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Blog - Children And Young Peoples Diabetes

Blog - children and young peoples diabetes

Blog - children and young peoples diabetes

Congratulations to our very own Professor Hindmarsh, who won the Health Hero award for Britain’s most inspiring health worker last week. He was nominated by a number of his patients and their families and the award was presented by Theresa May at Downing Street. Read the full story is here
My teacher suggested I do a special project for Diabetes week. My mum helped me make a presentation. I really wanted to include my pump in the presentation and the slides to have animation and noises. I really wanted to show them what it was like to have diabetes.
On the 14th November 2017, I presented the powerpoint slides to my class. It went well. There were lots of questions for me. I found them easy to answer. The class clapped at the end and we were happy.
The International Society for Paediatric and Adolescent Diabetes (ISPAD) has just published a new guideline on managing Type 1 in younger children.
Here are some of the recommendations they have made (a lot of the recommendations are about routine and mealtimes);
Always give meal/snack insulin before eating
If eating behaviour is difficult first check portion sizes – it’s better to offer smaller portions that will be eaten.
It usually takes 10 attempts to introduce a new food, so offer new foods repeatedly to encourage more variety in the diet.
Use a dual wave bolus on pump therapy to manage difficult eating behaviour
On injected insulin split doses into 1 before and 1 during eating if needed
Encourage a routine of regular meals with only small snacks between meals (less than 12g carbohydrate)
Meals should not last longer th Continue reading

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Vitamin D and Diabetes

Vitamin D and Diabetes

Renewed interest in vitamin D, the so-called “sunshine vitamin,” has occurred recently because it has been linked to everything from cancer and heart disease to diabetes.1 Research studies continue to pour into the literature stating that vitamin D is a superstar when it comes to health. However, most of the research is based on observational, epidemiological studies, which are important for generating hypotheses but do not prove causality.
A PubMed search in 2011 using the term “vitamin D” and selecting articles published in the past 2 years resulted in more than 2,864 hits. The following diseases and conditions have been researched to assess their relationship with vitamin D status: osteomalacia/osteoporosis,2–5 muscle function and falls,6–8 cancer,9–14 multiple sclerosis,15 hypertension,16 type 1 diabetes,17 rheumatoid arthritis,18 tuberculosis,19,20 mental health,21 cardiovascular events,22,23 infection,24,25 seasonal affective disorder,26 obesity,27 aging,28 and overall mortality.23
The challenge for health care providers and nutrition researchers is to determine whether vitamin D deficiency actually causes or increases the incidence of certain diseases or whether, instead, low levels of vitamin D are simply coincidental given that the majority of the general population, regardless of disease, is likely to have insufficient levels of vitamin D. In other words, do people who develop disease states just happen to be deficient in vitamin D, or do low levels of vitamin D cause the disease? Will supplementation with vitamin D prevent diseases, and can it be us Continue reading

Broccoli Extract Shows Promise for Type 2 Diabetes

Broccoli Extract Shows Promise for Type 2 Diabetes

But supplement only seems to help a certain group of people with the disease
HealthDay Reporter
WEDNESDAY, June 14, 2017 (HealthDay News) -- Your Mom may have been right about broccoli's goodness. A small study hints that a substance in the crunchy veggy may help some with diabetes get better control of their blood sugar.
Researchers found that a concentrated extract of the substance, called sulforaphane, helped obese type 2 diabetes patients rein in their stubbornly high blood sugar levels.
The caveat, however, is that the study was short-term and small -- involving 97 people with diabetes followed for 12 weeks. And the extract was taken in addition to the diabetes drug metformin, not instead of it.
Plus, the extract the researchers used was not like the sulforaphane supplements available at your local health food store.
"The way that you produce and process the extract is important to keep the sulforaphane intact," said senior researcher Dr. Anders Rosengren, of the University of Gothenburg, in Sweden.
He said his team used a highly concentrated supplement that was tested for purity and side effects.
"At this point," Rosengren said, "we cannot recommend that anyone take the currently available extracts on the market to treat type 2 diabetes."
Sulforaphane is a chemical found in cruciferous vegetables such as cauliflower, Brussels sprouts and broccoli. Broccoli sprouts are a particularly rich source.
Lab research has suggested that sulforaphane may help reduce inflammation in the body, and possibly fight cancer and fatty liver disease, according to Rosengren's team.
But it Continue reading

Top 5 benefits of cannabis for diabetes

Top 5 benefits of cannabis for diabetes

Diabetes is the term for a group of related metabolic disorders characterized by prolonged high blood glucose levels. Diabetes affects almost 400 million people worldwide, resulting in up to five million deaths per year--and its prevalence is rising. Substantial evidence indicates that cannabis may prevent and treat the disease.
Diabetes is the term for a group of related metabolic disorders characterized by prolonged high blood glucose levels. Diabetes affects almost 400 million people worldwide, resulting in up to five million deaths per year–and its prevalence is rising. Substantial evidence indicates that cannabis may prevent and treat the disease.
Preventative
Diabetes is associated with high levels of fasting insulin and insulin resistance, as well as low levels of high-density lipoprotein cholesterol (HDL-C). In 2013, the results of a five-year study into the effects of cannabis on fasting insulin and insulin resistance were published in the American Journal of Medicine. Of the 4,657 respondents, 2,554 had used cannabis in their lifetime (579 were current users and 1,975 were past users) and 2,103 had never used the drug.
The researchers found that current users of cannabis had 16% lower fasting insulin levels than respondents who had never used cannabis, as well as having 17% lower levels of insulin resistance and higher levels of HDL-C. Respondents who had used cannabis in their lifetime but were not current users showed similar but less pronounced associations, indicating that the protective effect of cannabis fades with time.
The researchers also ran analyses o Continue reading

There is a New A1C Test for Diabetic Pets

There is a New A1C Test for Diabetic Pets

Recently a new test for pet diabetes became available. It is the hemoglobin A1C for dogs and cats. I think there are definitely some situations where this test will be good for veterinary patients, but please don’t throw out your glucose meters just yet. A blood glucose curve is still my preferred test to evaluate glucose regulation in diabetic pets.
Doctors use the A1C test for humans as well. This test gives us a reflection over the recent past as to what the patient’s blood glucose has been. It is a longer “look” at past blood glucose than the fructosamine test that we veterinarians have had in our toolbox for years.
A blood glucose reading from a blood glucose meter tells us what the blood glucose is at a moment in time. A fructosamine test gives us an indication of what the blood glucose regulation has been over the previous few weeks. The new hemoglobin A1C test gives us an indication of the blood glucose over the last 110 days for dogs and over the last 70 days for cats.
What Might be a Good Time to Use a Fructosamine or A1C Test?
Fractious pets that won’t allow a blood glucose curve at home or even in the clinic would be reasonable patients to forego a curve and settle on one of these tests. If a pet would harm the owner (while attempting a blood glucose curve) or if the pet becomes so stressed at a vet clinic that a blood glucose curve is tarnished with stress hyperglycemia, an A1C test can be helpful. Given the average situation, a relaxed pet who will allow blood glucose checks by owners, is the better option as I’d still much rather evaluate a blood Continue reading

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