Archive for February, 2011


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Management

When people first receive a diagnosis of Type 2 Diabetes, they enter a whole new world of medical terms and testing. One of the primary tests they will undergo in the doctor’s office is the one for HbA1c. So what exactly is this oddly named test? HbA1c tests for the current levels of glycated hemoglobin in your blood. This type of hemoglobin is gewhen  blood glucose attaches to hemoglobin. Measuring this form of hemoglobin gives an accurate picture of how much glucose is in the blood. Understand that a normal HbA1c test finding will come back with 6% or less of glycated hemoglobin. Borderline results land between 6-7%. If your results are over 7%, your diabetes may not be under control.

 

How do doctors perform the test on those with type 2 diabetes? For adults, the doctor will order blood drawn from a vein. In small children, the doctor may use a lancet to prick the skin and then collect the blood in a pipette. The blood goes off to the lab where they measure the amount of glycated hemoglobin in the sample. The results go back to the doctor for analysis. That is when you get the results. If your glucose levels are out of range, your doctor may require other testing. He may also prescribe some medications or changes in lifestyle to counteract the readings.

 

Testing for HbA1c is not for every day monitoring of blood glucose levels. The amount of HbA1c in the blood does not react to the everyday ups and downs. It does not show daily spikes or drops in glucose . Some people show elevated amounts of HbA1c if they have conditions such as kidney failure, alcohol abuse, or hypertriglyceridemia. Some people show decreased amounts of HbA1c if they have acute or chronic blood loss, thalessemia, or sickle cell disease. Those with type 2 Diabetes use this test to look at glucose levels over the past weeks or months.

 

HbA1c makes a good companion in monitoring your progress in getting your type 2 diabetes under control. Since it measures the long term levels of glucose in the blood, periodic testing will show if you have your glucose under control or not. For best results, getting it down below 6% is the best. By keeping it less than 7% will help delay the start of any severe health complications. Taking this reading will become routine in those with diabetes. It can be either a hindrance or a guidepost.

Everyone needs a little help now and then and shouldn’t be afraid to ask for it.  A newly
diagnosed diabetic may feel overwhelmed with the restrictions that they are faced with
and not knowing how to plan meals.  The support that is needed is from a dietician or
nutritionist.  Depending on your goals and weight a dietician can provide you with a meal
plan that will meat the criteria of a healthy diabetic diet and help you lose weight.

In the beginning, the concern with a diabetic diet is to make sure you are getting enough
food so your blood sugar does not drop too low.  You will also want to monitor your
levels to look for any spikes in your readings too.  A dietician can work with you on this. 
If you are eating the recommended diet plan and it is not working, you are feeling hungry
afterwards or your blood sugar is too high – call your dietician.  He or she can work with
you over the phone to make immediate changes and schedule an appointment to rework
your plan.

Your dietician can also make recommendations on substitutions for your favorite foods
that you were afraid you could never eat again.  They will educate you on portion sizes
too.  There really isn’t too much that you can’t have as a diabetic as long as you are
planning your meals out, getting exercise and eating in moderation.

Food guides change and your dietician or nutritionist will have the most up to date
version.  Try and follow it and combine foods as you have been taught by your support
team.  If you are unsure if something is allowable on your diabetic diet, call your
dietician for advice and if you can’t reach them leave a message and hold off until you
hear back from them.

 

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type 2 diabetes

You are the first line of defense when it comes to managing your Type 2 Diabetes. Hence, regular consistent monitoring will help sufferers with Diabetes 2 maintain an eye on things to prevent health and medical complications in the long term. Measuring glucose levels is the primary monitoring done at home for Diabetes. All diabetics really need to have a glucose meter at home and know how to take measurements of blood glucose levels properly. This information is vital to determining if a glucose spike or plummet happens. It also gives vital information on what foods and exercisesaffect those same levels. If you take insulin, these readings help determine the dosage required if you need an injection. You should record all of this data in a journal for you and your doctor’s future reference.

 

Even though you may (or may not not have) any obvious Diabetes Symptoms, in addition to monitoring your blood sugar levels, you need to monitor your weight carefully if you have type 2 diabetes. Carrying excess body weight can lead to higher levels of insulin resistance. By decreasing body weight to within the recommended range, patients with Diabetes Type 2 can significantly improve their ability to control their Diabetes Type 2. Therefore, by routinely taking a weekly body weight measurement will give you a good idea of your progress, one way, or the other. It is accepted that maintaining your current weight is far better than gaining any further weight. However, if you are excessively overweight, you need to drop the weight in order to stave off long-term problems.

 

It is also important to monitor your blood pressure and cholesterol levels if you have type 2 diabetes. The disease brings a higher risk of heart disease. Your doctor will regularly monitor these numbers. However, if you are dealing with elevated blood glucose readings, having tests done more often is not a bad idea. You need to get these numbers under control before you develop severe cardiovascular problems. It may involve dietary changes as well as revving up physical activity. If these changes do not make an impact, your doctor may put you on medication to get them into line.

 

It is important to maintain a full journal with all applicable information related to your type 2 diabetes. This information is vital in monitoring your diabetes. It will show long-term trends in glucose levels as well as give vital information on what foods and activities do to the readings. When patients with Diabetes Type 2 go visit their medico or any another Diabetes Type 2 specialist, they should take their log of blood glucose readings with them. Professionals can often see trends that you might not. It is a scientifically accepted fact that monitoring blood glucose levels at home by sufferers with Type two Diabetes is paramount. Nevertheless, it does not replace the relationship you will need to develop with your doctor for long-term success.


Pre Diabetes

Type II Diabetes has become somewhat of an epidemic of late.  More and more people are being diagnosed with this potentially life threatening condition.  Type II Diabetes usually sets on later in life, although more younger people are being diagnosed every day with this disease.

According to the American Diabetes Association, approximately 54 million people in the United States have pre diabetes.  Pre diabetes is a condition in which the blood glucose levels are higher than normal but not high enough to be considered Type II diabetes.  Although pre diabetes is not a full fledged disease, it can also cause complications in the heart and blood circulation if left untreated.

The good news about pre diabetes is that with proper nutrition and the care of a physician, you can avoid being diagnosed with Type II diabetes.  The condition can reverse itself, but it does take work on the part of the individual, as well as compliance with the orders directed by your physician.

Obesity is also an epidemic in the United States and many in the medical community believe that this is contributory to the corresponding diabetic epidemic.  It is the general consensus of the medical community that obesity is a precursor to Type II diabetes.   Therefore, those who have pre diabetes can stave off the disease by making some healthy life choices that will eliminate their need for medication or insulin in later years.

One way to reverse the effects of pre diabetes is to maintain a healthy weight.  This can be easily accomplished through diet and exercise.  For those who feel that it is too much trouble to manage their weight or complain that they do not have the time to exercise, they need to realize that the time they spend exercising now can eliminate their time spent on dialysis.  While not all people with diabetes experience kidney failure, many do.  And when the kidneys fail, these patients must spend many hours each week, hooked up to a machine that functions as their kidneys.

Those who complain that they do not want to watch their diet can be reminded that it is easier to watch their diet than to inject themselves with insulin or monitor their blood glucose levels several times a day.  Those who feel that foods that are rich in carbohydrates are less expensive than healthier alternatives can be reminded of the cost of medications and doctor visits for those who refuse to take control of their condition right away.

While some people are pre disposed to diabetes through genetic factors, others acquire this disease by eating too many bad carbohydrates, being inactive and not maintaining a healthy weight.  If you have been told that you have pre diabetes, do not fret.  You can reverse this condition.  Begin an exercise regime, even if it only entails walking.  Take a look at the Glycemic Index that explains which foods diabetics should avoid and follow these suggestions.

See your doctor about being put on a weight loss program and make certain that he or she continues to monitor your blood glucose levels.  Pre diabetes does not have to turn into Type II diabetes.  By developing a healthier lifestyle, you can reverse this condition and lead a longer, healthier life.

Marybeth Nipple is a writer for Uniformhaven.com who offers dickies scrubs, dickies scrub pants and lab coats as well as a host of additional items.

diabetes symptoms

It’s important to be educated about the many things that can occur by having  Type 2 Diabetes . However, understanding your blood glucose levels is probably the most critical. Knowing what the normal range your glucose level should fall in will help you take better care of your body. You risk severe damage to your heart, blood vessels, eyes and kidneys should you not properly care for your glucose levels. Using a glucose meter can help you stay in your normal glucose range. It is a reported fact a appropriate Diabetes Type 2 sufferer's diet regimen can also help keep one's blood glucose levels normal as well.

 

Blood Sugar levels can definitely vary. This depends on where you look for relevant information. The America Diabetes Association (ADA) numbers are a little different. How do people know which of the levels to adhere to? It is an undisputed fact that using proper tests, your  medical team will be able to tell you which blood glucose readings /goals are appropriate for you. You should determine your blood glucose levels daily and oftfrequently throughout the day. Getting into this habit will help you start learning how to keep your glucose level within a good range. It is ideal to monitor your blood sugar level once in the morning before breakfast, 2 hours after a meal and just before going to bed.

 

What should my levels look like? According to the ADA, blood sugar levels be between 90 – 130 mg/dl (5-7 mmol/L) prior to a meal. 1 to 2 hours after a meal, the glucose range should be below 180mg/dl (10 mmol/L). If your glucose is just the slightest degree over, this minimal spike can start causing serious effects on your blood vessels, heart and the kidneys. So, maintain your levels in the specified ranges at all times. Also, these are just the TYPICAL guideS as listed by the ADA. Your physician able to advise you of the range you need to stay in based on your weight, current health staus and other important factors.

 

There are specific trends to watch for while monitoring your blood glucose levels. Any blood sugar level that is constantly greater than 150 mg/dL (8.3 mmol/L) is an indication of hyperglycemia. Hyperglycemia is the condition of extremely high blood glucose. Certain diet changes can help control this and return your glucose levels to a normal range. The other extreme is having your blood sugar levels consistently falling below 70mg/dL (3.8 mmol/L). This implies that you are hypoglycemic. Hypoglycemia is the condition of low blood sugar. It is an undisputed fact that this can definitely be a fatal condition since one can lose consciousness or suffer impaired mental functions. In addition to the self monitoring of your glucose levels, always have a routine blood check done at your doctor’s office. In this way you can know that you are following the right blood sugar monitoring habits.

Symptoms

When you must live with Type ii Diabetes, keeping an eye on your blood sugar levels becomes part of your daily routine. The reason behind the necessity of doing so is fundamentally lifesaving. Even if you are keeping up with a good Type II Diabetes diet and physical activity program in an effort to avoid your disease from worsening, there is no guarantee that your sugar levels are always where they should be. Stress and being sick are things that will increase blood sugar out of control as well. You should be aware of these things even as you implement a diabetes diet full of whole grains, lean proteins and fresh fruit and vegetables.

 

Years ago, people with Type two Diabetes had to undergo stressful processes to have their blood glucose measured. Today, however, you have access to dozens of kinds of meters that conveniently and easily display your blood sugar levels to you. The range you should be aiming for is between 75 and 130 mg/dl, or 4 and 7 mmol/l, depending on what units you use. It is a fact that that your numbers may go outside this limit sometimes, but if this does, try then to get blood glucose levels within the targeted range and measure blood glucose levels again a few hours later.

 

The question that many people living with Type 2 Diabetes is how often they should test their blood sugar levels. This depends on whether you are taking insulin or not. If so, you should test before eating meals and before you go to sleep. Some insulin-takers need to test even more frequently. If your condition is controlled solely by diet and exercise, you only need to test right before eating dinner in the evening and in the morning prior to breakfast. If you are curious about how your diabetes diet is affecting your blood sugar levels, you could test an hour or two after each meal as well, but it is not required for your safety.

 

Monitoring your blood glucose is also useful with Type 2 Diabetes if you want to eat something outside your diabetes diet but are not sure how it will affect you. You can eat a small quantity and then test the amount of sugar in your glucose a few hours later. Measuring prior to intense physical activity is critical to see if you should have some food prior to working out. Diabetes Type 2 does not need to be debilitating, but you will have an increased level of responsibility to take care of yourself.

Type Two Diabetes: Starting Doses Of Insulin !

diabetes treatment

On finding out that you have Type two diabetes, you are first instructed by your healthcare provider to make diet and exercise changes. Your new changes will include making nutritious food choices, reduced calorie intake, and implementing a regular exercise routine. Any new changes might seem difficult at first, but are vital to keep in check your Type II Diabetes. Also, such changes helps to lower your blood glucose to acceptable limits. But, while these changes are required and useful , there is also the start of a medicines regime like insulin to help manage your Type II Diabetes.

 

Lifestyle changes unfortunately are not permanent solutions to treating Type 2 diabetes. In time, the pancreas does not make enough insulin and finally it will be unable to make enough for the requirements of the body. This is why insulin injections are necessary. Insulin is either injected or infused, and either way it is an effective treatment for Diabetes Type 2. It can be hard for some people to begin insulin injections. Barriers may be present that can stop a person from commencing insulin dosing. The majority are psychological; others can be financial or physical. If insulin injections are commenced early there is a largely reduced risk for eye disease, kidney disease and nerve damage. The need to rely on insulin should not be looked at as a failure, but more like the necessary ingredient to treating Type 2 diabetes.

 

So, when does a person begin taking insulin? Insulin injections are typically started on patients who have failed to lower their glucose levels by way of proper diet and exercise. Srating on insulin , it’s important to be correctly educated and gain as much knowledge about it as practicable. Your pharmacist, doctor and diabetic educators are helpful health-care providers that can give you information about your diabetic medication therapy. There are different types of insulin. Insulin that continuously gives your body adequate amounts of it is known as “long acting” insulin. This insulin mimics the pancreas’s function to release it on a continual basis.

 

Insulin that is quickly responsive, like the pancreas during meals, is called bolus insulin or “short acting.” This is often injected into your blood stream after you’ve eaten a meal that may spike your glucose levels. Your doctor will evaluate your insulin doses based on your pancreas’s ability to produce it. When Type 2 diabetics begin insulin, they are usually started with a daily injection of long lasting insulin. How one proceeds, depends on your eating habits and exercise, will determine which type of insulin you will need in the future.

In the present, patients with pre-diabetes and diabetes Type I and Type II are well advised to know the glycemic foods list when they want to control their symptoms. As such, it isn't just diabetics who use the offshoot of such list - the low glycemic foods index - since many individuals who feel the need shed the extra pounds, to lessen their risks of chronic degenerative diseases and to maintain a more efficient diet also use it.

What Is The Glycemic Index?

But before the abovementioned lists can be applied, it is vital to have knowledge of the working mechanics of the glycemic index. First developed by Dr. David Jenkins and his peers at the University of Toronto in the early 1980s, the glycemic index is a measure of the impact of carbohydrates consumed on the blood sugar levels. It must be noted that diabetes is measured by spikes and dips in the blood sugar levels, either one of which sometimes are fatal when intense.

So, when one talks about the glycemic foods list, one generally mean the types of foods that can throw off or repair the blood sugar levels in the individual. A food type containing carbohydrates that belongs to the low glycemic foods index involves that it provokes low spikes, if any, in the blood sugar levels. This is due to the fact that it breaks down slowly in the digestive process and, therefore, releases glucose to the organism in a gradual manner. In contrast, a nutrient with a high glycemic index breaks down easily and, as a consequence, contributes to spikes in blood sugar levels more quickly as well.

Benefits to Using the Glycemic Index

Diabetics use the glycemic foods list as a basic guide in the selection of foods to consume, foods to eat in moderation and foods to avoid especially where carbohydrates are concerned. Meal planning is then made healthier with more choices belonging to the low glycemic foods index.

When these list and index are used in the proper manner, people can benefit from a host of health-related benefits including but not limited to the following:

  • Improved blood sugar levels, which is essential for pre-diabetics and diabetics to prevent complications-    
  • Better control over blood sugar levels throughout the day, and as such, diminishing the risks for insulin resistance in susceptible individuals -    
  • Lesser need for anti-diabetes medication-    
  • Less trouble from hunger pangs, which means heightened fat loss and maintenance of a healthy weight- both essential components of diabetes management

Pointers To Put The Glycemic Index Into Practise

If you intend to use the glycemic foods list for diabetes and weight management, you are in luck.

The list is not as complicated as it looks such that whatever food items, be it for fruits, vegetables, whole grains and meats, are included in the low glycemic foods index , then these are the foods that you can consume and still stay healthy.

For example, the foods with a low glycemic index of 55 or less include most fruits and vegetables, legumes and pulses, whole grains, meat, eggs, milk, and nuts as well as low-carb packaged food products.

Foods high in glycemic index and, thus, must be consumed as little as possible are baked potatoes, white bread, corn flakes and watermelons, among others.

You must consult with a dietitian for guidance on the proper usage of the glycemic foods list. After all, even the foods belonging to the low glycemic foods index have certain conditions to their consumption.

type 2 diabetes

What is wholegrain? Whole grain refers to the use of the entire grain. Most of the time, when farmers harvest wheat or other grains, they send the kernels to the mill for grinding. The milling process during production takes away the harder outer layers. The softer interior becomes the refined white flour that makes up the white breads and pastas that are so popular. When dealing with rice, all rice comes from the field as brown whole grain rice. During the processing of those rice kernels, they remove the husk and reveal the white interior. The whole grain products use the entire kernel instead of just the processed interior. These products bring more nutrition and fiber than their refined offspring.

 

What is fiber? Fiber is actually something our bodies do not digest. Fiber passes through the entire digestive tract 99% unchanged. Fiber comes from the outer layers of many plant-based foods such as fruits, vegetables, and grains. If it is indigestible, why is it so important to a Diabetes Diet?  Ingesting fiber has many benefits that help regulate blood glucose and insulin levels. The most important is that fiber forces the patient to eat slower since chewing thoroughly before swallowing is essential. Fiber also slows digestion once the food hits the stomach and small intestine. This means the body will absorb foods that might spike glucose levels slower. In addition, fiber also satisfies hunger more rapidly, and keeps overeating in balance.

 

What is bran? Bran is the outer layer taken off of grains during processing. It is a scientifically accepted fact that bran is a brilliant source of beneficial fiber in a Type two Diabetes person's nutritional intake. It also contains a good deal of plant protein and holds many essential vitamins and minerals. It can come from wheat, oats and rice as well as just about any other grain source. Many people often add bran back into the diet to assist with digestion issues. The best way to get it back into a Type 2 Diabetes diet is to start with whole grain foods. These naturally contain wholegrain, fiber, and bran. As with other carbohydrates, moderation and pacing is essential with most grain based foods in diabetes.

Management

Being diagnosed with Type 2 Diabetes can be scary and confusing. There are numerous questions you will likely have finitially until you are fully adjusted to the condition. Mistakes will happen because of insufficient experience. However, there is help for you out there to help you through your disease. As one learns more you discover there are certain tips and tricks you can do to help you treat your diabetic disease. The tips below are helpful for those new to the disease, or for seasoned diabetics looking for new tools to help them through their every day condition.

 

These are some very easy tips to help control blood sugar. Do regular exercises. Exercising routinely will assist you to keep your blood sugar readings and promote healthy blood circulation throughout your body. Don’t eat sweets or foods that have high sugar content. Watch your sodas, candies and refined flours and sugars or sweets. These foods easily cause a large spike in blood glucose readings and can throw you off quickly. Follow normal medication doses and your healthcare provider's advice. It’s important to take your medication at the same time daily and always take it as your healthcare provider has ordered. Check your glucose levels daily. Always stay on top of your glucose levels and never assume you are within range. This will help prevent any unnecessary damage to your body.

Tips also exist for the exercise and diabetes diet management of your Type 2 diabetes. Normal exercise is sufficient like a light jog or light workout. There is no real place for heavy or strenuous physical activity that will tire you and overwork your body. Doing yoga will help in keeping both mind and body fit. It is beneficial for most diabetics to have peace of mind and a healthy, positive attitude. While exercising, don’t wear tight fitting socks and shoes. Cutting off blood circulation that may already be insufficient is not the best thing to do. Always keep your body hydrated to keep dehydration and cramps at bay.

 

Other tips like foot care are important to know as well. Great tips for diabetics help prevent foot problems and possible amputation. Washing your feet daily with soap help you make sure you don’t over look any cuts or sores. Always try to ensure you wear cotton socks, rather than nylon or synthetic socks. Never go around without shoes; house shoes or loafers are great to have on your feet. Ensure daily checking of both your feet or at least once every two days. Visit your podiatrist regularly to have your feet checked for any developing sores or calluses.

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