, would be cosmetic surgery (plastic surgery).
-You can go to either a hospital or a doctor's office. Hospitals are more for surgeries and emergencies; doctors' offices are for more routine medical visits.
-You buy your medications at a pharmacy; some are covered by the Canada Health Act, some by your health insurance drug plan, and others are not covered.
-MRI and CT scans are certainly available. I'm not sure about the budgetting; perhaps there are fewer of these machines, but they are certainly available for those that need them.
-No comment on the ethics question :)


What is the cause of type 2 Diabetes?
Q. I am looking for information on a scientific study that proves the cause.
I am not looking for someones opinion.
I am not looking for information on the treatment of Diabetes.
I am not looking for the cure.
I am looking for the actual cause
I would like the url of the scientific study that proves your answer.

A. Type 2 diabetes is the most common form of diabetes. In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin.

Usually occurs gradually. Most people with type 2 diabetes are overweight at the time of diagnosis. However, the disease can also develop in lean people, especially the elderly.

Genetics play a large role in type 2 diabetes and family history is a risk factor. However, low activity level, poor diet, and excess body weight (especially around the waist) significantly increase your risk for type 2 diabetes.

Other risk factors include:

- Race/ethnicity (African-Americans, Hispanic-Americans, and Native Americans all have high rates of diabetes)
- Age greater than 45 years
- Previously identified impaired glucose tolerance by your doctor
- High blood pressure
- HDL cholesterol of less than 35 or triglyceride level of greater than 250
- History of gestational diabetes





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How much does treatment for diabetes cost?

Q. How much does treatment for diabetes patients cost per year? Any help is appreciated. Estimates are great too

A. The good news is that there have never been as many good treatment options for diabetes. The bad news is that nearly all are punishingly expensive. Type 1 diabetics must use inuslin and modern analog insulins - basal plus bolus insulin - may run $350 to $450 per month. Type 2 diabetics may require insulin but most start off on oral medications. The most typical progression is metformin hydrochloride (on the so-called $4 drug lists), pioglitazone (Actos), and sitagliptin phosphate (Januvia). The latter two drugs would also likely cost $350 to $450 per month. There are obviously many more diabetic medications from which to choose but most are expensive as noted above. I am very displeased with American medicine. As a physician I find our current state embarrassing. The US presently ranks 29th in the world in health care outcomes yet American medicine is the most expensive by far. We pay the most and receive the least for our money. It is my belief that 'medicine for profit' and 'greed' and the primary reason. It is not compatible with medical ethics that a physician should be allowed to profit off the misfortunes and miseries of their patients. This is a capitalist country but when it comes to something like healthcare - the commonwealth of its citizens - I believe that the government has an obligation to cap physician incomes and prevent pharmaceutical companies from making obsene profits. Exxon-Mobil is the most profitable company in the history of human civilization. You have the option to buy a more fuel effecient car or to find an alternative mode of transportation. If you have diabetes you have no option. Medications are a life and death decision. And too many patients cannot afford their medications. Yes pharmaceutical companies have public relation programs where they will provide medications for free to those below the poverty level. This is nice but the average middle class American is not able to afford medications as expensive as those listed above. We need real change not some politically motivated healthcare bill. That having been said I hope that this is a homework question and that neither you nor a loved one has diabetes. I wish you the very best of health and may God bless.


What are some experimental treatments for type two diabetes?
Q. Im doing an essay over type 2 diabetes for biology and I have to find an experimental treatment for diabetes. If anyone can help that would be great, thanks! :)

A. There are no experimental treatments for type 2 right now.


How serious is diabetes in a 12 year old cat. How is it treated?
Q. What is the standard treatment for diabetes for a 12 years old cat?

A. It's most likely going to be insulin injections, my friend ... probably twice a day, but that will depend on your particular vet. (Sadly, we've recently lost one of our furry babies to diabetes. She'd been diabetic for 4 or 5 years now, and was on twice daily insulin injections.)


What members must a casemanager collect for a family where a children is going thru treatment for diabetes?
Q. If you are a Case Manager working with a family where one of their children is going through treatments for childhood diabetes what members should you put together? such as a nutritionist, certain type of doctor etc?

A. pediatrician, endocrinologist, nutritionist, maybe a psychologist, too.

I'd like the whole family in diabetic education classes as well as family counseling. Too often, we see only the affected child and mother. The rest of the family doesn't think it's necessary for them.





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Friday, December 7, 2012

What are some experimental treatments for type two diabetes?

Q. Im doing an essay over type 2 diabetes for biology and I have to find an experimental treatment for diabetes. If anyone can help that would be great, thanks! :)

A. There are no experimental treatments for type 2 right now.


How serious is diabetes in a 12 year old cat. How is it treated?
Q. What is the standard treatment for diabetes for a 12 years old cat?

A. It's most likely going to be insulin injections, my friend ... probably twice a day, but that will depend on your particular vet. (Sadly, we've recently lost one of our furry babies to diabetes. She'd been diabetic for 4 or 5 years now, and was on twice daily insulin injections.)


What members must a casemanager collect for a family where a children is going thru treatment for diabetes?
Q. If you are a Case Manager working with a family where one of their children is going through treatments for childhood diabetes what members should you put together? such as a nutritionist, certain type of doctor etc?

A. pediatrician, endocrinologist, nutritionist, maybe a psychologist, too.

I'd like the whole family in diabetic education classes as well as family counseling. Too often, we see only the affected child and mother. The rest of the family doesn't think it's necessary for them.


How come you can not cure diabetes?
Q. I know there are treatments for diabetes but I do not know the reason on why you can not cure diabetes, any type of diabetes. Please Help! Thank You.

A. It all boils down to the fact that it is just too complicated to cure.
Many people have had pancreas transplants but the transplant is difficult due to the fact that the pancreas is very delicate and not everyone is an organ donor. Right now they only do these transplants when someone is dying from diabetic complications. My uncle had a pancreas/kidney transplant and lived for 15 years until he had a heart attack.

Doctors all over the US and Canada have been working on islet cell transplantation. I know that in Philadelphia they had cured several people this past summer. The islet cell transplantation is only in the clinical trial stages right now. The medical community has recently found a better way to transplant these cells and they have had better results but it will be years before this is available to all diabetics. I was in the clinical trial in Philly and only know all of this info because I asked. I unfortunately had other health problems and had to drop out.

The medical community has been working for years on an artificial pancreas or implantable insulin pump. There have been way too many problems with these however.

There seems to be new discoveries and hope on the horizon everyday. I've been reading for years that a cure is just around the corner. Hopefully one day soon someone will find the thing that finally works perfectly.





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Thursday, December 6, 2012

How has the treatment of diabetes changed over the years?

Q. Just wondering what the old treatments of diabetes have been, and how have they progressed through time?

A. I was diagnosed in 1971, and things have changed even since then. Back then, there was no home blood glucose testing. Instead, you checked your urine - a useless waste of time. If it showed as high, that didn't mean it was high right then. There was no such thing as A1C testing either.

White potatos were considered to be better for diabetics than sweet potatos. Now the opposite is true.

And before my time, diabetics had to boil syringes on the stove to sterilize them. At one point, diets high in fat were recommended for diabetics.

I wonder what will change between today and 50 years from now.


How much does treatment for diabetes cost?
Q. How much does treatment for diabetes patients cost per year? Any help is appreciated. Estimates are great too

A. The good news is that there have never been as many good treatment options for diabetes. The bad news is that nearly all are punishingly expensive. Type 1 diabetics must use inuslin and modern analog insulins - basal plus bolus insulin - may run $350 to $450 per month. Type 2 diabetics may require insulin but most start off on oral medications. The most typical progression is metformin hydrochloride (on the so-called $4 drug lists), pioglitazone (Actos), and sitagliptin phosphate (Januvia). The latter two drugs would also likely cost $350 to $450 per month. There are obviously many more diabetic medications from which to choose but most are expensive as noted above. I am very displeased with American medicine. As a physician I find our current state embarrassing. The US presently ranks 29th in the world in health care outcomes yet American medicine is the most expensive by far. We pay the most and receive the least for our money. It is my belief that 'medicine for profit' and 'greed' and the primary reason. It is not compatible with medical ethics that a physician should be allowed to profit off the misfortunes and miseries of their patients. This is a capitalist country but when it comes to something like healthcare - the commonwealth of its citizens - I believe that the government has an obligation to cap physician incomes and prevent pharmaceutical companies from making obsene profits. Exxon-Mobil is the most profitable company in the history of human civilization. You have the option to buy a more fuel effecient car or to find an alternative mode of transportation. If you have diabetes you have no option. Medications are a life and death decision. And too many patients cannot afford their medications. Yes pharmaceutical companies have public relation programs where they will provide medications for free to those below the poverty level. This is nice but the average middle class American is not able to afford medications as expensive as those listed above. We need real change not some politically motivated healthcare bill. That having been said I hope that this is a homework question and that neither you nor a loved one has diabetes. I wish you the very best of health and may God bless.


What are some experimental treatments for type two diabetes?
Q. Im doing an essay over type 2 diabetes for biology and I have to find an experimental treatment for diabetes. If anyone can help that would be great, thanks! :)

A. There are no experimental treatments for type 2 right now.


How serious is diabetes in a 12 year old cat. How is it treated?
Q. What is the standard treatment for diabetes for a 12 years old cat?

A. It's most likely going to be insulin injections, my friend ... probably twice a day, but that will depend on your particular vet. (Sadly, we've recently lost one of our furry babies to diabetes. She'd been diabetic for 4 or 5 years now, and was on twice daily insulin injections.)





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Monday, December 3, 2012

Could a Dr. help me design an integral treatment for diabetes?

Q. Hello, I would like some help. Could a Dr. or any other qualified health professional help me with an integral project for treatment of Diabetes Type 2? It needs to be more complete than pills, diet and exercise.

It's for a homework. Im currently a Med Student, and was asked to create a Complete Treatment for Diabetes Type 2 for my Public Health Class.

Thank you.

A. Now im not another teenager but i highly suggest cannabis its relieving helps with ALOT.


How does the Canadian health care system work?
Q. What do you do on these three scenarios: 1. You want your normal annual physical, 2. It's midnight, and you or your child is sick (fever, aching, throwing up-you get the picture already) and you need to see a doctor ASAP and 3. You need a major surgery (knee replacement) or a long term treatment (cancer, diabetes)
Do you call for an appointment or you just show up? Can you pick your doctor? How long you usually wait to get to see a physician? How long for an specialist? Is there a 9/11 number to call? Do you have to pay anything for anything? Where do you go, to Hospitals or Doctor's offices? How do you get your medications? If you are required special exams e.g. MRI, CT scan, etc, are those available? I just read that Canada's Health budget was a little tight in investing in this sort of equipment, opposite to Americans that love any new toy out there. What about this Aussie comment: "In the USA they treat you legally right, in Canada and Australia they treat you ethically right?

A. I will do my best to answer as many of these as I can:

1. You book an appointment for an annual physical.
2. You can go to the hospital, or to a drop-in clinic, in that kind of situation.
3. I'm not sure of the exact procedure, but I know you would get on some kind of waiting list for a major surgery such as knee replacement. Cancer or diabetes treatment would obviously start pretty much immediately, if you needed it.

-You call for an appointment to a doctor (i.e., a general practitioner, or a specialist)
-You can certainly choose your doctor.
-To see a physician, you can probably go the day you call, or a day or 2 later
-Specialists might be a fair bit longer
-There is indeed a 911 number to call: 911.
-You don't have to pay for things that the Canada Health Act says you don't have to pay for, basically. In addition, employers often offer health plans to cover things like dental appointments, orthodontics, etc., which aren't covered under the Canada Health Act. Something you would have to pay for, as an example, would be cosmetic surgery (plastic surgery).
-You can go to either a hospital or a doctor's office. Hospitals are more for surgeries and emergencies; doctors' offices are for more routine medical visits.
-You buy your medications at a pharmacy; some are covered by the Canada Health Act, some by your health insurance drug plan, and others are not covered.
-MRI and CT scans are certainly available. I'm not sure about the budgetting; perhaps there are fewer of these machines, but they are certainly available for those that need them.
-No comment on the ethics question :)


What is the cause of type 2 Diabetes?
Q. I am looking for information on a scientific study that proves the cause.
I am not looking for someones opinion.
I am not looking for information on the treatment of Diabetes.
I am not looking for the cure.
I am looking for the actual cause
I would like the url of the scientific study that proves your answer.

A. Type 2 diabetes is the most common form of diabetes. In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin.

Usually occurs gradually. Most people with type 2 diabetes are overweight at the time of diagnosis. However, the disease can also develop in lean people, especially the elderly.

Genetics play a large role in type 2 diabetes and family history is a risk factor. However, low activity level, poor diet, and excess body weight (especially around the waist) significantly increase your risk for type 2 diabetes.

Other risk factors include:

- Race/ethnicity (African-Americans, Hispanic-Americans, and Native Americans all have high rates of diabetes)
- Age greater than 45 years
- Previously identified impaired glucose tolerance by your doctor
- High blood pressure
- HDL cholesterol of less than 35 or triglyceride level of greater than 250
- History of gestational diabetes


Is there a treatment for diabetes?
Q. People say that Amzylite is a treatment for diabetes does anyone use it and can tell me what they think?

A. There are several treatments.

Diet and Exercise, Oral medications, injected insulin.

Also, some T2's take insulin. Some T2's are also able to control with NO medication, just by watching their diet and exercise.





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