Hormones Involved In Type 2 Diabetes

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Cortisol — Its Role In Stress, Inflammation, And Indications For Diet Therapy

Today’s Dietitian Vol. 11 No. 11 P. 38 Cortisol, a glucocorticoid (steroid hormone), is produced from cholesterol in the two adrenal glands located on top of each kidney. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress. Cortisol’s far-reaching, systemic effects play many roles in the body’s effort to carry out its processes and maintain homeostasis. Of interest to the dietetics community, cortisol also plays an important role in human nutrition. It regulates energy by selecting the right type and amount of substrate (carbohydrate, fat, or protein) the body needs to meet the physiological demands placed on it. When chronically elevated, cortisol can have deleterious effects on weight, immune function, and chronic disease risk. Cortisol (along with its partner epinephrine) is best known for its involvement in the “fight-or-flight” response and temporary increase in energy production, at the expense of processes that are not required for immediate survival. The resulting biochemical and hormonal imbalances (ideally) resolve due to a hormonally driven negative feedback loop. The following is a typi Continue reading >>

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Popular Questions

  1. boakin

    A diabetic breastfeeding Mom of an 8-week-old baby asked me if there are high levels of sugar in her milk when her own blood sugars are high? She was concerned about the effect of that on her baby. Anybody know anything about that?

  2. cpride

    Dear boakin,
    Glucose levels in breastmilk are approximately one-fourth of the mother's blood glucose level. Breastfeeding is not contraindicated for women with diabetes. Blood sugars should be monitored closely after delivery and while breastfeeding is being established as medications such as insulin and antidiabetic oral medications often have to be adjusted during this time period. Adults should keep their blood glucose levels between 70 to 100 mg/dl to prevent the long term complications of diabetes. If this breastfeeding mother is having difficulty with high blood sugars, she should talk with her physician about this issue as her medication and/or diet may need to be adjusted. Nutritional counselors often are a great resource when dietary changes need to be made. Remember, breastfeeding mothers need to consume approximately 500 more calories than non-lactating women. Let me know if you have further questions.
    Cindy Pride, MSN, CPNP
    TTUHSC InfantRisk Center

  3. jackjames

    thank you for sharing.

  4. -> Continue reading
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