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How to Survive Diabetes
Table of Contents
1. Overview of Diabetes and Diabetic Amyotrophy ..................................................................... 4
2. What is Type 1 Diabetes?.......................................................................................................... 5
3. Causes and Consequences Type 2 Diabetes ............................................................................. 7
4. Gestational Diabetes................................................................................................................. 8
5. Can Diabetes be Cured?.......................................................................................................... 10
6. The Main Diabetes Symptoms ................................................................................................ 12
7. Mild Diabetes Treatment........................................................................................................ 14
8. Why Only some Diabetics Need Insulin Injections ................................................................. 16
10. Managing Diabetes ................................................................................................................. 17
11. Can Diabetes be Controlled by Diet?...................................................................................... 19
12.Red Flags for Diabetics............................................................................................................. 21
13. I’m a Diabetic –Can I Play Sport? ............................................................................................ 22
14. How to Live with a Diabetic – and Stay Sane.......................................................................... 24
15. How to Prevent Diabetes........................................................................................................ 26
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1. Overview of Diabetes and Diabetic Amyotrophy
Diabetes is a condition where the sufferer’s pancreas cannot make the insulin that is necessary to
take glucose from the blood and use it to nourish the cells of the body and give them energy. We
hear lots about diabetes and most people know there is type 1 and Type 1 diabetes and all the
various complications that can arise with them, but the complication of diabetic amyotrophy is
less commonly mentioned.
In some cases, it is referred to as proximal neuropathy as well. The most typical diabetic
neuropathies start in the limbs. That explains the birth of the term - proximal neuropathy. The
most typical symptoms comprise unexpected slashing pain in the buttocks and other tight areas
of the body.
Many patients experience difficulty when trying to make movements which involve these areas.
Other symptoms can include stomach bloating and sudden weight loss. As time passes, the
symptoms may improve. The condition generally lasts for some months prior to its subsiding.
The pain can run to the edges of your limbs and you can develop extremely weak and atrophied
muscles. Apart from having other medical names, this disorder is most often called the Bruns-
Garland Syndrome. However, the medical professionals have more than a few other names
which refer to this disease. This disorder is unswervingly credited to Type 2 diabetes.
Some people wonder what diabetes is and what the big deal is about Type 2 diabetes. It is a kind
of metabolic disorder which originates from failure of the body to produce and supply enough
insulin required for absorbing the glucose or sugar which gets into the body from the food which
you eat. There are two key categories of diabetes, namely - type 1 and type 2. The first kind is
characterized by the failure of the body to produce the insulin required. And this generally occurs
amongst children. The other kind is the disturbance of the insulin production process in the body
or the failure of insulin to function. These problems may occur due to any other disorder or due
to any kind of unhealthy lifestyle habits. And the type 2 category of diabetes generally affects
obese adults.
Type 1 diabetes is oftentimes hereditary and is triggered by certain kinds of infections or by
some sort of genetic disorder, so people do not always have much control over the development
of these diseases. That is just the opposite to the Type 2 diabetes which causes diabetic
amyotrophy. Actually, diabetes type 2 may occur as the outcome of the habit of unhealthy food
consumption, and vices like smoking and drinking. It usually strikes obese people, particularly
those who are into smoking. People suffer from this kind of problem due to the intake of
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prohibited drugs or due to the consumption of alcohol. These harmful habits disturb the natural
works of the body – which include the production of insulin and its performance.
Patients who have been diagnosed with the condition and those who are exposed to a higher risk
of developing Type 2 diabetes should take a glucose tolerance test. That is the clinical blood test
meant to decide how the body adapts to higher levels of sugar intake. Normal and healthy people
can absorb glucose within a short while. But diabetes affected people get high levels of sugar
within the blood. The total sugar level may increase dangerously.
Such a test requires a pretty small fasting period. This generally lasts for some hours, prior to
you being given a moderate dose of glucose. This happens at fixed intervals and blood samples
should be taken to check the levels of sugar. Whatever the outcomes of the tests, patients who
are at high risk of developing the condition are advised to adopt a Type 2 diabetes diet. This diet
is made to reduce the amount of cholesterol and help the patient to lose some body weight as
well. This can strengthen the body’s destroyed nerves. The diet, along with the usual exercises,
focuses on preventing borderline diabetes from developing into fully blown Type 2 diabetes
which may be accompanied by painful complications like diabetes amyotrophy.
Fortunately, there is a recent advancement in the area of clinical sciences and there are diverse
types of diagnostic methods that are available to detect diabetes. Medicines of various kinds are
now obtainable to keep a check on the levels of blood glucose.
The medication of insulin is needed by the diabetic for life; without it the patient will die –
unless their condition can be controlled through diet. Many diabetics do end up taking other
kinds of medication to alleviate the various symptoms and conditions that diabetes brings with it.
However, should be remembered that there are usually side effects to any kind of medication and
these should also be taken into consideration.
2. What is Type 1 Diabetes?
Type one diabetes is also known as juvenile diabetes because it is frequently diagnosed in
children or young adults. It is distinct from type two in that the pancreas does not produce any
insulin at all. This is a serious problem and often causes many complications that must be
monitored carefully.
First, let us get into some diabetes statistics. We shall compare this type of diabetes to other
types of diabetes. If you’re concerned about your child who is suffering from such diabetes, stats
can help you greatly. And there is a word of caution for you… it’s always in your best interest to
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take your child to be examined by a physician as they are the sole authority to confirm Type 1
diabetes. Besides, your physician can guide you through effective diabetes treatment and
management options if necessary. You can look into data from the National Diabetes Fact Sheet,
2011.
In the year 2011, 35+ million children and adults in the US suffered from some form of diabetes.
That’s over 8% of the country's population. But it’s estimated that no more than 5% of all
affected people suffer from Type 1 diabetes. And there are some more facts that need to be
considered here. Did you know that about eight million people are diagnosed with these kinds of
problems? But unfortunately, a lot of people go undiagnosed. Around 80 million people happen
to be pre-diabetic. If you break the data down by age group, people who are 65 yrs of age or over
comprise 10 million or 27% of all patients that suffer from diabetes. The diabetes sufferers who
are in the age group from 20 to 65 are over 25 million. They account for more than 11% of all
people within this age group.
Do you know the basics of Type 1 diabetes and the related health concerns? Just like in the case
of other types of diabetes, the sufferers have to know about the possible health issues. It is
important to understand the fact that just because you have Type 1 diabetes this doesn’t
essentially mean you will suffer from the complications that are mentioned here. Bear in mind
that you can step out of the problem through proper management. Just with proper guidance from
your doctor you could suitably manage this type of conditions and prevent complications.
Complications that arise from Type 1 diabetes include elevated blood pressure, heart diseases
and stroke. It could also cause blindness and kidney disease. Some people suffer from nervous
system diseases (i.e. neuropathy) and there are some instances when the patients have to undergo
leg amputation. As a matter of fact, diabetes was regarded as the cause of over 231,000 deaths in
2007.
This is the prime cause of severe heart disease and mild and massive strokes. The underlying risk
of sudden death is high for adults due to heart disease. It is around 2 to 3 times higher than in
adults who do not suffer from diabetes.
You are told you have Type 1 diabetes. And you need to clearly understand the best ways to
control Type 1 diabetes. You should stick to blood glucose control, insulin management,
working out, nutrition and medical support. Glucose control is very important to control this type
of diabetes. Since the body doesn’t produce insulin any longer, you’ll have to learn the insulin
requirements of your body and you will need to understand how this hormone should be
administered.
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Many people live happy and productive lives with Type 1 diabetes so do not be fearful. It will be
a challenge many times, but you will have lots of professional help to train you how to monitor
your condition. Taking blood samples each day or several times a day and injecting insulin are
easy enough to learn and you will soon become a pro at both. It is important to stay as fit as
possible with exercises an you will also be advised on the best kind to do. This will help you
body to maintain more stable glucose levels, so should never be neglected. Simple ways of
exercising such as walking up stairs instead of taking a lift can be incorporated into your
everyday life.
3. Causes and Consequences Type 2 Diabetes
There are two major causes of Type 2 diabetes. Firstly, the body does not produce sufficient
insulin or secondly, the cells of the body become resistant to absorbing insulin. The second cause
is of more serious concern, since even when insulin is injected the body may not absorb it.
Insulin has very crucial jobs within the body. It helps convey sugar (which comes from the
broken-down foodstuff that you eat) into usable energy that the cells can use to function
properly. And insulin actually pushes fat into usable fat cells so that the fat can be stored for later
use. The pancreas is the organ of your body where insulin is generated. Beta cells exist within
the pancreas. They are responsible for generating insulin. If the doctor says that you don’t
produce sufficient insulin, that’s likely because of Beta cell damage or destruction.
Beta cells get damaged in a lot of ways. The risk factors include higher body weight and obesity
and diets that are rich in fats and sugars. Other risk factors are high consumption of starches,
stress, and use of steroids, prescription medications or lack of exercise. If the Beta cells are
destroyed, your body doesn’t produce new ones. Actually, remaining Beta cells just get very
exhausted and generate exceedingly less insulin, to the point where insulin injections are
necessary for the person to remain alive.
Insulin resistance occurs when the cells of the body do not accept the insulin which is produced
by your body. When you eat, insulin is injected in your bloodstream by your pancreas to carry
the sugar and fats into the cells. These cells defy the insulin along with the sugar and fats and
they stay within the bloodstream, which results in higher blood sugar levels and higher blood fat
levels. This is the reason why most of the type 2 category diabetics are overweight or obese.
Type 2 diabetes, just like typical heart disease, acts like a silent killer. It won't come on to you
overnight and it is not painful either - (at least, not in the first stage). As a matter of fact, most of
the people who are diagnosed with this kind of diabetes are being treated for something else to
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start with. There are millions of people who suffer from this disease. Many of them do not even
know that they have it. That is why it is important to consult a doctor if you have any symptoms
and to go for regular check-ups even when you feel well. Otherwise it may be too late to
overturn the damage done by this quiet, yet deadly disease.
In the first place, some of the typical symptoms of diabetes are constant thirst, loss of weight or
rapid weight gain, a tingling feeling in the patient’s hands and feet, amplified hunger, blurred
vision, etc. If untreated, Type 2 diabetes keeps developing and may lead to harsh complications
like augmented urination, critical retinal damage and wounds which won't heal. These
complications could lead to gangrene, amputations and blindness or even problems like heart
disease and stroke. Other problems like kidney failure may also occur. It’s vital that everybody
with Type 2 diabetes thoroughly learns everything they can about this disease. They also need to
know what they are able to do to manage the condition and ease the major symptoms. The good
thing is that Type 2 diabetes can easily be reversed... but the damage done by this disease cannot!
So what’s the healthiest blood sugar level? Actually, the ideal number tends to vary greatly from
one period of medical history to another. Formerly, an individual was not regarded as diabetic
unless their fasting blood sugar level was 150+. Today these numbers have changed to 80-130.
Why? The simple explanation is that such changes are a way for today’s healthcare professionals
to diagnose many more people when it comes to diabetes type 2. The doctor will prescribe
effective drugs for controlling the symptoms.
The tragedy is that much diabetes could have been prevented had the patients adopted a healthier
lifestyle. Eating fast food and junk foods only rarely and getting lots of exercise will be a long
way to prevention. Studies have shown that most diabetics eat fast food two or three times a
week. You may think it impossible to change your lifestyle and start eating healthy, but if you
make little changes every week and stick to them it won’t be long before a major change has
occurred in your diet and lifestyle and will hardly realize it has happened.
4. The Gen on Gestational Diabetes
As its name may suggest, gestational diabetes only affects pregnant women. That is the blood
glucose levels in women who are pregnant become elevated. Usually, the condition clears up
once the baby is born, and no harm occurs, but the baby does seem to have a higher risk of
developing diabetes later on in life.
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Women with gestational diabetes normally exhibit absolutely no signs or symptoms of the
disease. This type of diabetes occurs in 3% to 10% of pregnancies, particularly throughout the
3rd trimester. Women who are extra vulnerable are 35+ years old, and/or obese.
There are certain types of ethnic backgrounds which are associated with higher risk of this
condition like African-American, Native American and Hispanic. Women who have this
condition seldom exhibit symptoms. Moreover, it is generally diagnosed during the regular
health screenings designed for monitoring pregnancy. There might be certain issues with the
infant and mother, but it can be treated.
Glucose from food gets in your blood and has to get into the body cells. To accomplish this, your
pancreas creates a hormone called insulin. Insulin is secreted into your bloodstream to help the
glucose penetrate the walls of cells. People suffering from diabetes either do not have sufficient
amounts of insulin secreted, or the body cells are unable to make use of it. Whatever the case is,
glucose will build up in the bloodstream and this causes higher blood sugar levels and diabetes.
When you are pregnant you need to deal with some changes. The body changes and so will your
diet. The mood changes as well. It is really unfortunate that among the other changes, you’ll
need to deal with the gradual development of complications related to gestational diabetes (this is
known as gestational diabetes mellitus and some people call it GDM for short).
Do you know what GDM is? Basically, GDM is a type of diabetes which develops during
pregnancy. It affects about 1 in 20 pregnant women. Though nobody is certain what the prime
causes of GDM are, one of the popular suggestions is that your placenta keeps releasing insulin
blocker hormones in course of the 2nd and 3rd trimesters to ensure that the growing infant gets
sufficient glucose. This makes sure that the blood sugar levels rise and the pancreas needs to
produce extra insulin to break it down into energy. The pancreas's inability to produce sufficient
extra insulin can result into GDM.
Gestational diabetes could affect the future mom and/or her baby if it is not treated. Before the
birth of the child, you might have lower amount of blood sugar, jaundice and weigh much more
than usual. In the instances when the infant is too big for a natural birth, this may call for
cesarean section. For the mom, there is a hazard of developing preeclampsia half way through
the pregnancy and as long as 6 weeks following birth. Preeclampsia is generally elevated blood
pressure which could result in damage to the liver and kidneys.
Many women who experience gestational diabetes can have healthy pregnancies especially when
they follow a certain treatment plan. And there are various treatments that help expectant moms
suffering from gestational diabetes. As a patient, you should consider keeping an everyday
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record of your blood sugar levels. The checks may have to be done several times a day. This will
help you keep this problem under control. You should also understand what you need to avoid in
your day to day diet.
Keep eating a healthy diet. Avoid carbohydrate-rich foods. Both carbs and sugar in particular
affect your blood sugar levels. Maintaining a regular calorie intake can help. A mild workout
routine can help also. Exercise can help to control blood sugar levels. This can help you to
maintain a pretty healthy weight. Proper diet and regular work outs can help you maintain the
ideal weight, since this is among the key precursors for treating gestational diabetes. Just as it
was mentioned before, too high a weight can dramatically increase the possibility of a pregnant
woman developing diabetes. Even if you are not an expectant woman, you are more likely to
develop diabetes if you are overweight or obese.
Insulin might also be required for the treatment of women with gestational diabetes to manage
their blood sugar levels. And after you give birth to your baby, you are most likely to return to
your normal state. However, your child can have a high risk of Type 2 diabetes or obesity.
Today, a great majority of the meal plans offer an off the rack diet plan for individuals with
diabetes.
It is easy enough these days to find various resources online and this is a good place to start
looking for diabetic meal plans. You are sure to find a plan that will satisfy your dietary needs.
As well as a great deal of other information about diabetes. Just make sure you use a reputable
source.
5. Can Diabetes be Cured?
Is there a cure for diabetes? This is the first question most people diagnosed with diabetes ask.
While prevention is the best cure, there is no known cure yet for those who have the disease. But
technology marches on and so there could easily be a cure in the future. Meanwhile, you need to
look at treatment options and getting the support you need from the diabetic community.
A doctor will advise you on the treatment needed for your diabetes. By managing and controlling
your diabetes you can avoid some of the devastating complications. There are various kinds of
agencies that people can get help from. And research organizations are conducting research
relentlessly to come up with a good cure for the 2 kinds of diabetes.
Here are some of the remedial options that may help you greatly with diabetes and allow you to
live a normal and happy life. The first option is pancreas transplantation. Islet cells
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transplantation is also another option that you can go for. Artificial pancreas has been one of the
most popular choices, though. Genetic manipulation is for those patients who are ready and
willing to use such an unconventional treatment option. Researchers are trying to achieve
progress in all of these treatments. However, they are faced with different kinds of challenges
(e.g. finding sufficient muscle, fat cells). Another problem involves the rejection of the
transplanted cells or organ by the immune system of the patient.
If you ever thought that insulin can heal diabetes, think again! Even though you continually
inject insulin, it isn’t an assurance that you will be cured from diabetes. With insulin injection,
you – the diabetic – can live with the condition as the level of blood sugar becomes controlled.
Insulin injections might not work all the time if the person keeps drinking too much alcohol or if
he keeps eating unhealthy junk food. This problem may persist when the patient fails to work out
regularly. The level of blood sugar becomes hard to control. That isn’t the sole problem, though.
When surplus insulin is injected into the body, you might end up developing hypoglycemia. It
develops due to the surplus insulin inside the body. This could make you collapse and become
comatose.
It is important to talk to your doctor about the different diabetes treatments in order to select the
best one for you. You must understand that diabetes can have an effect on the blood vessels,
kidneys, nerves, heart and eyes. The injected insulin cannot restore the usual construction of the
hormone secreted by the pancreas. That is the reason why studies now focus on the effectiveness
of pancreas transplantation or transplantation of the islet cells. Did you know that islet cells are
fully responsible for creating insulin? And here the big question is – does your body have enough
pancreas supplies? Are there any donors? Could the researchers develop an artificial pancreas for
your transplantation?
There is yet another crucial procedure that calls for genetic manipulation. Within this procedure,
human insulin is injected into the muscle cells or into the fat cells to support your usual insulin
production. That’s an absolutely intricate procedure. Experts are working hard to get some solid
progress in this special procedure.
Today, the most effective way to fight diabetes is through prevention. There are millions out
there who suffer from diabetes and must manage their condition through continuous use of
medication or other courses of treatments. Apart from administering drugs, most patients
undergo therapies as well to make sure that they are able to live a normal life in spite of their
condition. Now, there isn’t any known cure for diabetes, be it Type 1 diabetes or Type 2
diabetes. Scientists get closer to finding a cure but there aren’t any exact results as of yet. There
are different kinds of clinical trials done on mice.
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Type 1 diabetes patients have a pancreas which isn’t generating any insulin so experiments have
been carried out with giving them a replacement pancreas – one that works properly, so that they
are not dependent on artificial insulin injections. While some transplants have proven effective
they haven’t worked in every case. One big problem is in the logistics required to provide each
Type 1 diabetes sufferer with a new pancreas. There just aren’t enough to go around.
6. The Main Diabetes Symptoms
Diabetes is usually diagnosed when you go to the doctor with a few symptoms that are making
you feel unwell. It could be sheer tiredness, fuzzy thinking, constant thirst or urination. These
days most doctors are quite proactive when it comes to preventative medicine which basically
means that they check you over for certain diseases at certain ages, just to make sure you don’t
have them.
Diabetes is a pretty common condition that develops if the body's production of insulin (a
hormone which helps the body in converting blood sugar or glucose into energy) really becomes
inhibited. The blood sugar rises because of the lack of insulin. Unfortunately, the symptoms of
the condition are at times hard to identify. In many instances, the symptoms are very mild and
aren’t noticed at all. In many other cases, the symptoms might take several years to develop. But
let us take good look at the most common symptoms of diabetes.
HYPERGLYCEMIA - The term refers to higher than the normal blood sugar levels. This, in a
great majority of the cases, happens due to the absence or shortage of insulin inside the diabetic
person's body. Insulin generally works as a great control mechanism. It makes sure that the blood
sugar remains in the normal range (e.g. around 80 mgs per deciliter to 110 mg/dL). With no
insulin, the levels of blood sugar can become higher than usual at any time. The episodes of
hyperglycemia eventually become common.
The blood sugar levels will be considered hyperglycemic when they are consistently over 126
mg/dL. If there is a persistent problem of hyperglycemia, the most common symptoms could be
blurred vision, constant thirst, too frequent urination, too much hunger pangs and very persistent
weakness or tiredness. Hyperglycemia calls for action. Insulin injections might be utilized for
milder occurrences. However, more harsh occurrences might call for clinical treatment.
Hypoglycemia refers to lower than the average levels of blood sugar. It could be triggered by not
consuming sufficient calories on a daily basis, failing to consume sufficient calories after
exercise and extreme alcohol consumption. Though hypoglycemia can have an effect on all
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diabetic patients, it’s most typical among type 1 diabetic patients when these patients inject
surplus insulin.
The most common symptoms of hypoglycemia are blurred vision, dizziness, and hunger pangs,
shaking and sweating. Just like hyperglycemia, hypoglycemia calls for your attention. Mild
occurrences can typically be dealt with by eating 10g to 20g of sugar. Getting glucose tablets can
also help. However, graver hypoglycemia calls for glucagon injections administered by medical
professionals.
DIABETIC KETOACIDOSIS is also known as DKA. When the body cannot convert blood
sugar into usable energy anymore it’ll start using fat and muscles instead for energy. The fat
breakdown triggers ketones (i.e. fatty acids) to be released into the bloodstream. As time passes,
the buildup of ketones can lead to DKA. DKA is most common in type 1 diabetics. It is generally
brought about by absence of insulin, which prevents the human body from getting adequate
energy from that available blood sugar.
It could also be linked to some sort of illness and infection. The common DKA symptoms
include abdominal pain, fruit smelling breath, dry skin and vomiting. DKA happens to be among
the graver diabetes symptoms and calls for instant medical attention. When the case is severe,
DKA could turn out to be fatal.
HYPEROSMOTIC NON-KETOTIC ACIDOSIS - HONK is most common in type 2 diabetics. It
occurs if your body relies too much on the higher levels of blood sugar through passing out the
extra urine. That can then cause extreme dehydration. HONK is also known to cause dry skin,
excessive thirst that won’t disappear after fluid consumption and fevers. Just like the cases of
DKA, HONK is pretty serious and calls for appropriate medical attention immediately.
Here is a recap on the common Type 1 symptoms of diabetes. First of all, you always feel thirsty.
There could be tendency of too frequent urination. You could also feel hunger, which feels too
intense. Some people lose weight too fast unexpectedly. This could be coupled with extreme
feeling of fatigue. There could be intense irritability for absolutely no reason. In the case of Type
2 diabetes, all of the above symptoms of Type 1 diabetes can be felt.
Often diabetes is not suspected until there are such things as infections and wounds that do not
heal quickly or at all. You might find mouth or skin blisters troubling you, or have blurred
vision. Tingling and numbness of the hands and feet are also a symptom of diabetes.
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7. Mild Diabetes Treatment
When a person only has mild diabetes they may not need to have insulin injections at all.
Sometimes the doctor will put them on a strict diet and exercise regimen and this is sufficient to
control the level of glucose in the blood. Some patients can be treated with tablets rather than
injections.
Treatment for mild diabetes should be carried out wisely and in a timely manner so that both
mild and serious complications can be avoided effectively. Did you know that diabetic
neuropathy could lead to a problematic development of irritating ulcers on the low extremities?
Fortunately, timely treatment can lower the probability of infection. This reduces the risks of a
recognized infection leading to amputation. Antibiotics can be selected for dealing with the
organism that is causing the infection. Antibiotic prophylaxis is usually not encouraged as it can
boost the odds that strong bacterial resistance to that antibiotic agent will develop. Culture
samples should be taken through curettage of biopsy instead of swabbing to assure successful
detection of pathogens.
In the US, foot infection is the prime cause of diabetes-oriented hospitalization and low-
extremity amputation. In over 90% of the cases, osteomyelitis of the foot is usually associated
with infected foot ulcers. The US Diabetes Association now estimates that around 90,000 low
extremity amputations secondary to diabetes are carried out each year. And in 85% of these
amputations, ulceration is one of the pre-disposing factors. Actually, the five-year survival rate
of independent diabetic amputees is 50 percent; when it comes to bilateral amputees, the overall
rate actually drops to 0 percent.
Lower-extremity based neuropathy related to diabetes mellitus oftentimes can lead to the growth
of unfussy skin or skin structure infections (uSSSIs). If untreated, uSSSIs might escalate into
complex infections. Longer term survival of a diabetic patient will depend a lot on the diagnosis
as well as appropriate action for treating uSSSIs to prevent them from developing into graver
conditions which warrant amputation.
Let us learn how to classify diabetic wounds. Proper categorization of diabetic wounds is
important prior to selecting treatment. As a matter of fact, diabetes related foot infections can be
divided into four categories of severity, namely - non-infected, mild, moderate, and severe.
Usually, non-infected ulcers are fully distinguished by granulation of the body’s tissue and
shallow tract. However, this could be coupled with the lack of cellulitis and pus with particularly
serous drainage. Then again, the wound is pretty likely to get contaminated with and colonized
by bacteria but there are no signs or symptoms of infection.
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Those who are affected with mild ulcers have two or perhaps more symptoms of inflammation
(e.g. purulence, erythema, tenderness, soreness indurations or warmth) and cellulitis / erythema,
which can extend to the area around the ulcer. Such an infection remains restricted to the skin
and the surface subcutaneous tissues. Such wounds are typically local and patients do not have
any systemic symptoms or any kind of complications.
Moderately infected ulcers can be characterized with symptoms like cellulitis larger than two
centimeters, lymphangitic streaking underneath superficial fascia, gangrene or even problems
like abscess of the deep tissue. These could be coupled with muscle, tendon, bone, or perhaps
some joint paint. Patients are however metabolically stable, even though their white blood cell
counts and glucose levels might change and call for treatment. If located within the foot or lower
limb, such wounds might lead to amputation. In the case of diabetic patients, the instances of
uSSSIs are characterized by nothing more than non-infected and mildly infected wounds.
Treatment of diabetes-related uSSSIs is not so difficult. Diabetic wound handling calls for
debridement, offloading, and antibiotics. Antibiotics won’t heal diabetic wounds. Debridement
promotes healing through creating acute wounds. Through the removal of necrotic tissue which
may contain bacteria, debridement can establish a foundation for fast wound healing. This allows
much more appropriate visual assessment and promotes the activation of growth factors -
platelets. This could be coupled with the reduction of the level of matrix metalloproteinases (i.e.
MMPs). And MMPs are shown to demean growth factors.
Offloading that pressure that causes the wound can inhibit inflammatory stimuli. This also allows
the wound to heal efficiently. On the other hand, chronic inflammatory stimuli (pressure /
infection) hold up wound healing through boosting MMPs as well as reducing the ingress of
endogenous growth factors. Then again, the inflammation starts with the contributory pressure
and might continue while the infecting agents are introduced. And this leads to augmented
activity of neutrophils or macrophages, more intense making of TNF-[alpha] and IL-lb, as well
as amplified MMP production.
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8. Why Only some Diabetics Need Insulin Injections
People who suffer from the more serious Type 1 diabetes certainly need to get insulin injections
on a regular basis. However, if the problem is Type 2 diabetes that can’t be controlled by a diet
change or exercise, you might also need insulin injections. Unfortunately, insulin cannot and
should not be consumed orally – either in pill and liquid form. The digestive juices in the
stomach would destroy it before it had a chance to go to work. Insulin must be injected with a
needle and a syringe, insulin pen, and/or insulin pump. Many people like to use the pens as they
can be used without anyone even realizing what is happening.
Insulin is injected into the body right underneath the skin, within the fatty tissue. Now there are
around twenty different kinds of insulin out there that are available. They all come in one of four
forms. The doctor can determine which kind of insulin product will be appropriate for you,
considering what your lifestyle is, what your level of blood sugar is, and many other factors such
as the time required for the body to recognize and use insulin, and especially the duration of the
insulin’s activity in your body.
So, where does the insulin come from? For the most part, it is manufactured in labs. Some time
ago, it came from cows and pigs, but insulin from cows is no longer acceptable in the United
States and as of early 2006, insulin extracted from pigs is no longer manufactured. Actually,
insulin utilized by diabetics is regulated through the FDA in the US. If pharmaceutical
companies make any fresh insulin drug, that company will be responsible for clinically testing
that insulin. They need to submit detailed reports of the research results to the FDA, which then
thoroughly analyzes the reported results. The FDA determines whether the drug is safe for the
use by humans.
If you are diabetic and require insulin, doctors will ask you to purchase insulin delivery devices.
You will also need to learn the art of injecting the insulin yourself. It is a great idea to get one of
your family members to learn the art of injecting the insulin, just in case you are not able to do it
all by yourself. It seems to be counter intuitive that there are non-insulin dependent diabetics
who might sometimes have to use insulin.
However, in spite of the advice of the many diabetes experts who do not actually suffer from
diabetes, in some of the cases insulin cannot lower blood sugar levels in different types of
diabetes. The big problem with using insulin injections if you have Type 2 diabetes is that
injected insulin can affect your pancreas adversely. While the injected insulin can lower the
levels of blood sugar, it can also prevent additional damage to the insulin-making beta cells.
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The type of insulin which helps type 2 diabetic patients the most will depend on whether or not
they have too high blood sugar levels prior to or following meals. There are some patients
suffering from Type 2 diabetes who have a problem with higher levels of blood sugar during the
morning but not after meals. Such diabetics go through the "dawn phenomenon". Such odd
feature of diabetes can occur from the abnormal response of your liver to pulses of stress
hormones just an hour or two prior to the common waking time.
Your liver renovates stored glycogen and changes it into glucose to make sure that the body is
able to receive energy for getting "up & running" without delay at wake-up time. When this type
of diabetes is combined with PCOS (i.e. polycystic ovarian syndrome) which is not uncommon
in females who suffer from diabetes, the underlying difficulty is with the body’s stress hormones.
Then again, the overall pattern of the higher level of blood sugar gets treated with "slow" insulin
that is taken right before you go to bed.
In the initial stages of the disease, most type 2 diabetics, go through lack of "first phase" insulin.
The beta cells keep on making insulin. However, they cannot release sufficient amounts to cover
the rapid load of glucose that ensues from digesting a meal. It is therefore necessary that they
have injections of "fast" insulin around 15 minutes to an hour before they eat, since this will help
prevent their blood glucose from becoming too high. That is why it is important to ensure that a
specialist manages and advises you when you are first diagnosed.
9. Managing Diabetes
When people are diagnosed with diabetes they often feel that it is the end of a life and that they
are condemned to be sick or be invalids for the rest of their time on this earth. While it is true
that diabetes is a serious and life-threatening condition it can and should be managed throughout
your life in a way that will maximize your enjoyment. It should be seen as a challenge to be met
rather than a life sentence that will pull you down.
As a matter of fact, you could consider diabetes as the determinant of a whole new way of life.
Your goal is to help yourself manage the diabetes problems that you are going through. You
need to make sure that you are following all essential tips after getting the approval of the doctor.
Regardless of the duration of your diabetes related suffering, there are questions that should be
answered and you should get the essential diabetic supplies and medications which you really
need. You would want to make sure that you are keeping up to date with the most recent diabetes
information, research or tips, since there could be something totally new that you will be able to
use.
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Most people, after years of sufferings from diabetes, have to use insulin shots. You need to
ensure that you are practicing great personal hygiene and you should pay special attention to how
your feet feel. When you are using diabetes foot cream around the bottom of the feet and
especially on the heels, it could help in keeping them from become cracking or becoming sore.
You should also try to put some foot powder in between the toes.
If you are obese this could solely add to your diabetes problem. This is the reason you should
manage your weight. If you are obese, you should shed some pounds. Are you addicted to sugar?
Curb your high sugar intake. It could help you a lot if you keep working with a doctor to keep
your blood sugar level just where it should be (the safe range is 6.5% to 7%).
Head to your nearest pharmacy and try to get a reliable blood pressure monitor if you don’t have
one. There are plenty of reliable and convenient devices specifically designed for home use. The
safe blood pressure level is 130/80. And if these are not the readings on the monitor, you should
consult a doctor for the problem.
Many patients have to wear glasses for many years. If they end up skipping regular eye exams
later they might find out that they have some horrible retina dilation that worsens over time. You
must make sure that you get eye checks by a reliable optometrist on a regular basis. You have to
ensure that the eye doctor has thoroughly checked your eyes if you have diabetes.
Do you enjoy going barefooted around the house? You could end up bumping into something
and cutting your feet. The entire foot can become swollen and this will make it hard for you to
walk. If you foot becomes infected it can easily lead to gangrene when you are a diabetic. This
will lead to amputation. Don’t go barefoot here and there. You have to have a decent pair of
nice-fitting shoes. It could help if you wear support and cotton-nylon blend socks along with
them.
A couple of years after being diagnosed with diabetes, many women are diagnosed with breast
cancer. And a mastectomy of a breast might not get rid of it. In many cases, the cancer goes into
the bone. This can give birth to an entire set of health problems.
If you are taking any kind of medications besides your diabetes medicine, ensure that you follow
the instructions given by your doctor. Meet the doctor regardless of your busy schedule. A big
poster that shows the names of the essential medicines and when and in what dosages they
should be taken should be taped onto the cabinet door where the medications are kept. It can help
if you keep your morning medications inside one room (e.g. your bathroom) and the evening
19
medicine - in the kitchen. It is a good idea to keep the medicines for the morning and for the
evening far apart from each other.
Carry some glucose tablets with you at all times. Getting a yearly flu shot can help you a lot as a
precaution. Avoid smoking and make sure that your kidneys are checked on a regular basis. Stay
active and stay away from things which can affect your health adversely. You need to go out for
walks occasionally, even if you are busy with your work. Food labels should be taken seriously
and you need to read them carefully to find out about the real sugar content in the food.
If you take your disease seriously and be sensible about it, taking note of all you need to do to
help yourself, then there will be less severe impact on your body and you may even start to feel a
whole lot better than you did before the disease was diagnosed.
10. Can Diabetes be Controlled by Diet?
It is possible to adopt a practical diabetes control diet so that your glucose levels can be kept
stable. Much depends on the type of diabetes you are suffering from and how bad you have it.
Advice should always be sought from the doctor regarding diet and exercise. For most of the
patients, regulating the level of blood sugar through monitoring the overall food consumption
makes great sense. Remember that the more you help yourself by sticking to diets and such, the
better you will feel.
Diabetes, unfortunately, is a chronic condition which often causes other health conditions and
complications (e.g. hypertension, dizziness, heart attack, brain hemorrhage, atherosclerosis, or
the inability of the body to cure wounds or sluggish healing under some conditions).
If you are able to devise an everyday diet plan, this may help to reduce the dosages of orally
taken medications and insulin, which is typically taken through injection method. Actually,
diabetes control with controlled diet is the usual attempt aimed at finding a good solution to the
problem of higher glucose levels in the blood. This approach won’t yield any kind of positive
results overnight, but you will be better off in the long term. A total lifestyle adjustment will help
you improve your overall wellbeing. Managing your diabetes can help you a lot.
A diabetes controlling diet can also involve close and regular monitoring of your day to day food
habits. Calculate carbohydrates and also keep an eye on the amount of sugars taken. This can
significantly affect the blood glucose levels. Consistently take blood sugar levels readings on
everyday basis. Try to adjust the everyday caloric consumption to your needs as a diabetic. This
is the best measure.
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You have to adjust your eating habits to curb the excessive calorie intake and the intake of
carbohydrates, which gives hikes to the blood glucose. To attain glucose levels in the standard
limits according to the medical guidelines, often numerous smaller meals coupled with well-
regulated portions could prove an optimal methodology. Today, the great majority of medical
practitioners tell diabetic patients to work hand in hand with a dietician to create a special diet
which the patient could adhere to.
There are lots of low-carbohydrate food options which are excellent replacements for caloric
choices. Basic changes from overly processed foods to healthy foods with slow absorption can
help. These are absolutely recommended. The effects of the right diet can be considerably
enhanced through the addition of day to day exercise. And in many cases, walking is one of the
easiest or safest modes of exercise there are. Consider taking professional advice to devise a day
to day workout routine that you can employ.
As time passes by, you can work on improving your speed or the overall length of the walks that
you can take. This helps you with keeping your overall metabolic rate up. You will be able to
burn additional calories that way. Your primary goal could be to walking 10,000 steps at least
each day. The use of a low cost pedometer could help you in keeping track of the total number of
steps that you have taken, and also the calories that you have burned. Since you turn more
physically active, you might wish to add many other kinds of workouts like cycling and strength
training into your schedule.
There are different kinds of pre-packaged diet substitutes that exist on the market these days and
they are meant specifically to control the levels of blood glucose in diabetics. They are among
the most viable alternatives for the ones who suffer from diabetes and actually possess very
limited culinary skills or are perhaps too busy to cook their own food every day. See if the
product gets promoted as a "lean" meal. You may want to make sure that you are buying
foodstuff that is targeted to those who love their food.
While you should get into the habit of reading food labels, it is also important to understand what
they mean. Another thing to watch out for is fruit, which has no labels but contains fructose or
fruit sugar. Watch out for the sugar and carbohydrate content as it might not at all be appropriate
for your diet. Implement a solid diabetes control diet, since this will prove to be an excellent
blood sugar management approach. Your doctor and dietician will give you invaluable advice on
diet.
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11. Red Flags for Diabetics
When you have a heart attack you suffer pain; with the flu you get the symptoms of a sore throat,
cough and stuffy or runny nose. Diabetes is unlike many other diseases because it does not often
have any clear symptoms – red flags - to tell you of its onset. There will be no high fever no
vomiting and most importantly, there will not be any bleeding. This is why people often have
diabetes without even knowing it. They may suspect that something is just not right, but often
think they are just under the weather and it will all go away if they ignore it for long enough.
Sadly, it will not.
However, you should realise that having diabetes does not make you the eighth wonder of the
world. You could have it even if you have a well toned body. You’ll need to watch out for
symptoms. This first symptom is a weird feeling – you could end up feeling thirsty at all times.
Bear in mind that the "thirst" shouldn’t be regarded a symptom that you can ignore just like that.
Together with feeling thirsty at all times, you’ll also feel strangely hungry too frequently. You
may feel hungry even though you’ve just taken a full meal. Too frequent trips to the bathroom
for urination can be one of the obvious signals that something is wrong. Some patients
experience mysterious exhaustion. Quick weight loss is one of the decisive symptoms. Even
though you may be doing something to shed some weight, you might be losing too much weight
too quickly. Those are amongst the typical symptoms which you must watch out for. Now when
you notice these things, it’s time you stopped the guesswork. Make an appointment to see a
doctor so that your blood sugar level is tested ASAP. Delaying might cause more problems
eventually.
If after testing your doctor unfortunately confirmed your great fear, then the only thing left for
you to do is to agree to get appropriate diabetes treatment and think of getting a healthier
lifestyle to prevent your condition from getting worse. The speed in which these diabetes
symptoms develop might vary. To be specific, Type 1 diabetes happens to be the type of disease
that is triggered by total pancreas failure to produce any insulin. Type 1 category symptoms
include excessive thirst, extreme urination, tiredness, unwanted weight loss and especially - a
dizzy feeling. Such symptoms tend to develop as time passes by - over days or weeks. If the
condition is left unattended, undiagnosed or untreated, the sugar within the body cells increases
the level of blood glucose, which in turn will lead to coma and possibly death.
Do you know the reason your pancreas quits working? Some kind of autoimmune syndrome is
considered to cause diabetes mellitus. If the antibodies in your body start attacking healthy cells
in the body, this is regarded as an autoimmune response. There has been a lot of research
22
regarding what actually triggers an autoimmune response, but scientists are yet to discover why
the antibodies attack the body cells. On the other hand, Diabetes 2 symptoms happen to be pretty
akin to the ones that are mentioned for Type 1 diabetes. The big difference that lies between
these two conditions is that type 2 diabetics have a pancreas which keeps working although
below the usual levels. They suffer from insulin resistance, which is a term describing the body’s
inability to utilize the insulin which is produced by the body.
In this case, as some insulin is still generated by your pancreas the warning signs are much
slower to develop. So your health keeps deteriorating over a long period of time. And by the time
you are sure you have this problem, your condition might be very severe. Many doctors need a
considerable amount of time to realize that the patient really is suffering from diabetes. The
premature symptoms of typical sugar diabetes aren’t as dramatic as you might assume. This
explains why they end up being ignored. But it is also true that abnormal thirst or urination
should be reported to the doctor and you should get your sugar levels checked.
Any suspect red flags should be investigated. If they are not, the potential danger level to the
patient will swiftly rise – especially when it comes to Type 1 diabetes. When these symptoms or
signs for diabetes are ignored or go unspotted, and diabetes is allowed to develop without
treatment, ongoing high glucose levels in the blood could cause other sorts of health conditions.
And these problems are actually worse than what caused them. Some diabetics go blind; others
must have amputations. There are many parts of the body both internal and external that are
affected by diabetes. This is not being said to scare you; just to warn you that red flags should
not be ignored. It is far better to find out what the cause is and treat it, than to risk it causing
something a great deal worse.
12. I’m a Diabetic –Can I Play Sport?
Sport seems to be an integral part of our society and culture today. When you have diabetes you
may not feel fit enough to play a rough and tumble sport, but there are plenty of milder sports
such as golf that can and should be enjoyed.
Provided that they do not have any special underlying conditions which require no physical
activity, there isn’t any reason why diabetics can’t take part in any type of sport. As a matter of
fact, being active is a good way to manage and control diabetes. Do you like running? If you are
a type 2 diabetic, you can benefit a lot from running.
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The bottom line is that when someone asks you whether a diabetic can play sports, the answer is
YES! Some people have had diabetes since they were 4, and these people are excellent soccer
players, they play basketball, volleyball, and they can run on a track. However, you need to
ensure that you eat a snack prior to a sports practice and prior to a game. In addition, you must
pay great attention to the things that your body tells you when you play a sport.
Yes you can play sports even if you are diabetic. But you have to be cautious and set a pace for
yourself wisely. How active you need to be might depend on the stage of diabetes you’re at. To
illustrate, you need to check your level of blood sugar as sudden hypoglycemia (too low blood
sugar) can backfire. You may want to join amateur sports clubs that have specialists who can
provide advice and help to people suffering from diabetes.
There are many different types of sports that all individuals including diabetics can pick from.
For those with diabetes, playing sports may require a little more preparation than for those who
do not have diabetes. It is important to consider the different kinds of factors that are involved to
make sure that all sorts of sports are played safely keeping into consideration your blood sugar
levels.
Ensure that you maintain safe levels of insulin. Though insulin level preservation is a significant
factor for diabetics all the time, it’s vital that when the diabetic engages in a sport, these things
are kept in consideration. As muscles call for extra energy whilst exercising, your body
discharges more glucose for gaining this energy. When there isn’t sufficient insulin within the
body for working alongside the glucose this might result in health problems or complications for
a diabetic. Thus, when you have complications, diabetes and also love playing sports, do ensure
that you check your insulin levels as frequently as you can and keep altering the dosage as
required.
Keep some snacks with you all the time. Diabetics need not worry a lot about their high blood
sugar levels. However, it is important that they manage their lower blood sugar levels
effectively. For keeping the blood glucose level in check, and to make sure that it is not dropping
too low, you need to keep eating small snacks occasionally. You need to invest some money into
fresh and healthy snacks. Consider consulting a doctor to make sure that you know the best
possible options and consume nothing but the things that are permissible by the diabetic diet
chart that you have been given by the doctors. Remember to carry some snacks all the time just
in case food is required at some point during the game or sports practice.
Most of all, you have to keep the essential clinical info and supplies with you. Diabetics playing
sports must have certain types of clinical info and supplies with them constantly. Items like
medical forms that state you’re diabetic have to be with you at all times. Make sure that you take
24
insulin and all other essential medications and possibly a testing kit along with all sorts of things
which you may need to stay in shape during a game or practice. Such items give you the liberty
to check your blood sugar level, controlling the glucose level and allowing others to know that
you’re diabetic. Let the coach or supervisor announce that you are diabetic.
Let people know that your clinical condition is not like the others. If you are diabetic and still
want to play sports frequently, you should get regular physical examinations and carefully fill
out all the medical forms that dictate your physical health. On such forms, it’ll become clear that
you’re diabetic. With that said, let concerned people know your condition. No matter how lean or
toned you are, you have to stick to a solid diabetes management plan to make sure that you are
not crossing the danger zone while taking part in sports.
You may feel that you want to hide the fact that you are suffering from diabetes, but that is not
the best way to manage it. If the people around you know you have the disease they will know
what to do should you suddenly fall into a coma. It is only sensible to enlist such aid.
13. How to Live with a Diabetic – and Stay Sane
If your partner has been diagnosed with diabetes, you simply cannot ignore the topic, but must
stand beside them and help them to control their illness. If the sufferer is a child you will need to
be very proactive in managing the disease and teaching them how to handle such things as their
medication so that they can eventually become independent.
Living with a diabetic calls for a patient, sage and pragmatic approach. You need to help the
diabetic become a strong and independent patient. To illustrate, you need to ensure that he or she
becomes capable of taking a highly active and knowledgeable role in the management of their
diabetes. You need to ensure that the diabetic is doing the minimum at least, as their actions will
tend to dictate the extent to which the disease remains in control. At the end of the day, you’ll
have to give the patient the courage to get involved in their treatment as much as possible. This
doesn’t mean you have to make the person a diabetic patient extraordinaire.
As a matter of fact, many of the things which the patient needs to do are focused on improving
their lifestyle for the better. The patient has to be educated and thoroughly informed about their
diabetes. The idea here is to have the patient gain complete independence from others. The
patient hast to learn how to take responsibility. A diabetic has to realize that their body is to be
maintained and its rhythm cannot be understood best by anyone else but them.
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Just remember not to buy into any of the popular hypes. Learn to avoid the tendency to take all
things you hear or read as gospel truth. Be sure to frequently ask for second opinions or even
third ones, as this extra effort will obviously make the patient more informed regarding their
diabetes and this also makes them more in tune with their overall health.
Asking questions can help. There isn’t any such thing as a stupid question. Keep asking till
you’ve got a highly satisfactory answer. Writing any important questions down can help and so
can devoting some extra time to those said questions during your visit to the doctor. If the
specialist seems busy, it would be a great idea to leave those questions behind and ask the doctor
to reply via email whenever they have time to do so.
Diabetes ABC’s is important to learn. The patient will have to live with the diabetes 24/7. That is
why it is so important to know what the inner workings of this disease are. If you are determined
to manage the problem effectively, it will pay off if you just get started with all the basics, so you
can easily go from there. There are many crucial sources of information that are made available
on the World Wide Web and in your local library.
You should try to make a very smart patient out of the diabetic. If you gather info on diabetes
online, remember to act smart and ensure that the sites that you get information from are very
trustworthy as well as relevant. Do ensure that you keep your privacy radar on. A patient
suffering from diabetes needs clear guidelines to cope with their problem. Do not ever believe
everything you read without verifying it in the first place.
Learn how to pay attention, since paying attention really can save the life of a diabetic patient.
Knowledgeable patients are aware of the fact that there are some special medications that they
have to take and that the dosages do matter, since getting a smaller or larger dose could easily
turn out to be a life threatening event. Collaborating with others is important.
Today, the diabetic community online has many diabetics who go through the same kind of
struggle that your loved one is going through and their overall insight might turn out to be pretty
useful when it comes to any decision making process.
Shopping around for medical services is a helpful thing sometimes. It is health issues we are
dealing with here and nobody is advocating “going HMO.” However, empowered diabetics can
shop around to get the best possible care available if the current services they receive are
inadequate.
Compliance is also something that a diabetic should focus on. If you want a diabetic to become
an empowered and educated patient, you have to give them a precise treatment plan to follow.
You need to be proactive to make sure that the young diabetic patient is safe; older patients
26
should learn to do everything needed for themselves, but you will still need to keep a watchful
eye on them, especially if they are teens.
14. How to Prevent Diabetes
While there is no cure yet for diabetes, it can often be prevented by adopting a healthy lifestyle
and diet. If you allow yourself to eat junk food and laze in front of the television day and night,
there is no surer way to put yourself in the path of this disease.
Diabetes is one of the most serious illnesses sweeping the US lately. Diabetes is an unceasing
disease which creates woefully high sugar levels in the bloodstream. This can cause problems
like blurry vision, extreme thirst, fatigue, too high appetite, nausea, sudden weight loss,
propensity to vomit, weaknesses and a feeling of perplexity. There are also numerous kinds of
life-threatening symptoms which a patient may experience if they are not treated properly. There
are 2 key categories of diabetes and namely - type 1 and type 2.
While type-1 diabetes could occur anytime at any practically age, it’s often seen in children,
teens, or young adults. This type of diabetes develops if the body is producing little or no insulin.
Type-2 diabetes is the most common form of diabetes. It is triggered by a complication which
leads to the body facing problems in using insulin. This problem is referred to as insulin
resistance. The people who suffer from this type of diabetes don’t respond properly to insulin.
That generally happens because fat, liver and muscle cells do not generally respond properly to
insulin.
This results in the human body not storing enough blood sugar to be used for energy production
later on. If the sugar can’t enter the cells it stays in your blood. This could trigger hyperglycemia
and this can result into pancreas failure later on. Unlike type-1 diabetes, type-2 diabetes tends to
affect people who are obese. Because of the higher number of obese people living in the US, the
number of people who suffer from diabetes has also grown.
Although there are a lot of people out there who suffer from diabetes, it’s often a relatively
simple disease to prevent. The simplest way for you to prevent diabetes is to stay healthy and
lean. That is done through leading a healthy lifestyle. The initial step for you to lead a healthy
lifestyle would be to eat right and exercise on a regular basis.
27
Eating meals rich in protein and low in fat can provide your body with the essential energy
required. Focus on eating fresh foods and whole grains, as these can provide your body with the
essential vitamins and complex carbohydrates required to remain healthy. Avoid foods that have
extremely high sugar levels and ones rich in fructose corn syrup. Working out can help you stay
in shape. Working out can help your body with burning off all the excess fats that might affect
the overall insulin intake. Then again, this can also keep down the risk of obesity. Have a regular
workout routine to prevent diabetes and release endorphins which promote a better mood. With
the correct diet and workout, diabetes can be effectively prevented.
For preventing type-2 diabetes, go for some simple lifestyle changes. Maintain good health as
this is among the best ways for protection from different kinds of serious health conditions.
People who are overweight should consult a qualified medical professional, who will be able to
help them craft a pathway to successful weight loss. People working closely with personal
trainers can shed their excess pounds. And in the process they’ll be able to lower their risk of
diabetes, sudden heart attacks, and cancer.
Some experts have indicated that the risks of type-2 diabetes are much higher amongst those who
eat meat. That doesn’t mean people need to stop eating meat completely. Nevertheless, replacing
pork with wholesome beans plus leafy green veggies a few times per week surely won’t hurt.
Nutritionists provide concerned parties with precise charts which clearly show what they should
eat on a daily basis. For instance, leafy greens happen to be rich in antioxidants, which can
radically minimize influence of free radicals in the human body and thus promote better health.
Doctors can figure out when individuals are exposed to high risk for developing Type-1 or Type-
2 diabetes on the horizon. If that is the case, then a number of medications may help. Such
medications, as confirmed by the specialists, might successfully hold up the inception of the
illness for some time.
Everyone likes to feel in control of their life. If such medications are combined with physical
activities and especially with a healthy diet, most people can enjoy a much higher chance of
preventing these conditions.
15. Risk Factors for Developing Diabetes
Prevention is one of the most important factors in maintaining good health. You need to take the
right measures to avoid any disease. This applies even more to diabetes. However, there are
certain risk factors that some people have that they are unable to control and that mean they are
more likely to get the disease. For instance, if their mother had gestational diabetes before they
28
were born or if their parents had it, they may be more prone to developing the disease at some
time. And of course, no one can help aging, but this is also a risk factor. Others are obesity and a
sedentary lifestyle.
There are different kinds of symptoms that people with diabetes have. You need to know what
these are especially if you are afraid that you or one of your loved ones is at risk of getting
diabetes. Many people are left wondering what the notions pertaining to pre-diabetes are and
especially what the underlying risk factors for pre-diabetes are. Being unaware of the underlying
risk factors is the last thing you want in your life as you need to determine the positive and
proactive actions that you have to take for reducing your chances of developing diabetes and
developing the array of diabetes symptoms.
Diabetes has to do with the way in which the human body processes the carbohydrates or sugars
which people consume when they eat their daily meals. When carbohydrates enter your body,
they are transformed into glucose. And glucose is the simplest form of sugar which is to be
distributed into the bloodstream. When such distribution occurs, the human body’s pancreas
kicks in right away to produce insulin. Insulin is a hormone which removes the glucose from the
bloodstream and actually distributes it automatically to all the cells in the different areas of your
body, which are in need of glucose to get energy in order to function.
In the case of an average diabetic, his or her pancreas does not produce insulin any more or
products insufficient amounts of insulin only. This is the case with Type 1 diabetes. In other
cases the human body tends to be immensely resistant to insulin production. This is the case that
happens with Type 2 diabetes. It leads to a hazardous accumulation of glucose levels in the
blood. The glucose has nowhere to go and your body becomes starved for energy. The sole way
for your body to get rid of the glucose in your bloodstream in the instances of insulin
malfunction is to get rid of it in the urine. This can lead to different kinds of diabetes
complications like coma, blindness, sudden heart attacks, limb amputations and kidney disease.
As all of us can see, the risk of diabetes is in no way a joke! If you are to diminish your
underlying risks of developing this condition or want to delay the inception of diabetes or the
underlying symptoms related to diabetes, you’ll have to take every action that you can. There
aren’t any kinds of gray areas regarding Type 1 diabetes unfortunately as it generally starts
during childhood, and its development can be very rapid.
There are some gray areas featuring the more typical kind of diabetes - Type 2 diabetes that has
for too long been thought to be a complication that happens in adult people. In recent years, the
people suffering from Type 2 diabetes are younger and younger. Putting it straight and simple,
29
people who suffer from Type 2 these days are much younger than those who developed it in the
past.
To understand the underlying risk factors involved, you need to understand what a pre-diabetes
condition is. When people are exposed to higher propensities of developing Type 2 diabetes,
usually they’re monitored very closely by the doctors and this leads to the possibilities of the
diagnosis of pre-diabetes. As a matter of fact, pre-diabetes refers to the condition when the levels
of blood glucose become higher than normal, but they are not high enough for a diabetes 2
diagnosis.
When that occurs, there isn’t any way to tell when or whether the individual will actually
develop Type 2 diabetes and the array of symptoms related to diabetes. Through becoming
positive and radically adopting a healthy lifestyle, which includes blood sugar level monitoring
and consuming complex carbohydrates and other healthy eating habits besides adding everyday
exercise, the underlying risks or possibilities of developing Type 2 diabetes will become lower or
perhaps be eliminated completely.
When you are diagnosed as a pre-diabetic, the doctor will usually check your levels of blood
glucose annually to make sure that they are risk-free. You need to keep a healthy diet and do
exercise daily for the rest of your life in order to lower your risk of Type 2 diabetes and keep it
down.
So it can be seen that while diabetes cannot be cured, it may be prevented or delayed. If you have
not been able to do this then the only thing to do is pick yourself up, dust yourself off and get on
with the business of managing it and living life to the fullest.
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Personalize This eBook
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Survived Diabetes

  • 1. This eBook is brought to you by Network Marketing Video Training Click here to visit website Finally Revealed: Scientifically Proven Principles That Will Have Your Body Producing More Insulin Naturally. Click Here To Learn More Personalize This eBook
  • 2. 2 DISCLAIMER: This information is provided "as is". The author, publishers and marketers of this information disclaim any loss or liability, either directly or indirectly as a consequence of applying the information presented herein, or in regard to the use and application of said information. No guarantee is given, either expressed or implied, in regard to the merchantability, accuracy, or acceptability of the information. Your Rights: This is a FREE eBook with Giveway rights. You may not sell it, however you can package it as a bonus with other items as a bonus or incentive. You may not alter it in any way, shape or form.
  • 3. 3 How to Survive Diabetes Table of Contents 1. Overview of Diabetes and Diabetic Amyotrophy ..................................................................... 4 2. What is Type 1 Diabetes?.......................................................................................................... 5 3. Causes and Consequences Type 2 Diabetes ............................................................................. 7 4. Gestational Diabetes................................................................................................................. 8 5. Can Diabetes be Cured?.......................................................................................................... 10 6. The Main Diabetes Symptoms ................................................................................................ 12 7. Mild Diabetes Treatment........................................................................................................ 14 8. Why Only some Diabetics Need Insulin Injections ................................................................. 16 10. Managing Diabetes ................................................................................................................. 17 11. Can Diabetes be Controlled by Diet?...................................................................................... 19 12.Red Flags for Diabetics............................................................................................................. 21 13. I’m a Diabetic –Can I Play Sport? ............................................................................................ 22 14. How to Live with a Diabetic – and Stay Sane.......................................................................... 24 15. How to Prevent Diabetes........................................................................................................ 26
  • 4. 4 1. Overview of Diabetes and Diabetic Amyotrophy Diabetes is a condition where the sufferer’s pancreas cannot make the insulin that is necessary to take glucose from the blood and use it to nourish the cells of the body and give them energy. We hear lots about diabetes and most people know there is type 1 and Type 1 diabetes and all the various complications that can arise with them, but the complication of diabetic amyotrophy is less commonly mentioned. In some cases, it is referred to as proximal neuropathy as well. The most typical diabetic neuropathies start in the limbs. That explains the birth of the term - proximal neuropathy. The most typical symptoms comprise unexpected slashing pain in the buttocks and other tight areas of the body. Many patients experience difficulty when trying to make movements which involve these areas. Other symptoms can include stomach bloating and sudden weight loss. As time passes, the symptoms may improve. The condition generally lasts for some months prior to its subsiding. The pain can run to the edges of your limbs and you can develop extremely weak and atrophied muscles. Apart from having other medical names, this disorder is most often called the Bruns- Garland Syndrome. However, the medical professionals have more than a few other names which refer to this disease. This disorder is unswervingly credited to Type 2 diabetes. Some people wonder what diabetes is and what the big deal is about Type 2 diabetes. It is a kind of metabolic disorder which originates from failure of the body to produce and supply enough insulin required for absorbing the glucose or sugar which gets into the body from the food which you eat. There are two key categories of diabetes, namely - type 1 and type 2. The first kind is characterized by the failure of the body to produce the insulin required. And this generally occurs amongst children. The other kind is the disturbance of the insulin production process in the body or the failure of insulin to function. These problems may occur due to any other disorder or due to any kind of unhealthy lifestyle habits. And the type 2 category of diabetes generally affects obese adults. Type 1 diabetes is oftentimes hereditary and is triggered by certain kinds of infections or by some sort of genetic disorder, so people do not always have much control over the development of these diseases. That is just the opposite to the Type 2 diabetes which causes diabetic amyotrophy. Actually, diabetes type 2 may occur as the outcome of the habit of unhealthy food consumption, and vices like smoking and drinking. It usually strikes obese people, particularly those who are into smoking. People suffer from this kind of problem due to the intake of
  • 5. 5 prohibited drugs or due to the consumption of alcohol. These harmful habits disturb the natural works of the body – which include the production of insulin and its performance. Patients who have been diagnosed with the condition and those who are exposed to a higher risk of developing Type 2 diabetes should take a glucose tolerance test. That is the clinical blood test meant to decide how the body adapts to higher levels of sugar intake. Normal and healthy people can absorb glucose within a short while. But diabetes affected people get high levels of sugar within the blood. The total sugar level may increase dangerously. Such a test requires a pretty small fasting period. This generally lasts for some hours, prior to you being given a moderate dose of glucose. This happens at fixed intervals and blood samples should be taken to check the levels of sugar. Whatever the outcomes of the tests, patients who are at high risk of developing the condition are advised to adopt a Type 2 diabetes diet. This diet is made to reduce the amount of cholesterol and help the patient to lose some body weight as well. This can strengthen the body’s destroyed nerves. The diet, along with the usual exercises, focuses on preventing borderline diabetes from developing into fully blown Type 2 diabetes which may be accompanied by painful complications like diabetes amyotrophy. Fortunately, there is a recent advancement in the area of clinical sciences and there are diverse types of diagnostic methods that are available to detect diabetes. Medicines of various kinds are now obtainable to keep a check on the levels of blood glucose. The medication of insulin is needed by the diabetic for life; without it the patient will die – unless their condition can be controlled through diet. Many diabetics do end up taking other kinds of medication to alleviate the various symptoms and conditions that diabetes brings with it. However, should be remembered that there are usually side effects to any kind of medication and these should also be taken into consideration. 2. What is Type 1 Diabetes? Type one diabetes is also known as juvenile diabetes because it is frequently diagnosed in children or young adults. It is distinct from type two in that the pancreas does not produce any insulin at all. This is a serious problem and often causes many complications that must be monitored carefully. First, let us get into some diabetes statistics. We shall compare this type of diabetes to other types of diabetes. If you’re concerned about your child who is suffering from such diabetes, stats can help you greatly. And there is a word of caution for you… it’s always in your best interest to
  • 6. 6 take your child to be examined by a physician as they are the sole authority to confirm Type 1 diabetes. Besides, your physician can guide you through effective diabetes treatment and management options if necessary. You can look into data from the National Diabetes Fact Sheet, 2011. In the year 2011, 35+ million children and adults in the US suffered from some form of diabetes. That’s over 8% of the country's population. But it’s estimated that no more than 5% of all affected people suffer from Type 1 diabetes. And there are some more facts that need to be considered here. Did you know that about eight million people are diagnosed with these kinds of problems? But unfortunately, a lot of people go undiagnosed. Around 80 million people happen to be pre-diabetic. If you break the data down by age group, people who are 65 yrs of age or over comprise 10 million or 27% of all patients that suffer from diabetes. The diabetes sufferers who are in the age group from 20 to 65 are over 25 million. They account for more than 11% of all people within this age group. Do you know the basics of Type 1 diabetes and the related health concerns? Just like in the case of other types of diabetes, the sufferers have to know about the possible health issues. It is important to understand the fact that just because you have Type 1 diabetes this doesn’t essentially mean you will suffer from the complications that are mentioned here. Bear in mind that you can step out of the problem through proper management. Just with proper guidance from your doctor you could suitably manage this type of conditions and prevent complications. Complications that arise from Type 1 diabetes include elevated blood pressure, heart diseases and stroke. It could also cause blindness and kidney disease. Some people suffer from nervous system diseases (i.e. neuropathy) and there are some instances when the patients have to undergo leg amputation. As a matter of fact, diabetes was regarded as the cause of over 231,000 deaths in 2007. This is the prime cause of severe heart disease and mild and massive strokes. The underlying risk of sudden death is high for adults due to heart disease. It is around 2 to 3 times higher than in adults who do not suffer from diabetes. You are told you have Type 1 diabetes. And you need to clearly understand the best ways to control Type 1 diabetes. You should stick to blood glucose control, insulin management, working out, nutrition and medical support. Glucose control is very important to control this type of diabetes. Since the body doesn’t produce insulin any longer, you’ll have to learn the insulin requirements of your body and you will need to understand how this hormone should be administered.
  • 7. 7 Many people live happy and productive lives with Type 1 diabetes so do not be fearful. It will be a challenge many times, but you will have lots of professional help to train you how to monitor your condition. Taking blood samples each day or several times a day and injecting insulin are easy enough to learn and you will soon become a pro at both. It is important to stay as fit as possible with exercises an you will also be advised on the best kind to do. This will help you body to maintain more stable glucose levels, so should never be neglected. Simple ways of exercising such as walking up stairs instead of taking a lift can be incorporated into your everyday life. 3. Causes and Consequences Type 2 Diabetes There are two major causes of Type 2 diabetes. Firstly, the body does not produce sufficient insulin or secondly, the cells of the body become resistant to absorbing insulin. The second cause is of more serious concern, since even when insulin is injected the body may not absorb it. Insulin has very crucial jobs within the body. It helps convey sugar (which comes from the broken-down foodstuff that you eat) into usable energy that the cells can use to function properly. And insulin actually pushes fat into usable fat cells so that the fat can be stored for later use. The pancreas is the organ of your body where insulin is generated. Beta cells exist within the pancreas. They are responsible for generating insulin. If the doctor says that you don’t produce sufficient insulin, that’s likely because of Beta cell damage or destruction. Beta cells get damaged in a lot of ways. The risk factors include higher body weight and obesity and diets that are rich in fats and sugars. Other risk factors are high consumption of starches, stress, and use of steroids, prescription medications or lack of exercise. If the Beta cells are destroyed, your body doesn’t produce new ones. Actually, remaining Beta cells just get very exhausted and generate exceedingly less insulin, to the point where insulin injections are necessary for the person to remain alive. Insulin resistance occurs when the cells of the body do not accept the insulin which is produced by your body. When you eat, insulin is injected in your bloodstream by your pancreas to carry the sugar and fats into the cells. These cells defy the insulin along with the sugar and fats and they stay within the bloodstream, which results in higher blood sugar levels and higher blood fat levels. This is the reason why most of the type 2 category diabetics are overweight or obese. Type 2 diabetes, just like typical heart disease, acts like a silent killer. It won't come on to you overnight and it is not painful either - (at least, not in the first stage). As a matter of fact, most of the people who are diagnosed with this kind of diabetes are being treated for something else to
  • 8. 8 start with. There are millions of people who suffer from this disease. Many of them do not even know that they have it. That is why it is important to consult a doctor if you have any symptoms and to go for regular check-ups even when you feel well. Otherwise it may be too late to overturn the damage done by this quiet, yet deadly disease. In the first place, some of the typical symptoms of diabetes are constant thirst, loss of weight or rapid weight gain, a tingling feeling in the patient’s hands and feet, amplified hunger, blurred vision, etc. If untreated, Type 2 diabetes keeps developing and may lead to harsh complications like augmented urination, critical retinal damage and wounds which won't heal. These complications could lead to gangrene, amputations and blindness or even problems like heart disease and stroke. Other problems like kidney failure may also occur. It’s vital that everybody with Type 2 diabetes thoroughly learns everything they can about this disease. They also need to know what they are able to do to manage the condition and ease the major symptoms. The good thing is that Type 2 diabetes can easily be reversed... but the damage done by this disease cannot! So what’s the healthiest blood sugar level? Actually, the ideal number tends to vary greatly from one period of medical history to another. Formerly, an individual was not regarded as diabetic unless their fasting blood sugar level was 150+. Today these numbers have changed to 80-130. Why? The simple explanation is that such changes are a way for today’s healthcare professionals to diagnose many more people when it comes to diabetes type 2. The doctor will prescribe effective drugs for controlling the symptoms. The tragedy is that much diabetes could have been prevented had the patients adopted a healthier lifestyle. Eating fast food and junk foods only rarely and getting lots of exercise will be a long way to prevention. Studies have shown that most diabetics eat fast food two or three times a week. You may think it impossible to change your lifestyle and start eating healthy, but if you make little changes every week and stick to them it won’t be long before a major change has occurred in your diet and lifestyle and will hardly realize it has happened. 4. The Gen on Gestational Diabetes As its name may suggest, gestational diabetes only affects pregnant women. That is the blood glucose levels in women who are pregnant become elevated. Usually, the condition clears up once the baby is born, and no harm occurs, but the baby does seem to have a higher risk of developing diabetes later on in life.
  • 9. 9 Women with gestational diabetes normally exhibit absolutely no signs or symptoms of the disease. This type of diabetes occurs in 3% to 10% of pregnancies, particularly throughout the 3rd trimester. Women who are extra vulnerable are 35+ years old, and/or obese. There are certain types of ethnic backgrounds which are associated with higher risk of this condition like African-American, Native American and Hispanic. Women who have this condition seldom exhibit symptoms. Moreover, it is generally diagnosed during the regular health screenings designed for monitoring pregnancy. There might be certain issues with the infant and mother, but it can be treated. Glucose from food gets in your blood and has to get into the body cells. To accomplish this, your pancreas creates a hormone called insulin. Insulin is secreted into your bloodstream to help the glucose penetrate the walls of cells. People suffering from diabetes either do not have sufficient amounts of insulin secreted, or the body cells are unable to make use of it. Whatever the case is, glucose will build up in the bloodstream and this causes higher blood sugar levels and diabetes. When you are pregnant you need to deal with some changes. The body changes and so will your diet. The mood changes as well. It is really unfortunate that among the other changes, you’ll need to deal with the gradual development of complications related to gestational diabetes (this is known as gestational diabetes mellitus and some people call it GDM for short). Do you know what GDM is? Basically, GDM is a type of diabetes which develops during pregnancy. It affects about 1 in 20 pregnant women. Though nobody is certain what the prime causes of GDM are, one of the popular suggestions is that your placenta keeps releasing insulin blocker hormones in course of the 2nd and 3rd trimesters to ensure that the growing infant gets sufficient glucose. This makes sure that the blood sugar levels rise and the pancreas needs to produce extra insulin to break it down into energy. The pancreas's inability to produce sufficient extra insulin can result into GDM. Gestational diabetes could affect the future mom and/or her baby if it is not treated. Before the birth of the child, you might have lower amount of blood sugar, jaundice and weigh much more than usual. In the instances when the infant is too big for a natural birth, this may call for cesarean section. For the mom, there is a hazard of developing preeclampsia half way through the pregnancy and as long as 6 weeks following birth. Preeclampsia is generally elevated blood pressure which could result in damage to the liver and kidneys. Many women who experience gestational diabetes can have healthy pregnancies especially when they follow a certain treatment plan. And there are various treatments that help expectant moms suffering from gestational diabetes. As a patient, you should consider keeping an everyday
  • 10. 10 record of your blood sugar levels. The checks may have to be done several times a day. This will help you keep this problem under control. You should also understand what you need to avoid in your day to day diet. Keep eating a healthy diet. Avoid carbohydrate-rich foods. Both carbs and sugar in particular affect your blood sugar levels. Maintaining a regular calorie intake can help. A mild workout routine can help also. Exercise can help to control blood sugar levels. This can help you to maintain a pretty healthy weight. Proper diet and regular work outs can help you maintain the ideal weight, since this is among the key precursors for treating gestational diabetes. Just as it was mentioned before, too high a weight can dramatically increase the possibility of a pregnant woman developing diabetes. Even if you are not an expectant woman, you are more likely to develop diabetes if you are overweight or obese. Insulin might also be required for the treatment of women with gestational diabetes to manage their blood sugar levels. And after you give birth to your baby, you are most likely to return to your normal state. However, your child can have a high risk of Type 2 diabetes or obesity. Today, a great majority of the meal plans offer an off the rack diet plan for individuals with diabetes. It is easy enough these days to find various resources online and this is a good place to start looking for diabetic meal plans. You are sure to find a plan that will satisfy your dietary needs. As well as a great deal of other information about diabetes. Just make sure you use a reputable source. 5. Can Diabetes be Cured? Is there a cure for diabetes? This is the first question most people diagnosed with diabetes ask. While prevention is the best cure, there is no known cure yet for those who have the disease. But technology marches on and so there could easily be a cure in the future. Meanwhile, you need to look at treatment options and getting the support you need from the diabetic community. A doctor will advise you on the treatment needed for your diabetes. By managing and controlling your diabetes you can avoid some of the devastating complications. There are various kinds of agencies that people can get help from. And research organizations are conducting research relentlessly to come up with a good cure for the 2 kinds of diabetes. Here are some of the remedial options that may help you greatly with diabetes and allow you to live a normal and happy life. The first option is pancreas transplantation. Islet cells
  • 11. 11 transplantation is also another option that you can go for. Artificial pancreas has been one of the most popular choices, though. Genetic manipulation is for those patients who are ready and willing to use such an unconventional treatment option. Researchers are trying to achieve progress in all of these treatments. However, they are faced with different kinds of challenges (e.g. finding sufficient muscle, fat cells). Another problem involves the rejection of the transplanted cells or organ by the immune system of the patient. If you ever thought that insulin can heal diabetes, think again! Even though you continually inject insulin, it isn’t an assurance that you will be cured from diabetes. With insulin injection, you – the diabetic – can live with the condition as the level of blood sugar becomes controlled. Insulin injections might not work all the time if the person keeps drinking too much alcohol or if he keeps eating unhealthy junk food. This problem may persist when the patient fails to work out regularly. The level of blood sugar becomes hard to control. That isn’t the sole problem, though. When surplus insulin is injected into the body, you might end up developing hypoglycemia. It develops due to the surplus insulin inside the body. This could make you collapse and become comatose. It is important to talk to your doctor about the different diabetes treatments in order to select the best one for you. You must understand that diabetes can have an effect on the blood vessels, kidneys, nerves, heart and eyes. The injected insulin cannot restore the usual construction of the hormone secreted by the pancreas. That is the reason why studies now focus on the effectiveness of pancreas transplantation or transplantation of the islet cells. Did you know that islet cells are fully responsible for creating insulin? And here the big question is – does your body have enough pancreas supplies? Are there any donors? Could the researchers develop an artificial pancreas for your transplantation? There is yet another crucial procedure that calls for genetic manipulation. Within this procedure, human insulin is injected into the muscle cells or into the fat cells to support your usual insulin production. That’s an absolutely intricate procedure. Experts are working hard to get some solid progress in this special procedure. Today, the most effective way to fight diabetes is through prevention. There are millions out there who suffer from diabetes and must manage their condition through continuous use of medication or other courses of treatments. Apart from administering drugs, most patients undergo therapies as well to make sure that they are able to live a normal life in spite of their condition. Now, there isn’t any known cure for diabetes, be it Type 1 diabetes or Type 2 diabetes. Scientists get closer to finding a cure but there aren’t any exact results as of yet. There are different kinds of clinical trials done on mice.
  • 12. 12 Type 1 diabetes patients have a pancreas which isn’t generating any insulin so experiments have been carried out with giving them a replacement pancreas – one that works properly, so that they are not dependent on artificial insulin injections. While some transplants have proven effective they haven’t worked in every case. One big problem is in the logistics required to provide each Type 1 diabetes sufferer with a new pancreas. There just aren’t enough to go around. 6. The Main Diabetes Symptoms Diabetes is usually diagnosed when you go to the doctor with a few symptoms that are making you feel unwell. It could be sheer tiredness, fuzzy thinking, constant thirst or urination. These days most doctors are quite proactive when it comes to preventative medicine which basically means that they check you over for certain diseases at certain ages, just to make sure you don’t have them. Diabetes is a pretty common condition that develops if the body's production of insulin (a hormone which helps the body in converting blood sugar or glucose into energy) really becomes inhibited. The blood sugar rises because of the lack of insulin. Unfortunately, the symptoms of the condition are at times hard to identify. In many instances, the symptoms are very mild and aren’t noticed at all. In many other cases, the symptoms might take several years to develop. But let us take good look at the most common symptoms of diabetes. HYPERGLYCEMIA - The term refers to higher than the normal blood sugar levels. This, in a great majority of the cases, happens due to the absence or shortage of insulin inside the diabetic person's body. Insulin generally works as a great control mechanism. It makes sure that the blood sugar remains in the normal range (e.g. around 80 mgs per deciliter to 110 mg/dL). With no insulin, the levels of blood sugar can become higher than usual at any time. The episodes of hyperglycemia eventually become common. The blood sugar levels will be considered hyperglycemic when they are consistently over 126 mg/dL. If there is a persistent problem of hyperglycemia, the most common symptoms could be blurred vision, constant thirst, too frequent urination, too much hunger pangs and very persistent weakness or tiredness. Hyperglycemia calls for action. Insulin injections might be utilized for milder occurrences. However, more harsh occurrences might call for clinical treatment. Hypoglycemia refers to lower than the average levels of blood sugar. It could be triggered by not consuming sufficient calories on a daily basis, failing to consume sufficient calories after exercise and extreme alcohol consumption. Though hypoglycemia can have an effect on all
  • 13. 13 diabetic patients, it’s most typical among type 1 diabetic patients when these patients inject surplus insulin. The most common symptoms of hypoglycemia are blurred vision, dizziness, and hunger pangs, shaking and sweating. Just like hyperglycemia, hypoglycemia calls for your attention. Mild occurrences can typically be dealt with by eating 10g to 20g of sugar. Getting glucose tablets can also help. However, graver hypoglycemia calls for glucagon injections administered by medical professionals. DIABETIC KETOACIDOSIS is also known as DKA. When the body cannot convert blood sugar into usable energy anymore it’ll start using fat and muscles instead for energy. The fat breakdown triggers ketones (i.e. fatty acids) to be released into the bloodstream. As time passes, the buildup of ketones can lead to DKA. DKA is most common in type 1 diabetics. It is generally brought about by absence of insulin, which prevents the human body from getting adequate energy from that available blood sugar. It could also be linked to some sort of illness and infection. The common DKA symptoms include abdominal pain, fruit smelling breath, dry skin and vomiting. DKA happens to be among the graver diabetes symptoms and calls for instant medical attention. When the case is severe, DKA could turn out to be fatal. HYPEROSMOTIC NON-KETOTIC ACIDOSIS - HONK is most common in type 2 diabetics. It occurs if your body relies too much on the higher levels of blood sugar through passing out the extra urine. That can then cause extreme dehydration. HONK is also known to cause dry skin, excessive thirst that won’t disappear after fluid consumption and fevers. Just like the cases of DKA, HONK is pretty serious and calls for appropriate medical attention immediately. Here is a recap on the common Type 1 symptoms of diabetes. First of all, you always feel thirsty. There could be tendency of too frequent urination. You could also feel hunger, which feels too intense. Some people lose weight too fast unexpectedly. This could be coupled with extreme feeling of fatigue. There could be intense irritability for absolutely no reason. In the case of Type 2 diabetes, all of the above symptoms of Type 1 diabetes can be felt. Often diabetes is not suspected until there are such things as infections and wounds that do not heal quickly or at all. You might find mouth or skin blisters troubling you, or have blurred vision. Tingling and numbness of the hands and feet are also a symptom of diabetes.
  • 14. 14 7. Mild Diabetes Treatment When a person only has mild diabetes they may not need to have insulin injections at all. Sometimes the doctor will put them on a strict diet and exercise regimen and this is sufficient to control the level of glucose in the blood. Some patients can be treated with tablets rather than injections. Treatment for mild diabetes should be carried out wisely and in a timely manner so that both mild and serious complications can be avoided effectively. Did you know that diabetic neuropathy could lead to a problematic development of irritating ulcers on the low extremities? Fortunately, timely treatment can lower the probability of infection. This reduces the risks of a recognized infection leading to amputation. Antibiotics can be selected for dealing with the organism that is causing the infection. Antibiotic prophylaxis is usually not encouraged as it can boost the odds that strong bacterial resistance to that antibiotic agent will develop. Culture samples should be taken through curettage of biopsy instead of swabbing to assure successful detection of pathogens. In the US, foot infection is the prime cause of diabetes-oriented hospitalization and low- extremity amputation. In over 90% of the cases, osteomyelitis of the foot is usually associated with infected foot ulcers. The US Diabetes Association now estimates that around 90,000 low extremity amputations secondary to diabetes are carried out each year. And in 85% of these amputations, ulceration is one of the pre-disposing factors. Actually, the five-year survival rate of independent diabetic amputees is 50 percent; when it comes to bilateral amputees, the overall rate actually drops to 0 percent. Lower-extremity based neuropathy related to diabetes mellitus oftentimes can lead to the growth of unfussy skin or skin structure infections (uSSSIs). If untreated, uSSSIs might escalate into complex infections. Longer term survival of a diabetic patient will depend a lot on the diagnosis as well as appropriate action for treating uSSSIs to prevent them from developing into graver conditions which warrant amputation. Let us learn how to classify diabetic wounds. Proper categorization of diabetic wounds is important prior to selecting treatment. As a matter of fact, diabetes related foot infections can be divided into four categories of severity, namely - non-infected, mild, moderate, and severe. Usually, non-infected ulcers are fully distinguished by granulation of the body’s tissue and shallow tract. However, this could be coupled with the lack of cellulitis and pus with particularly serous drainage. Then again, the wound is pretty likely to get contaminated with and colonized by bacteria but there are no signs or symptoms of infection.
  • 15. 15 Those who are affected with mild ulcers have two or perhaps more symptoms of inflammation (e.g. purulence, erythema, tenderness, soreness indurations or warmth) and cellulitis / erythema, which can extend to the area around the ulcer. Such an infection remains restricted to the skin and the surface subcutaneous tissues. Such wounds are typically local and patients do not have any systemic symptoms or any kind of complications. Moderately infected ulcers can be characterized with symptoms like cellulitis larger than two centimeters, lymphangitic streaking underneath superficial fascia, gangrene or even problems like abscess of the deep tissue. These could be coupled with muscle, tendon, bone, or perhaps some joint paint. Patients are however metabolically stable, even though their white blood cell counts and glucose levels might change and call for treatment. If located within the foot or lower limb, such wounds might lead to amputation. In the case of diabetic patients, the instances of uSSSIs are characterized by nothing more than non-infected and mildly infected wounds. Treatment of diabetes-related uSSSIs is not so difficult. Diabetic wound handling calls for debridement, offloading, and antibiotics. Antibiotics won’t heal diabetic wounds. Debridement promotes healing through creating acute wounds. Through the removal of necrotic tissue which may contain bacteria, debridement can establish a foundation for fast wound healing. This allows much more appropriate visual assessment and promotes the activation of growth factors - platelets. This could be coupled with the reduction of the level of matrix metalloproteinases (i.e. MMPs). And MMPs are shown to demean growth factors. Offloading that pressure that causes the wound can inhibit inflammatory stimuli. This also allows the wound to heal efficiently. On the other hand, chronic inflammatory stimuli (pressure / infection) hold up wound healing through boosting MMPs as well as reducing the ingress of endogenous growth factors. Then again, the inflammation starts with the contributory pressure and might continue while the infecting agents are introduced. And this leads to augmented activity of neutrophils or macrophages, more intense making of TNF-[alpha] and IL-lb, as well as amplified MMP production.
  • 16. 16 8. Why Only some Diabetics Need Insulin Injections People who suffer from the more serious Type 1 diabetes certainly need to get insulin injections on a regular basis. However, if the problem is Type 2 diabetes that can’t be controlled by a diet change or exercise, you might also need insulin injections. Unfortunately, insulin cannot and should not be consumed orally – either in pill and liquid form. The digestive juices in the stomach would destroy it before it had a chance to go to work. Insulin must be injected with a needle and a syringe, insulin pen, and/or insulin pump. Many people like to use the pens as they can be used without anyone even realizing what is happening. Insulin is injected into the body right underneath the skin, within the fatty tissue. Now there are around twenty different kinds of insulin out there that are available. They all come in one of four forms. The doctor can determine which kind of insulin product will be appropriate for you, considering what your lifestyle is, what your level of blood sugar is, and many other factors such as the time required for the body to recognize and use insulin, and especially the duration of the insulin’s activity in your body. So, where does the insulin come from? For the most part, it is manufactured in labs. Some time ago, it came from cows and pigs, but insulin from cows is no longer acceptable in the United States and as of early 2006, insulin extracted from pigs is no longer manufactured. Actually, insulin utilized by diabetics is regulated through the FDA in the US. If pharmaceutical companies make any fresh insulin drug, that company will be responsible for clinically testing that insulin. They need to submit detailed reports of the research results to the FDA, which then thoroughly analyzes the reported results. The FDA determines whether the drug is safe for the use by humans. If you are diabetic and require insulin, doctors will ask you to purchase insulin delivery devices. You will also need to learn the art of injecting the insulin yourself. It is a great idea to get one of your family members to learn the art of injecting the insulin, just in case you are not able to do it all by yourself. It seems to be counter intuitive that there are non-insulin dependent diabetics who might sometimes have to use insulin. However, in spite of the advice of the many diabetes experts who do not actually suffer from diabetes, in some of the cases insulin cannot lower blood sugar levels in different types of diabetes. The big problem with using insulin injections if you have Type 2 diabetes is that injected insulin can affect your pancreas adversely. While the injected insulin can lower the levels of blood sugar, it can also prevent additional damage to the insulin-making beta cells.
  • 17. 17 The type of insulin which helps type 2 diabetic patients the most will depend on whether or not they have too high blood sugar levels prior to or following meals. There are some patients suffering from Type 2 diabetes who have a problem with higher levels of blood sugar during the morning but not after meals. Such diabetics go through the "dawn phenomenon". Such odd feature of diabetes can occur from the abnormal response of your liver to pulses of stress hormones just an hour or two prior to the common waking time. Your liver renovates stored glycogen and changes it into glucose to make sure that the body is able to receive energy for getting "up & running" without delay at wake-up time. When this type of diabetes is combined with PCOS (i.e. polycystic ovarian syndrome) which is not uncommon in females who suffer from diabetes, the underlying difficulty is with the body’s stress hormones. Then again, the overall pattern of the higher level of blood sugar gets treated with "slow" insulin that is taken right before you go to bed. In the initial stages of the disease, most type 2 diabetics, go through lack of "first phase" insulin. The beta cells keep on making insulin. However, they cannot release sufficient amounts to cover the rapid load of glucose that ensues from digesting a meal. It is therefore necessary that they have injections of "fast" insulin around 15 minutes to an hour before they eat, since this will help prevent their blood glucose from becoming too high. That is why it is important to ensure that a specialist manages and advises you when you are first diagnosed. 9. Managing Diabetes When people are diagnosed with diabetes they often feel that it is the end of a life and that they are condemned to be sick or be invalids for the rest of their time on this earth. While it is true that diabetes is a serious and life-threatening condition it can and should be managed throughout your life in a way that will maximize your enjoyment. It should be seen as a challenge to be met rather than a life sentence that will pull you down. As a matter of fact, you could consider diabetes as the determinant of a whole new way of life. Your goal is to help yourself manage the diabetes problems that you are going through. You need to make sure that you are following all essential tips after getting the approval of the doctor. Regardless of the duration of your diabetes related suffering, there are questions that should be answered and you should get the essential diabetic supplies and medications which you really need. You would want to make sure that you are keeping up to date with the most recent diabetes information, research or tips, since there could be something totally new that you will be able to use.
  • 18. 18 Most people, after years of sufferings from diabetes, have to use insulin shots. You need to ensure that you are practicing great personal hygiene and you should pay special attention to how your feet feel. When you are using diabetes foot cream around the bottom of the feet and especially on the heels, it could help in keeping them from become cracking or becoming sore. You should also try to put some foot powder in between the toes. If you are obese this could solely add to your diabetes problem. This is the reason you should manage your weight. If you are obese, you should shed some pounds. Are you addicted to sugar? Curb your high sugar intake. It could help you a lot if you keep working with a doctor to keep your blood sugar level just where it should be (the safe range is 6.5% to 7%). Head to your nearest pharmacy and try to get a reliable blood pressure monitor if you don’t have one. There are plenty of reliable and convenient devices specifically designed for home use. The safe blood pressure level is 130/80. And if these are not the readings on the monitor, you should consult a doctor for the problem. Many patients have to wear glasses for many years. If they end up skipping regular eye exams later they might find out that they have some horrible retina dilation that worsens over time. You must make sure that you get eye checks by a reliable optometrist on a regular basis. You have to ensure that the eye doctor has thoroughly checked your eyes if you have diabetes. Do you enjoy going barefooted around the house? You could end up bumping into something and cutting your feet. The entire foot can become swollen and this will make it hard for you to walk. If you foot becomes infected it can easily lead to gangrene when you are a diabetic. This will lead to amputation. Don’t go barefoot here and there. You have to have a decent pair of nice-fitting shoes. It could help if you wear support and cotton-nylon blend socks along with them. A couple of years after being diagnosed with diabetes, many women are diagnosed with breast cancer. And a mastectomy of a breast might not get rid of it. In many cases, the cancer goes into the bone. This can give birth to an entire set of health problems. If you are taking any kind of medications besides your diabetes medicine, ensure that you follow the instructions given by your doctor. Meet the doctor regardless of your busy schedule. A big poster that shows the names of the essential medicines and when and in what dosages they should be taken should be taped onto the cabinet door where the medications are kept. It can help if you keep your morning medications inside one room (e.g. your bathroom) and the evening
  • 19. 19 medicine - in the kitchen. It is a good idea to keep the medicines for the morning and for the evening far apart from each other. Carry some glucose tablets with you at all times. Getting a yearly flu shot can help you a lot as a precaution. Avoid smoking and make sure that your kidneys are checked on a regular basis. Stay active and stay away from things which can affect your health adversely. You need to go out for walks occasionally, even if you are busy with your work. Food labels should be taken seriously and you need to read them carefully to find out about the real sugar content in the food. If you take your disease seriously and be sensible about it, taking note of all you need to do to help yourself, then there will be less severe impact on your body and you may even start to feel a whole lot better than you did before the disease was diagnosed. 10. Can Diabetes be Controlled by Diet? It is possible to adopt a practical diabetes control diet so that your glucose levels can be kept stable. Much depends on the type of diabetes you are suffering from and how bad you have it. Advice should always be sought from the doctor regarding diet and exercise. For most of the patients, regulating the level of blood sugar through monitoring the overall food consumption makes great sense. Remember that the more you help yourself by sticking to diets and such, the better you will feel. Diabetes, unfortunately, is a chronic condition which often causes other health conditions and complications (e.g. hypertension, dizziness, heart attack, brain hemorrhage, atherosclerosis, or the inability of the body to cure wounds or sluggish healing under some conditions). If you are able to devise an everyday diet plan, this may help to reduce the dosages of orally taken medications and insulin, which is typically taken through injection method. Actually, diabetes control with controlled diet is the usual attempt aimed at finding a good solution to the problem of higher glucose levels in the blood. This approach won’t yield any kind of positive results overnight, but you will be better off in the long term. A total lifestyle adjustment will help you improve your overall wellbeing. Managing your diabetes can help you a lot. A diabetes controlling diet can also involve close and regular monitoring of your day to day food habits. Calculate carbohydrates and also keep an eye on the amount of sugars taken. This can significantly affect the blood glucose levels. Consistently take blood sugar levels readings on everyday basis. Try to adjust the everyday caloric consumption to your needs as a diabetic. This is the best measure.
  • 20. 20 You have to adjust your eating habits to curb the excessive calorie intake and the intake of carbohydrates, which gives hikes to the blood glucose. To attain glucose levels in the standard limits according to the medical guidelines, often numerous smaller meals coupled with well- regulated portions could prove an optimal methodology. Today, the great majority of medical practitioners tell diabetic patients to work hand in hand with a dietician to create a special diet which the patient could adhere to. There are lots of low-carbohydrate food options which are excellent replacements for caloric choices. Basic changes from overly processed foods to healthy foods with slow absorption can help. These are absolutely recommended. The effects of the right diet can be considerably enhanced through the addition of day to day exercise. And in many cases, walking is one of the easiest or safest modes of exercise there are. Consider taking professional advice to devise a day to day workout routine that you can employ. As time passes by, you can work on improving your speed or the overall length of the walks that you can take. This helps you with keeping your overall metabolic rate up. You will be able to burn additional calories that way. Your primary goal could be to walking 10,000 steps at least each day. The use of a low cost pedometer could help you in keeping track of the total number of steps that you have taken, and also the calories that you have burned. Since you turn more physically active, you might wish to add many other kinds of workouts like cycling and strength training into your schedule. There are different kinds of pre-packaged diet substitutes that exist on the market these days and they are meant specifically to control the levels of blood glucose in diabetics. They are among the most viable alternatives for the ones who suffer from diabetes and actually possess very limited culinary skills or are perhaps too busy to cook their own food every day. See if the product gets promoted as a "lean" meal. You may want to make sure that you are buying foodstuff that is targeted to those who love their food. While you should get into the habit of reading food labels, it is also important to understand what they mean. Another thing to watch out for is fruit, which has no labels but contains fructose or fruit sugar. Watch out for the sugar and carbohydrate content as it might not at all be appropriate for your diet. Implement a solid diabetes control diet, since this will prove to be an excellent blood sugar management approach. Your doctor and dietician will give you invaluable advice on diet.
  • 21. 21 11. Red Flags for Diabetics When you have a heart attack you suffer pain; with the flu you get the symptoms of a sore throat, cough and stuffy or runny nose. Diabetes is unlike many other diseases because it does not often have any clear symptoms – red flags - to tell you of its onset. There will be no high fever no vomiting and most importantly, there will not be any bleeding. This is why people often have diabetes without even knowing it. They may suspect that something is just not right, but often think they are just under the weather and it will all go away if they ignore it for long enough. Sadly, it will not. However, you should realise that having diabetes does not make you the eighth wonder of the world. You could have it even if you have a well toned body. You’ll need to watch out for symptoms. This first symptom is a weird feeling – you could end up feeling thirsty at all times. Bear in mind that the "thirst" shouldn’t be regarded a symptom that you can ignore just like that. Together with feeling thirsty at all times, you’ll also feel strangely hungry too frequently. You may feel hungry even though you’ve just taken a full meal. Too frequent trips to the bathroom for urination can be one of the obvious signals that something is wrong. Some patients experience mysterious exhaustion. Quick weight loss is one of the decisive symptoms. Even though you may be doing something to shed some weight, you might be losing too much weight too quickly. Those are amongst the typical symptoms which you must watch out for. Now when you notice these things, it’s time you stopped the guesswork. Make an appointment to see a doctor so that your blood sugar level is tested ASAP. Delaying might cause more problems eventually. If after testing your doctor unfortunately confirmed your great fear, then the only thing left for you to do is to agree to get appropriate diabetes treatment and think of getting a healthier lifestyle to prevent your condition from getting worse. The speed in which these diabetes symptoms develop might vary. To be specific, Type 1 diabetes happens to be the type of disease that is triggered by total pancreas failure to produce any insulin. Type 1 category symptoms include excessive thirst, extreme urination, tiredness, unwanted weight loss and especially - a dizzy feeling. Such symptoms tend to develop as time passes by - over days or weeks. If the condition is left unattended, undiagnosed or untreated, the sugar within the body cells increases the level of blood glucose, which in turn will lead to coma and possibly death. Do you know the reason your pancreas quits working? Some kind of autoimmune syndrome is considered to cause diabetes mellitus. If the antibodies in your body start attacking healthy cells in the body, this is regarded as an autoimmune response. There has been a lot of research
  • 22. 22 regarding what actually triggers an autoimmune response, but scientists are yet to discover why the antibodies attack the body cells. On the other hand, Diabetes 2 symptoms happen to be pretty akin to the ones that are mentioned for Type 1 diabetes. The big difference that lies between these two conditions is that type 2 diabetics have a pancreas which keeps working although below the usual levels. They suffer from insulin resistance, which is a term describing the body’s inability to utilize the insulin which is produced by the body. In this case, as some insulin is still generated by your pancreas the warning signs are much slower to develop. So your health keeps deteriorating over a long period of time. And by the time you are sure you have this problem, your condition might be very severe. Many doctors need a considerable amount of time to realize that the patient really is suffering from diabetes. The premature symptoms of typical sugar diabetes aren’t as dramatic as you might assume. This explains why they end up being ignored. But it is also true that abnormal thirst or urination should be reported to the doctor and you should get your sugar levels checked. Any suspect red flags should be investigated. If they are not, the potential danger level to the patient will swiftly rise – especially when it comes to Type 1 diabetes. When these symptoms or signs for diabetes are ignored or go unspotted, and diabetes is allowed to develop without treatment, ongoing high glucose levels in the blood could cause other sorts of health conditions. And these problems are actually worse than what caused them. Some diabetics go blind; others must have amputations. There are many parts of the body both internal and external that are affected by diabetes. This is not being said to scare you; just to warn you that red flags should not be ignored. It is far better to find out what the cause is and treat it, than to risk it causing something a great deal worse. 12. I’m a Diabetic –Can I Play Sport? Sport seems to be an integral part of our society and culture today. When you have diabetes you may not feel fit enough to play a rough and tumble sport, but there are plenty of milder sports such as golf that can and should be enjoyed. Provided that they do not have any special underlying conditions which require no physical activity, there isn’t any reason why diabetics can’t take part in any type of sport. As a matter of fact, being active is a good way to manage and control diabetes. Do you like running? If you are a type 2 diabetic, you can benefit a lot from running.
  • 23. 23 The bottom line is that when someone asks you whether a diabetic can play sports, the answer is YES! Some people have had diabetes since they were 4, and these people are excellent soccer players, they play basketball, volleyball, and they can run on a track. However, you need to ensure that you eat a snack prior to a sports practice and prior to a game. In addition, you must pay great attention to the things that your body tells you when you play a sport. Yes you can play sports even if you are diabetic. But you have to be cautious and set a pace for yourself wisely. How active you need to be might depend on the stage of diabetes you’re at. To illustrate, you need to check your level of blood sugar as sudden hypoglycemia (too low blood sugar) can backfire. You may want to join amateur sports clubs that have specialists who can provide advice and help to people suffering from diabetes. There are many different types of sports that all individuals including diabetics can pick from. For those with diabetes, playing sports may require a little more preparation than for those who do not have diabetes. It is important to consider the different kinds of factors that are involved to make sure that all sorts of sports are played safely keeping into consideration your blood sugar levels. Ensure that you maintain safe levels of insulin. Though insulin level preservation is a significant factor for diabetics all the time, it’s vital that when the diabetic engages in a sport, these things are kept in consideration. As muscles call for extra energy whilst exercising, your body discharges more glucose for gaining this energy. When there isn’t sufficient insulin within the body for working alongside the glucose this might result in health problems or complications for a diabetic. Thus, when you have complications, diabetes and also love playing sports, do ensure that you check your insulin levels as frequently as you can and keep altering the dosage as required. Keep some snacks with you all the time. Diabetics need not worry a lot about their high blood sugar levels. However, it is important that they manage their lower blood sugar levels effectively. For keeping the blood glucose level in check, and to make sure that it is not dropping too low, you need to keep eating small snacks occasionally. You need to invest some money into fresh and healthy snacks. Consider consulting a doctor to make sure that you know the best possible options and consume nothing but the things that are permissible by the diabetic diet chart that you have been given by the doctors. Remember to carry some snacks all the time just in case food is required at some point during the game or sports practice. Most of all, you have to keep the essential clinical info and supplies with you. Diabetics playing sports must have certain types of clinical info and supplies with them constantly. Items like medical forms that state you’re diabetic have to be with you at all times. Make sure that you take
  • 24. 24 insulin and all other essential medications and possibly a testing kit along with all sorts of things which you may need to stay in shape during a game or practice. Such items give you the liberty to check your blood sugar level, controlling the glucose level and allowing others to know that you’re diabetic. Let the coach or supervisor announce that you are diabetic. Let people know that your clinical condition is not like the others. If you are diabetic and still want to play sports frequently, you should get regular physical examinations and carefully fill out all the medical forms that dictate your physical health. On such forms, it’ll become clear that you’re diabetic. With that said, let concerned people know your condition. No matter how lean or toned you are, you have to stick to a solid diabetes management plan to make sure that you are not crossing the danger zone while taking part in sports. You may feel that you want to hide the fact that you are suffering from diabetes, but that is not the best way to manage it. If the people around you know you have the disease they will know what to do should you suddenly fall into a coma. It is only sensible to enlist such aid. 13. How to Live with a Diabetic – and Stay Sane If your partner has been diagnosed with diabetes, you simply cannot ignore the topic, but must stand beside them and help them to control their illness. If the sufferer is a child you will need to be very proactive in managing the disease and teaching them how to handle such things as their medication so that they can eventually become independent. Living with a diabetic calls for a patient, sage and pragmatic approach. You need to help the diabetic become a strong and independent patient. To illustrate, you need to ensure that he or she becomes capable of taking a highly active and knowledgeable role in the management of their diabetes. You need to ensure that the diabetic is doing the minimum at least, as their actions will tend to dictate the extent to which the disease remains in control. At the end of the day, you’ll have to give the patient the courage to get involved in their treatment as much as possible. This doesn’t mean you have to make the person a diabetic patient extraordinaire. As a matter of fact, many of the things which the patient needs to do are focused on improving their lifestyle for the better. The patient has to be educated and thoroughly informed about their diabetes. The idea here is to have the patient gain complete independence from others. The patient hast to learn how to take responsibility. A diabetic has to realize that their body is to be maintained and its rhythm cannot be understood best by anyone else but them.
  • 25. 25 Just remember not to buy into any of the popular hypes. Learn to avoid the tendency to take all things you hear or read as gospel truth. Be sure to frequently ask for second opinions or even third ones, as this extra effort will obviously make the patient more informed regarding their diabetes and this also makes them more in tune with their overall health. Asking questions can help. There isn’t any such thing as a stupid question. Keep asking till you’ve got a highly satisfactory answer. Writing any important questions down can help and so can devoting some extra time to those said questions during your visit to the doctor. If the specialist seems busy, it would be a great idea to leave those questions behind and ask the doctor to reply via email whenever they have time to do so. Diabetes ABC’s is important to learn. The patient will have to live with the diabetes 24/7. That is why it is so important to know what the inner workings of this disease are. If you are determined to manage the problem effectively, it will pay off if you just get started with all the basics, so you can easily go from there. There are many crucial sources of information that are made available on the World Wide Web and in your local library. You should try to make a very smart patient out of the diabetic. If you gather info on diabetes online, remember to act smart and ensure that the sites that you get information from are very trustworthy as well as relevant. Do ensure that you keep your privacy radar on. A patient suffering from diabetes needs clear guidelines to cope with their problem. Do not ever believe everything you read without verifying it in the first place. Learn how to pay attention, since paying attention really can save the life of a diabetic patient. Knowledgeable patients are aware of the fact that there are some special medications that they have to take and that the dosages do matter, since getting a smaller or larger dose could easily turn out to be a life threatening event. Collaborating with others is important. Today, the diabetic community online has many diabetics who go through the same kind of struggle that your loved one is going through and their overall insight might turn out to be pretty useful when it comes to any decision making process. Shopping around for medical services is a helpful thing sometimes. It is health issues we are dealing with here and nobody is advocating “going HMO.” However, empowered diabetics can shop around to get the best possible care available if the current services they receive are inadequate. Compliance is also something that a diabetic should focus on. If you want a diabetic to become an empowered and educated patient, you have to give them a precise treatment plan to follow. You need to be proactive to make sure that the young diabetic patient is safe; older patients
  • 26. 26 should learn to do everything needed for themselves, but you will still need to keep a watchful eye on them, especially if they are teens. 14. How to Prevent Diabetes While there is no cure yet for diabetes, it can often be prevented by adopting a healthy lifestyle and diet. If you allow yourself to eat junk food and laze in front of the television day and night, there is no surer way to put yourself in the path of this disease. Diabetes is one of the most serious illnesses sweeping the US lately. Diabetes is an unceasing disease which creates woefully high sugar levels in the bloodstream. This can cause problems like blurry vision, extreme thirst, fatigue, too high appetite, nausea, sudden weight loss, propensity to vomit, weaknesses and a feeling of perplexity. There are also numerous kinds of life-threatening symptoms which a patient may experience if they are not treated properly. There are 2 key categories of diabetes and namely - type 1 and type 2. While type-1 diabetes could occur anytime at any practically age, it’s often seen in children, teens, or young adults. This type of diabetes develops if the body is producing little or no insulin. Type-2 diabetes is the most common form of diabetes. It is triggered by a complication which leads to the body facing problems in using insulin. This problem is referred to as insulin resistance. The people who suffer from this type of diabetes don’t respond properly to insulin. That generally happens because fat, liver and muscle cells do not generally respond properly to insulin. This results in the human body not storing enough blood sugar to be used for energy production later on. If the sugar can’t enter the cells it stays in your blood. This could trigger hyperglycemia and this can result into pancreas failure later on. Unlike type-1 diabetes, type-2 diabetes tends to affect people who are obese. Because of the higher number of obese people living in the US, the number of people who suffer from diabetes has also grown. Although there are a lot of people out there who suffer from diabetes, it’s often a relatively simple disease to prevent. The simplest way for you to prevent diabetes is to stay healthy and lean. That is done through leading a healthy lifestyle. The initial step for you to lead a healthy lifestyle would be to eat right and exercise on a regular basis.
  • 27. 27 Eating meals rich in protein and low in fat can provide your body with the essential energy required. Focus on eating fresh foods and whole grains, as these can provide your body with the essential vitamins and complex carbohydrates required to remain healthy. Avoid foods that have extremely high sugar levels and ones rich in fructose corn syrup. Working out can help you stay in shape. Working out can help your body with burning off all the excess fats that might affect the overall insulin intake. Then again, this can also keep down the risk of obesity. Have a regular workout routine to prevent diabetes and release endorphins which promote a better mood. With the correct diet and workout, diabetes can be effectively prevented. For preventing type-2 diabetes, go for some simple lifestyle changes. Maintain good health as this is among the best ways for protection from different kinds of serious health conditions. People who are overweight should consult a qualified medical professional, who will be able to help them craft a pathway to successful weight loss. People working closely with personal trainers can shed their excess pounds. And in the process they’ll be able to lower their risk of diabetes, sudden heart attacks, and cancer. Some experts have indicated that the risks of type-2 diabetes are much higher amongst those who eat meat. That doesn’t mean people need to stop eating meat completely. Nevertheless, replacing pork with wholesome beans plus leafy green veggies a few times per week surely won’t hurt. Nutritionists provide concerned parties with precise charts which clearly show what they should eat on a daily basis. For instance, leafy greens happen to be rich in antioxidants, which can radically minimize influence of free radicals in the human body and thus promote better health. Doctors can figure out when individuals are exposed to high risk for developing Type-1 or Type- 2 diabetes on the horizon. If that is the case, then a number of medications may help. Such medications, as confirmed by the specialists, might successfully hold up the inception of the illness for some time. Everyone likes to feel in control of their life. If such medications are combined with physical activities and especially with a healthy diet, most people can enjoy a much higher chance of preventing these conditions. 15. Risk Factors for Developing Diabetes Prevention is one of the most important factors in maintaining good health. You need to take the right measures to avoid any disease. This applies even more to diabetes. However, there are certain risk factors that some people have that they are unable to control and that mean they are more likely to get the disease. For instance, if their mother had gestational diabetes before they
  • 28. 28 were born or if their parents had it, they may be more prone to developing the disease at some time. And of course, no one can help aging, but this is also a risk factor. Others are obesity and a sedentary lifestyle. There are different kinds of symptoms that people with diabetes have. You need to know what these are especially if you are afraid that you or one of your loved ones is at risk of getting diabetes. Many people are left wondering what the notions pertaining to pre-diabetes are and especially what the underlying risk factors for pre-diabetes are. Being unaware of the underlying risk factors is the last thing you want in your life as you need to determine the positive and proactive actions that you have to take for reducing your chances of developing diabetes and developing the array of diabetes symptoms. Diabetes has to do with the way in which the human body processes the carbohydrates or sugars which people consume when they eat their daily meals. When carbohydrates enter your body, they are transformed into glucose. And glucose is the simplest form of sugar which is to be distributed into the bloodstream. When such distribution occurs, the human body’s pancreas kicks in right away to produce insulin. Insulin is a hormone which removes the glucose from the bloodstream and actually distributes it automatically to all the cells in the different areas of your body, which are in need of glucose to get energy in order to function. In the case of an average diabetic, his or her pancreas does not produce insulin any more or products insufficient amounts of insulin only. This is the case with Type 1 diabetes. In other cases the human body tends to be immensely resistant to insulin production. This is the case that happens with Type 2 diabetes. It leads to a hazardous accumulation of glucose levels in the blood. The glucose has nowhere to go and your body becomes starved for energy. The sole way for your body to get rid of the glucose in your bloodstream in the instances of insulin malfunction is to get rid of it in the urine. This can lead to different kinds of diabetes complications like coma, blindness, sudden heart attacks, limb amputations and kidney disease. As all of us can see, the risk of diabetes is in no way a joke! If you are to diminish your underlying risks of developing this condition or want to delay the inception of diabetes or the underlying symptoms related to diabetes, you’ll have to take every action that you can. There aren’t any kinds of gray areas regarding Type 1 diabetes unfortunately as it generally starts during childhood, and its development can be very rapid. There are some gray areas featuring the more typical kind of diabetes - Type 2 diabetes that has for too long been thought to be a complication that happens in adult people. In recent years, the people suffering from Type 2 diabetes are younger and younger. Putting it straight and simple,
  • 29. 29 people who suffer from Type 2 these days are much younger than those who developed it in the past. To understand the underlying risk factors involved, you need to understand what a pre-diabetes condition is. When people are exposed to higher propensities of developing Type 2 diabetes, usually they’re monitored very closely by the doctors and this leads to the possibilities of the diagnosis of pre-diabetes. As a matter of fact, pre-diabetes refers to the condition when the levels of blood glucose become higher than normal, but they are not high enough for a diabetes 2 diagnosis. When that occurs, there isn’t any way to tell when or whether the individual will actually develop Type 2 diabetes and the array of symptoms related to diabetes. Through becoming positive and radically adopting a healthy lifestyle, which includes blood sugar level monitoring and consuming complex carbohydrates and other healthy eating habits besides adding everyday exercise, the underlying risks or possibilities of developing Type 2 diabetes will become lower or perhaps be eliminated completely. When you are diagnosed as a pre-diabetic, the doctor will usually check your levels of blood glucose annually to make sure that they are risk-free. You need to keep a healthy diet and do exercise daily for the rest of your life in order to lower your risk of Type 2 diabetes and keep it down. So it can be seen that while diabetes cannot be cured, it may be prevented or delayed. If you have not been able to do this then the only thing to do is pick yourself up, dust yourself off and get on with the business of managing it and living life to the fullest. Finally Revealed: Scientifically Proven Principles That Will Have Your Body Producing More Insulin Naturally. Click Here To Learn More Personalize This eBook