Weight loss surgery in those with obesity and type two diabetes is often an effective measure. Many are able to maintain normal blood sugar levels with little or no medications following surgery and long-term mortality is decreased. There is, however, a short-term mortality risk of less than 1% from the surgery. The body mass index cutoffs for when surgery is appropriate are not yet clear. It is recommended that this option be considered in those who are unable to get both their weight and blood sugar under control.
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.
With all the emphasis on diet, research on influence of various types of foods on the diabetes patients is still going on unabated. Researchers in this area are the most confused lot. They are certain about effects of some items of food. Vague opinions also float. For example, the researchers are sure that cooked foods raise blood glucose higher than the raw foods. Whether foods with sugar raise blood glucose higher than the foods with starch, is still uncertain!
The Diabetes Control and Complications Trial (DCCT) studied the effects of tight blood sugar control on complications in type 1 diabetes. Patients treated for tight blood glucose control had an average HbA1c of approximately 7%, while patients treated less aggressively had an average HbA1c of about 9%. At the end of the study, the tight blood glucose group had dramatically fewer cases of kidney disease, eye disease, and nervous system disease than the less-aggressively treated patients.
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).
Further, consuming more fiber may lower the risk of a first-time stroke, according to the American Heart Association (AHA) journal Stroke. The researchers concluded that every 7-gram increase in total dietary fiber was associated with a 7 percent lower risk of a first-time stroke.
— Kathie Madonna Swift, MS, RD, LDN, is owner of Swift Nutrition, author of The Inside Tract: Your Good Gut Guide to Great Digestive Health, and a member of the Dietitians in Integrative and Functional Medicine practice group of the Academy of Nutrition and Dietetics.
Type 2 diabetes: Gene discovery could yield new treatments Researchers have discovered a gene called TNFR5 that overexpresses in response to high levels of fat and sugar, destroying insulin-producing beta cells. Read now
Diabetes and metabolism — The how of clinical studies. Discovery’s Edge: Mayo Clinic’s Online Research Magazine. http://www.mayo.edu/research/discoverys-edge/diabetes-metabolism-how-clinical-studies. Accessed May 10, 2014.
Optimize your vitamin D levels. Recent studies have revealed that getting enough vitamin D can have a powerful effect on normalizing your blood pressure and that low vitamin D levels may increase your risk of heart disease.
Drawbacks to the surgery include its high cost, and there are risks involved, including a risk of death. Additionally, drastic lifestyle changes are required and long-term complications may include nutritional deficiencies and osteoporosis.
Several other signs and symptoms can mark the onset of diabetes although they are not specific to the disease. In addition to the known ones above, they include blurry vision, headache, fatigue, slow healing of cuts, and itchy skin. Prolonged high blood glucose can cause glucose absorption in the lens of the eye, which leads to changes in its shape, resulting in vision changes. A number of skin rashes that can occur in diabetes are collectively known as diabetic dermadromes.
Exenatide is the first in the incretin mimetic class of drugs for type 2 diabetes. Exenatide shares many therapeutic properties with GLP-1, and it mimics natural physiology for self-regulating blood sugar. Namely, exenatide slows stomach emptying and slows the release of glucose from the liver, thereby regulating delivery of nutrients to the intestine for absorption. Exenatide also works centrally in the brain to regulate hunger.
It should be noted that NICE (the National Institute for Health and Clinical Excellence in the United Kingdom) advises doctors and other health professionals to “Discourage the use of foods marketed specifically for people with diabetes”.
High blood glucose in diabetic people is a risk factor for developing gum and teeth problems, especially in post puberty and aging individuals. Diabetic patients have greater chances of developing oral health problems such as tooth decay, salivary gland dysfunction, fungal infections, inflammatory skin disease, periodontal disease or taste impairment and thrush of the mouth. The oral problems in persons suffering from diabetes can be prevented with a good control of the blood sugar levels, regular check-ups and a very good oral hygiene. By maintaining a good oral status, diabetic persons prevent losing their teeth as a result of various periodontal conditions.
A rapid-acting inhaled insulin (Afrezza) is also FDA-approved for use before meals. It must be used in combination with long-acting insulin in patients with type 1 diabetes and should not be used by those who smoke or have chronic lung disease. It comes as a single dose cartridge. Premixed insulin is also available for people who need to use more than one type of insulin.
Your doctor may use one or more tests to screen for diabetes. The glycated hemoglobin (A1C) test is most common. This is a blood test that indicates your blood sugar level during the previous two to three months. It measures the amount of blood sugar attached to hemoglobin. The higher your blood sugar levels are, the more hemoglobin is attached to sugar.
Insulin is what regulates glucose levels in the blood, and it’s normally tightly controlled by the pancreas, which responds to how much glucose is detected in the blood at any one time. This system fails when someone has diabetes, causing various symptoms to emerge that can affect nearly every system in the body. With diabetes, signs of blood sugar fluctuations often include changes in your appetite, weight, energy, sleep, digestion and more.
Fasting blood glucose level (FBG) — diabetes is diagnosed if higher than 126 mg/dL on two occasions. Levels between 100 and 126 mg/dL (7.0 mmol/L) are referred to as impaired fasting glucose or pre-diabetes. Fasting is defined as no caloric intake for at least 8 hours. These levels are considered to be risk factors for type 2 diabetes and its complications.
Physical inactivity and obesity are strongly associated with the development of type 2 diabetes, which is why exercise is important to control symptoms and lower the risk for complications, such as heart disease. The National Institute of Health states that people can sharply lower their risk for diabetes by losing weight through regular physical activity and a diet low in sugar, refined fats and excess calories from processed foods. (9a)
• Most grocery stores carry a variety of soy-base meat substitutes, such as veggie burgers (3 ounces), sausage (2 links), imitation-beef crumbles (2 ounces), and imitation-chicken nuggets (2 nuggets).