Many people with complications of diabetes won’t have noticeable symptoms (for example, nonproliferative retinopathy, which can cause vision loss or gestational diabetes during pregnancy). This makes it really important that you get checked out by your doctor regularly to monitor your blood sugar levels, progression, eyes, skin, blood pressure levels, weight and heart.
In addition, a strong partnership between the patient and the primary healthcare provider – general practitioner or internist – is an essential tool in the successful management of diabetes. Often the primary care doctor makes the initial diagnosis of diabetes and provides the basic tools to get the patient started on a management program. Regular appointments with the primary care physician and a certified diabetes educator are some of the best things a patient can do in the early weeks after a diagnosis of diabetes. Upon the diagnosis of diabetes, the primary care physician, specialist, or endocrinologist will conduct a full physical and medical examination. A thorough assessment covers topics such as:
For this reason, acarbose is administered using a low initial dose, and then increased over weeks depending on how well the patient tolerates the medication. Most gastrointestinal symptoms tend to subside over the course of a few weeks, although some patients report persistent problems.
For Type 1 diabetics there will always be a need for insulin injections throughout their life. However, both Type 1 and Type 2 diabetics can see dramatic effects on their blood sugars through controlling their diet, and some Type 2 diabetics can fully control the disease by dietary modification. As diabetes can lead to many other complications it is critical to maintain blood sugars as close to normal as possible and diet is the leading factor in this level of control.
From an economic perspective, the total annual cost of diabetes in 2012 was estimated to be 245 billion dollars in the United States. This included 116 billion in direct medical costs (healthcare costs) for people with diabetes and another 69 billion in other costs due to disability, premature death, or work loss.
When in doubt, consult the glycemic load (a scale that can help you measure how much a serving of a certain food is likely to spike your blood sugar) to pick a diabetes-friendly fruit. Your healthcare team can also help you safely incorporate fruit in your diabetes diet.
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.
. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes Care 2015;38:140–149
While cooked tomatoes and tomato products contain more lycopene, raw tomatoes are still an excellent choice and loaded with vitamins and minerals. They are classified as nonstarchy vegetables, while pasta and spaghetti sauces are classified as starchy vegetables. “Unfortunately, many canned tomato products are high in salt. Now low-sodium versions of these products are available. You’ll find these low-sodium tomato products substitute beautifully in your recipes and cut your salt intake significantly,” says Connie Crawley, RD, LD, Nutrition and Health Specialist at the University of Georgia Extension Service.
SI: What we try to do is take thinking out of the picture for the patients. Every morning that you wake up you have a task to complete. Whether that’s tracking related, changing your nutrition, or some behavior change, or something else. We basically stitch together a personalized care plan for each patient based on what’s their background and what’s happening to them.
Enjoy raw carrots with a low-calorie dip or salad dressing; shred them for salads; finely chop them and add to soup, chili, or spaghetti sauce; or roast them in the oven. Pureed cooked carrots also make satisfying soups.
Getting diagnosed with diabetes can be shocking, but the good news is that, although it is a disease you must deal with daily, it is a manageable one. If you are experiencing any of the above symptoms, especially if you are someone who is at high risk, you should meet with your primary care physician to get tested. The earlier a diagnosis is made, the more likely you can get your diabetes under control and prevent complications.
Commit to managing your diabetes. Learn all you can about type 2 diabetes. Make healthy eating and physical activity part of your daily routine. Establish a relationship with a diabetes educator, and ask your diabetes treatment team for help when you need it.
The way we use software and AI for the benefit of doctors is we basically give them superpowers. We can read all that data on a real-time basis every day of every second and then tell our patients, “Okay, Wilma she needs attention. Her, whatever medication she might be on, needs to be reduced.”
Scientists from the National Institutes of Health and Harvard University found that women whose diets before becoming pregnant were high in animal fat and cholesterol had a higher risk for gestational diabetes, compared to their counterparts whose diets were low in cholesterol and animal fats. (Link to article)
If you receive an A1C level of 6.5 percent or higher on two separate tests, your doctor will diagnose diabetes. Your doctor will diagnose prediabetes if your A1C level is between 5.7 and 6.4. Anything below an A1C level of 5.7 is considered to be normal.
Excessive thirst typically goes hand-in-hand with increased urination. As your body pulls water out of the tissues to dilute your blood and to rid your body of sugar through the urine, the urge to drink increases. Many people describe this thirst as an unquenchable one. To stay hydrated, you drink excessive amounts of liquids. And if those liquids contain simple sugars (soda, sweet iced tea, lemonade, or juice, for example) your sugars will skyrocket even higher.
The “diabetes diet” is not something that people with type 1 or type 2 diabetes should be following. “That just simply isn’t how meal planning works today for patients with diabetes,” says Amy Campbell, MS, RD, LDN, CDE, a nutritionist at Joslin and co-author of 16 Myths of a Diabetic Diet.
Those dark patches on your skin could be more serious than a blotchy tan. In fact, they might be the first sign of diabetes. This darkening of the skin, which usually occurs on the hands and feet, in folds of skin, along the neck, and in a person’s groin and armpits, called acanthosis nigricans, often occurs when insulin levels are high. The high insulin levels in your blood can increase your body’s production of skin cells, many of which have increased pigmentation, giving skin a darkened appearance.
A further danger of insulin treatment is that while diabetic microangiopathy is usually explained as the result of hyperglycemia, studies in rats indicate that the higher than normal level of insulin diabetics inject to control their hyperglycemia may itself promote small blood vessel disease. While there is no clear evidence that controlling hyperglycemia reduces diabetic macrovascular and cardiovascular disease, there are indications that intensive efforts to normalize blood glucose levels may worsen cardiovascular and cause diabetic mortality.
mythja/ShutterstockAn apple a day really does keep the doctor away. Eating one apple a day can lower your bad cholesterol by 40%. Eating apples can also lower your risk of developing type 2 diabetes. This power fruit is also high in fiber.
One of my patients, aged 58, had an initial hemoglobin A1c of 7.2%. She was taking oral hypoglycemic agents, statins, and proton pump inhibitors—the basic treatment for every diabetes diagnosis. The patient was 28 lbs overweight and worked long hours. She didn’t exercise, mostly ate a processed food diet, and was sleep deprived. The patient had a family history of diabetes, and ultimately her lifestyle expressed her genetic tendencies.
Jump up ^ Asuncion, MM; Shaheen, M; Ganesan, K; Velasques, J; Teklehaimanot, S; Pan, D; Norris, K (2007). “Increase in hypoglycemic admissions: California hospital discharge data”. Ethnicity & disease. 17 (3): 536–40. PMID 17985510.
Then we kind of built the protocol, built the first product, and then the key step for me was I said we don’t want to be another Theranos. In health care, maybe we’re just shrinking our own pool, but we have to run a clinical trial. If this works, this is going to be absolutely huge.