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NOTE TO ALL DIABETICS: Please read the information throughout the site, particularly "Understanding Carbs", so you know how foods affect your blood sugar levels/insulin, and "What to Eat". Although this site was made to educate all readers on the affects of food on the body and thus, their health, it is imperative that Diabetics understand what this program is all about, because it CAN and WILL help you maintain your levels where they should be. As a Diabetic, I have proven this over and over again to doctors who have followed my Diabetes.
One of my readers called to my attention the difference in Type I (also sometimes called "Juvenile Diabetes") and that it is different then type II. She, of course, is right. When I say "you do not have to become a Diabetic", I am referring to Type II Diabetes. Unfortunately those affected by Type I are either predisposed by certain genes, or enviromental factors, and the problem arises at a much younger age and is out of their control, but either type of Diabetes can be controlled by diet, however Type 1 diabetics need to take insulin in shot form or by a pump.
NOTE: Although "Real Whole Grain" is not necessarily a part of a true "low carb" diet, I have included this information specifically for Diabetics since you can eat them without worrying about your A1c test. Since some Diabetics will go "too low" on real strict "low carb" program, this is an excellent way to adjust that problem since real whole grain will not spike and drop your sugar levels. By adding a bowl of All Bran or Bran Flakes or other whole grain cereal every day, true whole grains add more fiber to the diet which is a must. My A1c held steady at 5.8 and my cholesterol dropped to the lowest it has ever been in my life, 168 when I added on these cereals. No weight gain was experienced, in fact, I even lost a few more pounds. Multi grain bread, low carb bread, or whole wheat bread can also be added on to a diabetic's diet.
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Diabetes and Depression 6/18/2008 update
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Researchers have found that people who had been treated for diabetes were 54% more likely to develop depression symptoms than others, and people with symptoms of depression had a 42% risk chance in developing diabetes compared to those without symptoms. The more serious the symptoms, the higher the risk of becoming Diabetic.
For about three years, Johns Hopkins University School of Medicine tracked a diverse group of approximately 5,000 persons between the ages of 45 to 84.
The group of people in the study who had elevated symptoms of depression were seen to eat more calories, were more likely to be smokers, exercised less, and were more obsese.
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Importance of Fiber and Weight Loss 6/14/2008 update
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According to the ADA (American Diabetes Association)at its 68th Scientific Sessions, every 21 seconds someone is diagnosed with diabetes.
One of the main reasons is that most people do not eat enough fiber. The daily recommended amount is between 25-38 grams a day. The risk for developing Type 2 diabetes drops by as much as 24% to 45% by consuming natural fibers in legumes, lentils, whole grains, vegetables and fruits.
If you are overweight, by losing at least 10% of your weight can help lower blood glucose, blood pressure, and blood cholesterol levels , all major risk factors for diabetes.
E-mail me if you want to know your BMI (Body Mass Index) and I will tell you how much weight you need to lose to get down to the normal range.
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Fatty Hips/Buttocks May Help! 5/12/2008 update
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U.S. researchers reported on Tuesday (May 6, 2008) in the journal Cell Metabolism that the fat around hips and buttocks may stall/stop diabetes as it helps to improve sensitivity to the hormone insulin, which regulates blood sugar. This fat is known as "subcutaneous fat", which is unlike "visceral fat", that which accumulates in the abdomen and is known to exacerbate the problem.
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Cow's Milk and Type 1 Diabetes 5/12/2008 update
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A fascinating Finish study shows a link to babies fed with cow's milk because cow's milk stimulates baby's bodies to making antibodies that attack a protein vital for the human immune system, thereby destroying insulin-producing pancreatic cells, and increasing the risk of developing Juvenile Diabetes. In support of these findings, a U.S. researcher also discovered that children with Type 1 Diabetes all had antibodies to beta lactoglobulin, the protein in question; however research was only done on a small number of children. More testing is going to be done in this area.
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Diabetic Drugs and Fractures 5/6/2008 update
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Recent studies have suggested that two drugs in the new class of oral antidiabetic agents, known as Pioglitazones and Rosiglitazones, may case unfavorable effects on bones by creating faster bone loss and/or slower bone formation, as well as an increase in fractures. These drugs account for 21% of medications prescribed in the U.S. and 5 % in Europe.
In a study involving almost 5,000 diabetic patients within the same age and sex category, approximately one quarter of them had prior bone fractures compared to their match controls who never had a fracture. After taking into consideration other risk factors, the group taking these two classes of drugs had doubled or tripled the odds of hip, wrist, and other fractures, compared to those who did not take these particular drug. Further research showed that the odds of having a fracture were increased in those taking the drugs for 12 to 18 months and the risk was even higher for those taking the drug two years or more. No such affect was seen in patients taking other forms of antidiabetic drugs.
According to the author,
"These findings, although they are consistent with recently reported data from a randomized trial, are based on relatively few thiazolidinedione-exposed patients and need to be confirmed by additional observational studies and by controlled clinical trials."
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Increased Risk of Alzheimers 5/6/2008 update
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Researchers at the Salk Institute said they may have uncovered one reason why diabetics are up to 65% more likely to develop Alzheimer's. Diabetics have the inability to process insulin which causes both diabetes and swelling of the brain, which can cause blood vessel damage and the hastening of the death of certain neural cells.
For more then a decade, several recent studies have shown that people with diabetes, the version most associated with obesity, have a 30% to 65% higher chance of developing Alzheimer's than non-diabetics. This is yet another motivation to fight obesity which is one of the most contributing factors for diabetes. If diabetes can be prevented earlier in life, then Alzheimers could be either delayed or even prevented. There are over 5 million Americans 65 years or older that suffer from Alzheimers.
Interestingly enough is the fact that this report also suggests that the risk of developing Alzheimer's can be helped by consuming antioxidants, such as fish, beans, berries, vegetables, fish oil and vitamin E. Antioxidants help fight the buildup of certain toxic protein molecules that lead to inflammation of the brain via harm to some blood vessels. These are the same healthy foods that diabetics should be eating to control their sugar.
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Insulin Pumps 5/6/2008 update
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The FDA have shown that thousands of children and teenagers with Type 1 diabetes, often referred to Juvenile Diabetes, have either been injured, killed or committed suicide by insulin pumps. Part of the problem involves devices malfunctioning, but most of the time it is careless or improper care that is causing the problem. The studies have shown that some children/teens didn't know how to use the pumps correctly, don't take proper care of the equipment and often drop them. Parents must take an active part in this problem as children/teens often don't understand the consequences.
These pumps give freedom to the child/teen by allowing them to attend functions with their friends. They are the size of a cell phone and can be worn on a belt or put into a pocket. Pumps send insulin into the body via a plastic tube with a small tip inserted under the skin. While the pump delivers a continuous low level of insulin, the user must tell the device how much insulin to release prior to eating, based on the number of carbs in the meal.
Although most Type 1 Diabetics use multiple daily injections of insulin, the pumps are growing in number due to the flexability they allow in one's schedule; however, if they become blocked and the child/teen does not monitor themselves carefully, this can lead to serious illness and/or death. Some doctors are hesitant in giving pumps to young patients because of this.
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Pre-diabetes and Pregnancy 4/30/2008 update
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The "Journal Diabetes Care", a publication of the American Diabetes Association, reported their findings in studies done on how diabetes affects the pregnant woman. Uncontrolled diabetes in pregnant women increases the chance of miscarriage, stillbirth, and birth defects. Studies have shown that this situation has more then doubled in seven years, and the number of diabetic teenages grew five times during the same period, with the greatest increase in girls between 13 and 19 years of age.
Type 2 diabetes is linked to obesity, and Hispanics, Asians, and African Americans are more likely to have diabetes prior to pregnancy than caucasians. A condition referred to as Gestational Diabetes affects between 3- 8% of pregnant women. This condition develops during pregnancy and disappears afterwards so it is not to be confused with pre-pregancy diabetes. Some studies have shown that Gestational Diabetes is often the precursor to Type 2 diabetes several years later.
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Vitamins B1 and B12 8/19/2007 update
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Vitamin B1
A new study has found that a deficiency of vitamin B1 in people with diabetes could cause a range of problems including kidney disease, retinopathy and stroke, claims the researches from University of Warwick. It has been discovered that B1 was decreased by 76% of Type 1 patients and 75% of those with Type 2. It is further stated that about 80% of diabetics will die of cardiovascular disease.
This is the first time that vitamin deficiency has been found in diabetics and is not due to dietary habits but may be the result of an increased rate of the vitamin’s removal from the body. This deficiency may have been missed previously due to the methods used to measure the B1 status. Researchers are looking into the effect of having diabetics take this vitamin in tablet form to see if early kidney damage can be reversed. In the meantime, they note that this is still in the research stage and would advise people not to look for vitamin supplements at this time, but to continue eating a balanced diet, regular exercise, and managing their blood glucose levels. Vitamin B12
According to a recent study in India, which has been accepted for publication the the Journal Diabetologia, a risk factor for Type 2 Diabetes may be present right at birth if the mother’s metabolism and deficiency in vitamin B12 occurs during her pregnancy. This study, going on for the past two decades, investigates the relationship between the mother’s nutrition and the risk to offspring of Type 2 diabetes and heart disease.
Where there is an excess of folic acid and a deficiency of Vitamin B12, it appears that certain events occur in the metabolic pathways that lead to increased fat tissue production and deposition, and decreased protein synthesis and lean tissue deposition. It is thought that this may be the cause of the birth of a 'thin-fat' child, or a child who has less lean tissue but comparatively high fat tissue. This means their bodies require high quantities of insulin, the enzyme responsible for the utilization of sugar, to produce its normal effects. Such insulin-resistant people are at a high risk of developing diabetes.
In the study that began in 1993, more than 60% of the women had low levels of vitamin B12, while only one woman had a low concentration of folic acid. The women were supplemented with oral iron and folic acid. The children of these mothers were measured at birth and every six months thereafter for six years. At 6 years of age, the offspring were investigated for body size, body composition and evidence of insulin resistance. These children were found to be short and thin but with relatively more fat compared to Caucasian children. They were thin-fat, and although more insulin resistance, it was not excessive, but on the higher side. The offspring of mothers with a combination of high folate and low vitamin B12 concentrations were the most insulin resistant.
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Bad Test Strips - OneTouch Ultra, OneTouch Basic Profile 8/18/2007 update
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Johnson & Johnson traced counterfit at-home diabetes OneTouch Test Strips back to China. Court documents show that approximately one million phony test strips turned up in at least 35 US states, Canada, India, Pakistan, Greece, Saudi Arabia, Turkey, and the Philippines. The source of the counterfit strips came from China, through Canada, and into the US. These strips were sold under the name of OneTouch Ultra and OneTouch Basic Profile.
Although this news has just been made public, complaints started being made last September and the US FDA issued a consumer alert in October. Inaccurate readings can lead to the injection of wrong amounts of insulin, causing serious harm or death.
According to the World Health Organization, and the FDA, fake medicines have become a $32 billion dollar global business, and there have been about 54 counterfeit investigations in 2006, almost twice as many as in the year before. The Director of the Center for Medicines says, “Growth in counterfeit medicines and devices is probably the biggest health threat besides infectious disease”.
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Diabetic Drug, Metformin, May Kill Cancer Cells 8/18/2007 update
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Researchers in Pennsylvania have found that a commonly prescribed diabetes drug (Metformin) kills tumor cells that lack a key regulatory gene called p53. Although only studied on mice it may resuslt in new therapies for a subset of human cancers that tend to be aggressive and resistant to existing treatments. The findings open up a new avenue for targeting cancers whose trait is the absence of this gene.
According to Director of the Abramson Cancer Center and Chairman and Professor of Cancer Biology and Medince, Dr. Craig Thompson, M.D., says, “This is the first time you can show that tumor growth is impaired by a diabetes drug, and it is specific for tumors that lack p53, which is the most common mutation in human cancer.”
These researched have been accumulating evidence over the last several years that p53, best known as a regulator of cell division, controls several metabolic pathways in cells. What this means is that a drug that affects pathways controlled by p53 could help control p53-deficient tumors. Two studies already show patients taking Metformin have a lower cancer rate and mortality than other diabetics. While injecting human colon cancer cells that have normal p53 into one side of mice and the same cells that lack p53 into the other side, daily injections were started four days later with either Metformin or a saline control. Four weeks later, the p53 deficient tumors in mice treated with Metformin were half the size of the p53 in the control mice.
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Drug Warnings - Avandia, Actos, Tequin 8/2/2007 update
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Scientist Steven Nissen recently published an article that Glaxosmithkline’s diabetic drug AVANDIA has an increased risk of heart attacks, along with two others sold under the name of Avandamet and Avanearyl (known as Thiazolidinediones), which include the same ingredients as Avandia. US regulators are considering leaving the drug on the market with a possible stronger warning on the box. FDA scientist, David Graham, is calling for them to be taken off the market. An analyst working on this issue states, ”It seems likely new warnings will be added to the drug’s label. US doctors have become used to managing risk when using commonly prescribed drugs.”
In a study of over 78,000 patients, Rosiglitazone and Pioglitazone whose brand name is ACTOS, it was found that patients known to have heart failure should not be prescribed these drugs, but further research indicates that the drugs can provoke problems even in those without a history of heart disease. These prescriptions have doubled over the last three years. Latest analysis of data estimates that one in every fifty people taking the drug over a 26 month period will require hospital attention due to heart failure. In looking at more than 200 cases of patients with heart failure, it was found that the problems developed even though the patient was taking low does of the drug. It was also discovered that one quarter of the cases occurred in people under 60 years of age. The drug seems to cause fluid retention which leads to heart complications.
A lawsuit has been filed against Bristol-Myers Squibb and Schering Corporation , claiming “TEQUIN”, an antibiotic drug causes severe blood-sugar issues in some patients which could lead to diabetes, and death. This drug is a generic of Gatifloxacin and is commonly used for sinus, lung, and urinary tract infections. Within two years after the drug was approved by the Food and Drug Administration in 2001, literature was suggesting a link between this drug and Dysglcemia in both diabetics and non-diabetics. The lawsuit plans to show that the manufacturer was aware of the risks and did little except to downplay the risks. The court action further states that the company ignored mounting reports of diabetes-related problems and took no action until the FDA insisted on new warning on it’s labels, but here again, did not include the dangers to non-diabetic patients.
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Diabetes and Parkinson's 8/2/2007 update
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Researchers have found that changes in the body caused by type 2 Diabetes switch off a gene called PINK1 which can lead to Parkinson's once this gene stops working. When this gene stops working, Parkinson's can develop. In comparing 200 tissue samples from volunteers, many with type 2 diabetes, the researchers discovered that the diabetes patients produced less of the substances created by the PINK1 gene, thus making them more at risk of Parkinson's. This may result due to the PINK1 gene being so close in proximity to a known diabetic gene called DDOST in the human DNA. Researchers believe this might be because the PINK1 gene is found close to a known diabetes gene called DDOST in the human. Researchers will now be focused on the process which causes PINK1 to be switched off in the hope of finding a new way to attack both diseases. The Science Information Manager, Matt Hunt, of Diabetes UK feels that linking the two conditions may determine if preventing Type 2 Diabetes could lead to reducting the number of cases of Parkinson's. Although Type 2 Diabetes can be genetic, almost sixty percent of cases are caused by improper eating and lifestyle.
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Diabetics, Please Read the Following:
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My Response to the Ridiculous 6/23/2007 update located on bottom of "Understanding Carbs" page.
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Hope for Type 1 Diabetes Through Stem Cell Research 5/20/2007 update
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According to a method created by researcher, Dr. Richard Burt, and published by the Journal of American Medical Association, there is hope that Type 1 diabetic patients could go without insulin after being treated with their own stem cells. It is estimated that approximately 24.6 million people have been diagnosed with Type 1. Because Type 1 patients do not produce insulin, they must inject themselves every day in order to stay alive.
Dr. Burt’s treatment involves taking stem cells from the patient’s blood before their immune system can attack the cells, and re-injecting the harvested cells allowing the immune system to regenerate itself with new white blood cells. After this treatment was done, fourteen of the fifteen patient’s inolved did not need to inject themselves anymore. Thirteen of the studied patients have continued not having to inject themselves for up to three years.
Although many more studies have to be done, and it is not known how these patients will do after this three year reprieve, it appears to be a postive step forward since this study was the first in the history of treatment for Type 1 diabetes, wherein the patients have been drug free after intervension.
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Pistachios and Blood Sugar Levels 5/20/2007 update
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A study conducted by the University of Toronto found that eating pistachios, with some high carb foods, may result in a lower blood sugar level. In studying the Glycemic response, when people were given a one, two, or three ounce serving of pistachios alone or served with a slice of white bread, rice, pasta, or mashed potatoes and tested two hours later, there was a significant lowering of the blood glucose level. The more pistachios, the greater the response.
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Diabetic Testing 3/7/2007 update
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Fasting Blood Glucose Test
This test is performed after fasting for eight hours. A normal range is less than 110 mg/dl. In 1997, the ADA (American Diabetes Association) dropped the blood glucose reading from 140 mg/dl to 126 mg/dl. Anything from 126 mg/dl or higher is considered a diabetic.
Oral Glucose Tolerance Test
This test is an overnight fasting, followed by drinking a sugar and water solution. Levels will be tested over a period of several hours. If you are not a diabetic your glucose levels will spike and quickly fall after drinking the solution vs. blood glucose levels that rise higher then normal and do not fall as quickly in a diabetic.
Random Test
This is a test that can be taken at any time. A normal range is in the low to mid 100s. In a diabetic, it is best to stay within the 80 mg/dl to 100 mg/dl range prior to eating and no higher then 180 mg/dl two hours after eating. Higher readings cause symptoms of excessive urination, excessive thirst, unplanned weight loss, vision problems, and fatigue. Readings that are too low or high can cause confusion and/or unconsciousness.
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Type 1 Diabetes 2/13/2007 update
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Diabetes is a lifelong disease for which there is no cure yet; however, it can be completely controlled. There are three forms of diabetes, including:
Type 1 diabetes, often called juvenile or insulin-dependent diabetes.
Type 2 diabetes, often called adult or noninsulin-dependent diabetes.
Gestational diabetes, which occurs during pregnancy. Most people who experience Gestational Diabetes will become a Type II Diabetic approximately 10-15 years later.
Type 1 diabetes accounts for about three percent of all new cases of diabetes each year. New cases are less common among adults older than 20.
Unlike Type II diabetes which can be controlled by food alone, and the onset stopped prior to becoming diabetic, by proper eating, weight watch, and exercise, Type I diabetes (sometimes called Juvenile Diabetes) is usually an autoimmune disorder wherein the body's own immune system attacks certain cells within the pancreas, either destroying them or damaging them enough to reduce or eliminate insulin production. Although not fully understood in its causes, some theories of Type 1 diabetes are that it may be triggered by a reaction to an infection, or a lack of Vitamin D. A study was done and infants were given 2000 IU, per day, during their first year of life, reducing the risk of getting Type I diabete by 80%. A lack of Vitamin D tends to happen more in winter months or in areas where there is not enough sunlight. Vitamin supplements should be taken in winter months even for those who do not have diabetes. Most doctors concur that at least 1000 IU should be taken daily. Vitamin D is found in most meat, fish, and dairy products, like cheese.
Another theory some researchers believe is the connection of anitbodies from cow’s milk that creates an autoimmune response (there is more on this subject below). A 2006 study reported that infants who were not breast fed had two times the risk of developing Type 1 diabetes compared to infants who were breast fed for at least three months. Further studies have proven that certain medications can also destroy necessary pancretic cells, resulting in loss of insulin production. Other pancreatic problems such an pancreatitis or tumors can lead to the loss of insulin production.
I stand corrected where I said “Unfortunately those affected by Type 1 are predisposed....” Genetic mapping shows that 85% to 95% of all newly diagnosed cases since 2000 are not predisposed, but made be caused by viruses called CVB4 (read further down for genes that may be involved). The highest areas of children and people being dianosed have at one point in time living in highly contaminated areas of benzene, copper, and lead. According to my one reader, 17 children and 42 adults diagnosed in her town, within the last year, all had a virus three weeks before the diagnosis, and none had a family history of diabetes. In talking to my nephew (and I will be adding his statistics as soon as I get them), their small community also had a rash of Type 1 diabetes, with all the children having a virus shortly beforehand. I also know there are a lot of copper mines in the area in which he lives.
Type 1 diabetes is a lifelong disease that happens when the pancreas produces too little insulin to regulate blood sugar levels appropriately. The metabolism of carbohydrates, proteins, and fats is altered in both Type 1 and Type 2 diabetes, however, in Type 1, the beta cells of the pancrease produce little or no insulin which allows glucose to enter body cells to be used as fuel. Without the correct amount of insulin, glucose builds up in the bloodstream instead of cells and then the body is unable to use it, leading to increased hunger. High levels of glucose in the blood not only cause patients to urinate more, but cases excessive thirst. Normally within five to ten years after diagnosis, the beta cells of the pancreas are completely destroyed and no more insulin is produced.
Because of the sudden onset and severity of Type 1 diabetes, treatment may involve hospialization at first.
Because Type 1 can’t make their own insulin, they must take insulin every day through an injection under the skin, or in some cases an infusion pump delivers the insulin continuously. Insulin is not available in an oral form. Injections are generally needed one to four times a day. Persons needing insulin may have to use more then one type of insulin mixed together to control their blood glucose. Glucose is the source of energy for most cells of the body. Some cells such as the red blood cells and the brain are nearly totally dependent on blood glucose as a source of energy. A certain range of glucose is mandatory in order to make the brain function properly. Too much, or too little glucose can produce both confusion and/or unconsciousness.
Insulin preparations differ in how fast they start to work and how long they last. The health care professional reviews blood glucose levels to determine the appropriate type of insulin the person should use. More than one type of insulin may be mixed together in an injection to achieve the best control of blood glucose.
Because it is imperative that food and insulin work together to regulate the glucose levels, the diet has to be watched very closely. Remember that carbohydrates become glucose and an excess of glucose converts to glycogen, which the liver and skeletal muscles maintain after meals. Glycogen slowly breaks down and goes into the blood via the liver. Excess glucose is also converted into triglycerides.
Physical activity is especially important for people with diabetes because it helps burn off calories and allows weight loss. Blood levels should always be taken before exercising as they will drop, so it may be necessary to eat something before. Never exercise when you have a high reading. There is more about exercising on this page.
The PANDA (Prospective Assessment in Newborns for Diabetes Autoimmunity) Study, conducted jointly by the University of Florida and the Medical College of Georgia, is funded by the National Institutes of Health. This study is trying to identify newborns and infants who have the immunological or genetic “markers” that show a higher risk of developing type 1 diabetes. The “PANDA” study involves three primary goals - determine the risk factor of someone who may develop type 1 diabetes, understanding the mechanisms involved that may lead to the disease, and trying to determine a prevention therapy to stop type 1 diabetes before it does occur.
The “PANDA” study offer a free genetic screening to any infant or child whose parents are interested in knowing the risk of their child’s developing type 1 diabetes. This involves a few drops of blood to be analyzed to deterimine if their are any immunological or antibody factors present. In newborns, the use of a drop of blood taken from the umbilical cord or a prick from their heel can be used for screening. The second part of the study involves two or three teaspons of blood drawn from a vienin the arm to see if there are any antibodies that destroy the insulin producing cells in the pancreas.
In addition to the “PANDA” study, their are other studies being done around the world that are screening 220,800 healthy infants for genes that put them at risk for type 1 diabetes. They anticipate identifying the genes in about 13,000 babies in this four-year study. It is anticipated that half of those infants will embark along with their families on a fifteen year journey that may help cure the disease.
Five years ago the National Institutes of Health decided to investigate environmental “triggers” of the disease that turn the body’s immune system on the insulin producing cells of the pancreas. Six centers were chosen to study the topic of certain risk factors for type 1 diabetes including two major components - genetic and environmental factors. One of the main researches, a molecular geneticist, was quoted as saying that they have ideneified a few genes involved. In 2004 a fourth gene,SUMO-4 was discovered. These particular genes increaes the risk tenfold.
Now comes in the environmental factors, which researchers tend to believe are responsible for the increase of type 1, although they are still elusive. Dr. She, states: “There are many suspects, like cow’s milk and the coxsackie viral infection, that have been suggested as triggers for type 1 diabetes. But the literature is very controversial.”
Another study called “TEDDY” is similar “PANDA” and will follow those with the genes for five years. Records of all illnesses and medications, or visits to doctors will be included in this study whether or not diabetes is suspected. These researchers believe that the start of the disease actually occurs in utero, but they need more information to prove it. Studies of the children will be every three months for the first four years and then every six months until age fifteen. These early years are formative for the immune system. If it is environmental, it is important to know what the child comes in contact with such as infectious agents, viruses, and bacteria that can influence the immune system itself. Everything from stool samples, blood samples and nail clippings will be regularly checked, as well as their drinking water, be it from a well, city, refrigerator or through a filtering system.
Finland and Sweden have the largest rates of type 1 diabetes in the world, so environmental factors are a must in research.
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Gestational Diabetes 2/3/2007 update
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Gestational Diabetes is being found more in pregnant women than ever before. Over a 300% increase has been seen within the last decade due to obesity, and even thin women who have a family history of Diabetes, as well as maternal age. This problem can be eliminated by cutting down on sugar and high carb intake, and more exercise. If you experience high blood sugar readings while pregnant, your chances increase between 30% to 50% of becoming a Diabetic within fifteen years after giving birth.
One optimistic fact is that even if you inherit the genetic risk factor, eating less sugar and high carbs, along with keeping active, can stop the onset of the disease. This is a two prong “win”. You and your baby do not have to go through the risks involved with Gestational Diabetes, and you do not have to become a Diabetic after the pregnancy.
According to the Harvard School of Public Health, researchers found that women who watch TV less then two hours a week are twice as likely to be prone to this problem vs. women who watch TV up to 20 hours a week. They also found that regular exercise can decrease the chance of Gestational Diabetes by 23%, and for those who walked briskly in lieu of a slow pace, it dropped to a 34% chance. Further studies showed that this problem can cause a risk of damage to the placenta causing a difficult delivery, smaller size of baby, and even stillbirth.
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Two out of every three Diabetics die from Heart Attacks or strokes!
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6 People Die From Diabetes Every Minute! 1/26/2007 update
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According to the World Health Organization and the International Diabetes Federation, studies show that six people die of diabetes or its complications, every minute. This equates to four million deaths per year, world wide, and equal to deaths caused by AIDS.
On a global scale, Diabetes has increased from around 171 million in the year 2000, to 246 million today, that is only a six year period. It is estimated that about 380 million people will have Diabetes by the year 2025 if this same rate is applied. Hand and hand with Diabetes is the fact that 80% of all Diabetics are considered obese.
This is a sad commentary when in reality no one HAS to be a Diabetic, and for those that are already in that category, it CAN be controlled by diet. It is time for people to wake up and take responsibility for their health issues.
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Anti-inflammatory May Be New Drug 1/20/2007 update
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Nearly 21 million people in the United States are living with diabetes, and as many as 95 percent of diabetics have type 2 diabetes. Dr. Shoelson says the drug salsalate could change that. It's an anti-inflammatory drug for arthritis that's been around since the 1800s.
New research shows a protein that triggers inflammation is turned on in overweight people and the inflammation leads to insulin resistance. Salsalate shuts off that protein.
Dr. Shoelson states, "We think getting at the cause may have beneficial effects that we have not even anticipated," He also claims the drug lowers triglycerides and may reduce the risk of heart disease.
JA large study is now underway to find out how much impact this drug will have. Researchers are currently recruiting patients at 16 sites across the country. I will bring you more information on this study, once released.
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Is Gila Monster the Answer? 1/20/2007 update
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Excitement about a new diabetes medication based on the saliva of the Gila monster is the new thing. According to researchers the protein in its venom may be the source for a new medication manufacturerd by Eli Lilly and Amylin, and the substance is a protein secreted from grooves in the Gila monster’s teeth, called Byetta through an ingredient called exenatide.
Apparently Byetta has been used with dramatic success in the treatment of type 2 diabetes being caused by obesity. It can lower glucose signifiantly with some patients having reported that their blood sugar has dropped to normal, based on two separate studies. Further, patients reported a weight loss of 5 to 60 pounds. Dr. Gerald Asin has been quoted as saying, "I have patients losing 30, 40, 50, 60 pounds, with hardly any effort. For patients who are obese and have diabetes, this is a wonderful drug." It has also been said that most health insurance companies will now cover this medication under certain circumstances, and currently is the fifth of all brand named drugs used for Diabetes. The drug is self-injected using an easy to use cartridge device.
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Elixir - New Medicine? 1/20/2007 update
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Good news at last, Elixir Pharmaceuticals released new data based on their research that could ultimately lead to a treatment for Type 2 diabetes.
With their focus on metabolic diseases such as diabetes and obesity, their study has been on a hormone secreted by the stomach, called ghrelin. The following has been sited by Elixir: "Ghrelin represents one of the most exciting and well-characterized targets in obesity and diabetes research today because of its central role in regulating metabolism," chief scientific officer Peter DiStefano said in a statement accompanying the release of the new data. "These preclinical data provide compelling evidence and further confirm ghrelin's role in metabolic regulation. Importantly, our scientists have shown pharmacologic inhibition of the ghrelin receptor results in a reduction in fasting glucose levels, reduction in insulin resistance, and weight loss."
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Blood Pressure Medicine May be Culpit 1/20/2007 update
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According to a new study from rush University Medical center, certain blood pressure medicines may lead to Diabetes, both Beta blockers and diuretics, the most common meds used in the USA, where as angiotensin-receptor blockers (ARBs) and angiotensin-converting-enzyme (ACE) inhibitors are the blood pressure drugs least associated with diabetes.
In the study included more the 143,000 people with high blod pressure, but no Diabetes. Some people were given the various type drugs to control blood pressure while others were given a placebo. .
The study showed that risk increased with how long you have taken the medicine, weight, family hisotry, etc.
Britain has now changed it’s postion on how doctors should be prescribing these drugs in light of these findings. They have issued new guidelines, wherein in fact the diuretic and beta blocker combination are not to be used together because of the increased risk. They have now taken the position that a patient at risk may be better off starting out with ACE inhibitors or an ARB.
If however a patient has high blood pressure, had a recent heart attack or kidney disease, then beta blockers will prtect them from another heart attack, as the diuretic will help with the kidney disease, which is more important to take into consideration.
Researchers still feel that a change in lifestyle and anti-obesity drugs are best bused on people impaired with glucose tolerance. A healthier diet and increae in exercise is as effective as taking any drug. Further, it has been found that these canges can reduce the risk of developing Diabetes 2 by around half.
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Diabetes is Killing More People 1/20/2007 update
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Globally, about 18 million people die every year from cardiovascular disease, with diabetes and hypertension as major factors. During the past decade, obesity and Diabetes has joined underweight, malnutrition, and infectious diseases as major health problems threatening the world. Today, more than 1.1 billion adults are overweight, and 312 million are obese. In addition 155 million children worldwide are overweight or obese, according to the International Obesity Task Force.
In the past 20 years, obesity has tripled in countries that have been adopting a Western lifestyle involving decreased physical activity and overconsumption of inexpensive but unhealthy food.
The human and financial costs of obesity are growing as is the higher body-mass index. The increase in type 2 diabetes, cardiovascular disease, and some cancers is tied to excess weight. These two contributing factors leads to the metbolic syndrome and impaired glucose tolerance. 90% of Type 2 diabetes is attributed to excess weight.
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More Info on Diabetes 1/14/2007 update
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According to the American Diabetic Association, there are 20.8 million people with Diabetes in the United States today, with a staggering five million other people who have diabetes and don't know it, and that is why it is referred to as the "silent killer" In a recent story in Ladies Home Journal if diabetes is left untreated, it may lead to heart disease, stroke, kidney failure, blindness, poor circulation and nerve damage which may result in limb amputation. It it is the fifth leading cause of death in the United States." A staggering amount, but completely unnecessary.
Athough there is no cure for diabetes at this point diabetics can be helped to live a long life if they manages their diet, take drugs or insulin injections, if needed, however, exercise effectively and an effort to control their weight is the best course of action..
Type 1 diabetes if found mostly in young children and requires insulin injections. This disease is related to hereidity factors and is called juvenile diabetes. Type II diabetes is more common in older adults, but is quickly droppng in the age category for becoming Diabetic, and does not usually require injections, but some patients may take oral medications, unless their readings are out of control whereby injections are necessary.
Gestational diabetes, is a temporary condition occurring during pregnancy, amd sometimes later develops into Type II diabetes without proper management of diet, exercise, and weight, which was what happened to me.
All types of diabetes require constant monitoring of the blood sugar to prevent complications. To determine if they are at risk for diabetes, persons should have their blood glucose checked yearly and it is in the high range, it is advisable to attend a class conducted by a dietitian and/or nutritionists, or start a proglem like "low carb", where professionals will explain the management of carbohydrates, along with portion control in meal planning. They will encourage the patient to exercise at least 30 minutes per day for at least five days a week. By losing just 10 pounds a person can often bring their blood sugar levels into a normal, healthy range.
Other tips in managing the disease is avoiding excessive snacking, or being careful in what the are snacking on, eating meals at regular times, and being aware of the Glycemic Index (foods assigned a number according to how they affect blood sugar) as well as reading labels to determine the number of carbohydrates in a serving. Remember, there is a difference between "good" and "bad" carbs.
Symptoms of diabetes are excessive thirst, frequent urination, extreme hunger, unusual weight loss, blurry vision, irritability, fatigue, tingling or numbness in hands and feet and recurring skin, gum and bladder infections. It is recommended that if you are over 45 or have a history of Diabetes in your family, or come from a family that is overweight, or you yourself are overwight, you get tested.
If food management and an exercise plan do not bring about a stable blood glucose level, medication may need to be prescribed by a physician. It could be an oral medication, depending on the stage of the disease, or insulin injections. It is much easier to get on a low carb program to either avoid the disease completely, or to control it without medications.
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Beans and the Diabetic 12/27/2006 update
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According to clinical studies, beans can help patients with either type 2 or type 1 Diabetes by reducing their daily insulin intake. A healthy low carb diet recommends beans in the later phases of the program, such as the maintenance phase.
Beans, also known as legumes, have a high carb count but a much lower "net carb" content, due to their high soluble fiber content which means they are digested very slowly, and are low on the glycemic index by helping maintain stable blood glucose levels and healthier glucose metabolism. By eating more beans it will help reduce the effect of high carb foods by lowering the glycemic value of the total meal.
They contain several vitamins and minerals and they are a good source of dietary fiber. Fiber helps protect against digestive disorders and disease. The darker the color of the bean's coat, the higher its level of antioxidant activity. Gram for gram, black beans were found to have the most antioxidant activity.
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Tea Lowers Blood Sugar 12/14/2006 update
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Drink tea and see (literally) since it has been found to inhibit cataracts. Tests done on rats show that tea also lowers blood sugar. A human around 143 pounds needs to drink four and one half 8-ounce cups of tea in order to get the same result as the rats did.
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Neuropathy 10/29/2006 update
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What is Neuropathy? It is far-reaching nerve damage. The nervous system controls or at least contributes to much of your body including your muscle movement, sexual function, digestion, sense of touch (or pain), bowl function, and unstable blood pressure, etc. The most common form we hear about is Neuropathy of the feet. Loss of feeling in the toes or feet can lead to broken bones, ulcers, wounds, and infections which a person may not even be aware of because they have lost the feeling in that particular area. If left unattended, these problems can lead to amputation.
Chances are if you are a Diabetic, you’ve heard or know of Diabetic Neuropathy. If you don’t, you need to learn about this serious complication. Prevention is possible if you work on it by keeping your levels down. Increased blood flow to the nerves enhances the conduction of nerve impluses. This in turn protects the nerves from oxidative damage, inflammation, and vibration perception. Some researchers believe that by controlling the above, it leads to a healthier myelin sheath, which covers the nerves.
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Caffeine and Diabetes 10/28/2006 update
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A study was published in the Journal "Diabetes Care" wherein it was found that drinking coffee may help protect you against diabetes due to a protective affect. While it is not known if it is the caffeine, or some other complex organic compounds, according to the scientists doing the study,
caffeinated coffee reduced the risk of developing type 2 diabetes by as much as 60%. The study also included people at high risk of the disease.
A word of caution here in that caffeine may increase the insulin in some people according to other studies done. A true “low carb” program discourages caffeine, although no caffeine coffee and teas are allowed. As the author of the site, I personally can drink caffeine without any problem with my Diabetes. If you are a Diabetic, try testing yourself before and after drinking caffeine to see what your levels are.
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Real Whole Grain & Diabetes 10/23/2006 update
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A new research from Harvard previously reported that daily consumption of real whole grains, lowered the risk of diabetes in white women, but could also cut the risk in black women by about 30%.
This years attention to real whole grains have received considerable attention, especially in the US where the FDA permits foods containing at least 51 percent real whole grains by weight, are low in total fat, saturated fat, and cholesterol to carry a health claim, which links them to a reduced risk of heart disease and certain cancers.
Similar protective effects were observed for real whole grain consumption, with women with the highest intake (one or more servings a day) associated with a 31 per cent lower risk of diabetes then women who ate less than one serving a week.
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Always check with your doctor before starting any new program, or getting off any medications!
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48.3 Million Diabetics by 2050 9/13/2006 update
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According to the Center of Disease Control (CDC) Diabetes will triple, increasing orginal predictions made just three years ago. That is an increase of three percent living with Diabetes today.
According to Narayan, WebMD, "There is an epidemic going on that -- if left unchecked -- will have a huge effect on the U.S. population and on health care costs due to the consequences such as eyes, more heart isease, and amputations."
Increase breakdown by ethnic background by mid century:
481% among Hispanics
208% among blacks
113% among caucasians
With better health care Diabetics are living longer, but that equates to about a tenth of the growth. The rise in new diabetes cases accounts for almost 90% of the spiral upwards. Predictions may change for the worse due to the obesity epidemic not just in the USA, but around the world. More and more younger people are becoming obese and becoming Diabetic, shortening their lifespan, and running into serious Diabetic complications.
Studies show that with help and encouragement, people with prediabetes can regain healthy blood sugar levels. Although medications seems to be the answer to some doctors, the experts don't seem to be concentrating on the affects of simple carbohydrates as being the culprit as well as lack of old fashion exercise such as walking, bike riding and/or swimming.
Despite all the information and scientific study, it just seems the medical, nutritionists, and pharmacutical industries are looking in the wrong place.
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This Drives Me Crazy 9/11/2006 update
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According to Health & Medicine, taking preventive medications curbs diabetes risk. "Individuals at risk for developing type 2 diabetes who are prescribed the drug metformin should stick with it, doctors say. In a large study, individuals who adhered to a metformin-based diabetes preventive strategy had a reduced risk of developing diabetes, they report."
WHAT PART OF EAT HEALTHY DON'T THEY GET! You don't need medication to prevent Diabetes, but then wouldn't that hurt the pharmacutical industry if people didn't spend more money on pills they don't need? Gee whiz, if we prevented Diabetes by doing what we should be doing anyway (eating healthy), and if already diagnosed Diabetics started doing what they should do (eating healthy), then even our poor doctors would go broke because they wouldn't have to see us so often.
I guess the difference between me and them is that I think in terms of being healthy and they think in economic terms.
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Testosterone 9/9/2006 update
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According to a new study men over the age of 45 who have Diabetes are more then twice as likely to have low testosterone levels and larger waist size according to the ADA. Also, men with chronic conditions, such as obesity, hypertension, hyperlipidemia and asthma, are more likely to have low levels compared to other men.
With screening of more than 2,000 men, it was found that sexual dysfunction to be the most common symptom experienced by men with diabetes and low testosterone. With over an estimated 13 million men in this category, fewer then 10% are receiving treatment and/or are undiagnosed. Low testosterone may include erectile dysfunction, increased fat mass, reduction of interest in sex, reduction of muscle mass, fatique, depressed mood and decreased bone mineral density.
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Get Tested 9/9/2006
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If you are overweight, not very physically active, have high blood pressure, a large waist, low HDL and high triglyerides, or have a family history of diabetes you should discuss this with your doctor and be screened for diabetes by having a glucose test. These are all signs of your being one step away from having diabetes. If you have lucked out to this point, now is the time to do something about it. If, however, you have been recently diagnosed with Diabetes, read this site to learn how to control it (IT IS POSSIBLE WITHOUT MEDICATION), and make up your mind that you are going to control your Diabetes and not let it control you!
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Obesity and Diabetes Related to Cancer 9/9/2006 update
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A new discovery explains how and why obese individuals have a higher chance of developing Diabetes and breast cancer.
The 2006 International Breast Cancer Symposium identified the path through any of a number of white blood cells that will secrete a hormone that supplies nutrients to some malignant tumors. Studies show that this type of hormone will also prevent insulin from entering the bloodstream making the glucose levels to rise, which will ultimately lead to Diabetes. Through numerous studies in an attempt to stop the spread of tumors to other organs in the body, a new medication has been produced that synthesizes the effects of two agents that helps to prevent this. As more information comes out, I will keep you posted.
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Whole Grains and the Diabetic 8/21/06 Update
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Three months ago after my last A1c test, I decided to use myself as a Human Diabetic Guinea Pig after doing a lot of research on true "whole grain" products. I deliberately waited until I had my blood test results since I always want to provide scientific based information (ie. blood tests), and wanted a true baseline. My A1c test was 5.8. As Diabetics know, anything under 6.5 is good, and 6.0 is normal. Having been able to keep my A1c at this level due to eating "low carb", I decided to see on my own if all the things I'm reading and seeing on T.V. were correct.
The results are in, and despite the inclusion of whole grain bread, pita pockets, tortillas, buns, and cereal, I'm happy to tell you that not only did I drop my A1c to 5.7, I also increased my HDL (good cholesterol), decreased my LDL (bad cholesterol), and lost nine pounds of weight by adding more food to my diet - I'd say that is a good deal!
Warning: There are a lot of misleading products on the market, particularly bread products that have the words "Whole Grain" all over the package, but when you read the ingredients it says "enriched" or "processed". What that means is that they took out all the healthy parts of the grain. MAKE SURE that the first two words of the ingredients says "Whole Grain". If not, just put it back on the shelf and go to the next product. You can now safely add these products to your low carb program without worrying about your A1c test coming back bad, or your sugar level spiking and dropping quickly. True whole grains metabolize very slowly in your system, which gives you more variety in your diet. I do want to warn you however, that although true "Whole Grain" helps in controlling your Diabetes, it is not necessarily a part of the true "Low Carb" program especially for the first phase, but those Diabetics lucky enough not to have to lose weight, or a lot of it, and are only concerned about the blood sugar levels, it certainly can be added on since 20 carbs or less, per day, at first can make our sugar drop too low. It is imperative that all Diabetics monitor their levels closely when decreasing carbs.
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Epidemic of Diabetes
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Although the leading cause of death in this county is heart disease, approximately 65 percent of diabetes will die from heart attacks. They also have more than double the risk of stroke than the non-diabetes population.
Diabetes is the leading cause of kidney failure.
73 percent of adults with diabetes have high blood pressure.
60 to 70 percent of people with diabetes have some form of nerve damage.
Diabetes is the leading cause of new cases of blindness among adults 20 to 74 years old.
Diabetic nerve disease is the major contributing cause of amputations of toes, feet and legs.
Diabetics account for 60 percent of lower-limb amputations.
Overweight people have three times the chance to tear their meniscus (the cartilage that bears much of the load on the knee joint), than people of normal weight. The heaviest men and women are 15 to 25 times more likely, respectively, to tear the cartilage. Just one more reason to take this program seriously!
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Hemoglobin A1c Test
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Are you one of those people who say, "I don't know why my sugar is high, I watch EVERYTHING I eat", and the doctor looks at you with a look in his/her eyes that loudly says, "Sure you do!" Watching your diet a few days before the regular blood test by the doctor just doesn't do the trick!
The A1c is a test that tells the doctors what your levels have been for the last three months. In the body, sugar sticks to cells, including proteins. The red blood cells that circulate in the body live for about 3 months before they die, and the A1c test gives the doctor how much sugar has been around during this time period. In most labs, the normal range is 4-5.9 %. In poorly controlled diabetes, its 8.0% or above, and in controlled patients it's less than 7.0%. The A1c gives a more reasonable view of what's happening over the course of time (3 months), then a patient who sticks their finger a couple times a day and insists their readings are good.
By keeping the levels within a controlled amount, this helps to minimize the complications caused by chronically elevated glucose levels, such as progressive damage to body organs like the kidneys, eyes, cardiovascular system, and nerves.
The tests further prove to a doctor if a new course of action should be taken in order to help the patient, such as increasing medications, or insulin.
The test is frequently ordered on newly diagnosed diabetics to help determine how elevated their uncontrolled blood glucose levels have been. It may be ordered several times while control is being achieved, and then several times a year to verify that good control is being maintained.
Depending on the type of diabetes that you have, how well your diabetes is controlled, your A1c may be measured 2 to 4 times each year. The American Diabetes Association (ADA) recommends testing your A1c:
4 times each year if you have type 1 or type 2 diabetes and use insulin; or
2 times each year if you have type 2 diabetes and do not use insulin.
A1c=Equivalent Glucose mg/dl
4%= 60
5%= 90
6%=120
7%=150
8%=180
9%=210
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Why Am I A Diabetic?
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When carbohydrates also known as sugars or starches are digested in our digestive tract they are broken down into a very simple sugar called glucose, D-glucose or dextrose. This sugar is absorbed by the lining of our intestinal tract and enters the bloodstream.
When glucose levels in the blood go up, it stimulates the pancreas to produce the hormone, insulin. Insulin transports the glucose from the bloodstream into the cells, where it is used for fuel. In diabetics, that process is disturbed.
In type II Diabetes, which is associated with excess eating of unhealthy carbs, and obesity, the body is resistant to the insulin that is present. When blood glucose levels go high, this causes much of the damage caused to the eyes, kidneys, and circulatory system.
The more sugar and starches you eat (bad carbohydrates), the greater the rise in blood glucose and therefore the greater the stimulation of insulin production. Susceptible people who eat bad (or unhealthy carbs) may shoot their blood glucose way up. This creates an increase of insulin from the pancreas, which can then cause the glucose level to plummet(drop quickly). This can cause dizziness, heart palpitations, sweating, nausea, shock, or even death. Severe drops in glucose levels over several years can cause brain damage. Rapid fluctuations in blood glucose and persistent high levels contribute to many of the complications of diabetes. When your doctor advises a very tight control of your blood-sugar levels, it is to avoid or delay the onset of these life threatening problems.
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Facts About Diabetes
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According to the American Diabetes Association, approximately 20.8 million Americans have Diabetes, and approximately another 6 million people have it and don't know yet. Two out of every three Diabetics die from heart attacks and strokes. Once diagnosed, a person is told not to eat sugar and a lot of starches, but how many people understand carbohydrates, and the toll they take on your insulin level? The Diabetics I have spoken to depend on their insulin pills or shots to help them, rather then taking control of their diet and bringing down their typically high blood pressure, cholesterol, triglycerides, weight, and insulin levels. This is not the fault of the individual person, as much as the fault of the mis-information and lack of education when it comes to Diabetes, and the availability of healthy foods to eat.
One of the most disappointing facts that I know of is the mis-information that involves the "Diabetic Diet". Most foods that are marketed for Diabetics are extremely high in carbohydrates, and are in turn hurting the very people they are sold to. The same is true of most Diabetic Cookbooks. In the modern world of technology and advancement, Diabetics "have been left out in the cold" when it comes to providing the necessities and education for them to help themselves. Too many Diabetics seek out every "Sugar Free" product they can find, drink diet sodas, use artificial sweeteners, take their medications, and monitor their sugar levels, and still find they cannot bring their levels down, or lose the weight that their doctor keeps talking about. The reason - CARBOHYDRATES! The majority of "Sugar Free" products on the market today are extremely high in carbohydrates, as are the majority of foods sold at the local grocery stores. The "good" news is that many grocery stores are beginning to sell low carb items. Because of the growing number of Americans that are now "low carbing", we will see more and more stores finally catching up with the times. In the meantime, what the stores lack, can be found and purchased through the internet. The purpose of this website is to help you understand why your levels are high no matter what you do, and what a vicious circle you have been living in. There are many things that you can eat that will help you control your Diabetes. Because this program is the same for anyone with Diabetes, or those who just want to lose weight, or improve their health by lowering blood levels, please read all pages of this website for information on how to do the program, why to do the program, and where to buy the foods necessary to control your insulin levels. I am not asking you to take my word, or the word of the estimated 35,000,000 other Americans who now are eating low carb, but instead test out the theory for two weeks and discover the truth for yourself. For a two week period, try eating 20-30 carbs per day. Do not invest any money if you don't want to by purchasing low carb foods, just eat all the meat and eggs you want, the cheese, low carb vegetables and salad vegetables and watch your levels drop. You have nothing to lose, BUT you have so much to gain. Once you try this for a couple weeks, you will see that it works, and at that point, if you want special foods, this site will tell you how, what, and where to get them.
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Inflammantion
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Did you know that a U.S. survey found a link between Diabetes, obesity, and periodontal (gum) disease?
Recent studies have been done that that found Diabetics with periodontal disease have a higher mortality rate. Furthermore, people who are over weight with a high body mass produce cytokines (hormone-like proteins) that help create inflammation and insulin resistance.
While on the subject of inflammation, studies are also being done on the rise of arthritis, allergies and asthma. Other diseases such as Diabetes heart disease and dementia have grown in the last thirty years. It is believed that diet has contributed to these inflammatory diseases, and obesity is one of the reasons.
Because of unhealthy diets, our immune systems are turning against us. We need to stop blocking the enzymes that convert fats to inflammatory messengers, and the only way to do that is to start counting carbs.
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It Can Be Done!
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You can get rid of, or at least cut down on your pills, to lower your insulin levels! As you see your levels going down, always talk to your doctor before you discontinue or cut back on your medication. The more carbohydrates you eat, the higher your levels will be. Ideally, you want to keep your levels between 80 and 120, prior to eating. You can stop giving yourself insulin shots! Many people that switch to a low carb program can manage their sugar levels strictly by the foods they eat. As with pills, never stop medications without first discussing it with your personal physician. By eating foods low in carbs, you will automatically drop your insulin level. You will notice a remarkable difference almost instantly. You can eat breads, desserts, and most foods but you will have to reprogram your shopping and cooking habits. ;Ideally if you want to lose weight quickly, you should try to stay around 20-25 carbs, per day. You will have to monitor your sugar level very closely because most Diabetics will have to increase their carb intake, sooner then others, so their sugar level does not go too low. Remember: COUNT NET CARBS!
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Lessons from a Diabetic Eye Doctor
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How to Avoid Blindness and Get Great Eye Care
Author: Paul Chous, M.A., O.D. Doctor of Optometry
Type 1 diabetic since 1968
We will consider in some detail the several different forms of “diabetic eye disease,” building upon the fundamentals” and stressing the steps every diabetic can and should take to reduce the risk of eye complications. Importantly, many of these risk reduction strategies will have the added benefit of reducing the risk of all diabetes complications, both microvascular (eyes, kidneys and nerves) and macrovascular (heart, brain and large blood vessels).
When thinking about the eye complications of diabetes, most people, including most health care professionals, think of diabetic retinopathy, the process through which the eye’s light sensitive retina is damaged by chronic hyperglycemia. Indeed, diabetic retinopathy is arguably the most important example of diabetic eye disease, as it accounts for more than 22,000 cases of legal blindness each year in the United States, and more than 200,000 cases annually Worldwide. However, diabetic retinopathy, which has several different forms and stages, is itself only one of several completely distinct types of “diabetic eye disease.” Recognition and understanding of each of these particular types will help health care providers and patients alike to recognize specific eye and/or vision symptoms related to previously diagnosed diabetes and, perhaps, to suspect undetected cases of diabetes when a clinical diagnosis has yet to be made. Regular, comprehensive eye examinations are essential.
There are seven different “diabetic eye diseases”: diabetic cataract; glaucoma; diabetic keratopathy; diabetic optic neuropathy; diabetic cranial neuropathy; diabetic retinopathy; and retinal vascular occlusion. Each affects a different part of the eye, from the nerves that control eye movement to the nerve that connects the eye to the brain, from the front surface of the eye to its innermost internal layers.
It is extremely important that all diabetics understand a fundamental distinction between good eyesight and good eye health. The ability to see clearly (on an eye chart test or in the real world) is not equivalent to having healthy eyes. Many patients with serious eye disease have excellent eyesight, and the vast majority of patients who require eyeglasses or contact lenses to see clearly have healthy eyes. Just as for many patients with heart disease or cancer, patients with eye disease often have no symptoms until it is “too late.”
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Safeguards for Diabetics
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First take your blood level, and if your level is higher then 300, do not excerise. Choose an activity that you enjoy so you will stick with it - water exercises are really good, walking, muscle stretching or bike riding. Start slowly and gradually increase the time or speed. Excerise at least three times per week for 20-40 minutes. Ideally, everyday. Allow yourself a warm-up and cool down time. Exercise 30-60 minutes after eating so your blood level does not go too low. Do not do strenuous or prolonged exercise. Do not exercise when medication is peaking. Drink water before, during, and after exercising. If your level is below 100 prior to exercising, eat something to increase it a little. Always carry something to increase your sugar level if you start to show signs of a decreasing level. Exercise with someone who knows you are Diabetic. If you can't, make sure you have some type of indentification that states you are.
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Exercise is good, but Diabetics need to be careful in monotoring their sugar level prior to, and after exercising!
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Insoluble Fiber
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According to Dr. Martin Weickert, a Researcher at the German Institute of Human Nutrition led a clinical trial based on fiber.
This type of fiber does not dissolve and passes through the digestive system intact. Although it is not known why, some studies using insoluble fiber have been linked to lower Diabetes risk.
A group of overweight women tried, for three days, to eat a diet including breads with insoluble fiber, while another group ate low fiber breads. After a few days the fiber-rich bread measures of insulin improved.
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Do You Take Zyprexa (Olanzapine)?
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If you feel you have developed Diabetes and/or pancreatitis caused by taking ZYPREXA (Olanzapine) approved by the FDA in 1996, which is a drug used for the treatment of psychiatric disorders, such as schizophrenia and bipolar disorder, then you should learn more about the subject by Click here!
It has been theorized that Zyprexa causes diabetes by poisoning the pancreatic beta cells causing them to die off.
The Zyprexa-victims site documents efforts to seek recovery and compensation for causing Diabetes - Eli Lilly Drug Company.
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Diabetes Caused by Kidney Stone Treatment?
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The Mayo Clinic in the US research team, compared patients who had been treated in 1985 with shock wave lithotripsy, to patients given other non-surgical treatment in the same year. Nineteen years later, the patients having the shock wave lithotripsy treaments were four times more likely to develop Diabetes compaired to other persons who received a different type of treatment. Even worse, if both kidneys were treated, these patients were at a significantly higher risk of having high blood pressure.
The researchers suggested that tissue damage caused by the shock waves could create the side-effects of Diabetes and high blood pressure because of damage to the tissues of the pancreas.
To find out more, these findings are published in the Journal of Urology.
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Clinical Trials
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Both the University of Arkansas and similar research in Finland shows that in clinical trials, Type 2 Diabetes can be prevented, as well as heart disease and some forms of cancers. Losing 7 to 10 percent of your current body weight can reduce the chance if you are over weight. Inactivity, smoking, and eaating less carbohydrates are all factors that contribute to these diseases.
Lets talk about exercise. You do not have to exercise long or hard, but working muscles often and harder improves their ability to absorb glucose and use insulin, as well as putting less stress on our insulin making cells.
Try eating more whole grains, but make sure the first ingredient listed says "Whole Grain", not enriched wheat flour or something else.
Choose eating "healthy" fats, not trans fats. Good fats are those found in fish, cannola oil, olive oil, and nuts. Trans fats are found in a lot of margarines, packaged foods and in most fried foods at restaurants. Do not eat "partially hydrogenated vegetable oil". If you don't like fish, try taking Omega 3 capsules or Flax Seed Oil capsules to decrease your chance of heart attack.
SOURCE: American Journal of Clinical Nutrition, February 2006.
NEW YORK (Reuters Health) - A diet high in whole grains may lower a person's likelihood of developing diabetes and heart disease, new study findings show.
Among more than 900 healthy men and women, those who reported consuming the most whole grains had lower levels of cholesterol and various markers of heart disease and better-controlled blood sugar.
"This suggests that people with a high whole-grain intake may have lower risks of diabetes and ischemic heart disease," study author Majken Karoline Jensen, of Aarhus University Hospital in Denmark, told Reuters Health.
Jensen and colleagues found that healthy men and women who reported the highest intake of whole grains had levels of homocysteine, a blood protein that has been tied to heart disease and stroke, that were 17 percent lower than those who reported consuming the least amount of whole grains.
Apart from the better cholesterol and blood sugar levels, levels of insulin and C-peptide, a marker of insulin production, were also 14 percent lower in the high whole-grain consumers, the researchers report in the American Journal of Clinical Nutrition.
Furthermore, concentrations of leptin, a hormone that generally reflects body fat levels, were 11 percent lower among the whole-grain eaters than among their counterparts.
"Together with a growing body of evidence on the effects of refined carbohydrates versus whole grains, our study suggests that replacing refined grain products with whole grain products may be beneficial in terms of lowering cholesterol levels and maintaining a constant blood sugar," Jensen told Reuters Health.
MEMORY
Another study was done showing that good blood glucose control improves short term memory vs. high levels can impair memory as pusblished in the February 2006 issue of "Diabetes Care".
After a 24 weeks clinical trial it was observed that those people who lowered their level, and the group who had already controlled their level improved when taking memory tests.
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Voice of the Diabetic
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"Voice of the Diabetic" is a free quarterly magazine produced by the National Federation of the Blind, Diabetes Action Network. This new Diabetic magazine is very informative and carries many articles relating to Diabetes. It is worth receiving and give you a lot of hints and information for making your life better. You can find them at http://www.NFB.org/voice.htm
Their site will have a form to print out to sign up for a subscription. The newest issue contains articles on:, We have a future So what can you do? New Diabetic Neuropathy Medication Read the label carefully Insulin-free: Pancreas and islet transplantation to treat type 1 Diabetes An aspirin a day Beginning carb counting: Ten cost-cuting tips Reflecting on Obesity Opening blind eyes to science Medicare therapeutic shoe progam Anondyne Therapy and Diabetic Pripheral Neuropathy Diabetes, heart attacks and strokes Diabetes: First impressopms A wothwhle book Dealing with Diabetes
Day-to-day Ask the doctor New treatment or diabetic foot ulcers Living with
Diabetes 50 years Amputations due to diabetes can be prevented Healthy home cooking Recipe corner Book Reviews Diabetes: Where we are today, where we will be tomorrow Resource Roundup
Episodes of Hypoglycemia while sleeping? If you are like me you check your sugar level prior to going to sleep to make sure your sugar isn't going to go too low. There is a new product out called "Sleep Sentry" that is worn on the wrist. As you sleep, your wrist can perspire and you could have a drop in body temperature. These are symptoms of a low blood sugar. Should this occur, the "Sleep Sentry" will set off an alarm so you can do a blood test. You can find more about this tiny but important tool for Diabetes by checking the website http://www.sleepsentry.com.
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Eye Complications
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You may have heard from the American Diabetes Association that Diabetes causes not just eye problems, but can lead to blindness.
Most Diabetics have nothing more than minor eye disorders. However, if you do develop a major problem, there are treatments that often work well if you begin them right away.
Glaucoma
Diabetics have a 40% more chance of suffering from Glaucoma then others. Risk increases with age and the longer someone has had diabetes.
Glaucoma is a result of pressure building up in the eye. In most cases, the pressure causes drainage of the aqueous humor to slow down so that it builds up in the anterior chamber. The pressure pinches the blood vessels that carry blood to the retina and optic nerve. Vision is gradually lost because the retina and nerve are damaged.
There are several treatments for glaucoma. Some use drugs to reduce pressure in the eye, while others involve surgery.
Cataracts
People with diabetes are 60% more likely to develop this eye condition, and also tend to get cataracts at an earlier age while progressing faster then in others. Cataracts cause the eye's clear lens to cloud, blocking light.
Wearing sunlasses more often and using glare-control lenses in regular glasses will help deal with mild cataracts. Sometimes the doctor will have to do surgery on cataracts as they get worse. Normally, the doctor usually remove the lens of the eye. Sometimes the patient gets a new transplanted lens. In people with diabetes, retinopathy can get worse after removal of the lens, and glaucoma may start to develop.
Retinopathy
A general term for Diabetic retinopathy covers mostl disorders of the retina caused by diabetes. Retinopathy is the major cause of blindness in people with diabetes. There are two major types of retinopathy: nonproliferative and proliferative.
Nonproliferative retinopathy is the most common form of retinopathy. In nonproliferative retinopathy, capillaries in the back of the eye | | | |