How is Diabetes Managed?

Posted by admin | Diabetes | Monday 25 January 2010 10:41 am


Before the discovery of insulin in 1921, everyone with type 1 diabetes died within a few years after diagnosis. Although insulin is not considered a cure, its discovery was the first major breakthrough in diabetes treatment.

Today, healthy eating, physical activity, and taking insulin are the basic therapies for type 1 diabetes. The amount of insulin must be balanced with food intake and daily activities. Blood glucose levels must be closely monitored through frequent blood glucose checking. People with diabetes also monitor blood glucose levels several times a year with a laboratory test called the A1C. Results of the A1C test reflect average blood glucose over a 2- to 3-month period.

Healthy eating, physical activity, and blood glucose testing are the basic management tools for type 2 diabetes. In addition, many people with type 2 diabetes require oral medication, insulin, or both to control their blood glucose levels.

Adults with diabetes are at high risk for cardiovascular disease (CVD). In fact, at least 65 percent of those with diabetes die from heart disease or stroke. Managing diabetes is more than keeping blood glucose levels under control–it is also important to manage blood pressure and cholesterol levels through healthy eating, physical activity, and use of medications (if needed). By doing so, those with diabetes can lower their risk. Aspirin therapy, if recommended by the health care team, and smoking cessation can also help lower risk.

People with diabetes must take responsibility for their day-to-day care. Much of the daily care involves keeping blood glucose levels from going too low or too high. When blood glucose levels drop too low–a condition known as hypoglycemia–a person can become nervous, shaky, and confused. Judgment can be impaired, and if blood glucose falls too low, fainting can occur.

A person can also become ill if blood glucose levels rise too high, a condition known as hyperglycemia.

People with diabetes should see a health care provider who will help them learn to manage their diabetes and who will monitor their diabetes control. Most people with diabetes get care from primary care physicians–internists, family practice doctors, or pediatricians. Often, having a team of providers can improve diabetes care. A team can include:

- a primary care provider such as an internist, a family practice doctor, or a pediatrician

- an endocrinologist (a specialist in diabetes care)

- a dietitian, a nurse, and other health care providers who are certified diabetes educators–experts in providing information about managing diabetes

- a podiatrist (for foot care)

- an ophthalmologist or an optometrist (for eye care)

and other health care providers, such as cardiologists and other specialists. In addition, the team for a pregnant woman with type 1, type 2, or gestational diabetes should include an obstetrician who specializes in caring for women with diabetes. The team can also include a pediatrician or a neonatologist with experience taking care of babies born to women with diabetes.

The goal of diabetes management is to keep levels of blood glucose, blood pressure, and cholesterol as close to the normal range as safely possible. A major study, the Diabetes Control and Complications Trial (DCCT), sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), showed that keeping blood glucose levels close to normal reduces the risk of developing major complications of type 1 diabetes.

This 10-year study, completed in 1993, included 1,441 people with type 1 diabetes. The study compared the effect of two treatment approaches–intensive management and standard management–on the development and progression of eye, kidney, nerve, and cardiovascular complications of diabetes. Intensive treatment aimed to keep A1C levels as close to normal (6 percent) as possible. Researchers found that study participants who maintained lower levels of blood glucose through intensive management had significantly lower rates of these complications. More recently, a follow-up study of DCCT participants showed that the ability of intensive control to lower the complications of diabetes has persisted more than 10 years after the trial ended.

The United Kingdom Prospective Diabetes Study, a European study completed in 1998, showed that intensive control of blood glucose and blood pressure reduced the risk of blindness, kidney disease, stroke, and heart attack in people with type 2 diabetes.

What is Food Intolerance?

Posted by admin | Nutrition | Monday 25 January 2010 5:32 am


What is Food Intolerance?

Food intolerance is discussed quite often these days – so what exactly does it mean?  Well, sometimes our bodies cannot tolerate the foods we eat. This is known as food intolerance. When people consume foods that they’re sensitive to, such as dairy products for lactose intolerant individuals, their bodies have a negative physical reaction. The effects show up every time the food is consumed, although not always right away. If large quantities of the food are ingested, symptoms can be severe.

Food intolerance is sometimes mistaken for food allergy.  Food allergies cause a person’s immune system to sit up and take notice, while food intolerances don’t involve the immune system.  Neither are they linked to contaminated or spoiled foods; those cause food poisoning, not intolerance.

Food intolerance describes the adverse physical reaction to the ingestion of certain foods; it is something that affects the digestive system.

The Causes of Food Intolerance

As mentioned earlier, food intolerance is caused by the inability to digest certain types of food, usually due to insufficient amounts of the chemicals or enzymes needed to digest a particular food.

Lactose intolerance is very common. People who suffer from this condition don’t have enough of the enzyme called ‘lactase’. Therefore, their bodies can’t break down the lactose, or milk sugar, in dairy products.

Common symptoms of lactose intolerance include intestinal distress, gas, bloating, and bowel irregularities.

Other people can’t process alcohol because they don’t have enough of the enzyme ‘alcohol dehydrogenase’. They can become ill if they consume even a single alcoholic beverage.

The additives, flavor enhancers, and preservatives in processed foods are another common source of food intolerance. MSGs, caffeine, benzoates, and aspartame cause pain and fatigue in sensitive individuals.

Who Suffers from Food Intolerance?

Anyone can!  Food intolerance is not limited to any particular group of people, however there are some factors that play a role in the likelihood that a person is affected by intolerance.

Food intolerance can be hereditary; therefore if your parents have food intolerances, chances are good that you’ll have some too. Ethnicity plays a role, too. Only 10% of northern and western Europeans suffer from lactose intolerance whereas persons of Asian, African, Greek, and Native American descent are much more susceptible.  Lactose intolerance affects 70-90% of the latter populations.

Newborns tend to produce more lactase, so they can digest lactose more easily than adults and older children. The symptoms of lactose intolerance can appear in children as young as two, but many people develop it later in life. Gastroenteritis sometimes causes a dip in lactase levels, bringing on a temporary intolerance to dairy products. Children face a high risk of lactose intolerance following gastroenteritis.

And half of all Asians are affected by alcohol intolerance!

What are the Symptoms of Food Intolerance?

The symptoms of food intolerance center around the digestive system.  Sufferers may experience stomach pain, bloating, nausea, loose stools, or the opposite (constipation.) These symptoms are seldom life-threatening, but they can make a person miserable on a daily basis. They can manifest anywhere from a few hours to a few days after the food is consumed, making it difficult to identify exactly what the problem food is.

Alcohol intolerance causes redness of the face, nausea, irregular heartbeat, headaches, and dizziness.

Symptoms can also feel similar to allergy symptoms, such as a runny nose or itchy throat.

Food intolerance symptoms can become quite severe if a large quantity of the food has been consumed. People with a slight enzyme deficiency typically don’t experience symptoms as acutely as people with a larger deficit.

How is a Diagnosis Made?

Trial and error is the simplest way to test for food intolerance. This is done by removing one food from the diet for a while and monitoring symptoms for improvement. If symptoms decrease, the food is then reintroduced. A return of symptoms will reveal whether or not that food was the culprit.

This method works best for those who have intolerance to one or two foods.

For those people (like me!) who have intolerance to several foods, the elimination method could take months…years…and an answer still might not be found.  There are home tests on the market, that can identify your problem foods for you.  Check out http://www.foodintolerancenews.com to see one.

Specific tests are used to diagnose lactose intolerance. For example, your physician might recommend a test to measure the amount of hydrogen in your breath; a stool acidity test; or a blood glucose test to determine how well the patient digests milk sugar.

How is Food Intolerance Treated?

Food intolerance is usually controlled by removing the troublesome food(s) from the person’s diet. For instance, lactose intolerant individuals can replace regular milk with soy milk.

If the intolerance is mild to moderate, the affected person can try eating only very limited amounts of the food in question. Mild lactose intolerance can be managed through the use of lactase enzyme supplements.

If foods are removed from one’s diet, they should be replaced with nutritious alternatives. It’s crucial to avoid malnutrition, especially in growing children. If you have questions about suitable food replacements, speak with your nutrition specialist.

Steps to Prevent High Blood Pressure

Posted by admin | Hypertension | Saturday 23 January 2010 6:52 am


High blood pressure also referred to as High B.P or hypertension is a chronic health problem. There are solutions to this problem also. The U.S Department of Health and Human Services offers the following solution of high blood pressure or reduces the blood pressure if it is an existing problem whose pinch you are feeling.

Be fit in your weight concerns: Healthy weight maintenance will definitely help you to prevent high blood pressure. Getting a normal weight is not a difficult task as it appears. The beginning can be initiated by cutting down the size of your meal and snacks, and it is important that you take particular care regarding the consumption of high calorie food. Your weight can be maintained if you can burn calories equivalent to the proportion of your consumption of your food. In case you are interested in losing your weight than you need to burn more calories than the amount of food you consume. As you progress in losing weight you can expect a reduction in your blood pressure levels.

Eat a healthy diet: When you are choosing on selecting your diet choose a diet that has plenty of fruits and vegetables. Avoid food stuffs which have high fat content and cholesterol. If you initiate practices to keep your heart fit, then you can definitely keep your blood pressure levels in control.

Keep a control on salt and sodium levels: Excessive consumption of salt and sodium levels can increase blood pressure. So it is vital that you read the food labels. The U.S guidelines indicates that the consumption of sodium can be restricted to not more than 2400 mg and the intake of salt should not be more than 1 table spoon per day. If you are in the practice of eating canned, processed and convenience foods then choose the brands that have low sodium content. In case you are in the practice of salting your food at the time of consumption then be in practice that you use very less salt or it would be best if you do not use salt at all. However this practice will take little time to get used to food without a pinch of salt. But in due course of time you will realize that the food tests better with less salt.

Junk items are made with lot of sodium and salt content, so select items with less salt and sodium content. Less consumption of salt and sodium will help you to prevent high blood pressure.

If you are into alcoholic consumption then as per the guidelines the intake should not be more than 2 drinks for men and 1 drink for women.

Exercise is an important criterion that helps you to maintain a stable blood pressure. Brisk walking and bicycling are good modes of exercising.

Incase you are smoking then an immediate action has to be taken to give up smoking. These are some of the steps which can help you to bring your blood pressure levels to bring it to moderate levels.

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