Elderly Women At Higher Risk Of Developing Diabetes While Taking Statins

Elderly Women at Higher Risk of Developing Diabetes While Taking Statins

The risks may be outweighing the benefits, but only to a point.
Statins, the inhibitors of HMG-CoA reductase, have long been an important piece in the prevention and treatment of atherosclerotic cardiovascular disorders. By reducing production of low-density lipoprotein cholesterol (LDL-C), the risk of developing cardio- and cerebrovascular events has been significantly reduced in patients with and without diabetes. Statins are fairly well tolerated, with the major use limiting side effect being myalgias, which are largely associated with increases in statin dosage and potency, as well as prolonged periods of use. Since the discovery and increased use of statin therapy, development of diabetes has also been linked to their use, in varying degrees.
Several studies over the years have proposed mechanisms by which statins promote diabetes, including decreasing insulin secretion and insulin sensitivity, but the consensus remains open. This could be due to variation among the class itself. For example, pravastatin has been shown to be less likely to cause diabetes than the other statins, whereas atorvastatin, simvastatin, and rosuvastatin have the most profound effects on insulin secretion and sensitivity. It is not surprising that the mid- to high-range doses of atorvastatin and rosuvastatin are considered to be high potency, carrying the largest effect on lowering LDL-C, with higher dose simvastatin being moderate potency. Further clouding the issue is the finding that the most dramatic reduction of insulin sensitivity occurred in patients who were normoglycemic, suggesting th Continue reading

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Diabetes Warning Signs – Discover the Risks and Signs of Diabetes and Be Prepared

Whether it be type 1 diabetes or type 2 diabetes some of the early diabetes warning signs are the same. By recognizing the signs, you will be able to help your doctor give an early diagnosis and start treatment as soon as possible.
Yet, type 2 diabetes evolves slowly and there is a chance you might not get many warning signs.
Diabetes is a very serious illness but, at the same time, it’s common.
If you have diabetes, you need to regularly supervise your blood sugar levels and keep them under control within the adequate range.
Many people don’t know that there are different types of diabetes. It’s even common for those who are diagnosed to be surprised they have the disease, since symptoms appear gradually over the span of months or even years.
In this article, we’ll look at some of the diabetes warning signs you should pay close attention to.
Diabetes Warning Signs
The warning signs for diabetes can happen progressively or appear all of the sudden. Different types of diabetes may have similar indicators or very different ones.
Special attention should be paid to the following symptoms since they can indicate danger:
Extreme thirst
Dry mouth
Frequent urges to urinate
Hunger
Constant fatigue
Irritability
Blurry vision
Injuries that don’t scar or do so with difficulty
Itchy or dry skin
Constant fungal infections
Type 1 Diabetes Warning Signs
This type of diabetes is diagnosed generally in children and very young adults, even though it can happen to any age group.
Children tend to experience the following additional symptoms, so pay close attention:
Sudden and involun Continue reading

What Can You Eat If You Have Diabetes? Foods To Eat & Avoid

Through twenty-five years of working with people with diabetes, when they come in for diabetes education, their first question is most often “What can I eat (or drink).” The next question is often, “What can’t I eat (or drink)? In this article, we will explore what foods are best to eat when you have just been diagnosed with Pre-Diabetes, and Type 2 Diabetes, and what foods are best avoided.
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There is no other guide available on the internet that will guide you through the best foods to choose, and the best foods to avoid. Take heed, as some foods in the American diet are detrimental. These are also the same foods that Americans are addicted to.
On occasion, you will be able to eat from the foods to avoid list, such as on a holiday, or your birthday. It shouldn’t become a regular occurrence to eat foods that are best avoided if you have Pre-Diabetes or Type 2 Diabetes. Also, eating healthier throughout your lifespan, can prevent Pre-Diabetes and Type 2 Diabetes from ever surfacing at all.
Starting to eat a healthy diet can help you to reverse your Pre-Diabetes, along with regular physical activity, and sometimes medication (most often Metformin). You can either get Type 2 Diabetes in good control, or you can reverse it to a Pre-Diabetes state in some cases, if you work on healthy lifestyle changes.
Though it’s not always possible to reverse Type 2 Diabetes, it is certainly worth a shot. My new book to come out soon, entitled, “The Practical Guide for the Reversal of Pre-Diabetes and Type 2 Diabetes,” published b Continue reading

Thawing Out That Frozen Shoulder

Having trouble reaching behind your back? Do you struggle to button your shirt or tie your necktie? Does your shoulder hurt more at night while you’re trying to sleep? Is your golf game suffering because of shoulder pain? If so, you might be experiencing a painful — yet common — condition called adhesive capsulitis, also known as “frozen shoulder.” Read on to learn more about it, including treatment options.
What is frozen shoulder?
Frozen shoulder is a condition that causes pain and stiffness in your shoulder joint. Over time, the ability to move your shoulder is reduced, and it may get to the point where your shoulder literally becomes “frozen.” Frozen shoulder is not the same thing as arthritis, however.
Your shoulder joint is a ball and socket joint, much like your hip joint. The joint is covered by a capsule of ligaments. When frozen shoulder occurs, it means that the capsule and ligaments swell and become tight, making it difficult — or even impossible — to move your shoulder.
Who’s at risk for frozen shoulder?
People between the ages of 40 and 60 are more likely to have frozen shoulder, and this condition affects women more than men. In addition, you have a higher risk of it if you’ve had the following:
• Rotator cuff injury
• Broken arm
• Stroke
• Shoulder injury
• Surgery
Certain medical conditions also increase the likelihood of frozen shoulder, including:
• Diabetes
• Thyroid disease (under- or overactive thyroid)
• Heart conditions
• Parkinson’s disease
• Tuberculosis
• Hormonal changes
As you can see, having diabete Continue reading

Management of Inpatient Hyperglycemia and Diabetes in Older Adults

Adults aged 65 years and older are the fastest growing segment of the U.S. population, and their number is expected to double to 89 million between 2010 and 2050. The prevalence of diabetes in hospitalized adults aged 65–75 years and over 80 years of age has been estimated to be 20% and 40%, respectively. Similar to general populations, the presence of hyperglycemia and diabetes in elderly patients is associated with increased risk of hospital complications, longer length of stay, and increased mortality compared with subjects with normoglycemia. Clinical guidelines recommend target blood glucose between 140 and 180 mg/dL (7.8 and 10 mmol/L) for most patients in the intensive care unit (ICU). A similar blood glucose target is recommended for patients in non-ICU settings; however, glycemic targets should be individualized in older adults on the basis of a patient’s clinical status, risk of hypoglycemia, and presence of diabetes complications. Insulin is the preferred agent to manage hyperglycemia and diabetes in the hospital. Continuous insulin infusion in the ICU and rational use of basal-bolus or basal plus supplement regimens in non-ICU settings are effective in achieving glycemic goals. Noninsulin regimens with the use of dipeptidyl peptidase 4 inhibitors alone or in combination with basal insulin have been shown to be safe and effective and may represent an alternative to basal-bolus regimens in elderly patients. Smooth transition of care to the outpatient setting is facilitated by providing oral and written instructions regarding timing and dosing of insulin as wel Continue reading