Thursday, September 17, 2009

Diabetes, the other silent killer

Figures from the American Diabetic Association show that diabetes is the fourth leading cause of death in the U.S, killing approximately 210000 persons every year. Medical and other related costs can soar over $100 billion a year!!

The good news is there is a great deal that you can do to help manage the condition at an early stage. Being informed truly is the best medicine. Learning as much as you can about your diabetes, how to control your blood sugar, complications and how to prevent them, can help you stay healthy. As always, be sure to consult your physician first before implementing or changing diet or exercise routines or taking any over the counter medications or nutritional supplements.

Diabetes is a serious condition. It is a chronic disorder of carbohydrates, fat and protein metabolism, characterized by fasting elevation of blood sugar level and a greatly increased risk of heart disease, stroke, kidney disease and loss of nerve functions.

There are two major types of diabetes. Type I and Type II.

Type I is also known as Insulin Dependent Diabetes Mellitus (IDDM) and often occurs in children and adolescents. Individuals with Type I diabetes need to inject insulin everyday. It occurs when the pancreas stops producing insulin (a hormone which helps deliver sugar from the blood to the body’s cells).

Type II is also known as Non-Insulin-Dependent Diabetes Mellitus (NIDDM) and is usually an adult disease. In type II diabetes, insulin is present but not appropriately available due to insulin-resistance. For a variety of physiological reasons, the hormone (insulin) is unable to do its job. The pancreas produces insulin but the body’s cells do not respond to its action and can’t absorb the glucose from the blood so glucose levels rise in the blood.

There are a number of causes which give rise to diabetes. Some of the causes are listed below; however, they should not be considered a complete list. 

Heredity plays a major role. Some individuals or ethnic groups may be genetically susceptible than others. 

Experts are convinced that obesity and a sedentary lifestyle also play a major role in the development of diabetes. 

Impaired digestion and an overworked pancreas. 

Syndrome-X (results from a combination of disorders such as hypertension, high cholesterol, blood clotting abnormalities and insulin resistance)  

Chromium deficiency. 

Prenatal factors. Recent evidence supports the concept that the nutritional status of the mother during pregnancy plays a role in determining whether the child will develop diabetes later in life. 

Food with refined sugars and high glycemic index.  

Imbalance between two critical hormones- insulin and glucagon.  

Misplaced T7 (thoracic 7) vertebra.  

Complications resulting from diabetes can be grave if not controlled.
Some complications include but are not limited to:

Hypoglycemia and diabetic coma.

Cataracts, diabetic neuropathy, retinopathy, nephropathy, skin ulcers, gangrene leading to amputation, stubborn skin infections and heart disease.

There are some early warning signs you should be aware of if you suspect development of diabetes such as 1) Frequent urination 2) Constant thirst or hunger 3) Blurred vision 4) Numb or tingling hands or feet 5) Slow healing of cuts and bruises 6) Frequent skin infections.

Proper treatment is often delayed because diabetes is not diagnosed until a patient is already experiencing complications.

Diet is an extremely important part of diabetic therapy. Nutrition is the cornerstone for good health. A couple of diet considerations after consultation with your physician could include complex carbohydrates that are rich in fiber, fresh vegetables and fruits of low glycemic index, rather than simple carbohydrates such as breads and pastries.

Complex carbohydrates take longer for the body to break down and absorb and therefore provide a slower or more gradual increase in blood sugar levels. Your physician may even advise you to eat smaller frequent meals throughout the day. Along with diet, exercise is also of equal importance. Exercise will increase tissue levels of chromium and also increases the number of insulin receptors. In many instances, changes in diet and exercise may push borderline blood sugar down to a normal range.

The best prevention is adopting a healthy lifestyle. Because obesity is so strongly associated with TypeII diabetes, weight control is an important element of diabetic management. If you want to lose weight to control diabetes, high blood pressure and reduce the risk for developing heart disease then walk, walk and walk some more.

Insulin injections don’t cure diabetes. They enable you to live with it…..that is if you call injecting yourself multiple times a day, “living”. The key word is HEALTHY LIFESTYLE through diet, exercise and certain herbs and supplements.

Could You Have Diabetes-And Not Know it?

Take this test to see if you are at risk for having diabetes. Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders. If you are a member of one of these ethnic groups, you need to pay special attention to this test. Write in the points next to each statement that is true for you. If a statement is not true, put a zero. Then add your total score.

1. I am a woman who has had a baby weighing more than nine pounds at birth.

Yes 1 ______

2. I have a sister or brother with diabetes.

Yes 1 ______

3. I have a parent with diabetes.

Yes 1 ______

4. My weight is equal to or above that listed in the chart.

Yes 5 ______

5. I am under 65 years of age and I get little or no exercise.

Yes 5 ______

6. I am between 45 and 64 years of age.

Yes 5 ______

7. I am 65 years old or older.

Yes 9 ______

TOTAL

Scoring 10 or more points: You are at high risk for having diabetes. Only your health care provider can check to see if you have diabetes. See yours soon and find out for sure.

Scoring 3 to 9 points: You are probably at low risk for having diabetes now. But don't just forget about it. Keep your risk low by losing weight if you are overweight, being active most days and eating low-fat meals that are high in fruits and vegetables and whole grain foods. Diabetes is a serious disease that can lead to blindness, heart disease, strokes, kidney failure and loss of a limb.

Saturday, September 5, 2009

Control your diabetes by Vitamin C and Vitamin E


Many of the vitamins like Vitamin B complex, Thiamine or Vitamin B1 and Pyridoxine or Vitamin B6 are great controller of diabetes. Other vitamins like vitamin C and vitamin E also works great in controlling diabetes. Have a look on the benefits how they can help you controlling your diabetes.

Vitamin C - Vitamin C is considered highly beneficial in treating diabetes. Because of stress, urinary losses and destruction by artificial sweeteners, the vitamin C requirement is usually high in diabetics. Large amounts of this vitamin sometimes bring very good results. Dr. George V Mann in Perspective in Biology and Medicine recommended extra vitamin C for diabetics. Natural insulin output increases in diabetics with supplementary doses of vitamin C.

The intake of vitamin C in the form of dried Indian gooseberry (amla), the richest known source of vitamin C, or tablets of 500 mg or from natural sources of vitamin C besides amla, are citrus fruits, green leafy vegetables, sprouted Bengal gram and green grams.

Vitamin E - This vitamin reduces considerably the devastating vascular damage accompanying diabetes. Dr. Willard Shute in The Complete Book of Vitamins recommends 800-1600 IU of vitamin E a day to prevent arterial degeneration in diabetes.

A Swedish study also supports vitamin E therapy for treating diabetes. Vitamin E helps diabetics decrease their insulin requirements. It would be advisable for a diabetes patient to take a daily dose of 200 IU of this vitamin for a fortnight at a time.
Rich Sources of Vitamin E. Valuable natural foods sources of this vitamin are wheat or cereal germ, whole grain products, fruits and green leafy vegetables, milk and all whole raw or sprouted seeds.

Other rich sources of vitamin E are cold pressed crude vegetable oils, especially sunflower seeds, safflower, and Soya beans oils, raw and sprouted seeds and grains, alfalfa, lettuce, almond, human milk etc.

Vitamin A - Diabetics are unable to convert beta-carotine to vitamin A. A supplement of this vitamin, therefore, becomes necessary.

Control your diabetes by Vitamin C and Vitamin E

Many of the vitamins like Vitamin B complex, Thiamine or Vitamin B1 and Pyridoxine or Vitamin B6 are great controller of diabetes. Other vitamins like vitamin C and vitamin E also works great in controlling diabetes. Have a look on the benefits how they can help you controlling your diabetes.

Vitamin C - Vitamin C is considered highly beneficial in treating diabetes. Because of stress, urinary losses and destruction by artificial sweeteners, the vitamin C requirement is usually high in diabetics. Large amounts of this vitamin sometimes bring very good results. Dr. George V Mann in Perspective in Biology and Medicine recommended extra vitamin C for diabetics. Natural insulin output increases in diabetics with supplementary doses of vitamin C.

The intake of vitamin C in the form of dried Indian gooseberry (amla), the richest known source of vitamin C, or tablets of 500 mg or from natural sources of vitamin C besides amla, are citrus fruits, green leafy vegetables, sprouted Bengal gram and green grams.

Vitamin E - This vitamin reduces considerably the devastating vascular damage accompanying diabetes. Dr. Willard Shute in The Complete Book of Vitamins recommends 800-1600 IU of vitamin E a day to prevent arterial degeneration in diabetes.

A Swedish study also supports vitamin E therapy for treating diabetes. Vitamin E helps diabetics decrease their insulin requirements. It would be advisable for a diabetes patient to take a daily dose of 200 IU of this vitamin for a fortnight at a time.
Rich Sources of Vitamin E. Valuable natural foods sources of this vitamin are wheat or cereal germ, whole grain products, fruits and green leafy vegetables, milk and all whole raw or sprouted seeds.

Other rich sources of vitamin E are cold pressed crude vegetable oils, especially sunflower seeds, safflower, and Soya beans oils, raw and sprouted seeds and grains, alfalfa, lettuce, almond, human milk etc.

Vitamin A - Diabetics are unable to convert beta-carotine to vitamin A. A supplement of this vitamin, therefore, becomes necessary.

Control diabetes – start avoiding white flour, white Salt, tea and coffee

White Flour

Wheat is the most common cereal used throughout the world for making bread. It is a good source of energy. With its essential coating of bran, vitamins and minerals, it is an excellent health-building food.

Wheat is usually ground into flour for use as food. However refined wheat flour constitutes a serious health hazard of the various processed foods being used today for their delicious taste, white flour (maida) is especially harmful. The colossal loss of vitamins and mineral in refined wheat flour has led to widespread prevalence of constipation and other related disgestine disturbance and nutritional disorders, particularly diabetes. The consumption of white flour is thus an important contributory cause of diabetes, and its aggravation, if the disease has already developed.

White Salt

Common salt or sodium chloride is a major factor in maintaining the acid base equilibrium of the body. It is also essential for the production of hydrochloric acid in the stomach. Thus, while a certain amount of salt essential for the body system, it is required in very small quantities, ranging from 10 to 15 g per day.

Excessive use of salt puts extra burden on the kidneys, may cause high blood pressure, which is closely linked with diabetes. Excessive intake of salt promotes water retention in the body, which in due course may lead to obesity, which is a potent cause of diabetes. Too much salt is thus harmful and may promote or hasten the onset of diabetes.

Salt (sodium chloride) and sodium preservatives are added to most processed foods. A sodium-controlled diet must avoid or limit salted snacks; pickles and many others processed convenience foods.

Tea and Coffee

Drinking tea and coffee is a serious health hazard for the diabetic. The most alkaloid principle in both tea and coffee is caffeine. Caffeine is an addictive drug similar to cocaine in as much as it stimulates the central nervous system. While these effects are short-lived, it has been observed that they lead to withdrawal symptoms of irritability, lethargy, headaches and anxiety. The daily intake of tea and coffee causes indigestion and gas formation, diarrhea, and constipation. They also increase the blood sugar level, which may lead to diabetes or aggravate its symptoms where the disease is already present.

Thursday, September 3, 2009

Causes of diabetes

Certain factors that contribute to the development of diabetes are

Heredity

Heredity is a major factor. That diabetes can be inherited has been known for centuries. However, the pattern of inheritance is not fully understood. Statistic indicates that those with a family history of the disease have a higher risk of developing diabetes than those without such a background. The risk factor is 25 to 33 percent more.

One reason why diabetes, especially type-2 diabetes runs in the family is because of the diabetes gene. But even it is caused by genetic factors beyond your control; there is no reason to suffer from it. Diabetes mellitus cannot be cured in full sense of the term, but it can be effectively controlled so that you would not know the difference.

Diet

Diabetes has been described by most medical scientists as a prosperity’ disease, primarily caused by systematic overeating. Not only is eating too much sugar and refined carbohydrates harmful, but proteins and fats, which are transformed into sugar, may also result in diabetes if taken in excess.

It is interesting to note that diabetes is almost unknown in countries where people are poor and cannot afford to overeat.

The incidence of diabetes is directly linked with the consumption of processed foods rich in refined carbohydrates, like biscuits, bread, cakes chocolates, pudding and ice creams.

Obesity

Obesity is one of the main causes of diabetes. Studies show that 60 to 85 % of diabetics tend to be overweight. In the United States of America, about 80 percent of type –2 non-insulin dependent diabetics are reported to be overweight.

Excess fat prevents insulin from working properly. The more fatty tissue in the body, the more resistant the muscle and tissue cells become to body insulin. Insulin allows the sugar in the blood to enter the cells by acting on the receptor sites on the surface of the cells.

Older people often tend to gain weight, and the same time, many of them develop and mild form of diabetes because who are over weight can often improve their blood sugar simply by losing weight.

Stress and Tension

There is a known connection between stress and diabetes mellitus, those who are under stress and/or lead an irregular lifestyle, need to take adequate precautions and make necessary lifestyle adjustments.

Grief, worry and anxiety resulting from examinations, death of a close relative, loss of a joy, business failure and strained marital relationship, all a deep influence on the metabolism and may cause sugar to appear in the urine.

Smoking

Smoking is another important risk factor. Among men who smoke, the risk of developing diabetes is doubled. In women who smoke 25 or more cigarettes a day, the risk of developing diabetes is increased by 40 percent.

Lifestyle Risk

People who are less active have greater risk of developing diabetes. Modern conveniences have made work easier. Physical activity and exercise helps control weight, uses up a lot of glucose (sugar) present in the blood as energy and makes cells more sensitive to insulin. Consequently, the workload on the pancreas is reduced.

Avoid fats, meat and meat foods to control diabetes

Fats

The excessive use of fats has been linked to development of diabetes. A recent study at the University of Colorado Health Science Center, USA found that intake of an extra 40g of fat day increases the chances of developing diabetes by three times. Fat rich diet, especially one saturated with animal fat, seems to damage the insulin’s effectiveness. Research at the University of Sydney in Australia measured the saturated fatty acids in the muscles cells of older non-diabetic men and the women undergoing surgery and found that higher the presence of saturated fatty acids in the cells, the greater the insulin resistance. On the other hand, higher tissue levels of polyunsaturated fats, particularly fish oil, indicated better insulin activity and lower resistance. Fish oil differs from animal fats in that fish oil contains polyunsaturated fatty acids. One of the fatty acids called omega-3 is especially good for the heart—it lowers cholesterol and protects from atherosclerosis. In fact, the researchers also reported that intake of omega-3 fish oil to the subjects effectively overcame their insulin resistance.

In another study, Jennifer Lovejoy, assistance professor at Louisiana State of University, USA, studied and the eating habits and insulin activity among 45 non-diabetic men and women. About half of them were obese and the remaining half of normal weight. In both cases, higher fat consumption increased insulin resistance. This indicates, says Dr. Lovejoy, that even normal individuals who decrease their insulin efficiency and boost their vulnerability to diabetes.

Meat and Meat Foods

One of the most important nutrition guidelines to follow is to “eat less saturated fat.” A quick and simple way to do that is to eliminate meat products. They are high both in saturated fat and cholesterol content. People with diabetes have a greater risk of heart disease earlier in life. The practically useless calories added by saturated fats contribute to above normal body weight and obesity, putting a diabetic at greater of heart disease.

Flesh foods are extremely harmful for diabetes. They increase the toxemic condition underlying the diabetic state and reduce the sugar tolerance. Most diseases of the human body are caused by autointoxication of self-poisoning. The flesh of animals increases the burden on the organs of elimination and overloads and system with animal waste matter and poisons. Chemical analysis has shown that uric acid and other uric poisons contained in the animal body are almost identical to caffeine and nicotine, the poisonous, stimulating principles of coffee, tea and tobacco.

The renowned journal Lancet, reports that a patient of diabetes must be persuaded to consume less animal foods. However, in cold countries where meat and mat products constitute the bulk of the diet, patients of diabetes should limit their intake of animal products to eggs and white meal like fish and poultry. Even their use of should be kept to the minimum; all red meat and red meat products should be eliminated from the diet.

Wednesday, September 2, 2009

5 Diabetes Travel Tips

Planning ahead when you travel reduces stress. This is particularly important for a diabetic. These 5 diabetes travel tips are simple to implement and crucial to your diabetic management. They are particularly important if you are traveling abroad.

1) Have a pre-travel check-up. Make sure your A1C blood sugar levels; your blood pressure and your cholesterol levels are OK. Get the appropriate shots for any country you plan to visit.

2) Wear a diabetes medical ID. Ideally it should be in the language spoken in the country you're visiting. Not everyone speaks your language and you don't want medical problems through misunderstandings.

3) Keep your medication and glucose snacks in your hand-luggage. Check-in baggage does, unfortunately, go astray. Don't risk your diabetes medication by packing it in your main luggage.

4) Keep your medication in its original box, complete with pharmacy labels. It will prevent misunderstandings about why you are carrying drugs and, if you are on insulin, syringes.

5) Be aware of time zone changes, especially when altering your watch. Remember when you travel east your day becomes shorter; if you travel west your day becomes longer. You may need to alter the timings of your medication.

Traveling need not be traumatic. A sensible attitude and a bit of pre-travel planning can make things go far more smoothly.

7 Diabetes Foot Care Tips

If you don't look after your feet you run the risk of developing sores or infections that could, in the worst case scenario, lead to amputations. As happened to my father-in-law. Reduce your risk of infection or amputation by incorporating these 7 foot care tips...

1) Check your feet daily - especially if you have low sensitivity or no feeling in your feet. Sores, cuts and grazes could go unnoticed and you could develop problems leading to amputations.

2) Don't go around barefoot, even indoors. It's easy to tread on something or stub your toes and cut yourself. Protect your feet with socks/stockings and
shoes/slippers.

3) Be careful if you have corns or calluses. Check with your doctor or podiatrist the best way to care for them.

4) Wash your feet daily in warm, NOT HOT water. And don't soak your feet (even if you've been standing all day) because it could dry your skin and form cracks or sores.

5) Take extra care to dry your feet completely, especially between your toes. These are natural moisture traps - leaving them damp or wet could create all sorts of problems.

6) Exercise your legs and feet regularly. Even when sitting you can rotate your ankles; wiggle your toes or move your legs up and down. These all keep your blood circulation flowing and helps to minimize the risk of foot problems.

7) Get your feet professionally checked, at least once a year, for sensitivity and signs of any problems. You can usually arrange this when you have your annual check up for your AC1 levels (blood glucose levels over a 3-month period), blood pressure and cholesterol.

Take constant care of your feet. Get help from a relative or professional; Doctor, diabetic nurse or podiatrist if you are not able to bend when trimming nails or checking for sores. Taking these simple actions will help you reduce the risk of painful problems.

Tuesday, September 1, 2009

5 Ways to Manage your Diet for Diabetes

Since my diagnosis with diabetes at the age of eleven, my own diet has changed dramatically. I maintain my current healthy weight with a great diet/eating plan. If you do plan on losing more than about a stone in weight then I would visit your doctor for more tips on how to do this without risk.

I've had diabetes for seven years now, but to tell you that how I maintain weight is perfect would be totally wrong of me. However, I can advise you to follow my steps because I know what works and what doesn't. Before I really begin I must also say that I have been brought up by great parents who taught me to eat everything, and so I do! If there is something that you don't like, there are loads of other diabetic recipes and ideas that you will eat and appreciate.

I am a university student and I like to buy fresh and organic produce from where I live. I believe that this is important because it can be the most good for your body and contain more nutrients and vitamins than most supermarket produce. I like to source food from my fortnightly farmers market in town, which sells amazing meat and dairy produce and fresh in season fruit and vegetables. This is another important thing to remember, that eating fruit and vegetables in their season means that they will taste better as well as doing you good. I have a lot of influence from Western European cuisine (mainly France and Italy) as you will tell, but I do not profess to be a chef and everything is easy to make and very convenient.

I have read countless diet books and diabetic recipe/diet books, and I came to a conclusion that I think really works. I fused all the good things from the diets (but not from every diet) and sort of put together my own one. I call this my Juvenile Diabetes Healthy Diet!

The "rules" that I would lay down are as follows:

1. Cut back on snacks and then change the type of snacks you eat.
Certainly my biggest downfall although it wasn't really apparent to me. When I first started at University, I had little or no routine which meant that filling my day was difficult and popping into the kitchen for a snack, no matter how healthy it felt, was a regular occurence. This is one of the hardest things to do for some people, but establishing a great routine is essential to great diabetes care. The types of snacks to be eating are unsalted nuts, dried unsweetened fruit, fresh fruit, fresh vegetables (I love fresh red pepper and cucumber), dark chocolate (richer and nicer and you only want 2 squares usually).

2. Cut back on white flour and embrace wholemeal carbs.
This is the most essential part of your diet, and the thing that can show the biggest increase in loss of weight. Some diets in fact jsut focus on this point, and are very successful. Wholemeal (especially stoneground wholemeal) is so good for you and has so much more flavour in it that switching is much easier than you think. Most people are really surprised at the ranges you can get in you supermarket, again remember that the bread that is best for you is the one that is freshest with least perservatives or added ingredients. Also, brown or basmati rice is great with a lovely nutty texture. Wholemeal pasta is great and for your potatoes I would totally recommend the smaller new potatoes.

3. Stop drinking cocktails, start drinking wine.
Cocktails are full of sugar, colourants and preservatives. As a student I have had loads of practice at going out and not drinking cocktails, so my drink of choice is Malibu and Diet Coke if I feel I have to drink something and I make it last all night. I can then top up with Diet Coke (which has almost no sugar in it) and it looks as though I am drinking Malibu, who is to know. If you are out at a restaurant, red wine is much better than anything else you can order, (except water of course!) and it has been proven that the anti-oxidants in red wine are great for keeping a healthy heart. The recommended amount is one glass a day with your evening meal.

4. Start cooking more fruit and vegetables.
Fresh fruit and vegetables are a great way to get all the vitamins and minerals you need. And there are so many different ways in which to cook vegetables, but I find that raw is the best followed closely by steamed. Both of these ways preserve all their natural goodness as well. I will follow this post with another diabetes recipes post.

5. Drink more water.
I know you have heard people say this many times before, but the benefits of drinking more water are endless. A few tips on how to get more water into your day are firstly to put bottles of water at all the places you go in the house or work. So keep one in your desk, on your desk, a glass in the kitchen, the bedroom, the sitting room, etc. Try and drink all these glasses up and you will be well on your way to 8 glasses a day. The trick is to add a glass every few days or so, if you try to drink all that water in one go you won't be so inclined to drink 8 glasses again, trust me! Have a go, it's amazing how great you will feel.

7 Reasons Why Smoking is Even More Hazardous for Diabetics

Are you a diabetic? Do you smoke? Do people around you smoke? We all know smoking is a direct cause of cancer but if you have diabetes smoking - including passive smoking - leads to other health problems...



Here are 7 reasons why mixing diabetes with smoking is a very bad idea:

1) You are more likely to get nerve damage (neuropathy). This is because smoking affects your blood circulation and that in turn means your nerve endings are not getting the nutrients they need. If this happens to the nerves in your feet it could lead to sores and infections and, if not taken care of properly, even amputation.

2) There is an increased risk – double in fact -of you getting limited mobility in your joints. It's no fun trying to bend, climb stairs or lift something when you have a painful joint.

3) Because of smoking you could develop kidney disease.

4) When you smoke your blood pressure increases. Increased blood pressure creates a real risk of heart disease.

5) Research has shown that diabetics who smoke increase, 3-fold, the risk of dying of heart (cardiovascular) disease.

6) By smoking you increase your blood-sugar levels. This makes it more difficult to control your diabetes because your glucose levels could be fluctuating quite dramatically. This, in turn, leads to other problems.

7) And it also increases your cholesterol levels, which increases the risk of a heart attack.


In fact smoking - and passive smoking - have a seriously detrimental effect on the ABC's of diabetes management:

A1C - the measurement of your blood glucose over a 3-month period
B - your blood pressure, which should be below 130/80
C - your cholesterol levels. Cholesterol levels include LDL, HDL and triglycerides. Your LDL should be below 100. HDL levels should be above 40 (for men) and above 50 (for women). Tryglycerides should be below 150.

And, of course, on top of all that there's the proven risk of cancer!