cbwchina.com https://www.cbwchina.com/group_health-diabetes/ Diabetes Wed, 20 Nov 2019 21:54:46 +0800 en-US daily 1 https://www.cbwchina.com/ Diabetic Neuropathy https://www.cbwchina.com/articles_ou05ja.html https://www.cbwchina.com/articles_ou05ja.html#respond Mon, 03 Jun 2019 08:46:00 +0800 Diabetic Neuropathy Directory
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Diabetes and Hypoglycemia https://www.cbwchina.com/articles_lrhjda.html https://www.cbwchina.com/articles_lrhjda.html#respond Mon, 03 Jun 2019 08:44:00 +0800  People who have diabetes have to constantly regulate these levels because too high of blood sugar levels can be fateful.
 Some people do everything they can to control the blood glucose levels but still have complications.
 One of these complications is hypoglycemia.
 Hypoglycemia is actually the opposite of diabetes.
 That is, hypoglycemia refers to a condition that results in low blood sugar.
 The severity and symptoms can vary from person to person.
 Normally hypoglycemia is "cured" when blood sugar is restored to a safe level.
Those at risk for hypoglycemia include patients who have both type 1 and type 2 diabetes.
 Patients who have insulin resistance also can be at risk for low blood sugar.
 Some people can show signs of hypoglycemia even if they do not have diabetes.
 Any significant drop in blood sugar can result in minor cases of hypoglycemia.
 Despite the advances in controlling diabetes, hypoglycemic episodes are one of the major factors in achieving favorable blood glucose levels.
Because diabetes is such a high risk disease, high blood sugar is looked at as being dire.
 However, many people don't understand why low blood sugar is also bad.
 The reason is that the body needs fuel to work.
 The major fuel source is sugar which it gets from complex carbohydrates or simple sugars.
 A small amount of sugar is stored in the liver known as glycogen.
 If the body is not getting the sugar it needs, it will go to this stored sugar and make it into fuel.
 The brain actually depends almost 100% on sugar (glucose) to work.
 Obviously, the brain cannot make its own glucose and depends on the rest of the body to provide it.
If the level of glucose falls too low, the brain cannot function the way it should and gives the body signs that it needs it.
  There are many things the brain will tell the body to do if blood glucose levels are too low.
 When the liver has to start using the stored glucose, the brain will start letting the body know, "I need more sugar!" Some of the signs a person will show when glucose levels are dropping include nervousness, intense hunger, trembling, weakness, and trouble speaking.
 Most people, if they start to show these symptoms, will eat something with sugar and the symptoms will go away.
 These signs are just the beginning of hyperglycemia.
 If someone experiencing these symptoms consume sugar, as said before, they will start to feel better.
 If it is not taken care of, dizziness and fainting can occur.
 The brain is now saying it cannot function anymore without glucose and shuts down.
  Hypoglycemia can be treated by simply allowing the blood to absorb glucose.
 This is most obviously done by eating foods with sugar or complex carbs.
 Regular soda, hard candy, juice, or plain table sugar will allow the blood to absorb the glucose it needs quickly.
 Once the brain has enough glucose to function, the symptoms of hypoglycemia will subside.
 Along with a balanced diet and medication to control diabetes, taking Diablin by Hamida Pharma can aid the body to better respond to insulin and naturally decrease the risks of diabetes-related complications such as hypoglycemia.
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Treatment of T1D Complicated by Problematic Hypoglycemia https://www.cbwchina.com/articles_28bgka.html https://www.cbwchina.com/articles_28bgka.html#respond Mon, 03 Jun 2019 08:44:00 +0800 The Four Stages of the Proposed Tiered Algorithm

Stage 1

All MDI therapy patients using SMBG should have routine evaluation of hypoglycemia awareness status using validated scores along with assessment of glycemic control. Patients with problematic hypoglycemia should be regularly evaluated for possible underlying causes of hypoglycemia (Table 1), for the presence of hypoglycemia unawareness, and for meeting their own individual HbA1c level and other treatment targets. If the patient is not at target, first-line therapy is a structured education or hypoglycemia-specific education program (Fig. 1). A robust evidence base supports functional insulin therapy through educational programs such as DAFNE and behavioral interventions such as BGAT. These programs reduce the incidence of SH by 50–70% and restore hypoglycemia awareness in up to 40% of patients (Table 2). Some data suggest additional benefits with programs focused on hypoglycemia avoidance, such as HyPOS, over standard education. The choice of insulin in patients with SH has been tested in only one trial, which demonstrated a 29% reduction in SH using analogs compared with regular or NPH insulin. But no data exist so far regarding the impact on IAH of newer insulins, such as degludec, U300 glargine, or pegylated insulin.

Stage 2

Robust evidence exists for the use of CSII as second-line therapy to reduce SH. Although a paucity of randomized evidence supports the use of RT-CGM and less evidence supports the use of RT-CGM in patients with T1D for the purpose of reducing the incidence of SH, this technology offers a logical step forward for individual patients. Limitations to the use of technology must be considered, and data suggest that CGM must be used continuously for sustained benefit.

Stage 3

If the composite treatment target of no SH, Clarke score <4, and HbA1c <8.0% (64 mmol/mol) is still not met (Fig. 1), the use of SAP, preferably with low-glucose suspension (LGS), and/or very frequent contact with a specialized hypoglycemia service should be considered for third-line therapy (Fig. 1). Small-scale nonrandomized trials of psychoeducational therapies such as DAFNE-HART and BGAT suggested that they offer further benefit, especially in patients with behavioral contributors to recurrent SH.

Because most trials of SAP in T1D excluded patients with problematic hypoglycemia, only anecdotal evidence supports the use of SAP alone for reducing the incidence of SH in this patient population. Studies using threshold suspension of insulin were successful in reducing hypoglycemia over and above SAP alone, suggesting that this may be the preferred evidence-based option in patients with T1D and problematic hypoglycemia. In patients with ongoing problematic hypoglycemia, very frequent and intensive contact with an expert diabetes team can restore their awareness of symptoms and, to some extent, counterregulatory responses, but such contact may not always be feasible in the clinical scenario. Weekly to monthly contact as offered in the HypoCOMPaSS trial seem to be effective in reducing the incidence of SH, but restoration of awareness is modest (Table 2).

The algorithm proposed in Fig. 1 shows the level of evidence supporting each intervention. The system should be flexible, and clinicians will make individual decisions based on specific circumstances, taking into account the preference of the patient as well as the patient's involvement and possibilities. For certain patients with behavioral issues, further behavioral programs such as BGAT, HyPOS, or DAFNE-HART may be beneficial. For others, more expensive treatment such as CSII with and without RT-CGM may be more appropriate.

Stage 4

Pancreas and islet transplants, the fourth-line therapy, are very effective in achieving the composite target of eliminating SH with near-normal HbA1c levels, but lifelong immunosuppressive therapy and its possible complications represent a major limiting factor. Because islet and pancreas transplants are both effective in preventing SH and achieving near-normoglycemia, the optimal treatment option will require individualized discussion of multiple factors, including the procedural risks (which are higher for a pancreas transplant), importance of insulin independence, waiting time, and sensitization. Some contraindications to a pancreas transplant (age >50 years, high cardiac risk) are common in patients with problematic hypoglycemia; they may only be eligible for an islet transplant. Yet, a small proportion of patients may be ineligible for an islet transplant because of their weight or insulin requirements. The transplant team should consider each patient's preferences and perceptions of risks and benefits.

In the absence of contraindications, the main determinant of which type of transplant to choose is the patient's kidney function. A living donor kidney transplant might be the best option for a given patient with chronic kidney disease followed by either an islet or a pancreas transplant. If a living donor is not available, then a simultaneous deceased donor kidney transplant and islet or pancreas transplant may be indicated (Fig. 2).

(Enlarge Image)

Figure 2.

Transplant options for patients with T1D (expert consensus). CGMS, continuous glucose monitoring system. eGFR >30 and <60 mL/min/1.73 m: islet or pancreas transplantation alone, high risk for developing end-stage renal disease under calcineurin-based immunosuppression. *All transplant types: living kidney and deceased donor islet or pancreas after kidney transplantation, simultaneous pancreas or islet kidney transplantation, or deceased donor kidney alone and islet or pancreas after kidney transplantation.

For patients requiring a kidney transplant, it is clear that both pancreas and islet transplants, either simultaneously or sequentially, are effective in preventing SH and protecting the kidney graft from hyperglycemia. However, how best to treat problematic hypoglycemia in patients with an intermediate estimated glomerular filtration rate (eGFR) (30–60 mL/min) (Fig. 2) is unclear because the immunosuppressive therapy required after a pancreas or islet transplant can increase the risk of end-stage renal failure in these patients.

Currently, organ donation rates in the U.S. and Europe are stalled at between 10 and 35 donors per million population, yet potentially 1,000 patients with T1D per million population are affected by recurrent SH. The organ shortage is the second major factor (in addition to lifelong immunosuppression) limiting β-cell replacement. Until new sources of β-cells are available, β-cell replacement by means of a whole-pancreas transplant or an isolated islet transplant will be limited to a carefully selected group of patients with problematic hypoglycemia refractory to medical and technological interventions.

Byrne et al. demonstrated that specialized clinics with expertise in hypoglycemia management are essential to concentrating limited transplant resources for patients who need them most. Of 36 patients with recurrent SH referred to a specialized hypoglycemia service, 47.2% experienced resolution of their problematic hypoglycemia with optimal medical therapy, and another 25% achieved clinically relevant improvement. Of those highly selected patients, however, 27.8% required a transplant despite having elevated HbA1c levels of 8.0% (64 mmol/mol) and despite having access to all educational and technological interventions.

Another crucial factor is the reimbursement policy of each country or insurance plan. If an expensive technology option does not deliver the expected results within a 6-month period, it may be discontinued. In many countries, CSII is reimbursed by health insurance, but RT-CGM is not. The same is true for β-cell replacement; in many countries, pancreas transplants are reimbursed, but only in a much smaller number of countries are islet transplants reimbursed. The cost-effectiveness of these technologies has not been tested in larger populations; it will take many years to prove the cost savings or at least the cost-effectiveness, although QoL improves in most trials.

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Type 2 Diabetes - Prevention Is Better Than Cure! https://www.cbwchina.com/articles_bzlifa.html https://www.cbwchina.com/articles_bzlifa.html#respond Mon, 03 Jun 2019 08:30:00 +0800 So, if this is true, why do so many people become ill in the first place? The answers are unfortunately simple.
It's usually because of one or more of these reasons:
  • they hate going to the doctor.
  • they don't want to appear "weak"...
    this is more prevalent in men.
  • they believe the illness is insignificant and will go away on its own.
  • they don't notice the symptoms or think the illness is minor...
    a cold instead of pneumonia.
  • they can't easily get to a doctor or hospital.
  • the cost of receiving treatment and/or buying medication is unmanageable.
  • sheer apathy.
If people would seek treatment as soon as they become ill, less people would end up with a severe illness.
Fewer people would end up with incurable diseases and there would also be fewer fatalities.
Prevention is always better than cure.
Prevention can save lives, avoid incurable diseases and serious disabilities because treatment and medication can often reverse problems before they become severe.
Unfortunately, prevention isn't always possible.
Type 2 diabetes is a clear example of a disease that can be undiagnosed for ten to fifteen years.
Once it is diagnosed, the symptoms are chronic.
You will have high blood sugar, gained a lot of weight and maybe even have heart issues.
There are general steps you can take as part of your overall lifestyle plan so illness does not affect you.
These steps are probably the same as you have heard from your parents, your doctor, your friends, your partner, etc.
  • eat healthy fresh food and avoid processed food as much as possible.
    Drink plenty of water every day.
    Do regular exercise.
    This doesn't mean you have to visit the gym for 5 hours every day.
    A 30 minute walk 3-5 times a week is enough for starters, although more would be better.
  • educate yourself about health issues in your family history.
    See your doctor regularly and ensure he orders blood tests to check if you have deficiencies so you can hopefully catch them early enough to reverse them.
    If you notice anything strange about your body, see your doctor urgently.
  • live in a clean environment so germs don't multiply.
    Don't smoke.
    Keep your consumption of alcohol to a minimum.
  • keep your stress levels to a minimum and have plenty of sleep and rest.
    Have a healthy work-life balance.
    Take regular holidays.
While this information may seem basic and not worth paying attention to, the problem is when people ignore the value of living a healthy lifestyle, it then leads to many medical problems that could have been avoided.
There is only one of you...
value yourself and maybe your family will do the same! ]]>
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Gestational Diabetes Symptoms and Information https://www.cbwchina.com/articles_nq2tda.html https://www.cbwchina.com/articles_nq2tda.html#respond Mon, 03 Jun 2019 08:19:00 +0800 Gestational diabetes affects less than 5% of pregnancies in the U.
For these women their health and their babies can be affected by this condition if it is not taken seriously and careful managed.
Both the mother and the physician need to work together to come up with options that will reduce the risk of complications during the pregnancy.
Watching and monitoring for symptoms of gestational diabetes are very important to the health of the mother and the baby.
Hormone changes in the body during pregnancy almost always in some way impair how glucose is used in the body.
Insulin is a hormone produced to trigger glucose being moved through the body to provide energy.
If the body becomes resistant to this hormonal trigger the result is the same as if too little insulin was being produced.
For the pregnant woman, this might mean having a higher than normal blood sugar level, but not high enough to be diabetes during most of the pregnancy.
The last part of the pregnancy or the third trimester can see a hormonal shift that upsets this balance and places the woman at risk of developing gestational diabetes.
This might happen in part because during pregnancy the placenta which connects the baby to the uterus by the umbilical cord is also producing hormones as it helps to shift nutrients from the mother to the fetus.
These hormones produced by the placenta resist insulin and help the mother from developing low blood sugar levels in her blood.
As the pregnancy nears its end these hormones coming from the placenta interfere more and more with the body's tolerance for insulin and a higher level of sugar in the blood.
Most of the time the pancreas of the mother produces more insulin often as much as 3 times the normal level to compensate for the hormonal shift, but if this organ cannot produce enough insulin to surmount the levels coming from the placenta then the result is gestational diabetes.
This is why the symptoms of gestational diabetes are the same as you might see for other types of diabetic conditions such as Type 2 since the blood level issues are the same in both conditions even though the causes are very different.
It is also important to note that once the pregnancy is over and the placenta is expelled from the body this stops the conditions that resulted in the diabetes.
That these factors did occur can however indicate a problem with diabetes Type 2 for the mother later in her life.
Symptoms of gestational diabetes or signs a doctor might look for include being overweight before the pregnancy, having a baby weighing over 9 in the past, having had a stillborn birth, having sugar in the urine, a family history of diabetes, having had gestational diabetes during a past pregnancy, or having too much amniotic fluid.
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Diabetes and Heart Disease in South East Asians https://www.cbwchina.com/articles_uwbhfa.html https://www.cbwchina.com/articles_uwbhfa.html#respond Mon, 03 Jun 2019 08:13:00 +0800 The subject is fascinating, but both articles are heavily biased towards medication and basically occult the nutrition / exercise way of treating type 2 diabetes and controlling heart disease risk factors.
For those who would want to read the original articles, please leave me a note and I'll forward the links.
Most people believe that once you have diabetes - or obesity for that matter - nothing can be done and people are stuck for life with these conditions.
This is absolutely not true and I decided to present the situation as it is.
But rather than speak of pills people should take, I will instead put the emphasis on natural ways to treat and cure these conditions.
Nobody is doomed! Heart disease, obesity and diabetes are not inevitable.
Obesity is not the only chronic disease epidemic in the US: type 2 diabetes, directly linked to this rise in obesity and insulin resistance, affects 23.
6 million people.
For now, this represents 7% of the population and this proportion is rising.
There is more: all diabetics are not created equal and some ethnicities are much more at risk: in the US, Asians have a risk of diabetes that is 1.
6 times that of non-Hispanic whites
, even when age, sex and body mass index are considered.
At similar BMIs, Asians also have higher rates of heart disease and higher rates of metabolic syndrome.
So, if you are from South Asia, (India, Pakistan, Sri Lanka, Bangladesh, Bhutan, Nepal and Maldives), especially if you have kids, please read on: your ethnic origin is in itself a risk factor for type 2 diabetes but if you make the right choices, you will decrease dramatically the odds of getting diabetes! Why especially if you have kids? Because the growing generation has an alarming proportion of obesity and many adolescents already have one or two heart disease risk factors or diabetes risk factors.
This generation does not respond to health information as they believe they are invincible.
But these kids will respond positively to the example of a fit and active parent.
Why are you more vulnerable to diabetes and heart disease? Genetic susceptibility (it's in your genes) and a higher level of central visceral body fat (also controlled by your genes) are thought to play a role.
But genetic susceptibility will only express itself if you make the wrong choices in terms of lifestyle (sedentary versus active) and diet (it will express itself with a high carbs diet, especially if this high carbs diet is eaten with high fat).
Bad genetics will keep silent if you make the right choices.
As for central obesity, you'll learn below how to get rid of it.
First things first.
What is central obesity? This refers to the actual distribution of fat in your body.
You have central obesity if your fat is located mainly above the waist, in the abdomen.
This is the most dangerous distribution because the fat in that area is mainly visceral (around the organs) and it compresses those organs.
This fat distribution is linked to heart disease.
When you look at people with central obesity, they look like an apple.
This is the most common distribution in men, though quite a few women now have this distribution.
If your fat is distributed below the waist, you may have a cosmetic problem but this distribution of fat, seen mainly in women, is not associated with heart disease.
People with this fat distribution (below the waist) are shaped like a pear.
South East Asians are genetically more susceptible to diabetes.
There is a genetic hypothesis that tries to explain this fact.
it is called the thrifty gene hypothesis.
In a few words, it states that during the longest period of human history, called the hunter-gatherer phase, the ability to store fat by generating high blood insulin during times of plenty was driven by adaptation.
How did it work? Insulin pushed glucose in the cells and made the body store it as fat.
The individual with this system had some fat tissue to rely on during a period of starvation.
Scientists also think that peripheral insulin resistance in skeletal muscle (that is, because of this "resistance", insulin cannot push glucose in the cells) was an adaptation because it increased the availability of glucose to the brain during times of famine.
While these mechanisms may have been useful when humanity was confronted with frequent periods of starvation, in the current state of food abundance (though not necessarily of high quality), this insulin resistance coupled with decreased physical activity both contribute to a diseased handling of glucose, especially in South Asian populations.
The thrifty gene hypothesis suggests that as low quality high carb food becomes more and more abundant and as insulin is continuously stimulated, diabetes incidence (new cases) and prevalence (all the cases) should increase.
This is supported by what happens in India and in Indian immigrants to Western Countries: people living in rural areas have a prevalence of diabetes of approximately 2%, which increases to 8% in urban areas.
More: Indians who migrate to more westernized countries and pick up a more westernized diet have a prevalence of diabetes up to four times higher than people living in India.
Analysis of the umbilical cord blood of newborn Indians show these infants already are predisposed to hyperinsulinemia and to be insulin-resistant.
Though very small compared to other infants, Indian babies can be described as "thin-fat" or "skinny-fat".
In other words, they have smaller body organs and lower muscle mass but relatively preserved body fat.
This puts them at risk of insulin resistance and ultimately diabetes later in life.
Though they are smaller than Caucasian babies, Indian babies have a higher body fat percentage and specifically more intra-abdominal fat.
Adult Indians also have more visceral body fat, a fat linked to a higher cardiac risk, and lower muscle volumes than other ethic groups when comparing individuals of similar BMI.
And this is the tricky part.
Their seemingly normal BMI is misleading and despite values that are absolutely normal in other ethnic groups, Indians are at higher risk of what doctors call the metabolic syndrome: central obesity, insulin resistance, hypertension and abnormal cholesterol leading to atherosclerosis.
Abdominal obesity is a characteristic feature of South Asian populations and carries a known association with insulin resistance (which happens just before diabetes).
Anyone of South Asian origin must not compare his/her BMI to that of other ethnicities.
That person would be falsely reassured.
The South Asian diet is traditionally rich in fat (clarified butter) and carbohydrates (rice).
Desserts rich in fats and sugar are unfortunately part of almost all religious and cultural events.
High fat and high carbs meals are a deadly combination, leading to heart disease and diabetes.
High fat, as long as it is heart-friendly omega-3, omega-9 or saturated fat, is not much of a problem when combined with protein.
It should never be combined with carbohydrates.
Sedentary lifestyles are likely in part due to city living.
As more and more people live in cities and live a sedentary lifestyle, they become more and more fat.
New immigrants, especially those in a low socio-economic bracket have a risk three times higher to develop type 2 diabetes compared to people of the same BMI of other ethnic origins.
How do you naturally reverse this? Diet wise, this high fat / high carbs combination should be discontinued.
It should not be replaced, though, by a standard North American diet (high carbs hamburger buns with high fat meat, high carbs and high trans fat donut, and high carbs soft drink, with high trans fat and high carbs French fries...
Rather, people should change to a low carb, moderate fat and high protein diet, with tons of fresh vegetables and fruits.
This alone should help keep the abdominal obesity under control and reduce it.
People should also begin an exercise program, one that combines high intensity cardio with resistance training (body weight, resistance bands or free weights).
There is always the possibility of joining a gym, but it can be expensive and your kids do not see you and cannot train with you.
I recommend you look at the extremely varied programs by Beachbody and consider even a kid-specific program if you have young kids.
I got ticked off as I was reading the article from Dr Hearst.
While she did an excellent job at gathering the facts, instead of addressing the basic problem of diet and sedentary, she instead suggested to tailor medication to the South Indian patient by choosing as a first line treatment medication that would make cells less insulin-resistant.
This makes no sense! While patients may need medication if they change nothing, their genetic predisposition will not express itself if they address the underlying problem of visceral obesity and sedentary by changing their diet and becoming more active.
Considering that there is lack of knowledge amongst South Indians on the link between a high carbs diet, sedentary and diabetes and an important reluctance to take medication, her "pills first" approach seems doomed from the word go.
With an exercise program and diet, it really would not take a lot to make an enormous difference: a 2-3% reduction in energy intake or an extra 10-15 minutes of walking is enough to prevent weight gain.
To actually reverse abdominal obesity takes more physical effort, but is achievable, especially with support from a group, either real or virtual.
I know of only one free virtual group: TeamBeachbody! Changing diet may be more culturally challenging, but would help achieve significant results.
Selecting and doing one of the many Beachbody programs and following the dietary advices provided with those programs - people can change the spices to make meals similar in taste to their traditional foods - could make a massive difference and people who would otherwise be at high risk of developing diabetes could live a long and healthy life.
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4 Ways to Prevent Type 2 Diabetes That You Have Never Heard About! https://www.cbwchina.com/articles_baw2da.html https://www.cbwchina.com/articles_baw2da.html#respond Mon, 03 Jun 2019 08:04:00 +0800 "Eat right, exercise, lose weight and take your medications".
While those four pillars of diabetes prevention are not going away anytime soon, they aren't the only factors involved in handling your diabetes.
In addition to getting to and maintaining a healthy weight, eating a solid diet, and being physically active, why not consider these little known ways to offset type 2 diabetes? 1.
Avoid Trans Fat Like the Plague
Researchers now think that chronic inflammation is the underlying cause of type 2 diabetes.
Because excess fat cells create boatloads of inflammation, being overweight greatly increases the odds you will end up with type 2 diabetes.
However, your weight is far from the only thing that determines how much inflammation you have inside your body.
Trans fat, a fat found in baked goods, processed foods and fried food, is a well-known inflammation promoter.
Trans fat should be meticulously avoided if you are at risk for type 2 diabetes.
A study in The American Journal of Clinical Nutrition found that just a 2% increase in the intake of trans fat increased your risk of developing type 2 diabetes by 39%.
Fill Up On Fiber
It is just too bad the focus of diabetes prevention is on what you can't eat.
The truth is, there are plenty of delicious foods available to you, even if you are at high risk of developing type 2 diabetes.
One of the most important "food groups" to start eating are high-fiber foods.
It is important to note though this does not include fiber laden processed cereals and bars.
Nature has plenty of high-fiber options for you.
Whether it's an apple, a bean, or nuts, a diet rich in natural plant foods will almost guarantee you get the recommended 25-30g of fiber everyday.
Down Antioxidants
Free radicals are renegade cells that run around wreaking havoc on your body's vulnerable tissue.
The result? A spike in inflammation and insulin resistance.
The only way to effectively fight free radicals is by taking in antioxidants.
Dark colored fruits and vegetables are great choices, but they are far from being the only antioxidant-rich foods out there.
Tea, red wine, and even coffee have been shown to increase insulin sensitivity and decrease the risk of developing type 2 diabetes.
Stop Snoring
Snoring isn't just annoying to your neighbors...
it can actually cause diabetes.
Obstructive sleep apnea (OSA) is an incredibly common condition that is caused by obstructed airways during sleep.
OSA interferes with your natural sleeping patterns to such an extent, it doesn't just make you sleepy...
it makes blood sugar levels spike.
Research shows that 77% of people with diabetes also have OSA as both conditions are linked to obesity.
However, when people with type 2 diabetes are treated for OSA, the drop in blood sugar is equivalent to most prescription drugs.
If you suspect you have OSA, it's important to talk to your health care provider now before it brings you one step closer to type 2 diabetes.
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Tuna Salad Recipe with Walnuts https://www.cbwchina.com/articles_a5d1ja.html https://www.cbwchina.com/articles_a5d1ja.html#respond Mon, 03 Jun 2019 07:58:00 +0800 Updated June 08, 2015.


Try something new the next time you make tuna salad by adding walnuts to your recipe -- along with celery and green apples, they add crunch to this recipe.The walnuts add an extra shot of healthy fats and fat-soluble vitamins.Half of the recipe provides 260 calories, 18 grams of fat (90% of this is unsaturated), 11 grams carbohydrate, 3 grams fiber, and 13 grams protein.Serve this on top of fresh baby spinach instead of bread for a lower carbohydrate meal with extra health benefits from the spinach.

See Also

Healthy Lunch Choices with Diabetes

Healthy Lifestyle Recipes

What Makes Your Salads Special?

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Diabetes - How to Manage Diabetes the Simple Way https://www.cbwchina.com/articles_gk2iea.html https://www.cbwchina.com/articles_gk2iea.html#respond Mon, 03 Jun 2019 07:53:00 +0800 It is very important, that you control your diabetes by regularly visiting your Diabetic Specialist who should be insisting on regular tests so he or she can ensure you are treated correctly.
It is important that you regularly test your own blood.
This should be done each day at the same time before meals.
Because diabetes is a complicated disability and being combined with other disorders it is important that medication prescribed by the doctor be taken on a regular basis.
Most medication can be taken either morning or night depending on your desires.
The complications associated with diabetes makes it important to keep control you diabetes and that includes blood pressure and cholesterol.
This might also include taking specific medication for that too.
It is important that you understand exactly what has gone wrong with your health, you must endeavor to gain as much knowledge as you can.
The internet is a valuable source of knowledge these days, but you must also be objective about the information that is available, and sometimes it might be biased to a particular medication.
Now comes the most important part and that is a LIFESTYLE CHANGE.
This must happen nothing changes unless you change.
You have the control here.
You must begin to eat the proper foods.
There is no special diet other than the food you must avoid.
You must give up anything that contains refined carbohydrates as in sugar and all dairy products and anything that belongs to an animal that walks upon this earth.
You must give up booze and you must not be smoking.
If you don't change your lifestyle then you might not bother doing anything.
Now comes the fun part, the exercises part, no excuses here, you must start a walking program that will take up to 20-30 minutes a day six days a week.
Now if you have become so obese that you find walking almost impossible then start using some weights to get that muscles working and the heart pumping remember, no excuses.
Remember that this disability can cause blindness, amputation, dialysis, heart attack or stroke, anyone is not good.
Diabetes can be cured if you to start caring for yourself properly and trying to reverse the many years of abuse.
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Tips to Help You Manage Your Diabetes at Work https://www.cbwchina.com/articles_b905ja.html https://www.cbwchina.com/articles_b905ja.html#respond Mon, 03 Jun 2019 07:42:00 +0800 diabetes and a career could coexist.


Also See:

Diabetes is a serious disease that can cause debilitating nerve pain.

Here's some helpful information:

Related to Diabetes Nerve Pain
symptoms, medications, Exercise tips, Treatment, Diabetes diet, Pain relief, Foot protection

Today, millions of people afflicted with type 1 or type 2 diabetes are following in Moore's footsteps. They're refusing to let diabetes get in the way of their careers.

"I made a decision early in my life to find a career where diabetes and success could coexist," says Paul Strumph, MD. Strumph is chief medical officer of the Juvenile Diabetes Research Foundation. He also has type 1 diabetes. "I don't wear it like a badge," he says. "But clearly my career has not suffered because of my diabetes."

The same is true for San Diego resident Aaron Synder. Synder was diagnosed with type 2 diabetes when he was 20. Today, at age 30, he's a successful trader. "I have a job that requires me to be at work before 5:30 a.m., and I sometimes stay until 5:30 p.m.," Synder says. "I'm continuously surrounded by free candy, sodas, and chips on a daily basis. But I still manage to keep my blood sugar under control and not let my illness interfere with my job." In addition to his job, Synder, is a patient counselor and is also writing a book to help other people with diabetes gain control of their life and career.

It isn't always easy to do what Synder and Strumph do. Both agree that having diabetes does present some workday challenges. But, says endocrinologist Lauren Golden, MD, knowledge is the key that can turn obstacles into opportunities.

"The more you know about your diabetes," Golden says, "and the more you know about controlling your blood sugars, the better off you'll be." Golden is a diabetes specialist at the Naomi Berrie Diabetes Center at Columbia Presbyterian Medical Center in New York City. She tells WebMD that the more you know, the better prepared you will be to deal with any work situations that arise, "including explaining your condition to others if you need to."

To help you put your best work-foot forward, WebMD asked a panel of patients and experts for tips and advice about controlling diabetes in the work place. What they said can help you gain control not just of diabetes, but of your occupation as well.
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