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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