Being diagnosed with diabetes usually means adjusting your daily routine and adapting a diabetes management plan. For example, depending on the type of diabetes that you have, you might have to plan your medication to fit in with your meals.

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RICHMOND HILL, GA) Paula Kreissler, President of Wound Care Clinic — ESU, was the guest speaker for the Renaissance Lecture Series held by Magnolia Manor on the Coast on January 10th, 2008 at 5:30 pm. Kreissler spoke on the “5 Hidden Signs of Diabetes in the Elderly.” The purpose Wound Care is to heal chronic and acute non-healing wounds utilizing electrical stimulation, ultrasound and standard therapies. Many of the wounds treated at the clinic come about as a result of diabetes. Wound Care Clinic — ESU, Inc. is located at 815 East 68th Street, Suite 2 in Savannah. The second location at 1000 Towne Center Blvd in Pooler opened this past July. To learn more, call (912) 691-2614 or 998-0040 or log on at www.woundcareclinic.net. Each month, Magnolia Manor hosts the Renaissance Lecture Series at its Richmond Hill campus. The monthly event begins at 5:30 and includes a light dinner. After the guest concludes his/her speech, a question and answer session follows. The event is free and open to the public, but guests are asked to RSVP by calling Julie Gartside at (912) 756-4300. Magnolia Manor on the Coast, located in Richmond Hill, is a non-profit, active, rental retirement community for seniors age 62 and older. It offers 120 one and two-bedroom apartment homes with full kitchens and patios. Located on 40 wooded acres, Magnolia Manor offers stimulating social and cultural activities and has amenities such as a wellness center with indoor exercise pool, barber and beauty …

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Symptoms of diabetes insipidus include an increase in ********* and in increase in thirst, as well as bed-wetting, irritability, listlessness, vomiting and diarrhea. Discover why dry hands and dehydration may be signs of diabetes insipidus with help from a licensed RN in this free video on diabetes insipidus. Expert: Kayti Brosnan Bio: Kayti Brosnan has been a licensed RN in the state of Texas since 2003. Filmmaker: Todd Green

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Signs of diabetes from Diabetes Care Club. We offer information about Signs of diabetes including Diabetes testing supplies take a step forward to Diabetes Self Management. Visit www.diabetescareclub.com today or call 800-840-7711 for more information about Signs of diabetes. diabetic testing…

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www.diabetesandyou.co.uk The subtle warning signs of diabetes. Visit http to find out more about diabetes.

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RICHMOND HILL, GA) Paula Kreissler, President of Wound Care Clinic — ESU, was the guest speaker for the Renaissance Lecture Series held by Magnolia Manor on the Coast on January 10th, 2008 at 5:30 pm. Kreissler spoke on the “5 Hidden Signs of Diabetes in the Elderly.” The purpose Wound Care is to heal chronic and acute non-healing wounds utilizing electrical stimulation, ultrasound and standard therapies. Many of the wounds treated at the clinic come about as a result of diabetes. Wound Care Clinic — ESU, Inc. is located at 815 East 68th Street, Suite 2 in Savannah. The second location at 1000 Towne Center Blvd in Pooler opened this past July. To learn more, call (912) 691-2614 or 998-0040 or log on at www.woundcareclinic.net. Each month, Magnolia Manor hosts the Renaissance Lecture Series at its Richmond Hill campus. The monthly event begins at 5:30 and includes a light dinner. After the guest concludes his/her speech, a question and answer session follows. The event is free and open to the public, but guests are asked to RSVP by calling Julie Gartside at (912) 756-4300. Magnolia Manor on the Coast, located in Richmond Hill, is a non-profit, active, rental retirement community for seniors age 62 and older. It offers 120 one and two-bedroom apartment homes with full kitchens and patios. Located on 40 wooded acres, Magnolia Manor offers stimulating social and cultural activities and has amenities such as a wellness center with indoor exercise pool, barber and beauty …

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Kyle Rose shares how his eye doctor was the first to notice his signs of diabetes, and Dr. Sasha Pen explains why.

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Diabetes is a disease in which the body does not produce or properly use insulin. Diabetes mellitus, often referred to simply as diabetes is a syndrome of disordered metabolism, usually due to a combination of hereditary and environmental causes, resulting in abnormally high blood sugar levels (hyperglycemia).

The disease and its treatments can cause many complications as it is often detected when a person suffers a problem that is frequently caused by diabetes, such as a heart attack, stroke, neuropathy, poor wound healing or a foot ulcer, certain eye problems, certain fungal infections, or delivering a baby with macrosomia or hypoglycemia. 

Diabetes mellitus, commonly referred to as diabetes was first identified as a disease associated with “sweet urine,” and excessive muscle loss in the ancient world. Diabetes mellitus is a chronic medical condition, meaning that although it can be controlled, it lasts a lifetime.  

Type 1 diabetes can affect children or adults but was traditionally termed “juvenile” diabetes because it represents a majority of the diabetes cases in children. This type appears to be triggered by some (mainly viral) infections, or less commonly, by stress or environmental exposure (such as exposure to certain chemicals or drugs). Type 1 diabetics have a genetic predisposition to the disease.

Type 1 diabetes occurs equally among males and females but is more common in whites than in non-whites. Additionally, this type of diabetes accounts for about 5 to 10 percent of diagnosed diabetes in the United States. Type 1 diabetes develops most often in children but can occur at any age. Type 1 diabetes may also cause a rapid yet significant weight loss (despite normal or even increased eating) and irreducible fatigue.    

Type 2 diabetes is far more common than type 1. Type 2 diabetes risk can be reduced in many cases by making changes in diet and increasing physical activity. However, Type 1 and Type 2 diabetes impede a person’s carefree life.

Type 2 diabetes is more common in older people, especially in people who are overweight, and occurs more often in African Americans, American Indians, some Asian Americans, Native Hawaiians and other Pacific Islander Americans, and Hispanics/Latinos. Type 2 diabetes is becoming more common due to increasing obesity and failure to exercise. This type may go unnoticed for years because visible symptoms are typically mild, non-existent or sporadic, and usually there are no ketoacidotic episodes. 

Diabetes insipidus, a rare disorder, is not related to diabetes mellitus (sugar diabetes). Diabetes symptoms may include increased thirst and urination, blurred vision, and fatigue. This type also appears to affect the speed of our thought processes as well. Diabetes is a costly disease associated with severe morbidity and premature death that affects millions of Americans.

Diabetes insipidus includes any of several types of polyuria in which the volume of urine exceeds 3 liters per day, causing dehydration and great thirst, as well as sometimes emaciation and great hunger.

Diabetes affects approximately 17 million people (about 8% of the population) in the United States. It is the third leading cause of death in the United States after heart disease and cancer.  

It is further the primary reason for adult blindness, end-stage renal disease (ESRD), gangrene and amputations. Diabetes is a condition characterized by the inability of the pancreas to produce sufficient levels of insulin to prevent hyperglycemia. Diabetes is a disease in which your blood glucose, or sugar levels are too high. Diabetes can also create the need to remove a limb. 

Diabetes can be caused by too little insulin, resistance to insulin, or both. The disease can damage blood vessels and nerves and decrease the body’s ability to fight infection. It is the most common condition leading to amputations. 

Although this disease cannot be cured, it often can be managed with proper medical care, diet, and regular exercise. Diabetes was the sixth leading cause of death in the US. It is a serious disease, but it is controllable. The good news is that diabetes prevention is proven, possible, and powerful. 

Treatment need not significantly impair normal activities if sufficient patient training, awareness, appropriate care, discipline in testing and dosing of insulin is taken. 

Treatment for the disease also includes checking blood sugar levels to make sure that the disease is under control. Treatment usually includes eating healthy foods and spreading carbohydrates throughout the day, exercising regularly, checking your blood sugar levels often, and possibly taking medicine.

And most of all this disease shouldn’t take all the fun out of shopping, cooking and dining. Diabetes treatment plans consist of a healthy diet, exercise, medications and sleep. 

Diabetes supplements can help you fight the effects of diabetes and help you to keep your blood sugar levels stabilized. Many people find natural diabetic supplements a valuable aid in improving their control of Type 2 Diabetes.



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Bhupesh Chandra Semwal 1* Sonia Singh1, Dr. Kalyani Divakar2

Introduction-Diabetes mellitus often referred to simply as diabetes. Diabetes is a syndrome characterized by disordered metabolism and abnormally high blood sugar, hyperglycemia resulting from insufficient levels of the hormone insulin. The world health organization recognizes three main forms of diabetes mellitus type1 type2 and gestational diabetes. Gestational diabetes occurring during pregnancy. Which have different causes and population distributions. While, ultimately, all forms are due to the beta cells of the pancreas being unable to produce sufficient insulin to prevent hyperglycemia, the causes are different. All types have been treatable since insulin became medically available in 1921. Type 1 diabetes, in which insulin is not secreted by the pancreas, is directly treatable only with injected insulin, although dietary and other lifestyle adjustments are part of management. Type 2 may be managed with a combination of dietary treatment, tablets and injections and, frequently, insulin supplementation. While insulin was originally produced from natural sources such as porcine pancreas, most insulin used today is produced through genetic engineering, either as a direct copy of human insulin, or human insulin with modified molecules that provide different onset and duration of action. Insulin can also be delivered continuously by a specialized pump which subcutaneously provides insulin through a changeable catheter1.

Classification of diabetes-

Type one diabetes mellitus

Type two diabetes mellitus

Gestational diabetes mellitus2

Signs and symptoms-

Frequent urination, Excessive thirst, Extreme hunger, unusual weight loss, Increased fatigue, Irritability, Blurry vision 3

Top Risk Factors for Type 2 Diabetes

Obesity

An excessively high body weight increases diabetes risk. The Body Mass Index ( BMI) is a simple, widely accepted means of assessing body weight in relation to health for most people aged 20 to 65 (Exceptions include people who are very muscular, athletes, pregnant or nursing.) A BMI greater than 27 indicates a risk for developing type 2 diabetes and other health problems which include cardiovascular disease, and premature death.

Apple-shaped figure

Individuals who carry most of their weight in the trunk of their bodies (i.e., above the hips) tend to have a higher risk of diabetes than those of similar weight with a pear-shaped body (excess fat carried mainly in the hips and thighs). A waist measurement of more than 100 cm (39.5 inches) in men and 95 cm (37.5 inches) in women suggests an increased risk.

Sedentary lifestyle

Being overweight – another risk factor for Type 2 – can be prevented by regular physical activity. A second, independent benefit of regular physical activity is improved blood sugar control in persons who already have type 2 diabetes.

Unhealthy Eating Habits

Ninety% of people who have been diagnosed with type 2 diabetes are overweight. Unhealthy eating contributes largely to obesity. Too much fat, not enough fiber, and too many simple carbohydrates all contribute to a diagnosis of diabetes. Eating right is can turn the diagnosis around and reverse or prevent Type 2.

Increased Age

            It’s a sad but true fact. Age increases the risk of type 2 diabetes.  The older we get, the greater our risk of type 2 diabetes. Even if an elderly person is thin, they still may be predisposed to getting diabetes. Scientists theorize that the pancreas ages right along with us, and doesn’t pump insulin as efficiently as it did when we were younger. Also, as our cells age, they become more resistant to insulin as well.

 High Blood Pressure and High Cholesterol

            High BP and high cholesterol are the hallmark risk factors for many diseases and conditions, including type 2 diabetes. More than 40 percent of people with diabetes have abnormal levels of cholesterol and similar fatty substances that circulate in the blood. These abnormalities appear to be associated with an increased risk of cardiovascular disease among persons with diabetes.

Family History and Genetics

            It appears that people who have family members who have been diagnosed with type 2 diabetes are at a greater risk for developing it themselves. African Americans, Hispanic-Americans and Native Americans all have a higher than normal rate of type 2 diabetes.

History of Diabetes in Pregnancy

            Nearly 40 percent of the women who have diabetes during their pregnancy go on to develop type 2 diabetes later, usually within five to ten years of giving birth. Giving birth to a baby that weighs more than nine pounds (4 kg) is another symptom of gestational diabetes.

Impaired Glucose Tolerance

            Impaired glucose tolerance or impaired fasting glucose can precede the development of type 2 diabetes. These conditions are determined through blood tests. While persons affected with these problems do not meet the diagnostic criteria for diabetes, their blood sugar control and reaction to sugar loads are considered to be abnormal. This places them at higher risk, not just for the development of type 2 diabetes (an estimated one in ten progress to type 2 diabetes within five years), but also for cardiovascular disease. For this group, preventive strategies including lifestyle changes and regular screening for diabetes mellitus must be a priority4.

Alternative medicine for treatment of diabetes-

 Ginseng -Although there are several different types of ginseng, most of the promising studies on ginseng and diabetes have used North American ginseng (Panax quinquefolius). Those studies have shown that North American ginseng may improve blood sugar control and glycosylated hemoglobin (a form of hemoglobin in the blood used to monitor blood glucose levels over time) levels.

 Chromium-    Chromium is an essential trace mineral that plays an important role in carbohydrate and fat metabolism and helps body cells properly respond to insulin.

 Magnesium-  Magnesium is a mineral found naturally in foods such as green leafy vegetables, nuts, seeds, and whole grains and in nutritional supplements.Magnesium is needed for more than 300 biochemical reactions. It helps regulate blood sugar levels and is needed for normal muscle and nerve function, heart rhythm, immune function, blood pressure, and for bone health. Some studies suggest that low magnesium levels may worsen blood glucose control in type 2 diabetes. There is also some evidence that magnesium supplementation may help with insulin resistance.

Cinnamon-Cinnamon is a glycosides it improves blood glucose control in people with type 2 diabetes.

 Zinc-   The mineral zinc plays an important role in the production and storage of insulin. There is some research showing that people with type 2 diabetes have suboptimal zinc status due to decreased absorption and increased excretion of zinc. Food sources of zinc include fresh oysters, ginger root, lamb, pecans, split peas, egg yolk, rye, beef liver, lima beans, almonds, walnuts, sardines, chicken, and buckwheat.

 Aloe Vera Gel-Although aloe vera gel is better known as a home remedy for minor burns and other skin conditions, recent animal studies suggest that aloe vera gel may help people with diabetes. A Japanese study evaluated the effect of aloe vera gel on blood sugar. Researchers isolated a number of active phytosterol compounds from the gel that were found to reduce blood glucose and glycosylated hemoglobin levels.

Gymnema- Several preliminary studies suggest that the herb gymnema can lower blood sugar levels in people with type 2 diabetes. Because gymnema may lower blood sugar levels, people taking medications for diabetes or using insulin shouldn’t take gymnema unless they are closely monitored by their health care provider

Vanadium-Vanadium is a trace mineral found naturally in soil and many foods. It is also produced during the burning of petroleum. Vanadium has been found to improve insulin sensitivity and reduce blood sugar in people with type 2 diabetes. It appears to mimic many of the actions of insulin in the body. The use of vanadium for diabetes, particularly without the supervision of a qualified health care practitioner, is not recommended, because the dose needed to affect blood glucose levels can be potentially toxic. The typical amount of vanadium found in the average diet (less than 30 micrograms per day) appears to have little toxicity5.

Neem- The leaves of Neem posses’ anti-diabetic properties. The juices of these leaves are helpful in controlling the blood sugar level in diabetics. Neem is in fact an herbal medicine used for the treatment of various other diseases also such as skin problems, warm infections, ulcer etc.

Sweet potato leaves- The leaves of sweet potato are high value in preventing diabetes, by lowering blood sugar level. It is highly nutritious vegetable. Preparation of sweet potato leaves is used in the tea of diabetic patients.

Madhuca- The Indian name for Madhuca is Madhua it is also posses’ excellent anti-diabetic properties and it is highly beneficial in treating raised blood sugar levels.

Mango leaves- The leaves of Mango helps in lowering the blood sugar levels in diabetics. The fresh leaves of mango are socked in water for an overnight. Then they are squeezed well in the water before filtering them in the morning6.

 Discussion and Conclusion- Managements of diabetes with the agents devoid of any side effects is still challenge for the medical system. This has lead to increase in the demand for natural products with antihyperglycemic activity having fewer side effects. Metabolic imbalance causing diabetes mellitus is a characteristic of materialistic world. Differences in social structure, psychic stress, obesity, hormonal imbalance and heredity are optimizing the growth of pandemic. Increasing population with diabetes has a huge requirement of effective remediation. The vast variety of medicinal plants, which are used traditionally for their anti-diabetic property. However, careful assessment including sustainability of such herbs, ecological and seasonal variation in activity of phyto-constituents, metal contents of crude herbal anti-diabetic drugs, thorough toxicity study and cost effectiveness is required for their popularity. These efforts may provide treatment for all and justify the role of novel traditional medicinal plants having anti-diabetic potentials.

 

References

http://www.diabetesmellitus-information.com/diabetes_herbs.htm

http://www.umm.edu/ency/article/002072.htm

http://www.diabetes.org/diabetes-symptoms.jsp

http://www.phac-aspc.gc.ca/ccdpc-cpcmc/diabetes-diabete/english/risk/index.html

http://altmedicine.about.com/cs/conditionsatod/a/Diabetes.htm

http://www.diabetesmellitus-information.com/diabetes_treatment.htm

 



By: Bhupesh Chandra Semwal

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Different Type of Diabetes

There are many types of diabetes, but the three most common are:

1. Type 1

2. Type 2

3. Gestational

These three types of Diabetes are same with some differences, everyone with diabetes has one thing in common and that is little or no ability to move glucose out of the blood into the cells, where it is converted into body’s primary fuel. We all have glucose in our blood, whether or not we have diabetes. Main source for glucose is food which we eat. When we eat, the digestive system breaks down food into glucose, which is absorbed into the blood in the small intestine.

People who don’t suffer from diabetes depend on insulin, a hormone made in the pancreas, to move glucose from the blood into the body’s billions of cells. But people who suffer from diabetes either don’t produce insulin or can’t efficiently use the insulin produced in their body. Without insulin, glucose can’t move into blood cells. Scientists don’t know the exact reason behind cause’s diabetes, but it seems to be a result from a combination of genetics and environmental factors, including viral infections, poor diet, and sedentary lifestyle. Till now, diabetes has no solution, but the good news is that the disease can be managed and treated. People with diabetes can live fulfilling, healthy lives.

Type 1

Diabetics with type 1 diabetes, also known as insulin-dependent diabetes mellitus or IDDM don’t produce insulin and require regular supply of insulin to keep their blood glucose levels normal. Type 1 diabetes was known as juvenile-onset diabetes, but that name has been changed because type 1 diabetes also strikes young and older adults alike.

Risk factors



A family history of the diabetes increases risk for next generations.

Diabetes can happen in people of every society, but it’s most common among whites.

Half of type 1 diabetics are under the age of 20. Being age 20 or younger increases the risk.



What causes it?

Most of the children, whose parents are diabetics, do not suffer from this disease, but scientists still believe that heredity plays a big role in Type 1 diabetes because it tends to run in families.

Researchers have researched on several genes that appear to increase risk of type 1 diabetes. But they haven’t got a single gene that causes diabetes.

Type 1 diabetes has many hallmarks of an auto-immune condition. In auto-immune diseases, the immune system, this protects from disease by killing invading germs. In the case of type 1 diabetes, the immune system kills the cells in the pancreas that produces insulin.

Type 1 diabetes often occurs shortly after a viral infection, and doctors sometimes notice a sharp jump in type 1 diabetes diagnoses after viral epidemics.

Type 2

Approximately 95 % of diabetics suffer with type 2 diabetes which is also known as non-insulin-dependent diabetes mellitus or NIDDM. Type 2 Diabetics produces insulin, but the cells in their bodies are “insulin resistant” they can’t respond properly to the hormone, so glucose is accumulated in their blood. Some people with type 2 diabetes inject insulin, but mostly can control the disease through a combination of weight loss, exercise, a prescription oral diabetes medication, and tight control.

Risk factors



Similar to Type 1, Type 2 disease also runs in families and increase the risk for upcoming generations.

Most of the diagnosed people with type 2 are above of age 30 or older. Half of all new cases lie between age 55 and older.

In comparison of whites and Asians, type 2 diabetes is more commonly found among Native Americans, African-Americans, Latinos, and Hispanics.

Insulin resistance results in increment of weight and decrement of physical activities. Most of the people suffering from type 2 diabetes have sedentary lifestyles and are obese; there weight increases at least 20 percent more than the recommended weight according to their height and build.

Less exercise, especially for those who are overweight, increases the risk for diabetes.

If a female developed gestational diabetes during pregnancy, she is at a higher risk of type 2 diabetes later.

Females who have given birth to babies weighing 9 pounds or more are at an increased risk of Type 2 Diabetes.



What causes it?



Scientists are not sure, but type 2 diabetes, like type 1 diabetes, flows from families to families, which shows some genetic connection. In fact, a genetic link in Type2 diabetes seems even stronger in comparison with type 1. Scientists have not yet found a single gene that causes the disease, but they are still in search for errors in several that may contribute to the disease. Researchers also have a doubt on genetic susceptibility to obesity.

Obesity is the only single most important cause of type 2 diabetes. There are different definitions for obesity, but in general, Obesity occurs if a person’s weight is at least 20 percent more than what’s recommended according to their height and build. 75% of people with type 2 diabetes have problem of being overweight. That’s why type 2 diabetes is usually linked with diet and exercise.

Less weight and good muscles helps the body use insulin more effectively. This is very important to know how much weight we should carry. People whose weight is above their hips have a greater risk of developing type 2 diabetes than those who carry it on their hips.

Age also plays an important role in type 2 diabetes. Most of the newly diagnosed are of age 55 and above, and around 11 percent of Americans ages 65 to 74 suffers from type 2 diabetes. However, it is not sure if age is a cause of type 2 diabetes or it is simply a reflection of the fact that people tend to gain weight and become less physically active as they grow older.

Gestational

Gestational diabetes affects only to pregnant ladies without any previous history of diabetes. Nearly 137,000 U.S. females develop gestational diabetes each year.

Typically, gestational diabetes is cleared up on its own after female’s delivery. But research shows that about 40% of females with gestational diabetes face type 2 diabetes within 15 years. All pregnant ladies should be tested for gestational diabetes between their 24th and 28th weeks of pregnancy.

Gestational diabetes and insulin resistance can be prevented by keeping a healthy weight, having healthy food and with the help of regular exercise.

Risk factors



Diabetes problem flows from generation to generation.

Increase in weight, increases insulin resistance.

Native Americans, African-Americans, and people of Hispanic or Latino descent are at increased risk. Whites and Asians have a lower risk.



What causes it?

Hormones may play an important role. Pregnant ladies produce various hormones important for their baby’s growth. However, these hormones may interfere with the mother’s body’s ability to properly use insulin, causing insulin resistance.

Every pregnant lady has some degree of insulin resistance. But if this resistance becomes full-blown gestational diabetes, it usually appears around the 24th week of pregnancy. That’s why all pregnant ladies should be screened for gestational diabetes at that time.



By: Prashant

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