Is This Diabetes Destroyer System Really The Best ?
Based on what my friends and family have told me, this course is the best around: Diabetes Destroyer system it shows reviews after they email you too. I looked and it seems SO good. I would not call this a scam but advise caution about proceding with the program, especially if you are an insulin-dependent diabetic. I don't have the time to do a detailed evaluation of all the claims it makes, but despite the hype, there is some scientific validity to major statements made in the promotion of this program. Prediabetes and type 2 diabetes are conditions that are closely tied to obesity. When obese type 2 diabetics lose significant amounts of weight, their diabetes often reverses. This is why the people who underwent gastric bypass surgery reversed their diabetes. The more intra-abdominal fat you have, the greater your risk for type 2 diabetes. This is probably the "fat around the pancreas" that Andrews refers to. Losing weight reduces intra-abdominal fat. It's not a big secret. The trick for reducing your blood sugar after eating something sweet? Go for a walk. It's not much of a trick, and again, it's not a big secret. Diabetes occurs when the body fails to produce enough insulin and/or when it stops responding to insulin (loses "insulin sensitivity"). In type 2 diabetes, loss of insulin sensitivity is frequently the major factor. Improving insulin sensitivity can reverse type 2 diabetes. One of the key ways of improving insulin sensitivity is to increase physical activity. Does the timing of your meals make a difference? Maybe, but it's really the content of what you eat in the morning that has the big impact. When you eat protein at breakfast, hormones involved in the regulation of appetite are secreted and help to keep you feeling fuller throughout the day. If you incl Continue reading >>
Management Of Newly Diagnosed Type 2 Diabetes Mellitus (t2dm) In Children And Adolescents
Abstract Over the past 3 decades, the prevalence of childhood obesity has increased dramatically in North America, ushering in a variety of health problems, including type 2 diabetes mellitus (T2DM), which previously was not typically seen until much later in life. The rapid emergence of childhood T2DM poses challenges to many physicians who find themselves generally ill-equipped to treat adult diseases encountered in children. This clinical practice guideline was developed to provide evidence-based recommendations on managing 10- to 18-year-old patients in whom T2DM has been diagnosed. The American Academy of Pediatrics (AAP) convened a Subcommittee on Management of T2DM in Children and Adolescents with the support of the American Diabetes Association, the Pediatric Endocrine Society, the American Academy of Family Physicians, and the Academy of Nutrition and Dietetics (formerly the American Dietetic Association). These groups collaborated to develop an evidence report that served as a major source of information for these practice guideline recommendations. The guideline emphasizes the use of management modalities that have been shown to affect clinical outcomes in this pediatric population. Recommendations are made for situations in which either insulin or metformin is the preferred first-line treatment of children and adolescents with T2DM. The recommendations suggest integrating lifestyle modifications (ie, diet and exercise) in concert with medication rather than as an isolated initial treatment approach. Guidelines for frequency of monitoring hemoglobin A1c (HbA1c) and finger-stick blood glucose (BG) concentrations are presented. Decisions were made on the basis of a systematic grading of the quality of evidence and strength of recommendation. The clinical practi Continue reading >>
Type 2 Diabetes Mellitus- Disease, Diagnosis And Treatment
School of Public Health, Xinxiang Medical University, Xinxiang, Henan Province, PR China #The authors have equal contribution Citation: Zhao Y, Xu G, Wu W, Yi X (2015) Type 2 Diabetes Mellitus- Disease, Diagnosis and Treatment. J Diabetes Metab 6:533. doi: 10.4172/2155-6156.1000533 Copyright: © 2015 Zhao Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Visit for more related articles at Journal of Diabetes & Metabolism Abstract Type 2 diabetes mellitus (T2DM) is a fast-growing disease and a leading global public health concern. Multiple complications are associated with T2DM. Patient education with lifestyle modifications and pharmacotherapy are main methods for treatment of patients afflicted with T2DM. Lifestyle interventions are effective strategies but usually persist for a short term whereas T2DM patients with long-term treatment still present challenges in many cases. In this review, we have briefly summarized recent progress for T2DM diagnosis and treatment. We attempt to provide an outline for T2DM diagnosis and treatment. In addition, we introduce Chinese herbal medicine as an alternate treatment for physicians and T2DM patients Keywords Type 2 diabetes; Diagnosis; Treatment; Bariatric surgery; Chinese herbal medicine Introduction Type 2 diabetes mellitus (T2DM) is a metabolic disorder and typically results from excess of caloric intake over energy expenditure. It is characterized by a progressive insulin secretory defect due to insulin resistance, which increases the body’s demand for insulin in order to retain glucose homeostasis. If pancreatic β-cells fail to s Continue reading >>
How Do You Cure Type 2 Diabetes Naturally With Diet?
I’m a specialist practitioner in obesity and diabetes. Type 2 diabetes can be reversed through diet. Absolutely. Firstly this is what is a normal insulin reaction looks like: Insulin is manufactured in the pancreas and secreted when your blood sugar levels rise. Blood sugar needs to be not too high and not too low. Insulin’s mechanism to remove sugar from blood is to put it into cells, like your muscles. If there is an excess after blood glucose has gone into cells it is then put in the liver and further excess becomes fat. What happens with type 2 When insulin is secreted the body’s cells have ‘‘receptors’ that accept the insulin’s key that then open the doors to the cell to let the glucose in. Sadly in type 2 the receptors become resistant to the insulin key. Therefore not enough energy gets into the cell. The body has a negative feedback system. Once the cells do not get enough energy a signal is sent back to the pancreas to manufacture even more insulin. This is a vicious cycle. Insulin keeps going up and resistance keeps getting worse. A drug, called metformin works by making cells receptive again but it has limitations and eventually other drugs are needed. This is not ideal; so how can we reverse this? Well quite simply really. The crux of this scenario is that it is the sugar spikes in the blood that are causing the high levels of insulin in the first place. Certain foods cause insulin to enter the system in a fast and high volume way and some foods hardly disturb insulin at all. The insulin index is similar to the GI system and by picking foods that cause little insulin response the type 2 diabetes begins to reverse. This is a snapshot. The lower the number the lower the insulin response Sadly many government guidelines are not beneficial and larg Continue reading >>
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What Are The Kinds Of Questions Someone Newly Diagnosed With Prediabetes Or Type 2 Diabetes Would Ask?
I am male, vegetarian, teetotaler from Chennai, India. When I was diagnosed with high blood sugar ( HbA1C at 11 ) in 2012, I could not believe it. There were lots of questions - Why me ? I was 50 and looking forward to having a good life , eating what I liked and travelling. I assumed it was not going to happen. I wanted to know if I were going to die a horrible death soon. I wanted to know what I could eat without making my condition worse. Lots of questions and serious depression. I was lucky to consult a great diabetologist in my city. He looked at my reports and said - “We are going to set this right WITHOUT meds !”. I could not believe it and refused to trust him. He investigated my condition and found I had hypothyroid and gave me meds to improve my thyroid function. I started eating complex carbs, gave up processed sugars, included more protien and good heathy fats. I watched my Vitamin D levels and found I improved my overall wellbeing whenever D levels improved. I do resistance exercises 4 hours a week, walk everyday for an hour. I gave up stress and learned to forgive. Learned to accept. Learned to breathe deeply. To this date I have not been prescribed meds and my HbA1C is at 6.1. I am looking forward to being it sub 6 by next quarter. I have started weight training. The questions you should be asking are What are the foods that are going to keep my blood sugar low ? What's my Vitamin D level ? How do I become more active and what type of workouts do I do ? What are my target levels for my blood sugar in the next 3 months and how do I work to reducing it further ? I believe that I have reversed my condition and I hope to keep it that way. For a pre diabetic the path to reversal is easier. Wish you a life full of health and happiness ! Continue reading >>
Guideline Approach To Therapy In Patients With Newly Diagnosed Type 2 Diabetes
Both the prevalence and incidence of type 2 diabetes are increasing worldwide in conjunction with increased Westernization of the population's lifestyle. Type 2 diabetes is still a leading cause of cardiovascular disease (CVD), amputation, renal failure, and blindness. The risk for microvascular complications is related to overall glycemic burden over time as measured by A1C (1,2). The UK Prospective Diabetes Study (UKPDS) 10-year follow-up demonstrated a possible effect on CVD as well (3). A meta-analysis of cardiovascular outcome in patients with long disease duration including Action to Control Cardiovascular Risk in Diabetes (ACCORD), Action in Diabetes and Vascular Disease: Preterax and Diamicron MR Controlled Evaluation (ADVANCE), and Veterans Affairs Diabetes Trial (VADT) suggested that in these populations the reduction of ~1% in A1C is associated with a 15% relative reduction in nonfatal myocardial infarction (4). Most antihyperglycemic drugs besides insulin reduce A1C values to similar levels (5) but differ in their safety elements and pathophysiological effect. Thus, there is a need for recommending a drug therapy preference. While the positive effects on prevention of microvascular complications were demonstrated with the various antihyperglycemic drugs (1,2,6,7), several questions are left open regarding this therapy in newly diagnosed type 2 diabetes: What is the comparative effectiveness of antihyperglycemic drugs on other long-term outcomes, i.e., β-cell function and cardiovascular morbidity and mortality? What is the comparative safety of these treatments, and do they differ across subgroups of adults with type 2 diabetes? Should we combine antihyperglycemic drugs at the time of diagnosis according to their pathophysiological effect to address the diff Continue reading >>
Top 10 Tips For People Newly Diagnosed With Type 2 Diabetes
twitter summary: Ten tips for newly diagnosed T2 #diabetes: act NOW for long-term benefits, use healthy eating, exercise, meds + structured blood glucose testing short summary: This article offers ten tips for people newly diagnosed with type 2 diabetes: 1) Know that developing type 2 diabetes does not represent a personal failing; 2) Start to take care of your diabetes as soon as you’re diagnosed (and even better, before, if you know you have prediabetes); 3) Recognize that type 2 diabetes is a progressive disease; 4) Keep in mind that food has a major impact on blood glucose; work to optimize your mealtime choices; 5) Exercise is a powerful and underutilized tool which can increase insulin sensitivity and improve health – use it as much as possible; 6) Use blood glucose testing to identify patterns; 7) Don’t forget that needing to take insulin doesn’t mean you failed; 8) Keep learning and find support; 9) Seek out the services of a Diabetes Educator; and 10) Review our Patient's Guide to Individualizing Therapy at www.diaTribe.org/patientguide. Know that developing type 2 diabetes does not represent a personal failing. It develops through a combination of factors that are still being uncovered and better understood. Lifestyle (food, exercise, stress, sleep) certainly plays a major role, but genetics play a significant role as well. Type 2 diabetes is often described in the media as a result of being overweight, but the relationship is not that simple. Many overweight individuals never get type 2, and some people with type 2 were never overweight. At its core, type 2 involves two physiological issues: resistance to the insulin made by the person’s beta cells and too little insulin production relative to the amount one needs. These problems can lead to high bl Continue reading >>
View This Article Online At: Patient.info/doctor/the-patient-with-newly-diagnosed-diabetes
The Patient with Newly Diagnosed Diabetes The initial management of someone who has just been diagnosed as having diabetes mellitus can have a big effect on the course of the illness. It is essential to establish a clear understanding of the disease, the benefits of all aspects of management and to allay unnecessary fears and myths quickly. See also the separate Management of Type 1 Diabetes and Management of Type 2 Diabetes articles. Assessment Indications for hospital referral at initial presentation include: Children and young people presenting with suspected diabetes should always be referred urgently, on the same day, for admission to hospital for initiation of insulin therapy. Adults who are clearly unwell, or who have ketones in their urine, or who have a blood glucose level greater than 25.0 mmol/L, should also be referred urgently for admission to hospital on the same day. Those who present with diabetic ketoacidosis or hyperosmolar hyperglycaemic state will require immediate treatment in hospital. Young adults (aged under 30 years) should also be referred to a specialist diabetes team. Clinical examination and investigations Measure height and weight, and calculate body mass index (BMI). Urinalysis: ketones and proteinuria. Arrange midstream specimen of urine (MSU) if protein is present. Identify any long-term complications of diabetes already present: Cardiovascular assessment, including smoking status, blood pressure, lipids and ECG. Examine feet for diabetic complications, including cardiovascular disease, diabetic neuropathy and diabetic foot complications, diabetic nephropathy and diabetes eye problems. Send urine for albumin:creatinine ratio (ACR) to assess for microalbuminuria. Check renal function and electrolytes. Also check baseline LFTs (fatty liver Continue reading >>
The Patient With Newly Diagnosed Diabetes
Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Diabetes (Diabetes Mellitus) article more useful, or one of our other health articles. The initial management of someone who has just been diagnosed as having diabetes mellitus can have a big effect on the course of the illness. It is essential to establish a clear understanding of the disease, the benefits of all aspects of management and to allay unnecessary fears and myths quickly. See also the separate Management of Type 1 Diabetes and Management of Type 2 Diabetes articles. Assessment Indications for hospital referral at initial presentation include: Children and young people presenting with suspected diabetes should always be referred urgently, on the same day, for admission to hospital for initiation of insulin therapy. Adults who are clearly unwell, or who have ketones in their urine, or who have a blood glucose level greater than 25.0 mmol/L, should also be referred urgently for admission to hospital on the same day. Those who present with diabetic ketoacidosis or hyperosmolar hyperglycaemic state will require immediate treatment in hospital. Young adults (aged under 30 years) should also be referred to a specialist diabetes team. Clinical examination and investigations Measure height and weight, and calculate body mass index (BMI). Urinalysis: ketones and proteinuria. Arrange midstream specimen of urine (MSU) if protein is present. Identify any long-term complications of diabetes already present: Cardiovascular assessment, including smoking status, blood pressure, lipids and ECG. Examine feet for diabetic complications, including cardiovascular disease, diabetic neuropathy Continue reading >>
Diabetesvoicejune 2013 €¢ Volume 58 €¢ Issue 2 35
CliniCal Care guidelines for type 2 diabetes - designed to help newly diagnosed children and adolescents Warren Lee and Stuart Brink Type 2 diabetes, which previously was not typically seen until much later in life, accounts for 8% to 45% of new childhood diabetes in the USA according to the TODAY study,1 with a disproportionate representation in ethnic minorities and occurring most commonly among those USA, has recently published a set of guidelines on the treatment of type 2 diabetes in children and adolescents (28 Jan 2013) in cooperation with the Pediatric Endocrine Society and the American Diabetes Association.2 The AAP guidelines recognise how the di- agnosis of type 2 diabetes in children and adolescents has become a threat in many communities and because the problem is too formidable for pediat- ric endocrinologists to address alone, the guidelines call for general pediatric treatment and care. With considerable weight, the guidelines advise: ‘At any point at which a clinician feels he or she is not adequately trained or is uncertain about treatment, a referral to a between 10 and 19 years of age. This trend is also occurring internationally. The American Academy of Pediatrics (AAP), an organisation representing the interests of general pediatrician and pediatric subspecialists in the the prevalence of childhood obesity has increased dramatically worldwide with potentially dire consequences to the health of chil- dren and to their future. Drs. Warren lee of Singapore and Stuart Brink of the uSa introduce the new american academy of Pediatrics guidelines for newly diagnosed type 2 diabetes in children and ado- lescents, explaining how the evidence-based recommendations are essential for all physicians involved in the care of children. clinical care pediatri Continue reading >>
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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
Patient Education: Diabetes Mellitus Type 2: Treatment (beyond The Basics)
TYPE 2 DIABETES OVERVIEW Type 2 diabetes mellitus occurs when the pancreas (an organ in the abdomen) produces insufficient amounts of the hormone insulin and/or the body becomes resistant to normal or even high levels of insulin. This causes high blood sugar (glucose) levels, which can lead to a number of complications if untreated. People with type 2 diabetes require regular monitoring and ongoing treatment to maintain normal or near-normal blood sugar levels. Treatment includes lifestyle adjustments, self-care measures, and medicines, which can minimize the risk of diabetes and cardiovascular (heart-related) complications. This topic review will discuss the treatment of type 2 diabetes. Topics that discuss other aspects of type 2 diabetes are also available: (See "Patient education: Diabetes mellitus type 2: Overview (Beyond the Basics)".) (See "Patient education: Diabetes mellitus type 2: Alcohol, exercise, and medical care (Beyond the Basics)".) TYPE 2 DIABETES TREATMENT GOALS Blood sugar control — The goal of treatment in type 2 diabetes is to keep blood sugar levels at normal or near-normal levels. Careful control of blood sugars can help prevent the long-term effects of poorly controlled blood sugar (diabetic complications of the eye, kidney, nervous system, and cardiovascular system). Home blood sugar testing — In people with type 2 diabetes, home blood sugar testing might be recommended, especially in those who take certain oral diabetes medicines or insulin. Home blood sugar testing is not usually necessary for people who are diet controlled. (See "Patient education: Self-monitoring of blood glucose in diabetes mellitus (Beyond the Basics)".) A normal fasting blood sugar is less than 100 mg/dL (5.6 mmol/L), although some people will have a different goal. Continue reading >>
The Early Treatment Of Type 2 Diabetes
Jump to Section Abstract The growing epidemic of type 2 diabetes is one of the leading causes of premature morbidity and mortality worldwide, mainly due to the micro- and macrovascular complications associated with the disease. A growing body of evidence suggests that although the risk of developing complications is greater with glucose levels beyond the established threshold for diagnosis – increasing in parallel with rising hyperglycemia—individuals with glucose levels in the prediabetic range are already at increased risk. Early intervention, ideally as soon as abnormalities in glucose homeostasis are detected, is of great importance to minimize the burden of the disease. However, as the early stages of the disease are asymptomatic, diagnosing prediabetes and early overt type 2 diabetes is challenging. The aim of this article is to discuss these challenges, the benefits of early intervention—with emphasis on the prevention trials showing that progression to type 2 diabetes can be delayed by addressing prediabetes—and the existing evidence-based guidelines that have been drawn to optimize the standards of care at the prediabetes and overt type 2 diabetes stages. Continue reading >>
- Symptoms of EARLY diabetes: Five risk factors putting YOU on course for type 2 diabetes
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
- Type 2 diabetes: Symptoms, early signs, and complications
Newly Diagnosed Type 2 Diabetes Mellitus
Introduction A 62 year old woman has returned to you for the results of blood tests. She had attended for a well woman check up two weeks earlier and had mentioned that she was experiencing persistent fatigue. A random plasma glucose test that day showed a glucose concentration of 11.4 mmol/l, so you had arranged for her to have a fasting blood glucose test. Her fasting blood glucose was 8.5 mmol/l. She has no history of vascular disease or other serious medical conditions. Her aunt had diet controlled diabetes and died of a cerebrovascular event at the age of 68. What issues you should cover Diagnosis-You can make a diagnosis on the basis of random (> 11.0 mmol/l) or fasting (> 7.0 mmol/l) venous plasma glucose concentrations or by oral glucose tolerance testing. Whichever method you use, a diagnosis of diabetes has serious implications and you should confirm it by repeat testing on a subsequent day. Could there be a secondary cause, such as pancreatic disease or hormone induced diabetes? Check too that she has not been taking any drugs that may have precipitated diabetes, such as steroids or thiazide diuretics. Treatment-Cardiovascular risk profiling is essential in people with diabetes, but including it in the initial consultation is likely to overwhelm most patients-though establishment of baseline behaviours such as smoking, diet, and exercise habits may be appropriate for some patients. Dietary change is important. Most patients should have a three month trial of dietary treatment before starting on oral hypoglycaemic agents. Education and psychological support-A diagnosis of diabetes can be devastating for some patients, but other patients are relieved to have an explanation for their symptoms. Provide her with written information and instructions (once you have Continue reading >>
