“diabetes treatment guidelines”

Diet is a crucial tool for managing diabetes, and weight loss can help people who are overweight prevent Type 2 diabetes. The experts who rated the diets below evaluated each one on its ability to both prevent and manage diabetes. The Mediterranean diet came out on top.

Keep your blood pressure and cholesterol under control. Eating healthy foods and exercising regularly can go a long way toward controlling high blood pressure and cholesterol. Medication may be needed, too.

All vegetables are crucial to a healthy diabetes diet, but leafy greens pack a particularly powerful punch. Rich in nutrients such as magnesium and vitamin K, kale and its cousins have been linked to better blood sugar control, according to the Reader’s Digest 2-Day Diabetes Diet book. Cruciferous veggies also contain a compound called sulforaphane, which has anti-inflammatory properties that help control blood sugar and protect blood vessels from cardiovascular damage.

Diabetes mellitus is classified into four broad categories: type 1, type 2, gestational diabetes, and “other specific types”.[8] The “other specific types” are a collection of a few dozen individual causes.[8] Diabetes is a more variable disease than once thought and people may have combinations of forms.[33] The term “diabetes”, without qualification, usually refers to diabetes mellitus.

The relationship between type 2 diabetes and the main modifiable risk factors (excess weight, unhealthy diet, physical inactivity and tobacco use) is similar in all regions of the world. There is growing evidence that the underlying determinants of diabetes are a reflection of the major forces driving social, economic and cultural change: globalization, urbanization, population aging, and the general health policy environment.[67]

Your doctor may suspect you have diabetes if you have some risk factors for diabetes, or if you have high levels of blood sugar in your urine. Your blood sugar (also called blood glucose) levels may be high if your pancreas is producing little or no insulin (type 1 diabetes), or if the body is not responding normally to insulin (type 2 diabetes).

After weight loss surgery, many people with type 2 diabetes see their blood sugar levels return to near Some experts call this a remission. It’s not unusual for people to no longer need diabetes medicines after weight loss surgery.

In the 1950s, the American Diabetes Association, in conjunction with the U.S. Public Health Service, introduced the “exchange scheme”. This allowed people to swap foods of similar nutrition value (e.g., carbohydrate) for another. For example, if wishing to have more than normal carbohydrates for dessert, one could cut back on potatoes in one’s first course. The exchange scheme was revised in 1976, 1986, and 1995.[8]

Vitamins B6 and B12 may help treat diabetic nerve pain if you have low levels of these vitamins and that is contributing to the nerve pain. But otherwise, there is no proof that taking these vitamins will help.

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your blood glucose level and take medicine if prescribed.

Fact: Studies have shown that eating too much protein, especially animal protein, may actually cause insulin resistance, a key factor in diabetes. A healthy diet includes protein, carbohydrates, and fats. Our bodies need all three to function properly. The key is a balanced diet.

Since cardiovascular disease is a serious complication associated with diabetes, some have recommended blood pressure levels below 130/80 mmHg.[79] However, evidence supports less than or equal to somewhere between 140/90 mmHg to 160/100 mmHg; the only additional benefit found for blood pressure targets beneath this range was an isolated decrease in stroke risk, and this was accompanied by an increased risk of other serious adverse events.[80][81] A 2016 review found potential harm to treating lower than 140 mmHg.[82] Among medications that lower blood pressure, angiotensin converting enzyme inhibitors (ACEIs) improve outcomes in those with DM while the similar medications angiotensin receptor blockers (ARBs) do not.[83] Aspirin is also recommended for people with cardiovascular problems, however routine use of aspirin has not been found to improve outcomes in uncomplicated diabetes.[84]

Jump up ^ Sattar N, Preiss D, Murray HM, Welsh P, Buckley BM, de Craen AJ, Seshasai SR, McMurray JJ, Freeman DJ, Jukema JW, Macfarlane PW, Packard CJ, Stott DJ, Westendorp RG, Shepherd J, Davis BR, Pressel SL, Marchioli R, Marfisi RM, Maggioni AP, Tavazzi L, Tognoni G, Kjekshus J, Pedersen TR, Cook TJ, Gotto AM, Clearfield MB, Downs JR, Nakamura H, Ohashi Y, Mizuno K, Ray KK, Ford I (February 2010). “Statins and risk of incident diabetes: a collaborative meta-analysis of randomised statin trials”. The Lancet. 375 (9716): 735–42. doi:10.1016/S0140-6736(09)61965-6. PMID 20167359.

Long acting insulins are used to keep the blood sugar levels even throughout the day. Insulin glargine (Lantus, Basaglar) is a recombinant human insulin analog that is a man made form of the natural hormone. Due to its long duration of action it is injected just once a day.

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.

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.

Insulin is released into the blood by beta cells (β-cells), found in the islets of Langerhans in the pancreas, in response to rising levels of blood glucose, typically after eating. Insulin is used by about two-thirds of the body’s cells to absorb glucose from the blood for use as fuel, for conversion to other needed molecules, or for storage. Lower glucose levels result in decreased insulin release from the beta cells and in the breakdown of glycogen to glucose. This process is mainly controlled by the hormone glucagon, which acts in the opposite manner to insulin.[54]

The fluctuating hormones associated with the menstrual cycle, childbearing, and menopause make it more difficult to maintain proper blood glucose levels. To keep your blood glucose at a healthy level, check your blood sugar several times a day the week before, during, and after your period. Do this for a few months, and then adjust your insulin dose as needed.

Jump up ^ Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K (2009). “Home telehealth for diabetes management: a systematic review and meta-analysis”. Diabetes Obes Metab. 11 (10): 913–30. doi:10.1111/j.1463-1326.2009.01057.x. PMID 19531058.

In older patients, clinical practice guidelines by the American Geriatrics Society states “for frail older adults, persons with life expectancy of less than 5 years, and others in whom the risks of intensive glycemic control appear to outweigh the benefits, a less stringent target such as HbA1c of 8% is appropriate”.[4]

Bone health for life: Health information basics for you and your family. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Bone/Bone_Health/bone_health_for_life.asp. Accessed Aug. 19, 2016.

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.

Aside from managing your diabetes, a diabetes diet offers other benefits, too. Because a diabetes diet recommends generous amounts of fruits, vegetables and fiber, following it is likely to reduce your risk of cardiovascular diseases and certain types of cancer. And consuming low-fat dairy products can reduce your risk of low bone mass in the future.

Aerobic exercise is activity that makes your heart beat faster and makes you breathe harder. You should aim for doing aerobic exercise for 30 minutes a day most days of the week. You do not have to do all the activity at one time. You can split up these minutes into a few times throughout the day.

Soy is also a source of niacin, folate, zinc, potassium, iron, and alpha-linolenic acid (ALA), a fatty acid that can be converted into omega-3 fatty acids. Edamame is also high in fiber with 4 grams per serving.

Type 2 diabetes is the most common type. Although it primarily develops in adults, it’s beginning to be seen more frequently in younger people. Risk factors for type 2 diabetes include being overweight, being sedentary, and having a family history of type 2 diabetes. Many people with type 2 diabetes don’t experience any symptoms. Sometimes, these symptoms are slow to develop.

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.

You are more likely to develop type 2 diabetes if you are not physically active and are overweight or obese. Extra weight sometimes causes insulin resistance and is common in people with type 2 diabetes. The location of body fat also makes a difference. Extra belly fat is linked to insulin resistance, type 2 diabetes, and heart and blood vessel disease. To see if your weight puts you at risk for type 2 diabetes, check out these Body Mass Index (BMI) charts.

This course will generally be tried for three to six months, then blood sugar and glycosylated hemoglobin will be rechecked. If they remain high, the patient will be started on an oral medication to help control blood sugar levels, usually a sulfonylurea or biguanide (metformin [Glucophage]).

This can be caused by tissue being pulled from your eye lenses. This affects your eyes’ ability to focus. With proper treatment this can be treated. There are severe cases where blindness or prolonged vision problems can occur.

The condition of diabetes causes the sugar content of the blood to rise above normal levels. This requires the patient’s kidneys to work harder than usual, so that the excess sugar can be removed successfully. This overtime work results in the formation of excess urine, causing the person to have frequent urges to urinate. Such a condition isn’t just distracting, it can also lead to kidney damage and eventually kidney failure in case no treatment is undertaken. Frequent urination can hence be a very significant warning of diabetes and should be reported to a physician if prolonged.

Did you know that common plants, leaves and fruits can help treat (not cure) diabetes? Studies show that these plants reduce blood sugar reliably in people and rodents with few side effects. Here are some to try:

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), you can calculate the amount of carbs you need by first figuring out what percentage of your diet should be made up of carbohydrates. (The NIDDK notes that experts generally recommend this number be somewhere between 45 and 65 percent of your total calories, but people with diabetes are almost always recommended to stay lower than this range.) Multiply that percentage by your calorie target. For example, if you’re aiming to get 50 percent of your calories from carbs and you eat 2,000 calories a day, you’re aiming for about 1,000 calories of carbs. Because the NIDDK says 1 gram (g) of carbohydrates provides 4 calories, you can divide the calories of carbs number by 4 to get your daily target for grams of carbs, which comes out to 250 g in this example. For a more personalized daily carbohydrate goal, it’s best to work with a certified diabetes educator or a registered dietitian to determine a goal that is best for you.

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