No More Finger Pricks For Some With Diabetes

No More Finger Pricks for Some With Diabetes

If you have type 2 diabetes, chances are you prick your finger once a day or so to check your blood sugar.
But a growing body of evidence shows that for most type 2 diabetes patients, routinely tracking your blood sugar, or glucose, doesn’t make any difference for your health.
The exception is patients taking insulin or a sulfonylurea drug such as glipizide (which goes by the brand name Glucotrol) or glimepiride (Amaryl), which stimulates beta cells in the pancreas to produce insulin. That’s according to Dr. Jack Ende, president of the American College of Physicians, a professional organization of internal medicine specialists.
Both insulin and the sulfonylureas can lead to hypoglycemia, or too-low blood sugar, so it’s important to perform self-monitoring, said Ende, an assistant dean at the University of Pennsylvania’s Perelman School of Medicine in Philadelphia.
Good News for Many with Diabetes
“If you’re diet-controlled alone, or you’re just on metformin (a widely prescribed diabetes medication), which does not cause hypoglycemia, and you’re not interested in testing, there’s really no reason to do it,” he said. “It’s expensive [test strips alone cost around $1 each]. It’s burdensome.”
But, Ende said, he has some patients who, even though they’re controlling their blood sugar by diet alone, continue to prick their finger regularly to check their glucose.
Some health-care providers think self-testing makes patients feel empowered, thus enhancing their motivation to maintain control of their blood sugar.
— Dr. Laura Young, University of Nort Continue reading

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Dates For Diabetes – Is It Safe?

Diabetes usually means a big “NO” to sugar intake. But how far is this true?
Most studies show that it is not.
Diabetes is the fastest growing disease in the recent times. Although diabetics are not required to abstain from sugar entirely, they are advised to limit its intake.
So, what do you do when you need to satisfy your sweet tooth? Eat dates, of course!
Dates are small and sweet fruits and have a surprisingly low glycemic index. Studies have been done to determine the effects of consuming dates on blood sugar levels. They concluded that eating dates does not cause a spike in the blood glucose levels.
In fact, they are extremely healthy – packed with an array of vital nutrients.
Let’s read more on why dates are one of the h
ealthiest snack options for you.
Table Of Contents
1. Dates – An Overview
Dates are one of the most commonly eaten foods in the Middle East. Their amazing nutritional qualities and health benefits are well known to people across the globe. The date palm is called “The Tree of Life” because of the long shelf life and rich nutritional profile of its fruits (1).
Apart from containing a high amount of fructose, they also contain an opulence of fiber and nutrients like vitamins A, K, and B-complex, iron, calcium, sodium, potassium, magnesium, and zinc. The presence of these nutrients in dates helps prevent constipation, heart diseases, intestinal problems, anemia, and diarrhea, among other conditions (2).
All well. But what about diabetes? What’s the connection between dates and diabetes?
[ Read: Health Benefits Of Dates ]
2. Dates For Di Continue reading

How Does Exercise Lower the Blood Glucose?

I recently was asked a fantastic question about how exercise lowers blood glucose levels. Exercise lowering the blood glucose is independent of insulin levels. I hadn’t really thought to explain it previously to our ADW clients. So I did a bit of reading to make sure that I really understood it myself! One of my better qualities as a veterinarian, I believe, is that I can explain complicated stuff in an understandable fashion. So, here goes:
When we eat, our bodies have the ability to store a certain amount of energy in either the liver or muscle cells. What isn’t used immediately can be stored in these tissues as glycogen, up to a certain limit anyway. Any excess beyond what is used immediately or beyond the capacity to store it as glycogen is then stored as fat.
Here’s the nifty part! The liver can turn the glycogen back into glucose if needed for use anywhere in the body. Our bodies are so clever! This is how the Somogyi swing can happen, aka rebound effect. For example, if the pet receives too much insulin which would drive the blood glucose too low, the liver can react and turn glycogen into glucose and save the day! Or, in the old fight or flight adrenaline situation, it can again turn glycogen into glucose for a pet to make a quick getaway. This is how the white coat syndrome happens and why I’m always encouraging owners of diabetic pets to do blood glucose curves at home instead of in the vet clinic setting. If a pet is stressed, this hepatogluconeogenesis, the liver making sugar from stored glycogen, can make the blood glucose level higher in the vet clinic Continue reading

Disability discrimination: is type 2 diabetes a disability?

The Employment Appeal Tribunal (EAT) has recently considered whether type 2 diabetes was a 'progressive condition' and therefore covered by disability discrimination law.
The legal framework
Under the Equality Act 2010 (the 'Act'), a person can only claim disability discrimination if they can show that they are 'disabled'. Under the Act there is a legal definition of disability which provides that a person has a disability if they have,
'a mental or physical impairment which has a substantial and long-term adverse effect on their ability to carry out normal day to day activities.'
Individuals suffering from conditions that are deemed to be progressive in nature (that is likely to get worse overtime) may still satisfy the definition of disability if they can show that their condition causes an impairment that has some impact on their ability to carry out day to day activities and that it is likely that the condition will result in future substantial adverse effects.
In 2009 the Supreme Court held that 'likely' in this context meant 'could well happen'.
In an earlier case, Metroline Travel Limited v Stoute, the EAT held that an individual suffering from type 2 diabetes capable of being controlled through an abstinence of sugary drinks was not disabled.
The facts
In Taylor v Ladbrokes Betting and Gaming Ltd, the claimant had been dismissed in November 2013 by reason of incapacity or misconduct. Following his dismissal the claimant alleged that he had been suffering from a disability (type 2 diabetes) for a period of nearly 12 months prior to the dismissal. He claimed unfair di Continue reading

Why Alzheimer's Disease Is Called Type 3 Diabetes

Alzheimer's disease is a type of progressive dementia that affects more than 5 million Americans, and those rates are projected to increase dramatically over the next several years. One link to Alzheimer's disease that researchers are exploring is diabetes. There have been several studies that have connected the two diseases together. In fact, some researchers have begun to call Alzheimer's disease "type 3 diabetes."
Although a small amount of research found an increased risk of dementia with type 1 diabetes, the vast majority of studies have concluded that this link between diabetes and Alzheimer's is specific to type 2 diabetes.
Type 2 diabetes develops when insulin becomes less efficient at processing sugar through the bloodstream. Studies show that approximately half of people with type 2 diabetes will go on to develop Alzheimer's disease. With such a strong connection, the focus of some research studies is to explain the connection between the two disease.
Type 3 Diabetes
In type 1 or 2 diabetes, not enough insulin (or none at all) is produced to process glucose (sugar) correctly or the body no longer responds to insulin, and it affects the functioning on the whole body. In Alzheimer's disease, it appears that a similar problem is occurring, but instead of causing problems in the entire body's functioning, the effects occur in the brain.
Researchers found interesting evidence of this when they studied people's brains after their death. They noted that the brains of those with Alzheimer's disease who did not have type 1 or type 2 diabetes showed many of the same abnorma Continue reading