Men whose testosterone levels are low have been found to have a higher risk of developing type 2 diabetes. Researchers from the University of Edinburgh, Scotland, say that low testosterone levels are linked to insulin resistance. (Link to article)
Latent autoimmune diabetes of adults (LADA) is a condition in which type 1 develops in adults. Adults with LADA are frequently initially misdiagnosed as having type 2 DM, based on age rather than cause.
Type 1 diabetes is most common among people of non-Hispanic, Northern European descent (especially Finland and Sardinia), followed by African Americans, and Hispanic Americans. It is relatively rare among people of Asian descent.
Hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Signs and symptoms of this life-threatening condition include a blood sugar reading higher than 600 mg/dL (33.3 mmol/L), dry mouth, extreme thirst, fever greater than 101 F (38 C), drowsiness, confusion, vision loss, hallucinations and dark urine. Your blood sugar monitor may not be able to give you an exact reading at such high levels and may instead just read “high.”
Proper nutrition is essential for all diabetic individuals. Control of blood glucose levels is only one goal of a healthy eating plan for diabetic people. A diabetic diet helps achieve and maintain a normal body weight, while preventing the common cardiac and vascular complications of diabetes.
Many infections are associated with diabetes. Infections are frequently more dangerous in someone with diabetes because the body’s normal ability to fight infections is impaired. To compound the problem, infections may worsen glucose control, which further delays recovery from infection.
There are some health conditions that can be managed by simply taking a pill — but type 2 diabetes isn’t one of them. Diabetes is a complex condition that often requires lifestyle changes and sometimes additional treatment that can help keep your blood sugar level under control.
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.
Sweet, juicy, and delicious, ruby red grapefruit packs more antioxidant power and more health benefits than white grapefruit. In a 30-day test of 57 people with heart disease, those who ate one red grapefruit daily decreased their LDL (bad) cholesterol by 20 percent and triglycerides by 17 percent. In contrast, those who ate a white grapefruit reduced LDL by 10 percent with no significant change in triglycerides compared with a group who didn’t eat the fruit.
Exercise is also an important part of diabetes treatment. Regular physical activity helps keep blood sugar levels in a healthy range. It also can reduce the risk of other health problems that people with diabetes may be more likely to get, like heart disease.
Alternative: Keeping in mind the principles of patient-centered care and the need to exercise the body, mind, and spirit, Swift includes yoga and qi gong on her nutritional lifestyle prescription pad for diabetes care.
Medications for high blood pressure and high cholesterol as well as aspirin can be prescribed with insulin to help the overall health and treatment of diabetes. Since people with diabetes have an increased chance of cardiovascular disease, these drugs are used in combination with other diabetes medications.
Diabetes can occur at any time. There are certain risk factors for both type 1 and type 2 diabetes. This is not an exhaustive list, and even adults can end up with type 1 diabetes, though it is infrequent.
A history of blood sugar level results is especially useful for the diabetic to present to their doctor or physician in the monitoring and control of the disease. Failure to maintain a strict regimen of testing can accelerate symptoms of the condition, and it is therefore imperative that any diabetic patient strictly monitor their glucose levels regularly.
Incretin mimetics: Incretin mimetics promote insulin secretion by the pancreas. They mimic other natural actions that lower blood sugar level. Exenatide (Byetta) was the first incretin mimetic agent approved in the United States. It is indicated for type 2 diabetes in addition to metformin (Glucophage) or a sulfonylurea when these agents alone cannot control blood sugar level.
It is also entirely possible for some people to control their blood glucose with diet alone. I have a few patients who have been able to do so. All are producing adequate insulin, have lost weight or are within their ideal body-weight range, and watch their diets.
SI: There’s a couple of big things coming out. One is the one-year results (now out at the time of publishing). That’s one huge thing for us…We can make powerful claims like “Hey, the reversal rate is this much, how much we saved money, this is how many lives we saved. These are the results.”
The treatment goals are related to effective control of blood glucose, blood pressure and lipids, to minimize the risk of long-term consequences associated with diabetes. They are suggested in clinical practice guidelines released by various national and international diabetes agencies.
Over the past 20 years, dramatic advances in insulin delivery have improved insulin pumps. An insulin pump is composed of a reservoir similar to that of an insulin cartridge, a battery-operated pump, and a computer chip that allows the user to control the exact amount of insulin being delivered. Current pumps on the market are about the size of a pager or beeper. The pump is attached to a thin plastic tube (an infusion set) that has a cannula (like a needle but soft) at the end through which insulin passes. This cannula is inserted under the skin, usually on the abdomen. The cannula is changed every two days. The tubing can be disconnected from the pump while showering or swimming. The pump continuously delivers insulin, 24 hours a day. The amount of insulin is programmed and is administered at a constant rate (basal rate). Often, the amount of insulin needed over the course of 24 hours varies, depending on factors like exercise, activity level, and sleep. The insulin pump allows the user to program many different basal rates to allow for variations in lifestyle. The user can also program the pump to deliver additional insulin during meals, covering the excess demands for insulin caused by eating carbohydrates.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Your health care team also can help you decide the best time of day for you to do physical activity based on your daily schedule, meal plan, and diabetes medicines. If you take insulin, you need to balance the activity that you do with your insulin doses and meals so you don’t get low blood glucose.
Oral medications are used in the treatment of type 2 diabetes, and may be the only treatment needed. Insulin is not always required in patients with type 2 diabetes, as it is with type 1 diabetes. These medications are used together with diet and exercise to treat type 2 diabetes.
Having diabetes is one of the biggest risk factors for developing eye problems and even vision loss/blindness. People with diabetes have a higher risk of blindness than people without diabetes, but most only develop minor problems that can be treated before they worsen.