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Incidence Of End-Stage Renal Disease Attributed To Diabetes Among Persons With Diagnosed Diabetes United States And Puerto Rico, 20002014

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014

Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014


Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014
Weekly / November 3, 2017 / 66(43);11651170
The incidence of end-stage renal disease attributed to diabetes (ESRD-D) in the U.S. population with diagnosed diabetes began to decline in the mid-1990s.
During 20002014, the age-standardized incidence of ESRD-D has continued to decline significantly in the United States and in most states, the District of Columbia, and Puerto Rico. No state experienced an increase in rates.
What are the implications for public health practice?
Continued awareness of diabetes and interventions to reduce the prevalence of risk factors for kidney failure, improve diabetes care, and prevent type 2 diabetes might sustain the decline in ESRD-D incidence rates in the population with diagnosed diabetes.
During 2014, 120,000 persons in the United States and Puerto Rico began treatment for end-stage renal disease (ESRD) (i.e., kidney failure requiring dialysis or transplantation) (1). Among these persons, 44% (approximately 53,000 persons) had diabetes listed as the primary cause of ESRD (ESRD-D) (1). Although the number of persons initiating ESRD-D treatment each year has increased since 1980 (1,2), the ESRD-D incidence rate among persons with diagnosed diabetes has declined since the mid-1990s (2,3). To determine whether ESRD-D incidence has continued to decline in the United States overall and in each state, the District of Columbia (DC), and Puerto Rico, CDC analyzed 20002014 data from the U.S. Renal Data S Continue reading

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Children and Type 2 Diabetes: Whats New?

Children and Type 2 Diabetes: Whats New?


Children and Type 2 Diabetes: Whats New?
No one likes hearing that they cant have something, especially the foods they love. Children with Type 2 diabetes have an especially complicated relationship with food. Type 2 diabetes is becoming more common; more than 80% of all children and teens with Type 2 diabetes are overweight, and about 40% are clinically obese. Because weight is a contributing factor to Type 2 diabetes, it is important to look for new ways to help children control their weight and to understand which new medical treatments are available. While children have little control over the foods in their environment, some new practices can help them choose healthier foods and eat mindfully. Some new devices and medicines also may potentially help control children and teens glucose levels. It is important to remember that it will most likely be a combination of interventions that will help your child learn to live with the disease and become healthier over time.
One practice that is gaining popularity is called mindful eating or eating with intention. A recent study has showed that when parents restrict food to promote healthier behaviors, it will work in the short-term. However, in the long-term, restrictive eating has proved to be harmful. Children who have restricted diets are at risk for increased eating when they are not hungry, not learning how to self-regulate and trust their bodys signals, thus causing weight gain. The approach to mindful eating is to help the child create a dialog of kindness with his or her own body. Instead of focusing on hunger as a n Continue reading

All About Needles Used for Diabetes | Ask D'Mine

All About Needles Used for Diabetes | Ask D'Mine


Written by Wil Dubois on September 16, 2017
Hey, All -- Got questions about life with diabetes? Then you've come to the right place! That would be our weekly diabetes advice column, Ask D'Mine, hosted by longtime type 1 and diabetes author W il Dubois in New Mexico, who spent many years working as a clinical specialist helping those with diabetes.
This week, he takes on a trio of questions about needles and injection-related therapy. Here's Wil, "taking a stab" at this theme...
{Got your own questions? Email us at [email protected] }
Natsu, type 1 from Japan, asks: Is it possible to hit an organ when inserting a diabetic cannula on the stomach?
[email protected] DMine answers: Nope! Your innards are fully safe and secure. OK, in point of fact, most cannulas are worn on the stomach, so your worry is common. In fact, before my own diagnosis one of my wifes aunts had type 2 requiring insulin, and I knew she took shots in the stomach. I ignorantly assumed she used some giant six-inch needle and had to insert this medieval torture device all the way into her stomach. Every day.
Under the circumstances, I found her to be a remarkably jolly person.
Later, when my own doctor calmly told me that I needed to take shots in my stomach, I nearly fainted. Of course, the truth is we take our shots into the insulating fat layer below the skin -- a layer of fat that even skinny people have, and is thicker than youd think. Oh, and below that fat is a layer of muscle. The organs are below the muscle. So you can see youve got quite a bit of issue between the top of the skin an your inte Continue reading

Why is My Blood Sugar High After Meals?

Why is My Blood Sugar High After Meals?


For people suffering from high blood sugar , the level spiking after a meal is quite frequent. Now, the question that strikes in your mind is that why the level rises? Lets have a look and analyze the situation which brings such radical change.
What activities should I do to avoid diabetes?
What makes my blood sugar level rise after meals?
After a meal, the carbohydrate is broken down into simpler substances. Glucose is the basic unit to get absorbed into the bloodstream. Its natural for the blood sugar level to rise after a meal. For ordinary people, the blood sugar to come back to normalcy after a certain level. But for a person who is affected with diabetes, it stays high for a more extended period. The reason is that the insulin that is supposed to get released from pancreas does not work reasonably or else it is very slow. Insulin is responsible for absorbing glucose from your bloodstream.
What immediate effects you have after your blood sugar level spikes?
You think the difficulty in concentrating and remembering.
It affects your athletic performance. It affects your strength, flexibility, and endurance.
It affects your irritability or mood shifts
What should I do so that I do not face sugar spikes after meals?
Break down your meals into smaller ones. It gives enough time, and the glucose level in the blood does not shoot up. It also provides enough time for absorption of glucose and the insulin works on the carbohydrate.
Check on your GI ( glycemic index ) and have food based on it. Diet with higher glycemic index results in higher blood level after meals Continue reading

HEALTH MATTERS: Comedian learns pre-diabetes is no laughing matter

HEALTH MATTERS: Comedian learns pre-diabetes is no laughing matter

You probably recognize actress and comedian Cocoa Brown from Tyler Perry’s critically acclaimed comedy series “For Better or Worse” on Oprah Winfrey’s OWN network or from the feature films, “Single Mom’s Club,” and “Ted 2.”
Three years ago, Brown was pregnant and overjoyed with the anticipation of the birth of her child. The joy of her first pregnancy was quickly overshadowed in her last trimester when she was diagnosed with gestational diabetes.
“I had to inject five insulin shots a day,” Brown said.
Typically, most women with gestational diabetes have no symptoms. Women may experience symptoms that are a little more severe than the typical symptoms resulting from a normal pregnancy, such as extreme thirst, fatigue, frequent urination and snoring.
Pregnant women are more at risk to get gestational diabetes if they are overweight before they get pregnant, are of ethnic background (African-American, Asian, Hispanic or Native American), have high blood sugar levels, other family members with diabetes or previous history of gestational diabetes.
Brown, who mastered the art of comedy, knew that her weight gain was no laughing matter.
“At my heaviest, I weighed 273 pounds,” she said. “I am 5-5 and was wearing a triple X dress size or a size 22-24.”
Brown is known for her stand-up comedic performances on top-rated comedy shows including BET’s “Comic View,” “One Mic Stand” and “Showtime at the Apollo.”
Gestational diabetes is temporary.
“After giving birth to my son, it disappeared,” Brown said. “So, I didn’t change my eating hab Continue reading

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