Cushing’s syndrome, sometimes referred to as hypercortisolism, is a hormonal disorder caused by prolonged exposure to high levels of the hormone cortisol. Symptoms may include obesity, thinning arms and legs, a rounded face, and increased fat around the neck. Some causes of Cushing’s syndrome is from taking glucocorticoid hormones such as prednisone for inflammatory diseases. Treatment for Cushing’s syndrome depends on the cause.
Another diabetes-related sexual dysfunction symptom in men is reduced amounts of ejaculation, or retrograde ejaculation. Retrograde ejaculation is a condition in which the semen goes into the bladder, rather than out of the body through the urethra. Diabetes and damage to the blood vessels causes nerve damage to the muscles that control the bladder and urethra, which results in this problem.
And remember not to let others scare you into thinking the worst. Getting educated will help you to understand that a diabetes diagnosis, while serious, is not the end of the world. For some people, lifestyle modifications such as weight loss, healthy eating, and exercise can actually get blood sugars below the diabetes threshold. You can control your diabetes and not let it control you.
By checking your own blood sugar levels, you can track your body’s changing needs for insulin and work with your doctor to figure out the best insulin dosage. People with diabetes check their blood sugar up to several times a day with an instrument called a glucometer. The glucometer measures glucose levels in a sample of your blood dabbed on a strip of treated paper. Also, there are now devices, called continuous glucose monitoring systems (CGMS), that can be attached to your body to measure your blood sugars every few minutes for up to a week at a time. But these machines check glucose levels from skin rather than blood, and they are less accurate than a traditional glucometer.
Common side effects include abdominal discomfort, diarrhea, nausea or vomiting, loss of appetite, and metallic taste. Over time these side effects may lessen, and initial nausea may be relieved by taking metformin with food.
Glycosylated hemoglobin or hemoglobin A1c: This test measures how high the blood sugar levels have been over approximately the last 120 days (the average life span of the red blood cells on which the test is based).
The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
Because they don’t require refrigeration and are highly portable, nuts are a great snack choice. One caution: Because nuts are high in calories, it’s best to portion them before eating, rather than eating them out of a bag or can. Serving sizes:
Aim to get three servings of dairy products a day. Try 1 cup or 1/2 cup of fat-free milk over your cereal, a stick of low-fat string cheese for a snack, and 6 ounces of plain fat-free or light yogurt for dessert. If you’re lactose-intolerant, look for calcium-fortified soymilk. Hard cheeses and yogurt are low in lactose, making them options for people who have mild to moderate lactose intolerance.
Heart-healthy fish. Eat heart-healthy fish at least twice a week. Fish can be a good alternative to high-fat meats. For example, cod, tuna and halibut have less total fat, saturated fat and cholesterol than do meat and poultry. Fish such as salmon, mackerel, tuna, sardines and bluefish are rich in omega-3 fatty acids, which promote heart health by lowering blood fats called triglycerides.
The concept of whole-person medicine is gathering increasing support in the nutrition and dietetics profession, as evidenced by the 2,550-member Dietitians in Integrative and Functional Medicine (DIFM) practice group of the Academy of Nutrition and Dietetics (the Academy).
Some people have their insulin administered by continuous infusion pumps to provide adequate blood-glucose control. Supplemental mealtime insulin is programmed into the pump by the individual as recommended by his or her health-care professionals.
Jump up ^ Liu, Y; Fukuwatari, Y; Okumura, K; Takeda, K; Ishibashi, KI; Furukawa, M; Ohno, N; Mori, K; et al. (2008). “Immunomodulating Activity of Agaricus brasiliensis KA21 in Mice and in Human Volunteers”. Evidence-Based Complementary and Alternative Medicine. 5 (2): 205–19. doi:10.1093/ecam/nem016. PMC 2396466 . PMID 18604247.
Low blood sugar (hypoglycemia). If your blood sugar level drops below your target range, it’s known as low blood sugar (hypoglycemia). Your blood sugar level can drop for many reasons, including skipping a meal, inadvertently taking more medication than usual or getting more physical activity than normal. Low blood sugar is most likely if you take glucose-lowering medications that promote the secretion of insulin or if you’re taking insulin.
Schedule a yearly physical exam and regular eye exams. Your regular diabetes checkups aren’t meant to replace regular physicals or routine eye exams. During the physical, your doctor will look for any diabetes-related complications, as well as screen for other medical problems. Your eye care specialist will check for signs of retinal damage, cataracts and glaucoma.
Several types of neuropathy (nerve damage) are caused by diabetes. Learn about these diabetic neuropathies: peripheral, autonomic, proximal, and focal neuropathies. Explains what nerves are affected in each type of diabetic neuropathy.
If you have been inactive or you are trying a new activity, start slowly, with 5 to 10 minutes a day. Then add a little more time each week. Increase daily activity by spending less time in front of a TV or other screen. Try these simple ways to add physical activities in your life each day:
To follow a healthy diet for type 2 diabetes, you must first understand how different foods affect your blood sugar. Carbohydrates, which are found to the largest degree in grains, bread, pasta, milk, sweets, fruit, and starchy vegetables, are broken down into glucose in the blood faster than other types of food, which raises blood sugar, potentially leading to hyperglycemia. Protein and fats do not directly impact blood sugar, but both should be consumed in moderation to keep calories down and weight in a healthy range.
Carbohydrate counting involves keeping track of the amount of carbohydrates you eat and drink each day. Because carbohydrates turn into glucose in your body, they affect your blood glucose level more than other foods do. Carb counting can help you manage your blood glucose level. If you take insulin, counting carbohydrates can help you know how much insulin to take.
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.
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 of fruit or a piece of fruit, and drink a small glass of milk as included in your meal plan.
Conventional cow’s milk: Conventional cow’s milk and dairy products should be eliminated, especially for people with type 1 diabetes. Dairy can be a fantastic food for balancing blood sugar if it comes from goat’s, sheep or A2 cows. But stay away from all other forms of dairy because the A1 casein produced by conventional cows will harm the body and trigger an immune response similar to gluten. When buying dairy, only purchase raw and organic products from pasture-raised animals.
I find that if I eat carbs at breakfast or during the day I utilize them better. In the evening, I eat just protein and vegetables. I make a home made cheese cake that has very few carbs because I use stevia and thus have a dessert. Once in a while I eat one square of 85 percent chocolate. I can eat a baked potato about once a month, and rice never as even the smallest amount of rice, no matter what kind of grain it is, will spike my blood sugar as if it were bread, of which I can eat very little.
More modern history of the diabetic diet may begin with Frederick Madison Allen and Elliott Joslin, who, in the early 20th century, before insulin was discovered, recommended that people with diabetes eat only a low-calorie and nearly zero-carbohydrate diet to prevent ketoacidosis from killing them. While this approach could extend life by a limited period, patients developed a variety of other medical problems.
High in soluble fiber, oats are slower to digest than processed carbs. Eat them and you’ll release glucose into the bloodstream more slowly, which will prevent spikes in your blood-sugar levels. In a 2012 study from Sweden’s Karolinska University, researchers found that eating four servings of whole grains daily reduced the risk for developing prediabetes by 30 percent. Other research shows that if you eat whole grains you experience less inflammation, which could lower the odds of your developing insulin resistance, heart disease, and high blood pressure. These science-backed strategies can work to reverse diabetes.
SI: Yeah, we build everything in house… After the doctor makes all the clinical decisions about the patient, and so forth, what he’s looking at is basically a data pool of all the patients every day, several times a day. When he sees the data, he see’s that drug for that patient needs to go off.
Choosing extra-healthy power foods for your diabetes-friendly diet will help you meet your nutritional needs as well as lower your risk of diabetes complications such as heart disease. Of course, the foods on this list shouldn’t be the only foods you eat, but incorporating some or all into your diabetes meal plan in place of less-nutritious choices will help improve your overall health.
In the U.S., diabetes — or diabetes mellitus (DM) — is full-blown epidemic, and that’s not hyperbole. An estimated 29 million Americans have some form of diabetes, nearly 10 percent of the population, and even more alarming, the average American has a one in three chance of developing diabetes symptoms at some point in his or her lifetime. (1)
There are now three large randomized controlled trials reporting statistically significant reductions in cardiovascular events for two SGLT2 inhibitors (empagliflozin and canagliflozin) and one GLP-1 receptor agonist (liraglutide) where the majority, if not all patients, in the trial had ASCVD. The empagliflozin and liraglutide trials demonstrated significant reductions in cardiovascular death. Exenatide once-weekly did not have statistically significant reductions in major adverse cardiovascular events or cardiovascular mortality but did have a significant reduction in all-cause mortality. In contrast, other GLP-1 receptor agonists have not shown similar reductions in cardiovascular events (Table 9.4). Whether the benefits of GLP-1 receptor agonists are a class effect remains to be definitively established. See antihyperglycemic therapies and cardiovascular outcomes in Section 9 “Cardiovascular Disease and Risk Management” and Table 9.4 for a detailed description of these cardiovascular outcomes trials. Additional large randomized trials of other agents in these classes are ongoing.
Type 1 diabetes mellitus (juvenile) is an auto-immune disease with no known cause at this time. Symptoms of type 1 diabetes include frequent urination, unintentional weight loss, dry and skin, vision problems, wounds that heal slowly, and excessive thirst.
In 2006 the FDA approved the first drug in this class called sitagliptin (Januvia). Sitagliptin can be used in combination with certain other medications, but its dose must be adjusted in patients with poor kidney function.
If you have diabetes or prediabetes, your doctor will likely recommend that you see a dietitian to help you develop a healthy eating plan. The plan helps you control your blood sugar (glucose), manage your weight and control risk factors for heart disease, such as high blood pressure and high blood fats.
You should work closely with your health care provider to learn how much fat, protein, and carbohydrates you need in your diet. Your specific meal plans need to be tailored to your food habits and preferences. People with type 1 diabetes should eat at about the same times each day and try to be consistent with the types of food they choose. This helps to prevent blood sugars from becoming extremely high or low. Type 2 diabetics should follow a well-balanced and low-fat diet.
The hemoglobin A1c test is the best test for diabetes follow-up care. Although less than ideal for diagnosing diabetes, hemoglobin A1c above 6% is highly suggestive of diabetes. Generally, another confirmatory test would be needed to diagnose diabetes.