diabetestalk.net

The Impact Of Bariatric Surgery On Type 2 Diabetes Mellitus And The Management Of Hypoglycemic Events

The Impact of Bariatric Surgery on Type 2 Diabetes Mellitus and the Management of Hypoglycemic Events

The Impact of Bariatric Surgery on Type 2 Diabetes Mellitus and the Management of Hypoglycemic Events


The Impact of Bariatric Surgery on Type 2 Diabetes Mellitus and the Management of Hypoglycemic Events
1Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA
Edited by: Greg Smith, University of New South Wales, Australia
Reviewed by: Brie Sorrenson, The University of Auckland, New Zealand; Silvia Martina Ferrari, University of Pisa, Italy
*Correspondence: Mahmoud Attia Mohamed Kassem, [email protected]
Specialty section: This article was submitted to Obesity, a section of the journal Frontiers in Endocrinology
Received 2016 Dec 4; Accepted 2017 Feb 14.
Copyright 2017 Kassem, Durda, Stoicea, Cavus, Sahin and Rogers.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Recent studies discussed the benefit of bariatric surgery on obese patients diagnosed with type 2 diabetes mellitus (T2DM). Several factors play an essential role in predicting the impact of bariatric surgery on T2DM, such as ABCD score (age, BMI, C-peptide, and duration of the disease), HbA1c, and fasting blood glucose, incretins [glucagon-like peptide-1 (GLP-1) and gastric inhibitory peptide (GIP)]. DiaRem score known to include factors such as age, HbA1c, medication, and insul Continue reading

Rate this article
Total 1 ratings
Signs Of Diabetes In Men

Signs Of Diabetes In Men

Have you had bouts of dizziness or unexplained irritability? Perhaps you’ve been feeling lethargic, with fatigue setting in by the middle of the day, even before hitting the gym? Maybe, you’re worried about your performance in bed? Believe it or not, all of these could be early signs of diabetes in men.
Type 2 Diabetes is a disease characterized by the body’s inability to produce enough insulin. Sometimes, it could be the inability to use that insulin properly too. But, sometimes it could be a mix of both. If you’ve been feeling any of the above symptoms lately, chances are, your blood sugar levels are unstable. Research studies show that, biologically, men are more likely to get Type 2 diabetes, than women. But, this does not necessarily indicate that men are more vigilant about early symptoms.
“A 40-year old man had been feeling tired for a whole year. It was only when he began to go to the washroom every hour that he finally came to see me. When we ran his labs, his HbA1c was at 22! A lot of internal damage must have occurred from blood sugar for years,” says Mahesh Jayaraman, Medical Researcher and Co-Founder of Sepalika.
Here’s an important fact for you to chew on: Men, in general, tend to ignore early signs of T2D much more than women do. This is because of a tendency to bear it like a man. Often, symptoms of prediabetes are ignored as well. Prediabetes is a condition defined by slightly elevated blood sugar levels, that are not actually in the “dangerously high” range. Generally, men don’t get to the doctor before they have full-blown diabetes. Tr Continue reading

Tips for Managing Congestive Heart Failure

Tips for Managing Congestive Heart Failure


Tips for Managing Congestive Heart Failure
Congestive heart failure, or CHF, is a condition in which the heart is unable to pump enough blood to meet the bodys needs. Sometimes called just heart failure, the term is a little misleading. Heart failure doesnt mean that the heart has failed or that it no longer works; rather, it means that the heart is struggling to pump enough blood throughout the body.
There are many causes of CHF, and these include:
Cardiomyopathy, or weakened heart muscle
Toxic amounts of certain drugs, such as alcohol and cocaine
High blood lipids (cholesterol and triglycerides)
While maybe not a direct cause, certain lifestyle factors can contribute to or worsen CHF, such as being overweight or obese, smoking, drinking excessive amounts of alcohol, a high sodium intake, and lack of physical activity.
You may be surprised to learn that having diabetes puts you at risk for CHF. Heart failure is one of the most common complications of diabetes, and while many factors play a role, the two main culprits are hyperglycemia (high blood sugars) and insulin resistance (strongly linked with Type 2 diabetes ). Data from the well-known Framingham Heart Study showed that the frequency of heart failure is twice as high in men with diabetes and five times as high in women with diabetes compared to a control population.
How do you know if you have CHF? Symptoms that may indicate congestive heart failure are:
Swelling in your ankles, feet, or legs (called edema)
Sudden weight gain (due to fluid retention)
Of course, these symptoms can be due to other med Continue reading

Diet study: American Diabetes Association vs. Low Carb Ketogenic

Diet study: American Diabetes Association vs. Low Carb Ketogenic


A randomized pilot trial of a moderate carbohydrate diet compared to a very low carbohydrate diet in overweight or obese individuals with type 2 diabetes mellitus or prediabetes (Saslow et al., 2014)
Disclaimer: this study was not ground-breaking; it was confirmation of a phenomenon that is starting to become well-known, and soon to be the status quo. That is, advising an obese diabetic patient to reduce their carb intake consistently produces better results than advising them to follow a low fat, calorie restricted diet.
: 45-50% carbs; 45 grams per meal + three 15 gram snacks = 165 grams per day; low fat, calorie restricted (500 Calorie deficit). Otherwise known as a low fat diet (LFD).
In their words: Active Comparator: American Diabetes Association Diet. Participants in the American Diabetes Association (ADA) diet group will receive standard ADA advice. The diet includes high-fiber foods (such as vegetables, fruits, whole grains, and legumes), low-fat dairy products, fresh fish, and foods low in saturated fat.
: Ketogenic; <50 grams of carb per day, no calorie restriction, just a goal of blood ketones 0.5 3 mM.
In their words: Experimental: Low Carbohydrate Diet. Participants will be instructed to follow a low carbohydrate diet: carbohydrate intake 10-50 grams a day not including fiber. Foods permitted include: meats, poultry, fish, eggs, cheese, cream, some nuts and seeds, green leafy vegetables, and most other non-starchy vegetables. Because most individuals self-limit caloric intake, no calorie restriction will be recommended.
Both groups were advised to mai Continue reading

5 Ultimate Exercises for Diabetes to maintain good health

5 Ultimate Exercises for Diabetes to maintain good health


To know more about how Diabetes can be corrected to a great extent naturally with your diet, consult one of Truweights Nutritionist, today. The best part is, the first consultation is Absolutely FREE! Click here !
While diet plays a key role here, exercises for Diabetes are also quite important.
A sedentary lifestyle brings a lot of health concerns, out of which obesity or weight is the prime one. And this eventually is also a great contributor to developing Type 2 Diabetes.
The Yoga is one of the simplest forms of exercise for diabetes that you can do right at your home. these yoga asanas bring abdominal contractions and relaxations that stimulates the pancreas.
A yoga asanas also improve blood flow in the pancreas that eventually improve the pancreass ability to produce insulin.Also, yoga helps in Type 2 Diabetes as follows:
a) It reduces blood sugar levels in patients with Type 2 Diabetes. [ 2 ]
b) Works on hormones and is shown to be effective in suppressing cortisol, the stress hormone. Stress decreases insulin activity and can cause hyperglycemia, which is an excess of glucose in blood that leads to Type 2 Diabetes. [ 3 ]
c) brings relaxation of muscles and improved blood supply. This makes glucose readily taken up by the muscles leading to less glucose in the blood.
d) if followed properly, brings weight loss, which is a major contributor in causing Type 2 Diabetes.
Common Yoga Asanas that are prescribed for Diabetes are
Vitamin B12: A Key Player In Keeping The Body Healthy
Moreover, walking fast can raise heart rates which help the body to use insulin b Continue reading

No more pages to load

Popular Articles

  • Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management
    Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management

    Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management Department of Endocrinology, Hedi Chaker Hospital, 3029 Sfax, Tunisia Corresponding Author: Dr. Mahdi Kamoun, Department of Endocrinology, Hedi Chaker Hospital, Magida Boulila Avenue, 3029 Sfax, Tunisia. E-mail: [email protected]_idham Author information Copyright and License informat ...

  • Impact of metformin on cardiovascular disease: a meta-analysis of randomised trials among people with type 2 diabetes
    Impact of metformin on cardiovascular disease: a meta-analysis of randomised trials among people with type 2 diabetes

    , Volume 60, Issue9 , pp 16201629 | Cite as Impact of metformin on cardiovascular disease: a meta-analysis of randomised trials among people with type 2 diabetes Metformin is the most-prescribed oral medication to lower blood glucose worldwide. Yet previous systematic reviews have raised doubts about its effectiveness in reducing risk of cardiovascular disease, the most costly complication of ...

  • Surgery for weight loss: A standard treatment for type 2 diabetes?
    Surgery for weight loss: A standard treatment for type 2 diabetes?

    Gastric bypass procedure should be used more often, experts say Weight-loss surgery not only leads to dramatic weight loss, it also reverses type 2 diabetes in most people who undergo these stomach-shrinking procedures. In fact, international diabetes organizations now say that surgery for weight loss should become a more routine treatment option for people with type 2 diabetes—even those who ar ...

  • Perioperative Diabetes mellitus management
    Perioperative Diabetes mellitus management

    1. PERIOPERATIVE MANAGEMENT OF DIABETES MELLITUS SPEAKER Dr. DHARMRAJ SINGH MODERATOR Dr. SHASHI PRAKASH 2. INTRODUCTION  Patients with diabetes have higher incidence of morbidity and mortality.  Poor peri-operative glycaemic control increases the risk of adverse outcomes.  Treatment of post-operative hyperglycaemia reduces the risk of adverse outcomes. 3. CRITERIA FOR DIAGNOSIS OF DIABET ...

  • Role of Medical Nutrition Therapy in the Management of Gestational Diabetes Mellitus
    Role of Medical Nutrition Therapy in the Management of Gestational Diabetes Mellitus

    #Springer Science+Business Media New York 2016 Abstract Medical nutrition therapy (MNT) plays an impor- tant role in the management of gestational diabetes mellitus (GDM), and accordingly, it has a significant impact on women and newborns. The primary objective of MNT is to ensure adequate pregnancy weight gain and fetus growth while main- taining euglycemia and avoiding ketones. However, ...

  • Diabetes and Its Impact on Your Urinary and Sexual Health
    Diabetes and Its Impact on Your Urinary and Sexual Health

    Diabetes and urological health issues are closely connected. Diabetics are prone to urinary tract infections (UTIs), bladder issues and sexual dysfunction. Diabetes can often make your urologic conditions even worse because it can impact blood flow, nerves and sensory function in the body. Roughly 29.1 million people or 9.3 % of Americans have diabetes. Diabetes is a disease in which your blood gl ...

  • Early Glycemic Control and Magnitude of HbA1c Reduction Predict Cardiovascular Events and Mortality: Population-Based Cohort Study of 24,752 Metformin Initiators
    Early Glycemic Control and Magnitude of HbA1c Reduction Predict Cardiovascular Events and Mortality: Population-Based Cohort Study of 24,752 Metformin Initiators

    OBJECTIVE We investigated the association of early achieved HbA1c level and magnitude of HbA1c reduction with subsequent risk of cardiovascular events or death in patients with type 2 diabetes who initiate metformin. RESEARCH DESIGN AND METHODS This was a population-based cohort study including all metformin initiators with HbA1c tests in Northern Denmark, 2000–2012. Six months after metformin i ...

  • The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials
    The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials

    Recently, the role of a low-carbohydrate diet in diabetes management has generated interest with claims being made regarding its superiority over the traditional high-carbohydrate, low-fat dietary approach. This systematic review and meta-analysis evaluated the interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes. Randomised controlled trials were searched f ...

  • The Cost of Diabetes in the U.S.: Economic and Well-Being Impact
    The Cost of Diabetes in the U.S.: Economic and Well-Being Impact

    IN HONOR OF WORLD DIABETES DAY AND NATIONAL DIABETES AWARENESS MONTH According to the Gallup-Sharecare Well-Being Index™, the national prevalence of diabetes increased from 10.6% in 2008 to 11.5% for the first nine months of 2017. This increase has had a direct impact on health care costs and health outcomes. If the diabetes rate had remained at its 2008 level, approximately 2.3 million fewer U. ...

Related Articles