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Diabetes and Diabetes Treatment

I found this information at my local pharmacy and realized that many people that read my blog may have Diabetes , or know people with Diabetes. It makes a nice introduction for people that are unaware of the disease.

Our body gets the energy it needs from turning food into a type of sugar called glucose, which requires the hormone insulin. When the body doesn’t produce enough insulin or cannot use the insulin it produces properly, glucose builds up in the blood, affecting many processes throughout the body. This inability to store and convert food into energy properly is what we call diabetes.

There are three main forms of the condition: type 1, type 2, and gestational diabetes.

Type 1 diabetes occurs when the pancreas produces very little insulin or none at all. Only about 10% of the people who have diabetes have type 1 .

It used to be called juvenile diabetes, because it appears most often during childhood or the teen years. It has also been referred to as insulin-dependent diabetes, because it requires daily insulin injections.

Type 2 diabetes occurs when the body makes insulin but can’t use it properly. It is the most common form affecting about 90% of people with diabetes. Many people with this form of diabetes can control their blood glucose levels with a program of healthy eating, exercise, and diabetes medication, although some may require insulin injections.

Gestational diabetes affects about 2% to 4% of pregnant women. It is usually a temporary condition, but having gestational diabetes increases a woman’s chances of developing type 2 diabetes later in life. Regular prenatal check-ups are essential for all women, because if gestational diabetes is not detected and treated, it can cause serious complications for both the mother and the baby.

Who is likely to get diabetes?

There is no known way to predict who will develop type 1 diabetes, but there are specific factors that increase a person’s risk of developing type 2 Diabetes. These include:

  • being age 40 or over (although the last few years have seen a growing trend toward the development of the condition in younger people)
  • being over, especially when excess is carried around the middle
  • having high blood pressure or heart disease
  • having a family member who has diabetes
  • giving birth to a child weighing more than 4 kg (9Ibs.)
  • having high levels of cholesterol or other fats in the blood
  • having impaired glucose tolerance or impaired fasting glucose
  • having been diagnosed with polycystic ovary syndrome, acanthosis nigricans (darkened patches of the skin), or schizophrenia
    being of Aboriginal, African, Asian, South Asian, or Hispanic descent.

How do you know if you have diabetes?

The warning signs to watch for include:

  • extreme fatigue
  • unusual thirst
  • frequent urination
  • unusual hunger
  • unexplained loss or gain
  • blurred vision
  • frequent or recurring infection cuts and bruises that are slow to heal
  • tingling or numbness in the hands and feet
  • trouble getting or maintaining an erection

If you have these warning signs, it does not necessarily mean you have diabetes, but it means you should see your doctor to be checked for the condition. Unfortunately, not everyone with type 2 diabetes will get these warning signs, so regular medical checkups are extremely important for everyone.

Managing Diabetes

Diabetes and Diabetes TreatmentMaintaining healthy blood glucose levels is at the heart of managing diabetes. There are a number of ways to do this, but you can’t control your blood glucose level if you don’t know what it is, so frequent blood glucose monitoring is vital.

The frequency of testing will depend on a number of factors and must be individualized for each patient. A doctor or diabetes educator will help you establish your personal testing schedule.The main components of a diabetes management program include:

Meal plan: Healthy eating is critical to managing diabetes, and your doctor will probably suggest that you consult a dietitian or diabetes educator to help you develop a personalized meal plan.

Physical activity: A moderate amount of exercise on a regular basis will help with control, stress reduction, and overall fitness. Before beginning any activity program, consult your doctor to make sure that what you are planning is appropriate to your age and health.

Weight management: Maintaining a healthy body is important for everyone with diabetes, but it is a critical part of managing type 2 diabetes.

Stress management: Reducing stress levels in your day-to-day life can help control your blood sugar level.

Proper foot care: Foot care is especially important for people with diabetes, because the nerve damage that can result from the condition increases the risk of foot problems.

Medication: Type 1 diabetes is always treated with insulin. Type 2 diabetes may require oral medicine, insulin shots, or a combination of both. It is important to follow your doctor’s instructions about when, how, and how much medication or insulin to take.

Hypoglycemia

Low blood sugar (also known as hypoglycemia) can be just as much of a problem as high blood sugar. When blood glucose drops too low, it can cause you to feel shaky, light-headed, nervous, irritable, confused, or hungry. It can also give you a headache or cause you to sweat. It can come on suddenly, and it needs to be taken care of right away or it can cause unconsciousness or a seizure.

Test your blood sugar at the first sign of these symptoms. If you don’t have a meter with you, assume the problem is hypoglycemia and treat the symptoms by consuming about 15 grams of a fast-acting carbohydrate such as:

  • glucose tablets
  • 6 Life Saver candies
  • 3 teaspoons (15 mL or 3 packets) of table sugar dissolved in water
  • 175 mL (3/4 cup) of fruit juice or a regular soft drink (not sugar-free)
  • 1 tablespoon (15 mL) of honey

About 10 to 15 minutes after consuming the carbohydrate, check your blood sugar again. If it’s still low, repeat the treatment. If your next meal is more than an hour away or if you will be active, eat a snack that contains 15 grams of carbohydrate plus a protein source, such as cheese and crackers or half a sandwich.

Managing diabetes takes self-discipline, but it will be well worth the effort. Your reward will be a healthier, active life with fewer complications.  If you have any questions about your condition, how to manage it, or the medications you take for it, speak with your doctor, pharmacist, or diabetes educator.

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Cytokine Storm and Ebola or Flu

This is a new term for me but apparently I missed the memo that had to do with a cytokine storm and the flu.

Actually the cytokine storm has more to do with health and seemingly healthy people dying of illnesses that their immune system should be able to fight but it is being brought up with the deaths of the H1N1 virus and it first came up with trying to figure out why so many seemingly healthy people died (maybe 100 million) from the H1N1 virus back in 1918.

A cytokine storm is when your body is overwhelmed by it’s fighting of a virus. One of the things that will happen when you get some kind of virus or infection is that your body will fight it with it’s immune system. What will happen is that your body will fight and you will get a fever and then everything is good and your body goes back to normal.

During a cytokine storm what will happen is that your body will overfight the virus and in essense your immune system will go into overdrive and this will end up killing you.

Cytokine Storm and Ebola

Cytokine Storm and Ebola or FluEbola has a nasty reputation for the way it damages the body. It’s rightfully earned.

“At the end stage of the disease, you have small leaks in blood vessels,” says Thomas Geisbert, an immunologist at the University of Texas Medical Branch at Galveston. “You end up with essentially no blood pressure. Your body temperature drops and you go into shock.”

The storm also triggers a big release of nitric oxide, which thins out the blood and damages vessels further.

All these factors combine together to reduce blood pressure to dangerous levels, Geisbert says. “So you don’t die of blood loss, but from something similar to severe septic shock.”

Cytokine Storm and the Flu

This is the hypothesis that is being used to explain why seemingly healthy people can die of the H1N1 virus while people that are very yound or very old and have a weaker immune system seem to be able to fight it off. This idea as I said is really new to me but of course as we all try to have a strong immune system we try to do this to make sure we can fight off sickness not thinking at all that this may work against us.

Time will tell if this is really the truth. There has bee na lot of interest in medical circles lately about cytokine storm and whether this is really killing people or not as it does not seem to happen otherwise to people in any other situation.

As you know I am not a doctor, I see these stories and it makes me wonder whether I am doing all I can to avoid the flu or even to minimize the affects of getting a flu, and again I have the same question that everyone seems to be asking each other lately when it comes to the H1N1 flu.

Are you going to be getting a flu shot?

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