Type 2 Diabetes (holistic)
About This Condition Also known as adult-onset diabetes, type 2 diabetes can often be managed by carefully monitoring your diet. According to research or other evidence, the following self-care steps may be helpful. Keep an eye on the GI Follow a low-glycemic-index diet by avoiding sweet snacks and processed foods, and emphasizing healthy carbohydrates from whole grains, beans, vegetables, and whole fruit, to help keep blood sugar levels stable. Fight back with fiber In addition to eating plenty of high-fiber fruits and vegetables, consider using a fiber supplement such as glucomannan or psyllium with meals. Energize insulin function with weight loss and exercise Lower your blood sugar and improve insulin function with weight loss and regular exercise. Check out chromium Improve glucose tolerance by taking 200 to 1,000 mcg of this essential trace mineral every day. Improve and protect with ALA Take 600 to 1,200 mg a day of an alpha lipoic acid supplement to improve insulin sensitivity and help protect against diabetic complications such as nerve damage. Try a topical ointment An ointment containing 0.025 to 0.075% capsaicin four times a day might help control nerve pain. These recommendations are not comprehensive and are not intended to replace the advice of your doctor or pharmacist. Continue reading for more in-depth, fully referenced information. Aim for a healthy weight Lose excess weight with a program of healthy eating, regular exercise, and group support to maintain healthy insulin sensitivity and prevent type 2 diabetes. Get moving Use regular aerobic and/or strength exercise to maintain healthy insulin sensitivity and prevent type 2 diabetes. Keep an eye on the GI Choose carbohydrate foods with a low glycemic index, such as whole grains, beans (legumes), and o Continue reading >>
Diabetes
Introduction Diabetes is a chronic (long term) condition marked by abnormally high levels of sugar (glucose) in the blood. People with diabetes either do not produce enough insulin, a hormone that is needed to convert sugar, starches, and other food into energy needed for daily life, or cannot use the insulin that their bodies produce. As a result, glucose builds up in the bloodstream. If left untreated, diabetes can lead to blindness, kidney disease, nerve disease, heart disease, and stroke. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), diabetes affects 25.8 million Americans. While an estimated 18.8 million have been diagnosed with diabetes (both type 1 and type 2), unfortunately, 7 million people (or nearly one third) are unaware that they have type 2 diabetes. Diabetes is widely recognized as one of the leading causes of death and disability in the United States. The Centers for Disease Control and Prevention (CDC) recognize diabetes as the 7th leading cause of death in the U.S. There are 2 major types of diabetes: Type 1. Also known as juvenile or insulin dependent diabetes, type 1 diabetes occurs when the cells of the pancreas that are responsible for producing insulin are destroyed by the immune system. As a result, the pancreas permanently loses its ability to produce enough insulin to regulate blood sugar levels appropriately. Type 1 diabetes is usually diagnosed in childhood, and while it can be managed, it cannot be cured. Type 2. This form of the disease makes up 90% or more of all cases of diabetes. It usually develops in adulthood. It occurs when the pancreas cannot make enough insulin to keep blood glucose levels normal and is made worse by poor food choices, a sedentary lifestyle, and being overweight. Diabete Continue reading >>
- American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes
- Leeds diabetes clinical champion raises awareness of gestational diabetes for World Diabetes Day
- Diabetes doctors: Which specialists treat diabetes?
Diabetes Lab Testing
Photo credit www.gosalute.it Diabetes mellitus refers to a group of diseases that affect how your body uses blood glucose, commonly called blood sugar. Glucose is vital to your health because it’s an important source of energy for the cells that make up your muscles and tissues. It’s also your brain’s main source of fuel. If you have diabetes, no matter what type, it means you have too much glucose in your blood, although the reasons may differ. Too much glucose can lead to serious health problems. Chronic diabetes conditions include type 1 diabetes and type 2 diabetes. Potentially reversible diabetes conditions include prediabetes — when your blood sugar levels are higher than normal, but not high enough to be classified as diabetes — and gestational diabetes, which occurs during pregnancy but may resolve after the baby is delivered. Symptoms? Diabetes symptoms vary depending on how much your blood sugar is elevated. Some people, especially those with pre-diabetes or type 2 diabetes, may not experience symptoms initially. In type 1 diabetes, symptoms tend to come on quickly and be more severe. Some of the signs and symptoms of type 1 and type 2 diabetes include: Increased thirst Frequent urination Extreme hunger Unexplained weight loss Presence of ketones in the urine (ketones are a byproduct of the breakdown of muscle and fat that happens when there’s not enough insulin) Fatigue Blurred vision Slow-healing sores High blood pressure Frequent infections, such as gums or skin infections and vaginal or bladder infections Although type 1 diabetes can develop at any age, it typically appears during childhood or adolescence. Type 2 diabetes, the more common type, can develop at any age and is often preventable. When to see your doctor or Westbank Urgent Care If y Continue reading >>
Insulin Dose
Date Time Energy Level* Blood Glucose 2 hr s. a fte r br ea kf as t Be fo re br ea kf as t 2 hr s. a fte r lu nc h 2 hr s. a fte r di nn er o r be fo re b ed Be fo re lu nc h Be fo re di nn er O ve rn ig ht H I H H G H G OLOL WW B LO O D G LU C O SE R A N G E WARNING: Do not adjust your prescribed oral medication or insulin therapy without first consulting your physician. What is your energy level? *ENERGY LEVEL 1 Very Low 3 Moderate 4 Somewhat High 5 Very High 1 2 3 4 5 1 2 3 4 5 1 2 3 4 51 2 3 4 5 1 2 3 4 51 2 3 4 5 1 2 3 4 5 2 hr s. a fte r br ea kf as t Be fo re br ea kf as t 2 hr s. a fte r lu nc h 2 hr s. a fte r di nn er o r be fo re b ed Be fo re lu nc h Be fo re di nn er O ve rn ig ht 1 2 3 4 51 2 3 4 5 1 2 3 4 51 2 3 4 5 1 2 3 4 51 2 3 4 5 1 2 3 4 5 2 hr s. a fte r br ea kf as t Be fo re br ea kf as t 2 hr s. a fte r lu nc h 2 hr s. a fte r di nn er o r be fo re b ed Be fo re lu nc h Be fo re di nn er O ve rn ig ht 1 2 3 4 51 2 3 4 5 1 2 3 4 51 2 3 4 5 1 2 3 4 51 2 3 4 5 1 2 3 4 5 Date 394-441 mg/dL 343-393 mg/dL 292-342 mg/dL 241-291 mg/dL 190-240 mg/dL 150-189 mg/dL 100-149 mg/dL 80-99 mg/dL <80 mg/dL 2 Somewhat Low Date Carb meal size S M L or # of grams S M L or g S M L or g S M L or g S M L or g S M L or g S M L or g S M L or g S M L or g S M L or g After Meal Goal** Before Meal Goal** What did you learn from looking at your blood glucose numbers? Bring this form and your ACCU-CHEK® blood glucose monitoring system to the next appointment with your healthcare professional. Date Time Insulin Dose Energy Level* Blood Glucose 2 hr s. a fte r br ea kf as t Be fo re br ea kf as t 2 hr s. a fte r lu nc h 2 hr s. a fte r di nn er o r be fo re b ed Be fo re lu nc h Be fo re di nn er O ve rn ig ht H I H G H G OLOL WW B LO O D G LU C O SE R A N G E1 WARNING: Do n Continue reading >>
Glucose In The Urine In Cats
Cats exhibiting symptoms such as excessive thirst should be brought to a veterinarian for examination. All cats should receive an annual wellness check with routine blood and urine tests. This will help to facilitate the early detection of common medical conditions such as the presence of glucose in the urine. Early diagnosis and treatment is often the key to a positive prognosis. Glucose in the urine, also called glucosuria or glycosuria often indicates the presence of a more serious condition that can potentially be life-threatening if left untreated. Glucosuria is easily detected using a test strip that is dipped into a urine sample. Measurable amounts of glucose are not found in the urine of healthy cats. If glucose is detected, further diagnosis and medical treatment will be necessary. Symptoms of glucosuria will vary depending on the underlying cause. Affected cats may display one or more of the following: Diluted urine Renal failure Urinary tract disease Increased thirst Excessive drinking Increased appetite and weight loss (when diabetes is present) Decreased appetite and lethargy (when pancreatitis is present) Types Hyperglycemic glucosuria occurs when there are abnormally high levels of glucose in the blood. It is sub-categorized as either transient (temporary) or persistent (resulting from ongoing disease). Normoglycemic glucosuria occurs when glucose is found in the urine without the presence of excess amounts in the blood. It is sub-categorized as either congenital (present at birth) or acquired. The primary cause of glucosuria is a kidney disorder secondary to diabetes mellitus. Other causes vary depending on the subcategory of the condition. Transient Hyperglycemic Glucosuria Extreme stress Adverse drug reaction Persistent hyperglycemic glucosuria Systemi Continue reading >>
Are Endurance Athletes More Susceptible To Diabetes?
The counterintuitive theory has pervaded books, studies, and Reddit threads and is something of a rally cry for LCHF converts. But while there may be some benefit to monitoring insulin levels, there's no need to cut out all carbs quite yet. It was a hard bonk during a 16-mile race up New Zealand’s 6,000-foot Avalanche Peak in 2013 that made Felicity Thomas, an undergraduate engineering student at the nearby University of Canterbury, begin thinking about her blood sugar levels. She’d tried to follow the usual sports nutrition advice, sucking down sugary gels to replenish the carbohydrates that her muscles were burning and to keep her blood sugar levels stable, but she struggled to get the balance right and ended up crawling to the finish before throwing up in an ice-cream bucket. Surely, thought Thomas, there must be a better way of managing in-race fuel. As it happened, Thomas was an intern that summer at the university’s Center for Bioengineering, which was researching the clinical potential of continuous glucose monitors, or tiny sensors inserted under the skin of the abdomen that track blood sugar levels in real time. She took one of the expired monitors lying around the lab. If I could spot impending blood sugar lows before they happened, she wondered, would I be able to ward them off with a well-timed gel? Could I make myself bonk-proof? A week of self-experimentation convinced Thomas that the technique might be useful, and she soon embarked on a PhD studying the potential uses of glucose monitoring in athletes. But the outcome of her initial pilot study on ten runners and cyclists, which was published last year in the Journal of Diabetes Science and Technology, wasn’t what she expected. Instead of bonk-inducing blood sugar lows, the more common problem in Continue reading >>
Management Of Blood Glucose In Type 2 Diabetes Mellitus
Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, reduced-calorie diet; aggressive management of cardiovascular risk factors (i.e., hypertension, dyslipidemia, and microalbuminuria) with the use of aspirin, statins, and angiotensin-converting enzyme inhibitors; and normalization of blood glucose levels (hemoglobin A1C level less than 7 percent). Insulin resistance, decreased insulin secretion, and increased hepatic glucose output are the hallmarks of type 2 diabetes, and each class of medication targets one or more of these defects. Metformin, which decreases hepatic glucose output and sensitizes peripheral tissues to insulin, has been shown to decrease mortality rates in patients with type 2 diabetes and is considered a first-line agent. Other medications include sulfonylureas and nonsulfonylurea secretagogues, alpha glucosidase inhibitors, and thiazolidinediones. Insulin can be used acutely in patients newly diagnosed with type 2 diabetes to normalize blood glucose, or it can be added to a regimen of oral medication to improve glycemic control. Except in patients taking multiple insulin injections, home monitoring of blood glucose levels has questionable utility, especially in relatively well-controlled patients. Its use should be tailored to the needs of the individual patient. Type 2 diabetes mellitus, the sixth leading cause of death in the United States, is directly responsible for more than 73,000 deaths annually and is a contributing factor in more than 220,000 deaths.1 It is the leading cause of kidney failure and new cases of blindness in a Continue reading >>
- Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study
- The Impact of Bariatric Surgery on Type 2 Diabetes Mellitus and the Management of Hypoglycemic Events
- Olive oil in the prevention and management of type 2 diabetes mellitus: a systematic review and meta-analysis of cohort studies and intervention trials
A Study Of 22,808 Blood Sugar Estimations—fasting And Postprandial—in Non-diabetic Individuals
A year ago I analyzed the fasting blood sugar estimations in one thousand non-diabetic patients taken at random as they had presented themselves at the Clinic for various examinations. Previous to that time I had had the impression that with each advancing decade of life the fasting blood sugar rose within reasonable limits, so that, for example, in the sixth decade as much as 150 mg. of sugar per 100 c.c. of blood might be considered as a normal figure. My study of this series of 1000 cases disillusioned me in this respect, though in each decade there was a Continue reading >>
Diabetes: Safety Alerts And Emergencies
Diabetes is a slow, steady illness that can turn serious very quickly. If you have diabetes, you should prepare yourself for a diabetic emergency. In a way, you're like a person living on a fault line who plans ahead for an earthquake. But you have an advantage: Instead of just preparing for a possible disaster, you can take steps to prevent it. Your doctor can tell you if you are at risk for a diabetic emergency. If you're in danger, you'll have to learn how to minimize the risks and how to respond to the worst-case scenario. For starters, you should wear an alert bracelet or other form of I.D. that will inform medical personnel of your condition. You should also set aside a stash of extra diabetes supplies in your home in case you can't make your regular shopping trips because of a blackout, flood, blizzard, or some other unforeseen problem. Items you may want to consider for your emergency pack include a cooler or other cold storage container with pre-made ice for keeping insulin and other supplies in case of an electrical outage; emergency glucose to treat hypoglycemia; a spare battery for your glucose test meter; canned food and several gallons of bottled water; flashlights and extra batteries; candles and matches; and, if you take insulin, extra insulin, syringes, lancets, blood test strips, and (if necessary) insulin pump supplies, according to the association Children with Diabetes. Common emergencies Extreme high blood sugar (hyperglycemia) Read about how to prepare for the most common diabetes emergencies: Like everyone else with diabetes, you have days when your blood sugar is a little higher than you'd like it to be. Usually, you can bring the levels back down with a little more exercise, a little less food, or a small change in medications (as directed by a Continue reading >>
Insulin Shock Therapy, A Statistical Survey Of 393 Cases
1. Insulin shock therapy was found to be effective in the treatment of 182 cases of schizophrenia in the following terms : discharged from the hospital, 34.1% ; remained discharged after a period of 21 to 75. months, 19.8% ; and full social recovery (after that period of time) estimated at about 6%. These figures indicate that insulin shock therapy is certainly not sufficient as a sole form of treatment in schizophrenia. It may have more value when used as a preliminary approach to psychotherapy or milieu therapy. On the other hand the low social recovery rate, after 40 months (average) of evaluation, is discouraging. 2. Race was not a significant factor in this form of therapy. 3. The older the patient the better the remission status following therapy, i. e., fewer relapses occurred. 4. There was no indication that insulin shock therapy is especially effective in any particular type of schizophrenic reaction. 5. The effectiveness was found to decrease as the length of illness prior to therapy was increased. 6. Of 182 schizophrenic patients showing remission after a course of insulin shock therapy as the first form of shock treatment, 41.9% later suffered relapses, within a time evaluation period averaging 3⅓ years. 7. Insulin shock therapy was effective in some patients (17.0% of cases) who had failed to respond with electroshock treatment. 8. Electroshock therapy was effective in some patients (15.0% of cases) who had failed to respond with insulin treatment. 9. A second course of insulin treatment was found to be of very little value if the patient had failed to respond with the first course. 10. The level of the fasting blood sugar prior to insulin shock therapy had no effect on the outcome of the treatment. 11. Almost invariably a substantial gain in weight was p Continue reading >>
![What Is Levemir® (insulin Detemir [rdna Origin] Injection)?](https://diabetestalk.net/images/eHXQppZchSvcoLci.jpg)
What Is Levemir® (insulin Detemir [rdna Origin] Injection)?
Do not share your Levemir® FlexTouch® with other people, even if the needle has been changed. You may give other people a serious infection, or get a serious infection from them. Who should not take Levemir®? Do not take Levemir® if: you have an allergy to Levemir® or any of the ingredients in Levemir®. How should I take Levemir®? Read the Instructions for Use and take exactly as directed. Know the type and strength of your insulin. Do not change your insulin type unless your health care provider tells you to. Check your blood sugar levels. Ask your health care provider what your blood sugar levels should be and when you should check them. Do not reuse or share your needles with other people. You may give other people a serious infection, or get a serious infection from them. Never inject Levemir® into a vein or muscle. Do not share your Levemir FlexTouch with other people, even if the needle has been changed. You may give other people a serious infection, or get a serious infection from them. Who should not take Levemir®? Do not take Levemir® if: you have an allergy to Levemir® or any of the ingredients in Levemir®. Before taking Levemir®, tell your health care provider about all your medical conditions including, if you are: pregnant, plan to become pregnant, or are breastfeeding. taking new prescription or over-the-counter medicines, including supplements. Talk to your health care provider about how to manage low blood sugar. How should I take Levemir®? Read the Instructions for Use and take exactly as directed. Know the type and strength of your insulin. Do not change your insulin type unless your health care provider tells you to. Check your blood sugar levels. Ask your health care provider what your blood sugar levels should be and when you should ch Continue reading >>
Fasting Blood Sugar Level 250-400 Mg/dl
You did the testing and found fasting blood sugar level 250-400 mg/dl range including 251, 252, 253 ,254 ,255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 348, 349, 350, 351, 352, 353, 354, 355, 356, 357, 358, 359, 360, 361, 362, 363, 364, 365, 366, 367, 368, 369, 370, 371, 372, 373, 374, 375, 376, 377, 378, 379, 380, 381, 382, 383, 384, 385, 386, 387, 388, 389, 390, 391, 392, 393, 394, ,395, 396, 397, 398, 399. Fasting means not eating or drinking anything aside from water, for at least 8 hours before the testing. It shows the most reliable results of blood glucose. When fasting, the body triggers the production of Glucagon. Glucagon makes the liver metabolize glycogen (the type of sugar reserve supply in the liver) which is released into the bloodstream as sugar. This happens in normal people, not suffering from diabetes. In people with diabetes, something in the aforementioned chain-reaction does not work properly, so we get high levels of blood sugar building up in the bloodstream. OneTouch® Glucose Meter - Compact, Slim Glucose Meter Ad Compact Design to Track Your Glucose On-the-Go. Get It At No Charge. OneTouch Learn more The symptoms of blood sugar level 250-400 mg/dl Diabetes can be a sneaky disease. It sometimes causes no symptoms, unless levels of blood sugar are detected at high range. Normally, glucose levels of 250 mg/dl and higher are associated Continue reading >>
Euglycemic Diabetic Ketoacidosis, A Misleading Presentation Of Diabetic Ketoacidosis
Go to: Introduction Hyperglycemia and ketosis in diabetic ketoacidosis (DKA) are the result of insulin deficiency and an increase in the counterregulatory hormones glucagon, catecholamines, cortisol, and growth hormone. Three processes are mainly responsible for hyperglycemia: increased gluconeogenesis, accelerated glycogenolysis, and impaired glucose utilization by peripheral tissues. This might also be augmented by transient insulin resistance due to hormone imbalance, as well as elevated free fatty acids.[1] DKA is most commonly precipitated by infections. Other factors include discontinuation of or inadequate insulin therapy, pancreatitis, myocardial infarction, cerebrovascular accident, and illicit drug use. The diagnostic criteria of DKA, established by the American Diabetic Association, consists of a plasma glucose of >250 mg/dL, positive urinary or serum ketones, arterial pH of <7.3, serum bicarbonate <18 mEq/L, and a high anion gap. The key diagnostic feature of DKA is elevated circulating total blood ketone concentration. Hyperglycemia is also a key diagnostic criterion of DKA; however, a wide range of plasma glucose levels can be present on admission. Continue reading >>
How Uncontrolled Blood Sugar Can Destroy Your Eyes
The Impact of Diabetes on Eye Health On its own, diabetes is a very serious condition. Over 29 million Americans suffer from this disease, which is a chronic metabolic problem in which the body’s pancreas cannot produce enough insulin, or the body’s cells do not respond properly to the insulin it produces. This matters so much because insulin is a crucial hormone that enables the body to turn glucose (sugar) into energy, as well as to store all the glucose it’s not immediately using. When the body is unable to use or store all the glucose that it takes in, the glucose just keeps circulating in the blood, which is why an important component of diabetes management is consistently testing blood sugar. In addition to the negative impact on the rest of the body (poor circulation, excessive urination, kidney problems, risk of stroke, and more), the elevated levels of blood sugar associated with diabetes have the potential for serious impact on a patient’s eye health. For instance, glaucoma, a condition in which poor circulation leads to a buildup of pressure in the eye, is 40% more likely in diabetic patients than it is in non-diabetic patients. This condition can lead to loss of peripheral vision, blurry vision, and irreversible vision loss, including permanent blindness. Diabetics also have a 60% higher chance of contracting cataracts in the eye, which are cloudy growths that impede vision and can also lead to permanent blindness. Additionally, patients with diabetes are at increased risk for a list of conditions that all fall under the heading of diabetic retinopathy. In general, retinopathy refers to malfunctions of the retina, which is the thin lining at the back of the eye that transmits visual stimuli to the brain via the optic nerve. Retinopathy includes the f Continue reading >>
Vegetarians & Their Blood Sugar
We see a wide variety of patients here at Caring Medical . Theres no exception when it comes to nutrition. We see carb-free die-hards, pro-organics, fast food junkies, and all types of vegetarians. When it comes to nutrition, it is not one size fits all. This is our main emphasis, what works for one person may not work for the next. Vegetarians are not exempt from this. Although eating fresh fruits and vegetables and whole grains may seem like the healthy thing to do, they should not be the focus of any diet for someone with problems regulating blood sugar, or insulin resistance. Weve done my share of nutritional consults, and one thing that seems to be an issue time and time again is when we tell a vegetarian that they have typed out to be an Otter , or even better, a Lion . They now have to completely switch their frame of mind from meat is bad, to meat is good! We typically get a response that says something about being afraid of higher cholesterol or the onset of health problems. However, we start each meeting by asking the patient what their health goals and concerns are. If someone is here, it is usually because something is wrong with their health. So we restate the health concerns they just expressed to us and ask them why theyre having health problems if being a vegetarian is so healthy for them. It may seem blunt, but it is something to think about. There usually is not a response, but we can see the wheels turning. Im not saying this is just with vegetarians either, it goes for people coming in who follow a high protein diet too! Unfortunately, many people, especially those who are thin, not worried about weight, and think that they eat healthy, dont consider what their diet is doing to their blood sugar or insulin level. This was the case with one of our pa Continue reading >>
- Tiny sensor placed under the skin to replace finger prick tests for diabetes: Smartphone app will alert patients if their blood sugar level drops or is too high
- Is broccoli a secret weapon against diabetes? Extract of the vegetable may help patients regulate their blood sugar levels
- Why Would People Without Diabetes Monitor Their Blood Sugar?
