Diabetes And Amputation: What You Need To Know

Diabetes and Amputation: What You Need To Know

Diabetes and Amputation: What You Need To Know

Diabetes is associated with numerous health complications such as heart disease, eye conditions, and neuropathy. According to Diabetes Management, diabetic neuropathy is a leading cause of amputations in the U.S.
Diabetic neuropathy can affect any number of bodily functions. Nerve damage most commonly occurs in people who struggle to control their blood sugar, people with high blood pressure, overweight people, and people over the age of 40.
The most common area affected is the feet because the combination of poor circulation and nerve damage leaves the feet susceptible to ulcers that can cause significant damage to the surrounding tissues and bones. These nonhealing ulcers may require amputation of the affected area.
Reduce Your Risk
There are certain preventative measures you can take to reduce your risk of developing a severe foot ulcer that may need amputation:
Don’t smoke
Regulate blood sugar levels
Wear shoes that fit with clean, dry socks
Eat well and exercise regularly
Amputation and Recovery
Sometimes amputation is the only option for treating a severe foot ulcer. Surgeons will remove the damaged tissue while preserving the healthy surrounding tissue as much as possible.
The wound may take as long as eight weeks to heal, and many patients choose to engage in some sort of physical or occupational therapist as well as a mental health provider to begin to accept the life changes that accompany amputation.
Source: The Mayo Clinic, Diabetes Management
Type 2 diabetes is different from type 1 diabetes in many ways. As its alternate name of adult-onset diabetes implies, Continue reading

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Prevent Diabetes Complications By Following These 8 Tips

Prevent Diabetes Complications By Following These 8 Tips

Prevent Diabetes Complications By Following These 8 Tips
Diabetes is a condition whose seriousness is measured by its potential health consequences. Its long-term effects include heart and kidney disease and vision disorders. If you suffer from diabetes, here are eight tips to follow that can help reduce the possibility of such complications.
1. One of the most important elements in controlling diabetes, particularly the type 2 variety, is having a healthy diet. A restricted diet will help maintain a proper balance of insulin and sugar in the blood system. Carbohydrates may be consumed, but only in the right form. Your diet should be rich in whole grains, beans, nuts and fresh fruits and vegetables.
2. The issues of health and weight are closely related. Maintaining a proper weight will help your body utilize sugar, which is the source of trouble for diabetics. Weight loss is also important when it comes to controlling blood pressure. You need to reduce your caloric intake to the amount your body needs to function properly.
3. Exercise is important for everyone, especially for those with diabetes. Though it need not be strenuous, about 30 minutes of physical activity every day will help you maintain your weight and will lower your blood pressure and cholesterol level. Exercise may even enable you to reduce your diabetes medication and thus help you to deal with your condition in a more natural manner.
4. Bad habits can aggravate diabetes, so you should consider indulging in them moderately or giving them up altogether. The excessive consumption of alcohol can adversely affe Continue reading

Communicating With A Loved One Who Isn't Managing Their Diabetes

Communicating With A Loved One Who Isn't Managing Their Diabetes

It is concerning when a loved one is not managing their diabetes well.
Out of caring and frustration, we may apply pressure, criticism or guilt to change their behavior even when we know these tactics will not work.
What can help is communicating in an autonomy-supportive manner. By focusing on your loved one’s feelings, needs and goals, you can encourage successful diabetes management without attacking or annoying them.
Autonomy-Supportive Communication
Encouraging a person’s autonomy requires you to understand their viewpoint and nurture their self-motivation. This is done by:
Showing that you understand and empathize with their point of view. For instance,“I realize it’s difficult going to parties where people enjoy food and drink not on your diet plan.”
Giving them the rationale for any advice offered. For instance: “I recall the doctor said if your evening glucose readings were consistently high you might need your insulin dose changed. I think we should give the doc a call.”
Showing concern. For instance:“You seem a bit scattered today, like you're having trouble focusing. I’m concerned about you.”
Offering options whenever possible. For instance,“What do you think, should we take our walk this morning or wait until this afternoon?”
Asking about their experience of the illness and acquiring an accurate understanding of their feelings and capabilities. For instance:“What does an insulin shot feel like? Has it become easier, or does it still make you anxious?” or, “What is the most difficult part of managing diabetes?”
Discussing the illn Continue reading

Diabetes Drug Rosiglitazone Can Increase Fracture Risk

Diabetes Drug Rosiglitazone Can Increase Fracture Risk

High doses of rosiglitazone, a drug used to treat diabetes, can increase the risk of bone fractures, according to a new study.
Researchers from the University of North Carolina School of Medicine found that rosiglitazone increases bone fat, which consequently can lead to poorer bone health.
“We were surprised by the massive amount of bone fat caused by rosiglitazone,” said Dr. Maya Styner, first author of the study. “The images were just stunning."
Rosiglitazone affects bone fat by packaging extra glucose - which the drug removes from the blood to treat diabetes - into pockets of fat that are deposited in the bone.
Diabetes and bone health
Diabetes already tends to increase bone fat levels and compromise bone health, but the good news is that exercise seems to substantially reduce the fat deposits caused by rosiglitazone.
"Exercise did decrease the volume of bone fat by about 10 percent, which was similar to the decrease we reported seeing in mice that were not given the drug but were instead fed a high-fat diet," Styner said.
Rosiglitazone, which is sold under the brand name Avandia, once had a bad reputation about a decade ago because of heart-related side effects associated with the drug.
Other drugs that use similar mechanisms as rosiglitazone to lower blood sugar may be close to FDA approval.
“Early reports show that the same bone concerns are popping up with these new drugs,” Styner said. “Doctors and patients need to be aware of this.”
Source: University of North Carolina
Image courtesy of stockdevil/FreeDigitalPhotos.net
Type 2 diabetes is different fr Continue reading

Reversing Diabetes: Hype or Hope?

Reversing Diabetes: Hype or Hope?

There have been many books and articles written on the topic of reversing diabetes. Is it really possible to make diabetes go away?
Let's Define Reversal
When we speak of reversing diabetes, what do we mean? Some articles claim that type 2 diabetes can be completely reversed within 30 days and type 1 diabetes can be improved. Another argues that "unclogging" the pancreas can reverse a diagnosis of type 2 diabetes in just 11 days. Still another says that rye bread can reverse the genetic markers that cause diabetes.
Diabetes can be the result of genetic predisposition or triggered by any of a myriad of causes, including metabolic syndrome, acquired insulin insensitivity, pancreatitis or pregnancy, among many others. None of these causes is addressed in the writings noted above.
For our purposes, the definition we will use for "reversal" is to be able to discontinue medications and still have "normal" blood glucose levels, with no implied time limit.
Moving Toward Reversal
If we really want to reverse type 2 diabetes, we have to start early – before the disease has progressed within the body. Certain aspects of diabetes cannot be reversed, like pancreatic cells that no longer produce sufficient insulin after a period of overuse. Once those cells stop producing, nothing will bring them back.
A medical check for diabetes or pre-diabetes is helpful. It can give you the knowledge to know what you are up against. If you are pre-diabetic, then you can learn the value of your A1c reading for a quarterly or semi-annual view of your average sugar levels. If you are diabetic, you wil Continue reading

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