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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

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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

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