Glycemic control is a medical term referring to the typical levels of blood sugar (glucose) in a person with diabetes mellitus. Much evidence suggests that many of the long-term complications of diabetes, especially the microvascular complications, result from many years of hyperglycemia (elevated levels of glucose in the blood). Good glycemic control, in the sense of a “target” for treatment, has become an important goal of diabetes care, although recent research suggests that the complications of diabetes may be caused by genetic factors or, in type 1 diabetics, by the continuing effects of the autoimmune disease which first caused the pancreas to lose its insulin-producing ability.
It is important to realize that sugar is not the only carbohydrate that you have to “control.” The body will convert all carbohydrates to glucose, so eating extra servings of rice, pasta, bread, fruit, or other carbohydrate foods will make the blood sugar rise.
Glyburide/metformin (Glucovance), rosiglitazone/metformin (Avandamet), glipizide/metformin (Metaglip), pioglitazone/metformin (Actoplusmet), and metformin/sitagliptin (Janumet) are five relatively new combination pills on the market to treat type 2 diabetes.
The term diabetes includes several different metabolic disorders that all, if left untreated, result in abnormally high concentration of a sugar called glucose in the blood. Diabetes mellitus type 1 results when the pancreas no longer produces significant amounts of the hormone insulin, usually owing to the autoimmune destruction of the insulin-producing beta cells of the pancreas. Diabetes mellitus type 2, in contrast, is now thought to result from autoimmune attacks on the pancreas and/or insulin resistance. The pancreas of a person with type 2 diabetes may be producing normal or even abnormally large amounts of insulin. Other forms of diabetes mellitus, such as the various forms of maturity onset diabetes of the young, may represent some combination of insufficient insulin production and insulin resistance. Some degree of insulin resistance may also be present in a person with type 1 diabetes.
Conventional: Vitamin and mineral supplements are provided only when deficiencies have been identified. Routine supplementation with antioxidants, such as vitamins E and C and beta-carotene, isn’t advised because of lack of evidence of their effects and concerns related to long-term safety.1
A few different approaches to creating a diabetes diet are available to help you keep your blood glucose level within a normal range. With a dietitian’s help, you may find one or a combination of the following methods works for you:
I was a fit 59-year-old and had just had an annual health check at my GP surgery. This revealed I had high blood sugar — 9millimoles per litre, whereas a normal level is 4-6mmol/l — and my doctor suggested I could have diabetes.
Garlic, the edible bulb from a plant in the lily family, has served as both a medicine and flavoring agent in cooking for thousands of years. It has been used to treat high cholesterol, heart disease, high blood pressure, and cancers. So does it really work? Here is what the current science says, according to the National Institutes of Health:
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:
People with diabetes are at increased risk for a variety of health complications, including cardiovascular disease. Learn more about non-invasive and invasive tests doctors may order to check heart health.
The patient and their family should be taught how to recognize the signs and symptoms of low blood sugar levels. The patient should have a clear plan for treating low blood sugar levels and know when to call 911. Mild symptoms include confusion and sweating. Moreover, these symptoms can progress to lethargy, agitation (sometimes with violent, jerking motions), or even seizures.
Each day, you’ll add in fresh grocery foods for the best nutritional balance. And throughout each week, you’ll have the flexibility to practice healthy eating on your own. You’ll pick when to enjoy a flex breakfast, lunch, dinner and snack each week. Dine out at a restaurant for lunch one day, or try one of our easy recipes another day to practice cooking healthy on your own!
Ethnicity, particularly when a close relative had type 2 diabetes or gestational diabetes. Certain groups (such as African Americans, Native Americans, Hispanic Americans, and Japanese Americans) have a greater risk of developing type 2 diabetes than non-Hispanic whites.
Dr. Josh Axe is on a mission to provide you and your family with the highest quality nutrition tips and healthy recipes in the world…Sign up to get VIP access to his eBooks and valuable weekly health tips for FREE!
The treatment of low blood sugar consists of administering a quickly absorbed glucose source. These include glucose containing drinks, such as orange juice, soft drinks (not sugar-free), or glucose tablets in doses of 15-20 grams at a time (for example, the equivalent of half a glass of juice). Even cake frosting applied inside the cheeks can work in a pinch if patient cooperation is difficult. If the individual becomes unconscious, glucagon can be given by intramuscular injection.
When islet cells have been transplanted via the Edmonton protocol, insulin production (and glycemic control) was restored, but at the expense of continued immunosuppression drugs. Encapsulation of the islet cells in a protective coating has been developed to block the immune response to transplanted cells, which relieves the burden of immunosuppression and benefits the longevity of the transplant.
Gestational diabetes often develops later in pregnancy. According to the National Institute of Diabetes and Digestive and Kidney Diseases, pregnant women diagnosed with gestational diabetes early in pregnancy may have had diabetes prior to pregnancy.
Start by trying these first three days of the plan, and then use a combination of these foods going forward. Review the list of foods that you should be eating from Step 2, and bring those healthy, diabetes-fighting foods into your diet as well. It may seem like a major change to your diet at first, but after some time you will begin to notice the positive effects these foods are having on your body.
I had stuck to the diet for just 11 days, and reduced my blood sugar to a healthy non-diabetic level. It has remained that way for the past year — my latest reading was 4.9mmol/l. I have kept to just under 9st, joined a gym and gone running three times a week.
Gene therapy can be used to manufacture insulin directly: an oral medication, consisting of viral vectors containing the insulin sequence, is digested and delivers its genes to the upper intestines. Those intestinal cells will then behave like any viral infected cell, and will reproduce the insulin protein. The virus can be controlled to infect only the cells which respond to the presence of glucose, such that insulin is produced only in the presence of high glucose levels. Due to the limited numbers of vectors delivered, very few intestinal cells would actually be impacted and would die off naturally in a few days. Therefore, by varying the amount of oral medication used, the amount of insulin created by gene therapy can be increased or decreased as needed. As the insulin-producing intestinal cells die off, they are boosted by additional oral medications.
One way to approach diabetes is to use integrative holistic medicine, also known as alternative medicine, a medical specialty that focuses on caring for the whole person, treating and preventing disease, and empowering patients to create conditions for optimal health, according to the American Board of Integrative Holistic Medicine.
This one goes hand in hand with feeling dehydrated, Silver says. As elevated blood sugar causes a drop in blood sodium, your body will struggle to stay hydrated even if you’re drinking tons of H20. Rather than retain that water, you end up peeing much of it out, she explains.
If the patient were to gain weight back or scale back on their physical activity program, high blood glucose would return. If they were to overeat at a meal, their blood glucose probably would continue to go higher than someone without diabetes. Also, the decreased insulin production and/or increased insulin resistance that led to the initial diabetes diagnosis will gradually intensify over the years and during periods of stress. In time, the patient who could maintain normal blood glucose with diet and exercise alone may discover that he or she needs to add oral diabetes medications — or perhaps even insulin injections — to keep blood glucose in a healthy range.
PCOS is a metabolic syndrome caused due to hormonal imbalance in the female body. It affects fertility in women and causes irregular periods. Other symptoms include facial hair, of hair, acne, weight gain, skin darkening (especially around the neck, elbows and armpit) and depression. Females with PCOS are at a great risk of getting diabetes. PCOS is thus an important warning sign of an impending diabetic condition.