“diabetes mellitus questionnaire”

Anyone with a body mass index higher than 25, regardless of age, who has additional risk factors, such as high blood pressure, a sedentary lifestyle, a history of polycystic ovary syndrome, having delivered a baby who weighed more than 9 pounds, a history of diabetes in pregnancy, high cholesterol levels, a history of heart disease, and having a close relative with diabetes.

Alternative: DeLaney encourages her patients to avoid all wheat products “due to the increased glycemic response.” She says wheat products contain “irritating phytochemicals such as lectins and glutens.”

There are two main forms of diabetes: type 1 and type 2. Type 1 is an autoimmune disease that’s usually diagnosed during childhood. Environmental and genetic factors can lead to the destruction of the beta cells in the pancreas that produce insulin. That’s the hormone responsible for delivering glucose (sugar) to your cells for metabolism and storage.

^ Jump up to: a b c Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, et al. (15 December 2012). “Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010”. Lancet. 380 (9859): 2163–96. doi:10.1016/S0140-6736(12)61729-2. PMID 23245607.

Diabetes limits your body’s ability to properly move sugar out of your blood stream and into your cells, where the sugar is stored and used for energy. Because your body isn’t getting enough of that energy, diabetes patients can experience “polyphagia,” which is a kind of all-the-time hunger, shows research in the journal Diabetes Care.

Meglitinides include repaglinide and nateglinide. They stimulate the release of insulin by the pancreas. Meglitinides are associated with a higher chance of hypoglycemia and must be taken with meals three times a day. As a result, these drugs are less commonly used.1,4

Sometimes pills for diabetes — even when combined with diet and exercise — aren’t enough to keep blood sugar levels under control. Some people with type 2 diabetes also have to take insulin injections. The only way to get insulin into the body now is by injection with a needle or with an insulin pump. If someone tried to take insulin as a pill, the acids and digestive juices in the stomach and intestines would break down the medicine, and it wouldn’t work.

Sodium-glucose co-transporter 1 (SGLT2) inhibitors: Approved in 2013, cenagliflozin (Invokana) the first drug of this class blocks reabsorption of glucose by the kidney, leading to increased glucose excretion and reduction of blood sugar levels. Urinary tract infections are more common with this treatment due to higher sugar levels in the urine.

It is best to avoid regular sodas, energy drinks, and other sweetened beverages. Diet sodas should also be avoided as they have been shown to increase sugar cravings, and can still cause an insulin response.

Jump up ^ Lo, HC; Hsu, TH; Chen, CY (2008). “Submerged culture mycelium and broth of Grifola frondosa improve glycemic responses in diabetic rats”. The American journal of Chinese medicine. 36 (2): 265–85. doi:10.1142/S0192415X0800576X. PMID 18457360.

Although there isn’t a single diabetic diet that fits every person’s needs, there are general guidelines people with prediabetes or diabetes should follow to live well and thrive. Eating healthfully with diabetes is essential to helping control blood glucose (blood sugar), blood lipids (cholesterol), and blood pressure — whether you take blood glucose-lowering medications or not. Today, following a diabetic diet means integrating smart food choices into your eating plan, which can help you manage your weight and ABCs (A1C; blood pressure; cholesterol) levels for life.

It’s worth noting that I do not at all agree with some of the dietary recommendations given to the participants in this study. For example, I believe including healthy saturated fats and avoiding processed liquid meal replacements would be a wise move. 

Various treatments exist for diabetes. Type 1 diabetes is treated with insulin (by multiple daily injections or pump), diabetic diet, and other lifestyle modifications. Type 2 diabetes is generally treated with diabetic diet, lifestyle changes such as moderate to vigorous exercise, and medication(s).

SI: Well it has the IP. The IP is two places. One is the protocol that we use, which drives high participation and the results. It’s not trivial. It really has to be highly individualized. Whether it’s food or what you do or how you choose medications, it’s nothing one-size fits all. Every person is different. That’s the first one.

Being smart about sweets is only part of the battle. Sugar is also hidden in many packaged foods, fast food meals, and grocery store staples such as bread, cereals, canned goods, pasta sauce, margarine, instant mashed potatoes, frozen dinners, low-fat meals, and ketchup. The first step is to spot hidden sugar on food labels, which can take some sleuthing:

There’s no way to know in advance if your body can “reverse” your diabetes. It happens for some people and not for others, despite the same diet, exercise, weight loss, or even bariatric surgery. Experts don’t fully understand why.

Again, this could be attributed solely to your inadequate hydration levels. (Even mild dehydration is associated with a whole range of not-so-fun symptoms.) But big swings in blood sugar among diabetics could also explain this fatigue, according to a 2011 study from the University of Illinois, Chicago. The study also found sleep-related issues like restless-leg syndrome tended to be higher among diabetics, and could explain why folks with diabetes often report feeling wiped out.

SI: It sounds very simple. Like, oh carbs are bad throw the carbs out. Yes, but it gets more nuanced. How do you do it in a way that you can reverse the type 2 diabetes and do it in a way that’s very sustainable and you feel good about it? Because you know if you’re eating bagels and bread all the time and I say just stop doing that, you feel horrible and you don’t want to do that.

^ Jump up to: a b Maria Rotella C, Pala L, Mannucci E (Summer 2013). “Role of Insulin in the Type 2 Diabetes Therapy: Past, Present and Future”. International journal of endocrinology and metabolism. 11 (3): 137–44. doi:10.5812/ijem.7551. PMC 3860110 . PMID 24348585.

If you have diabetes, are overweight or obese, and are planning to have a baby, you should try to lose any excess weight before you become pregnant. Learn more about planning for pregnancy if you have diabetes.

Men who have type 2 diabetes are twice as likely to have low testosterone (low-T) than men who do not have diabetes. Because of the low levels of the hormone testosterone, men with diabetes can have unhealthy symptoms that are not seen in women with diabetes.

Fact: The type of carbohydrates you eat as well as serving size is key. Focus on whole grain carbs instead of starchy carbs since they’re high in fiber and digested slowly, keeping blood sugar levels more even.

Eat sweets with a meal, rather than as a stand-alone snack. When eaten on their own, sweets cause your blood sugar to spike. But if you eat them along with other healthy foods as part of your meal, your blood sugar won’t rise as rapidly.

There is no known preventive measure for type 1 diabetes.[2] Type 2 diabetes – which accounts for 85–90% of all cases – can often be prevented or delayed by maintaining a normal body weight, engaging in physical activity, and consuming a healthy diet.[2] Higher levels of physical activity (more than 90 minutes per day) reduce the risk of diabetes by 28%.[64] Dietary changes known to be effective in helping to prevent diabetes include maintaining a diet rich in whole grains and fiber, and choosing good fats, such as the polyunsaturated fats found in nuts, vegetable oils, and fish.[65] Limiting sugary beverages and eating less red meat and other sources of saturated fat can also help prevent diabetes.[65] Tobacco smoking is also associated with an increased risk of diabetes and its complications, so smoking cessation can be an important preventive measure as well.[66]

Grains: Grains, especially gluten-containing grains like wheat, contain large amounts of carbohydrates that are broken down into sugar within only a few minutes of consumption. Gluten can cause intestinal inflammation, which affects hormones like cortisol and leptin, and can lead to spikes in blood sugar. I recommend removing all grains from your diet for 90 days as your body adjusts to this healing program. Then you can try bringing sprouted ancient grains back into your diet in small amounts.

Are those spots on your shins the result of a dull razor or something more serious? Many diabetics are only clued into their diagnosis when small round or oval lesions begin to appear on their lower legs. These spots, known as diabetic dermopathy, are thought to occur in up to 55 percent of all diabetes diagnoses.

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