Tuesday, 31 January 2012

Thyroid Dysfunction in Diabetes

Thyroid Dysfunction in Diabetes

Thyroid dysfunction is common in the general population and the prevalence increases with age. The assessment of thyroid function is both reliable and inexpensive. Screening for thyroid dysfunction is indicated in certain high risk groups. 

Hypo thyroidism is the most common thyroid disorder in adult population. Diabetic patients have a higher risk of thyroid disorders compared with the normal population. The presence of thyroid dysfunction may affect diabetes. Hyper thyroidism is typically associated with worsening glycemic control and increased insulin requirements. In practice, there are several implications for patients with both diabetes and hyperthyroidism.

Symptoms of hypothyroidism in people with type 2 diabetes are:
    • Fatigue
    • Weight gain
    • Feeling cold and dry skin
    • Heavy menstrual cycles
    • Constipation and a slow down in the thought process.

Sub clinical hypothyroidism is defined as characterised by a normal serum-free thyroxin level and elevated serum thyrotropin. Hypothyroidism is accompanied by a variety of abnormalities in plasma lipid metabolism, like elevated triglycerides and low density lipoprotein, metabolic dysfunction and obesity, hypertension and insulin resistance. This in turn further increases the risk of coronary artery disease.

Sub clinical hyperthyroidism is associated with an increased risk of atrial fibrillation and increased cardio vascular mortality. Tri iodo thyronine increases cardiac output by affecting tissue oxygen consumption, vascular resistance, cardiac contractility and heart rate. Thyroid hormone increases blood volume, as a result of the decrease in systemic vascular resistance and a fall in effective arterial filling volume. Tachycardia is common at rest. The hemodynamic changes typical of  hypothyroidism are opposite to those of hyperthyroidism. The most common signs are bradycardia, hypertension narrowed pulse pressure.

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Tuesday, 22 November 2011

Diabetes Eye Complications

What are diabetes problems?

Too much glucose in the blood for a long time can cause diabetes problems. This high blood glucose, also called blood sugar, can damage many parts of the body, such as the heart, blood vessels, eyes, and kidneys. Heart and blood vessel disease can lead to heart attacks and strokes. You can do a lot to prevent or slow down diabetes problems.This booklet is about eye problems caused by diabetes. You will learn the things you can do each day and during each year to stay healthy and prevent diabetes problems.

Diabetic Eye  Problems

Diabetic retinopathy happens when diabetes damages the tiny blood vessels inside your retina. You may not notice at first. Symptoms can include

    * Blurry or double vision
    * Rings, flashing lights or blank spots
    * Dark or floating spots
    * Pain or pressure in one or both of your eyes
    * Trouble seeing things out of the corners of your eyes

Finding and treating problems early may save your vision. Treatment often includes laser treatment or surgery. Diabetic eye disease has no warning signs. Finding and treating the disease early, before it causes vision loss or blindness, is the best way to control diabetic eye disease. If you have diabetes, make sure you get a dilated eye examination at least once a year.

What happens as diabetes retina problems get worse?

As diabetes retina problems get worse, new blood vessels grow. These new blood vessels are weak. They break easily and leak blood into the vitreous of your eye. The leaking blood keeps light from reaching the retina.You may see floating spots or almost total darkness. A detached retina can cause loss of sight or blindness if you don't take care of it right away.

Prevention of Diabetes

Follow the healthy eating plan that you and your doctor or dietitian have worked out.
Take your medicines as directed
Check your blood glucose every day.
Check your feet every day for cuts, blisters, sores, swelling, redness, or sore toenails.
Control your blood pressure and cholesterol.

What can I do to prevent diabetes eye problems?

Keep your blood glucose and blood pressure as close to normal as you can.
Have an eye care professional examine your eyes once a year.  The eye care professional will use drops to make the black part of your eyes-pupils-bigger. This process is called dilating your pupil

Drink Lots of Fluids

Drink plenty of sugar-free fluids to keep your body from getting dried out (dehydrated). Drink at least 12 8-ounce cups of fluid a day.Fluids you can drink if you are dehydrated are:

    * Water
    * Club soda
    * Diet soda
    * Tomato juice
    * Chicken broth

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Monday, 29 August 2011

Natural Diabetes Cure

Natural Diabetes Cure

Diabetes Daily Care is a highly effective, natural treatment for diabetes.A natural cure for diabetes should come from within your body.The complexity of diagnosis of natural diabetes treatments is further increased by the various types of diabetes understanding diabetes and symptoms and the exclusive medication required for each type.  

Type 1 diabetes is caused by the inability of the body to produce insulin altogether which results in increased blood sugar levels because insulin aids in the proper dissipation of glucose into the blood. This type necessitates total dependence on insulin injections. The other type of diabetes, type 2 is the most commonly occurring form of the disease. It is caused by the insulin deficiency and the failure of the body to utilize the insulin secreted by pancreas. The stark effect of this is obesity and is easier to control with natural diabetes treatments.

A typical  vegan diet includes lots of:

     Take fresh fruits daily
     Take fresh vegetables
     Take nuts and seeds
     Take soaked grains and beans
     Take sprouts
     Drink fruit and vegetable juices
     Take seaweed
     Drink coconut milk

Diabetic Diet

Fruits, vegetables, nut and dairy products make a good diabetic diet. Raw vegetables are the excellent choice and can be taken in large amount. Cooked food increase the level of sugar in blood stream when compared with unpeeled and raw food. Cooking of the vegetables destroys most of the enzymes and some minerals and vitamins.

Grapefruit, Indian blackberry, banana, fig, apples, pomegranate, cranberries, kiwifruit and citrus fruits are good examples of healthy diabetic fruits. These fruits can be taken as snacks. Radish, carrots, spinach, onion, lettuce, cucumber and other dark green leafy vegetables are good for diabetics. Fruit juices can be taken only in moderate amount but there must not be any added sugar in it. Vegetables of different dark colors are good for triggering the pancreatic function. Sprouted alfalfa and brewer’s yeast are good for diabetics and are vital for controlling diabetes.

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Monday, 8 August 2011

Yoga for Diabetes

Prevention of Diabetes- Yoga

 Prevalence of diabetes is increasing in Indian subcontinent. People are yet to gain knowledge about diabetes and related disorders. Widespread awareness is needed to be created among the general public about prevention of diabetes. So this study is focused to stress the importance of diet control, physical activity, walking and yoga in delaying the onset of diabetes in prediabetic subjects who have a positive family history of diabetes.

         1. Study the effect of yoga to prevent/delay the onset of diabetes in prediabetic subjects
         2. To study the effect of Yoga / OHA on newly diagnosed diabetic subjects
         3. To study the effect of Metformin intervention in the treatment of metabolic syndrome

Yoga to prevent/delay the onset of diabetes in prediabetic subject

Anthropometric measurements are taken, biochemical details like GTT values, Lipid profile and HbA1c details will be collected. Plasma and serum samples are collected and stored for estimation of biochemical markers. Subjects are motivated for diet control and physical activity, walking and yoga, during baseline visit and follow-ups. Finally at the end of 2nd year the final data collection for anthropometric and biochemical details will be done. Out come of the study will be assessed by comparing baseline and 1 year and 2 year follow up details.
Yoga / OHA on newly diagnosed diabetic subject

This study was planned to study the effect of Yoga / OHA on newly diagnosed diabetic subjects. Newly diagnosed subjects who are not under any medications previously and those subjects who are diagnosed positive for diabetes in this center are selected.

Metformin intervention in the treatment of metabolic syndrome
Metabolic syndrome is a combination of medical disorders that increase the risk of developing cardiovascular disease and diabetes. It affects one in five people, and prevalence increases with age. The dominant underlying risk factors for this syndrome appear to be abdominal obesity and insulin resistance. Other conditions associated with the syndrome include physical inactivity, aging, hormonal imbalance and genetic predisposition.

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Tuesday, 14 June 2011

Diabetes Cure

Diabetes Cure 

Diabetes is a blood sugar disease a disease in which the body either does  not produce or does not property utilize insulin. Diabetes or Diabetes Mellitus is a condition wherein a person’s body is unable to regulate the glucose level in blood. These glucose levels are controlled by a hormone called insulin. The disturbances in the level of insulin lead to increase in glucose levels in blood, resulting in Diabetes mellitus.

Symptoms of Diabetes

  • weight loss
  • frequent urination                                      
  • deep breathing
  • vomiting
  • itchy skin
  • sores that take time to heal
  • abdominal pain
  • blurred vision
  • numbness of hands or feet
  • frequent skin, gum or vaginal yeast infections
Cure for Diabetes

Diabetes cannot be cured completely, but can be effectively controlled. People with diabetes can lead a healthy life if, their blood glucose level is under control. The decrease in life span of a diabetic is restored to normal by maintaining good blood glucose control (90-130 mg/dl at fasting and with less than 180 mg/dl 2hrs after meals).

Sometimes, patients may not need any tablet/insulin or, even diet control to keep their blood glucose in control. This period is called honeymoon phase (in Type-1 diabetes). The duration may vary from a few days to over six months. Some patients mistake this for cure of diabetes.

Cardiovascular disease accounts for 70-75% deaths in diabetic people with acute myocardial infarction being responsible for 30% mishaps. Diabetes typically doubles heart attack risk in men and triples in women.

Heart Disease

Most people are likely to react like this. But you must realize that while you may not have a heart problem now, your lifestyle and habits may increase your risk of a heart attack. Indians are genetically prone to heart ailments and according to World Health Organization (WHO) reports, by the year 2010, Indians will constitute about 60% of the total heart patients in the world. But the good news is that the power to manage heart disease is in your hands.

Pregnancy with Diabetes

Physiologically and nutritionally pregnancy is a highly demanding period. The mother’s diet and health during pregnancy has great influence on the foetus. Normalization of blood glucose levels during pregnancy is extremely important for women who have pre existing diabetes (or) who develop Gestational Diabetes. Medical Nutrition Therapy (MNT) is important not only to meet the increased nutrient needs of the mother and the developing foetus, but also to assist in optimizing blood glucose levels.Increased demands of nutrients occur mainly in the third trimester as it is the period when the foetus achieves maximum growth.

·         Adequate calories and at least 60 g protein is necessary in the diet to be followed during pregnancy.
·         This has to be adequately supported with vitamin/mineral supplements (especially iron, folic acid, and calcium).
·         The diet must include complex carbohydrates, low fat protein and low fat dairy products.
·         Small frequent feeds throughout the day, (3 meals and 3-4 snacks) are better during Pregnancy.
·         Regularity in meal times and insulin regimen should be stressed.
·         Avoid smoking and alcohol during pregnancy.
·         Monitoring blood glucose, HbA1c, lipids, Blood pressure & integrate insulin with appropriate diet plan.
·         Weight gain should be monitored. The weight gain pattern would be similar to that of pregnant women without diabetes.
·         A regular daily walking regimen of 30 min/day should be followed.

Natural Diabetes Cure
Lack of exercise
High blood pressure
There are 3 components to a natural diabetes cure

1.      Diet: The single most important change any diabetic or person at risk can make is to improve their diet. Diabetic diet will reduce blood sugar, reduce insulin levels, and reduce the need for medications
2.      Exercise: Exercise is of great benefit to diabetics and can reduce the risk of developing type 2 diabetes. Regular physical activity helps reduce weight, lower blood sugar, improve insulin sensitivity, strengthen the immune system, improve circulation, lower blood pressure, cholesterol and reduce risk of heart disease. 
3.      Nutritional Supplements: supplements are very effective in helping to lower blood sugar and insulin levels, reduce cholesterol levels, reduce triglyceride levels, reduce blood pressure, improve energy, and reduce the risk of heart disease.

Mainstream medical doctors often treat peripheral neuropathy with pharmaceutical drugs, but they all have serious side effects, including dizziness, sleepiness, dry mouth, blurred vision, weight gain, nausea, headache and in serious cases, allergic reaction and confusion, among others.
      People with diabetes must control blood sugar levels to help slow further peripheral neuropathy development.
              People who suspect vitamin deficiencies should see a holistic physician for blood level tests and to help them establish a healthy diet and vitamin protocol. They must also avoid or greatly reduce alcohol consumption. Those having chemotherapy should alert the supervising doctor immediately if numbness or tingling starts in their feet or hands. The doctor may be able to alter the drugs somewhat to keep the neuropathy from escalating.