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Insulina Para Diabetes Tipo 1

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Inicio De La Terapia Con Insulina En Pacientes Con Diabetes Mellitus Tipo 2 - Artculos - Intramed

Inicio de la terapia con insulina en pacientes con diabetes mellitus tipo 2 Se examinan los objetivos de la hemoglobina A1c, los factores que determinan cundo comenzar su aplicacin y los diferentes regmenes que pueden utilizarse. La terapia con insulina es una de las herramientas mdicas ms eficaces que pueden usarse para ayudar a los pacientes a alcanzar su hemoglobina glicosilada (HbA1c) objetivo. Sin embargo, las decisiones sobre cundo y cmo iniciar la terapia con insulina tienen que ser individualizadas y adaptadas a las necesidades y objetivos de cada paciente. Existen muchas opciones de terapia con insulina; una de las ms comunes es el agregado de insulina basal a los medicamentos antidiabticos orales. A pesar de que los pacientes suelen ser reacios a iniciar la terapia con insulina, esta resistencia puede ser superada a travs de la educacin y el entrenamiento del paciente. Eventualmente, la mayora de los pacientes necesitan insulina La diabetes mellitus tipo 2 (DM2) es una enfermedad crnica progresiva asociada con la resistencia a la insulina, la disfuncin de las clulas y la disminucin de la secrecin de insulina. En consecuencia, con el tiempo, la mayora de los pacientes req Continue reading >>

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  1. treesha

    Xylitol

    Xylitol And Insulin Resistance, Diabetes Hypertension, And Hormonal Imbalances
    Consuming sugar and other refined carbohydrates results in the rapid release of glucose, or blood sugar. In response, the pancreas secretes insulin to usher glucose into the cells, where it is burned for energy. Excess glucose stresses the system, and over time the cells become less responsive to insulin. This condition, known as insulin resistance, is a huge health problem and it is estimated to affect half the American population. Insulin resistance is associated with abnormalities in cholesterol and triglyceride levels, hypertension, increased risk of heart disease, and diabetes.
    The dramatic rise in type-2 diabetes since the mid-1900s directly coincides with our increased consumption of sugar. One long-term study of more than 65,000 women demonstrated that a high-sugar, low-fibre diet increased the risk of type-2 diabetes by 250%. Another recent study found that excessive intake of sugar was the single most important dietary risk factor for heart disease in women and for men. It has been estimated that sugar intake may account for more than 150,000 premature deaths from heart disease in the United States each year.
    Xylitol has been demonstrated in repeated clinical studies to be very slowly metabolised. In fact, on the glycemic index, which measures how quickly foods enter the bloodstream, sugar is rated at 100 and xylitol at just seven! Xylitol is a natural insulin stabilizer, therefore it causes none of the abrupt rises and falls that occur with sugar. In fact, it actually helps in stopping sugar and carbohydrate cravings. Foods sweetened with xylitol will not raise insulin levels. This makes it a perfect sweetener for people with diabetes as well as those wanting to lose weight. There is a growing consensus amongst anti-aging researchers that maintaining low insulin levels is a key to a successful anti-aging program.
    Insulin resistance also plays a significant role in hormonal imbalances, including those that lead to breast cancer. High insulin levels increase the production of estrogens, leading to an estrogen-dominant condition, and also interfere with healthy ovarian function. Insulin resistance is a major cause of a growing hormonal problem called polycystic ovarian syndrome (PCOS). PCOS causes the ovaries to become anovulatory, which means that the normal cyclic production of estrogen followed by progesterone either ceases or becomes dysfunctional. Insulin stimulates the ovaries to produce predominantly male hormones, which, in combination with higher insulin and glucose levels, increase weight gain around the waist-a body type that is a risk factor for breast cancer. Signs that the body is being exposed to higher levels of the male hormones include acne, loss of head hair, and an increase in body hair. Lowering insulin levels is crucial for not only treating PCOS but also resolving most other hormonal imbalances, including those leading to breast cancer.
    Dr. John Lee, author of What Your Doctor May Not Tell You About Breast Cancer, explains the connection between insulin resistance and breast cancer:
    "Overeating junk food makes you fat. Increased body fat and lack of exercise lead to insulin resistance. Insulin resistance leads to further craving of sugary carbohydrates to generate energy for the body. More insulin is released in response to increased carbohydrate intake, leading to more weight gain. More fat leads to more estrogens, which, in turn, lead to earlier breast development and menstruation. Earlier onset of menstruation leads to more ovulatory cycles and a greater lifetime exposure to estrogens without adequate progesterone. A greater lifetime exposure to estrogens increases breast cancer risk.
    "Simultaneously, increased consumption of simple carbohydrates, coupled with insulin resistance, leads to polycystic ovaries and lack of ovulation during menstrual cycles, resulting in excess production of androgens and estrogens, along with inadequate production of progesterone. Excessive estrogen production in the absence of progesterone production leads to estrogen dominance and increased breast cancer risk. Use of contraceptive hormones increases insulin resistance, exacerbating all the above problems."
    Using xylitol instead of sugar, as well as reducing intake of high-glycemic, refined carbohydrate foods, helps to lower the risk not only of PCOS but also of ovarian cysts, fibroids, endometriosis, PMS, hot flashes, weight gain, and depression.
    The Safer Sweetener
    Increased sugar consumption has bedeviled Western cultures with more and more health problems, many of which are putting an enormous strain on healthcare systems. Finally, there is an answer to our collective prayers for something truly healthy that can also satisfy our sweet tooth. Over 1,500 scientific studies have found that the more you use xylitol, the more you can eliminate sugar cravings, reduce insulin levels, and alkalinize your body. It's a great aid on the way to good health and long life.
    Imagine never having to feel those twinges of guilt when you bite into a xylitol-sweetened brownie. Or how about increasing your bone density while enjoying your favorite hot drink with two spoonfuls of xylitol crystals, or knowing that xylitol-sweetened chewing gum is preventing cavities and gum disease?
    With xylitol, you can now have your sweet tooth and treat it, too!
    http://www.laleva.cc/food/xylitol.html

  2. hhinma

    but what about the other carbs in the brownie...

  3. drewgolden

    Sugar alcohols are completely safe - aside from a little diarrhea and potential low blood sugars in higher doses.
    I avoid them because I use salads to keep things in motion.
    drew
    [ame]http://en.wikipedia.org/wiki/Xylitol[/ame]
    Possessing approximately 40% less food energy,[14] xylitol is a low-calorie alternative to table sugar. Absorbed more slowly than sugar, it doesn't contribute to high blood sugar levels or the resulting hyperglycemia caused by insufficient insulin response.
    Xylitol has no known toxicity in humans, and people have consumed as much as 400 grams daily for long periods with no apparent ill effects.[24] Like most sugar alcohols, it has a laxative effect because sugar alcohols are not fully broken down during digestion; albeit ten times weaker than sorbitol. The effect depends upon the individual. In one study of 13 children, 4 experienced diarrhea when consuming over 65 grams per day.[25] Studies have reported that adaptation occurs after several weeks of consumption.[25]
    Dogs which have ingested foods containing high levels of xylitol (greater than 100 milligram of xylitol consumed per kilogram of bodyweight) have presented with low blood sugar (hypoglycaemia) which can be life-threatening.[26] Low blood sugar can manifest as loss of coordination, depression, collapse and seizures as soon as 30 minutes after ingestion.[27][28] Intake of very high doses of xylitol (greater than 500 - 1000 mg/kg bwt) has also been implicated in liver failure in dogs, which can be fatal.[29] These are points of controversy, however, as earlier World Health Organization studies using much higher doses on dogs for long periods showed no ill effect. [30]

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