How to prevent diabetes: Tips

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Showing posts with label Tips. Show all posts
Showing posts with label Tips. Show all posts

Monday, March 20, 2017

Exercises to Avoid When You Have Diabetes

5:10 PM 0

Regular physical activity is an important part of a healthy lifestyle when you have diabetes. It is good for your cardiovascular system and can help control blood glucose levels. However, there are times when you need to be careful about exercising with diabetes.  If you have certain diabetes complications, there are exercises that you should avoid. Michael See, MS, RCEP, Clinical Exercise Physiologist at Joslin Diabetes Center, discusses certain situations that may require you to modify your fitness program
The following complications may affect your exercise routine:.
Proliferative diabetic retinopathy (PDR)—Patients with diabetes and active PDR should avoid activities that involve strenuous lifting; harsh, high-impact activities; or placing the head in an inverted position for extended periods of time.
Diabetic peripheral neuropathy— Diabetic peripheral neuropathy may result in loss of sensation and position awareness of your feet. Repetitive exercise on insensitive feet can lead to ulceration and fractures. “Limit your choice of exercise to low impact or non-weight bearing activities,” says See.
Advanced kidney disease— Individuals with diabetes and advanced kidney disease can engage in moderate intensity activities, but should avoid strenuous activity.

High blood glucose levels— Individuals with type 1 diabetes should avoid exercise if fasting blood glucose is higher than 250 mg/dl and ketones are present. Caution should be used if glucose levels are higher than 300 and no ketones are present.  Individuals with type 2 diabetes should avoid exercise if blood glucose is higher than 400 mg/dl.  Monitoring blood glucose before, after and possibly during physical activity is necessary to keep blood glucose within an appropriate range.
Always consult with an exercise or health care professional before beginning any fitness program.
(Resoure: http://www.joslin.org/info/exercises_to_avoid_when_you_have_diabetes.html)

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Friday, March 10, 2017

Yoga Poses for diabetes

5:49 PM 0


Anyone can be at risk for diabetes. And today in this video we will show you how to protect yourself with simple yoga poses. Regular practice of yoga can help reduce the severity of diabetes. The twist yoga poses help to stimulate the abdominal organs. The squeezing and releasing action of these yoga asanas enhances the blood flow to the organs and increases the ability to produce insulin.

Diabetes - Recognition and Prevention
The most common types of diabetes mellitus are type-1 and type-2 diabetes. Diabetes mellitus affects the body's ability in metabolising sugar, using the hormone insulin. Insulin helps the cells use the simple sugar glucose which is needed for repair, growth and energy.

In Type-1 diabetes, the body produces little or no insulin so those with this type of diabetes will need to be on insulin therapy life long. Where as in the case of type 2 diabetes, the body produces plenty of insulin but cells are unable to use it.

In either case, the body fails to properly process sugar. Excess sugar can damage the large and small blood cells in your body. It can also damage organs, the most vulnerable ones being: eyes, heart, feet and kidneys.
Symptoms commonly associated with diabetes:

Urinating often: Your body tries to get rid of more fluid to balance your urine, which otherwise has too much glucose.

Excessive thirst: Your body lets you know that you need to replace the fluid being lost to excess urination.

Excessive hunger: When your body cells don’t receive glucose, your body interprets this as feeling hungry.

Wounds that do not heal: Your blood circulation is altered and can no longer promptly deliver the materials your body needs to repair wounds, particularly in the lower extremities.

Rapid weight loss: Glucose can no longer be used by body cells for energy, and hence your body draws on fat reserves, resulting in weight loss.

Dizziness/giddiness: You will experience dizziness because your cells do not have enough sugar, because you are dehydrated, because your blood pressure has been altered or because of damage to your nerves.

Prevention of diabetes:

Sedentary lifestyle is the biggest enemy and hence physical activity is critical. At least include 30 minutes of physical activity into your schedule that will make you breathe faster and increase your heart rate. If you drink alcohol, consume in moderation.

Reducing stress and getting enough sleep will take you a long way, but only if complemented by increased physical activity and altered eating habits. Many people feel that regular meal timings can help prevent diabetes. Pay attention to what you eat. Take small, frequent meals. Add less sugar to tea and coffee. Here are some additional tips you can use while cooking: Include more vegetables in your diet. Switch from white to brown rice, which has more fibre. Cook with olive, sunflower or gingili oil, which contain healthy fats. Use non-stick pans, thereby cut down on oil intake. The lifestyle changes recommended here will not only help prevent diabetes, but will keep you healthier and give you more energy in general!





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Aspirin no heart protection for diabetics

5:39 PM 0

LONDON, Oct 17 (Reuters) - Doctors should not routinely give aspirin to people with diabetes to help guard against a heart attack or stroke, a British study found on Friday.

While it was effective for those who had already developed heart disease or suffered a stroke, regular aspirin offered no benefit for patients with diabetes and a common circulatory problem, researchers said.

"Although aspirin is cheap and universally available, practitioners and authors of guidelines need to heed the evidence that aspirin should be prescribed only in patients with established symptomatic cardiovascular disease," William Hiatt of the University of Colorado wrote in an editorial.

Hiatt was writing in the British Medical Journal, which published the findings.

The study led by Jill Belch and colleagues at the University of Dundee in Scotland included data on 1,276 men and women who had never had a heart attack or stroke but were at high risk because they had diabetes or peripheral arterial disease.

The researchers gave some people either aspirin or a placebo and others an antioxidant or placebo. They found that after eight years the number of heart attacks and strokes was about the same.

The researchers noted that aspirin remains effective for reducing risk among men and women who have already had a heart attack or stroke.

"We found no evidence to support the use of either aspirin or antioxidants in the primary prevention of cardiovascular events and mortality in people with diabetes," Belch and colleagues wrote.

"Aspirin should, however, still be given for secondary prevention of cardiovascular disease in people with diabetes."

While aspirin can cause stomach bleeding, the benefits still outweigh the risks for certain people, researchers said.
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Wednesday, March 8, 2017

Managing diabetes during a sick day

7:14 PM 0



The flu or a common cold can sneak up when you least expect it. The best defense for someone with diabetes, other than mom's homemade chicken noodle soup, is a ready-made sick day plan.
A solid sick day plan includes several key items. And when you have it when you need it, you'll be less stressed and will heal more quickly.

Stay Hydrated and Nourished
Eating and drinking can sometimes be difficult, especially with the flu, but it's important to keep to your standard meal plans if at all possible. Some ideal foods to have on hand include broth-based soups, sugar-free gelatin, juice, crackers, and applesauce. Also, pushing fluids can help your body heal more quickly.

Monitor Your Sugar Levels
Check blood sugar levels frequently during a sick day. Many sicknesses come with additional stress that can wreak havoc on your blood sugar numbers, but staying on top of it with additional, frequent testing is the best option. Document your readings and look for patterns and ways to improve.

Watch Your Meds
Not only should you be watching your diabetes medication, but you should also monitor any cold or flu medication you take. Many medications contain small amounts of sugar. Some medicines, like large doses of aspirin, can lower blood sugar levels, so read labels carefully before you buy.

Know Your Numbers
Keep your health care providers' phone numbers in a handy place, and know when to call them. If you have been sick for 2 days without getting better, if you have a persistent fever, or if you have ketones, it's definitely time to call.

The Last Resort
If you must go to the emergency room or see another doctor during an illness, remember to have any insurance information, a list of all meds you take, and diabetes identification.
Partner with your endocrinologist and nutritionist to finalize your sick day plan. The best thing you can do is plan ahead to avoid any emergencies. Even though it's important to have on hand, hopefully you won't need it for quite a while!
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Keeping well with diabetes

7:12 PM 3

  
Keeping well with diabetes
Easir Abedin

By following a diabetes treatment plan, you are trying to keep an even balance of glucose and insulin in the blood at all times. Just like on the ocean, 4-foot waves are fine and normal, but 12-foot waves can mean rough sailing ahead! Since extremely high or low blood glucose levels are hard on your body, it is important to try to keep your blood glucose levels as even as possible to avoid long-term complications. It is important to understand the effects that stress and illness can have on your blood glucose levels and be prepared to handle them effectively.

Stress

In response to daily stresses and strains, our bodies will often tap into their stored glucose supplies. By doing this, we fuel our cells to make the extra energy we need to get us through a tough situation. Of course, sudden supplies of new glucose in the bloodstream can raise the level rather quickly.

Several things cause stress responses within the body:

Sudden fright or anger 

Fever or infection 

Growth spurts 

Rapid weight gain

Illness

As with other kinds of stress, illness often makes the blood glucose goes up. Things like a bad cold, the flu, or a serious injury can increase your need for more glucose. The body often responds to illness by pumping stored glucose into the system. This is why it is important to keep taking your insulin, even though you may not feel like eating. Without insulin, your body glucose level can soar too high to control. The doctor will have special instructions to help you.

Prevention is key!

To prevent serious cases of hyperglycaemia, it is important that you never stop taking your insulin. When you are sick, check your blood glucose frequently and take extra insulin (as directed by your physician) when you blood glucose is too high.

Complications

Finding the right balance of nutrition, exercise, and insulin and/or oral medication is the key to living well with diabetes. Working day-to-day to achieve good blood glucose control is essential to avoid complications.

Hypoglycaemia

Hypoglycaemia, or 'hypo', occurs when blood sugar levels are too low and fall below 4 mmol/L.

Hypoglycaemia happens most often to people who use insulin; however, people who use oral medications can also experience hypoglycaemia.

It can be caused by:

Too little food, skipping meals or snacks 

Taking alcohol 

Doing extra exercise without taking extra food 

Taking too much insulin

A drop in blood glucose can happen suddenly and can be dangerous. It can cause you to faint if not treated right away. Most people can tell when their blood glucose level is low.

Hypoglycaemia occurs most frequently during the night or before lunch.

The symptoms of hypoglycaemia include:

Nervousness 

Fainting 

Feeling dizzy or confused 

Hunger 

Confusion and trouble thinking clearly 

Headaches and vision changes 

Mood changes 

Sweating

What to do

If you experience any of these symptoms, check your blood glucose level.

If you cannot do a blood glucose test right away, stop all activity and take some form of glucose. If your blood glucose levels are low, the important thing is to get some glucose into your bloodstream right away!

Eating or drinking something that changes into glucose quickly is the best way, like half a cup of fruit juice, or three dextrose tablets or some hard candies. Important: Diet soft drinks and artificial sweeteners should not be used to treat low blood glucose.

When you start to feel better, eat your next meal early, or have a good snack or meal to make sure your blood glucose does not start to fall again.

Drug stores sell special glucose gels or tablets for this purpose. You should carry them with you always.

It is also a good idea to keep extra snacks and glucose tablets in your car, at work and on your bedside table, just in case.

Having a hypo does not necessarily mean that you are not controlling your diabetes.

Why did the hypo occur?

If you have a hypo, ask yourself the following questions:

Have I missed a meal? Was my meal late? Did I eat less than usual at my last meal? 

Did I give myself the correct dose of insulin at my last injection? 

Have I been especially active in the last hour? Did I remember to take some extra carbohydrate before I started?

If symptoms occur frequently, tell your doctor, as you may need to change your insulin dose.

Severe hypoglycaemia

Occasionally, you may not spot your warning signs for hypoglycaemia and you may become unconscious. If you become unconscious and cannot swallow, than you may need an injection of glucagon.

Glucagon is a hormone that occurs naturally in our bodies and it will raise your blood glucose level by a small amount for a short while. It forces the body to make more glucose - in a hurry. You should return to consciousness almost immediately after it's given.

Some people with type 1 diabetes keep a ready-to-use glucagon kit on hand, just in case.

It is important that someone in your family (or a friend) knows how to give you this injection. Explain to your family how to care for you if they find you unconscious.

If glucagon is not available, they should call for emergency assistance and advise that you are a diabetic. They should not try to give you anything by mouth.

Hyperglycaemia

Hyperglycaemia, or 'hyper', occurs when blood glucose levels are too high, usually over 11 mmol/L, when the blood glucose measurement is taken 1-2 hours after a meal.

Hyperglycaemia occurs when there is too little insulin in the blood. It can lead to ketoacidosis, a condition in which acetone-like substances called ketones are excreted in the urine.

Hyperglycaemia and ketoacidosis can happen if you stop taking insulin, you reduce your insulin dose, or if your sensitivity to insulin decreases.

Periods of illness, such as urinary or respiratory tract infections, are times when hyperglycaemia can easily occur.

Hyperglycaemia and ketoacidosis are typically present when you first discover that you have type 1 diabetes.

Hyperglycaemia can be caused by:

Too little insulin

Did you skip the last dose or give too little?

Too much food

Did you over-eat during the last few hours?

Exercise

Did you forget to do or change the time?

Stress or illness

Are you getting ill? Under unusual pressure? Going through a difficult or exciting emotional experience?

When signs of hyperglycaemia appear, it is important to take immediate action.

Symptoms of hyperglycaemia include:

Extreme thirst and dehydration 

Extreme tiredness and drowsiness 

Stomach cramps 

Dry and flushed skin 

Frequent urination 

Rapid and deep breathing 

Fruity breath odour (acetone-like breath)

But others get no signal at all. Remember you can run a quick blood glucose test at any time, just to check things out.

If your blood glucose is high and your urine shows ketones, contact your doctor immediately.

Long-term complications

Three very important things that you need to take care of right from the start of a diagnosis of diabetes are:

Your feet

Diabetes is hard on the nerves, especially in your feet and legs. This can cause you to lose feeling in these areas and make your feet vulnerable to injury or sores that you may not discover immediately.

Protect your feet by wearing soft, well-fitted shoes that are comfortable and don't rub or pinch anywhere.

Never go barefoot! Hot temperatures or sharp objects are harder to feel, so it's easier to get burned or cut without noticing it. An infection could set in before you know it.

Be sure to cut your toenails so that they have no rough places or sharp corners.

Keep your feet clean. 

Keep your feet dry. 

Keep your feet soft using lotion (except between the toes) and powder. 

Keep your feet safe - always wear shoes and socks. 

Buy good walking shoes - they are worth the money.

Podiatrists specialize in taking care of feet. They can help you care for things like calluses or corns and will give you excellent advice about how to protect your feet from possible problems.

It is important to check your feet every day to catch problems early. Every time you shower or bath, take time to check your feet for breaks in the skin or signs of rubbing.

Use good light to check your feet and be especially alert for blue, bright red or white areas - they often mean that the blood supply is being cut off to the area.

Healthy feet are so important in diabetes care that your doctor will probably check them every time you visit the office.

If your doctor forgets to check, remind him/her!

Your eyes

Diabetes can cause eye problems - even before you notice problems in your vision. In fact, diabetes is a leading cause of blindness.

You should have your eyes checked by an ophthalmologist (eye specialist) at least once a year, because it requires special skill to find and treat these eye problems before they become serious. Be sure to inform your eye specialist of your diabetes before your checkup.

Your teeth

With diabetes, it is easier to get a gum infection. Good brushing, flossing and regular visits to your dentist will help you avoid problems with your teeth.

Be sure to tell your dentist you have diabetes so that he can thoroughly check your gums at each visit.

Take good care of yourself!

It's better to ask questions of your doctor, diabetes educator, dietitian or other diabetes team member too often rather than too little.
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Exercise reduces fat in livers of diabetics

7:12 PM 0

By Will Dunham

WASHINGTON (Reuters) - Regular moderate exercise helps people with diabetes to reduce fat in their livers, in turn potentially preventing liver failure and heart disease, U.S. researchers said on Friday.

People with type 2 diabetes, the most common form of the disease and one closely tied to obesity, often have elevated liver fat levels and are at high risk for a condition called nonalcoholic fatty liver disease.

Diabetics who did a six-month program of cardiovascular exercise and weight lifting three times a week cut the fat in their livers by about 40 percent in the study by researchers at Johns Hopkins University in Baltimore.

They said the study, which used magnetic resonance imaging scans, is the first to show exercise can get fat out of the livers of people with type 2 diabetes.

"What we were able to demonstrate pretty definitively is that yet another benefit of exercise is to help reduce liver fat," Johns Hopkins exercise physiologist Kerry Stewart said in a telephone interview.
Stewart presented the findings at an American Association of Cardiovascular and Pulmonary Rehabilitation meeting in Indianapolis.

The condition, also known as hepatic steatosis, can lead to cirrhosis of the liver, liver failure, liver cancer and a higher risk for diabetes-related heart problems.

Seventy-seven men and women with diabetes, most of whom were overweight or obese, took part in the study.

About half were assigned to moderate exercise including 45 minutes of running on a treadmill, using a stair-climbing machine or riding a bicycle for 45 minutes three times a week, along with 20 minutes of lifting weights.

The others were not placed in any formal fitness program, and most got little physical activity. At the end of six months, they had no improvement in liver fat.

Those in the exercise group also improved their overall fitness, shedding weight, gaining muscle strength and losing abdominal fat.

Type 2 diabetes is a growing problem in the United States and many other countries, fueled by increasing obesity. The American Diabetes Association said about 24 million people in the United States have diabetes, mostly type 2.

(Editing by Maggie Fox and Xavier Briand)
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