Diabetes is a serious condition that comes with many risks and symptoms, but the good news is it can be managed with correct treatment and lifestyle changes. A high percentage of people with type 2 diabetes are able to reverse and manage their diabetes symptoms completely naturally by improving their diets, levels of physical activity, sleep and stress levels. And although type 1 diabetes is harder to treat and manage, complications can also be reduced by taking the same steps.
Keep in mind, too, that hypoglycemic unawareness is not a permanent condition. For many people, symptoms of low blood sugar will return and act as your warning signal once you stop having chronic low blood sugars.
Fasting blood sugar test. A blood sample will be taken after an overnight fast. A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it’s 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes.
Exenatide is indicated as additional therapy to improve control of blood sugar in type 2 diabetes patients who have not achieved adequate sugar control with metformin, sulfonylurea, or a combination of metformin and sulfonylurea. Exenatide enhances insulin release from the pancreas. Insulin secretion usually increases only when blood sugars are high, then decreases as blood sugar level approaches normal. In addition to enhancing the normal physiology of the pancreatic beta-cell, exenatide suppresses glucose release from the liver, slows stomach emptying, slows absorption of nutrients including carbohydrate, and reduces food intake.
“Brittle” diabetes, also known as unstable diabetes or labile diabetes, is a term that was traditionally used to describe the dramatic and recurrent swings in glucose levels, often occurring for no apparent reason in insulin-dependent diabetes. This term, however, has no biologic basis and should not be used. Still, type 1 diabetes can be accompanied by irregular and unpredictable high blood sugar levels, frequently with ketosis, and sometimes with serious low blood sugar levels. Other complications include an impaired counterregulatory response to low blood sugar, infection, gastroparesis (which leads to erratic absorption of dietary carbohydrates), and endocrinopathies (e.g., Addison’s disease). These phenomena are believed to occur no more frequently than in 1% to 2% of persons with type 1 diabetes.
Jump up ^ Barnard, Neal (2007). “13”. Dr. Neal Barnard’s Program for Reversing Diabetes: The Scientifically Proven System for Reversing Diabetes Without Drugs. New York, NY: Rodale/Holtzbrinck Publishers. ISBN 978-1-59486-528-2.
Managing your diabetes is a full time commitment. The goal of diabetic therapy is to control blood glucose levels and prevent the complications of diabetes. Information about exercise, diet, and medication will help you manage your diabetes better. Blood glucose reagent strips, blood glucose meters, urine glucose tests, tests for urinary ketones, continuous glucose sensors, and Hemoglobin A1C testing information will enable you to mange your diabetes at home successfully.
Screening is also recommended for people who are under 45 and overweight if there are other heart disease or diabetes risk factors present, such as a sedentary lifestyle, a family history of type 2 diabetes, a personal history of gestational diabetes or blood pressure above 140/90 millimeters of mercury (mm Hg).
GMO foods: GMO corn, soy and canola have been linked to kidney and liver disease and may promote diabetes. I suggest removing all GMO foods and all packaged foods from your diet. Opt for products that are labeled organic or GMO-free.
Jump up ^ Couri CE, Oliveira MC, Stracieri AB, et al. (April 2009). “C-peptide levels and insulin independence following autologous nonmyeloablative hematopoietic stem cell transplantation in newly diagnosed type 1 diabetes mellitus”. JAMA. 301 (15): 1573–79. doi:10.1001/jama.2009.470. PMID 19366777.
Fasting blood glucose level (FBG) — diabetes is diagnosed if higher than 126 mg/dL on two occasions. Levels between 100 and 126 mg/dL (7.0 mmol/L) are referred to as impaired fasting glucose or pre-diabetes. Fasting is defined as no caloric intake for at least 8 hours. These levels are considered to be risk factors for type 2 diabetes and its complications.
Another plus for asparagus is its folate content — a 1/2-cup serving, or about six 1/2-inch spears, provides 33 percent of the 400 micrograms of folate recommended daily. The American Heart Association advises eating foods containing folate and other B vitamins to help lower homocysteine levels, a risk factor for coronary heart disease.
Use a 9-inch plate. Put nonstarchy vegetables on half of the plate; a meat or other protein on one-fourth of the plate; and a grain or other starch on the last one-fourth. Starches include starchy vegetables such as corn and peas. You also may eat a small bowl fruit or a piece of fruit, and drink a small glass of milk as included in your meal plan.
Acanthosis nigricans: A dark, “velvety” patch of skin can appear in the armpits, groin, and neck folds, and over the joints of the fingers and toes. It is an indicator of high insulin and is seen more commonly in African Americans.
Want to make your pizza dough, but don’t have time for it to rise? This is a quick and easy recipe for you! Just combine whole wheat flour, yeast, wheat germ, salt and honey, bake, and then top with your favorite toppings.
. Metformin-containing drugs: drug safety communication – revised warnings for certain patients with reduced kidney function [Internet], 2016. Available from http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm494829.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery. Accessed 3 October 2016
A: Diabetes is a group of metabolic diseases where the body’s pancreas does not produce enough insulin or does not properly respond to insulin produced, resulting in high blood sugar levels over a prolonged period. There are several different types of diabetes, but the most common forms are type 1 and type 2 diabetes. Both impact glucose levels, and if left untreated, can cause many complications.
Syda Productions/shutterstock”It’s not like you wake up one day and all of a sudden you’re thirsty, hungry, and [going to the bathroom] all the time,” says Melissa Joy Dobbins, RD, a certified diabetes educator in Illinois and a spokesperson for the American Association of Diabetes Educators. “It picks up gradually.” Indeed, “most people are unaware that they have diabetes in its early or even middle phases,” says Aaron Cypess, MD, assistant professor of medicine at Harvard Medical School and staff physician at Joslin Diabetes Center. Just because you’re not keyed in doesn’t mean you’re immune from problems associated with diabetes, he adds. The longer you go without controlling diabetes, the greater your risk for heart disease, kidney disease, amputation, blindness, and other serious complications. “We recommend that people with risk factors for diabetes, such as a family history or being overweight, get evaluated on a regular basis,” Dr. Cypess says. If you’ve been feeling off, talk to your doctor about getting a simple blood test that can diagnose the disease. And pay attention to these subtle signs and symptoms of diabetes.
Patients with type 1 diabetes usually develop symptoms over a short period of time, and the condition is often diagnosed in an emergency setting. In addition to having high glucose levels, acutely ill type 1 diabetics have high levels of ketones.
Medications used to treat diabetes do so by lowering blood sugar levels. There are a number of different classes of anti-diabetic medications. Some are available by mouth, such as metformin, while others are only available by injection such as GLP-1 agonists. Type 1 diabetes can only be treated with insulin, typically with a combination of regular and NPH insulin, or synthetic insulin analogs.
“There are millions of people with type-2 diabetes who are undiagnosed,” says Kristi Silver, MD, acting director of the University of Maryland Center for Diabetes and Endocrinology. How could this be? “More often than not, during the early stages people have no symptoms at all,” she says.
Bean tostada: Bake 1 corn tortilla in 400-degree oven until crisp. Spread with ½ c cooked or canned pinto beans (rinsed) and 2 Tbsp shredded reduced-fat Mexican blend cheese. Return to oven for 5 to 10 minutes until cheese melts. Top with ¼ c salsa. Serve with a cabbage salad (1 c shredded cabbage and 1 chopped tomato with 2 Tbsp reduced-fat dressing).
Jump up ^ Snowdon, D. A.; Phillips, R. L. (1985). “Does a vegetarian diet reduce the occurrence of diabetes?”. American Journal of Public Health. 75 (5): 507–12. doi:10.2105/AJPH.75.5.507. PMC 1646264 . PMID 3985239.