Pulmonary Hypertension as well as ED and Australian Viagra

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Viagra is a sildenafil citrate medication and was originally studied for use in treating pulmonary hypertension and angina pectoris. Pulmonary hypertension is an increase of blood pressure in the pulmonary artery. Angina pectoris is the clinical term for chest pain or discomfort when the heart muscles do not get the required amount of blood the heart needs to function properly. Initial clinical testing of the drug suggested the drug had very little effect on angina, but the drug could help induce an erection. Most of the men in the group that were part of that that initial testing group all had some level of erectile dysfunction due to hypertension, diabetes and other physical ailments.

After failing to demonstrate positive results for angina, a pharmaceutical company began to study sildenafil citrate for use in treating erecting dysfunction. After it was tested and approved for use in treating erectile dysfunction, it was marketed as Viagra. It is still used to treat hypertension under the name of Revatio.

Hypertension, commonly called high blood pressure, and erectile dysfunction seem to go hand in hand. High blood pressure is a clinical cause of erectile dysfunction and controlling one usually controls the other. There have been considerable studies completed to suggest, and in many cases document, the correlation between high blood pressure and erectile dysfunction.

Sildenafil citrate has the same side effects whether treating high blood pressure or erectile dysfunction and includes headaches and facial flushing, nasal congestion, back pain and indigestion. The side effects are temporary, and in most cases very mild. When used to treat hypertension, sildenafil citrate works to widen the arteries enough to lower blood pressure.

Sildenafil citrate is also effective when treating Mountain Sickness which is pulmonary artery pressure at high altitudes, Reynaud’s Phenomenon which is exposure to the cold that triggers small artery spasms and Heart Disease which includes diastolic dysfunction and congestive heart failure.

Sildenafil, whether used as Viagra Canadian or Revatio, has become a popular and effective method of treating several health challenges without causing other health risks. Taken orally and as directed, the user will find positive effects from the drug.

Before using either drug, always consult a medical professional and confirm the presence of an exact affliction and rule out all other health and physical issues. The medication should always be taken as directed in the time frames prescribed. Taking more of the medication than prescribed will not increase the positive effects.


Xylitol a Diabetic Friendly Sweetener

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Xylitol is an all-natural sweetener that is used as a substitute for sugar. The fibers of various fruits & vegetables contain Xylitol. It is made from fruits like pears, strawberries and plums, as well as cornhusks or birch bark. It tastes more similar to sugar than any of the other substitutes that are available today.

Xylitol was discovered in the latter part of the 19th century. It became popular in Europe as a sweetener that was safe for people suffering from diabetes because it did not affect their insulin levels.

A diabetic individual is generally advised to lower their simple carbohydrates and sugar intake. The majority of the experts agree that a small amount of sugar can be included in a diabetic diet. However, replacing sugar with a sweetener can help a diabetic to manage their glucose levels. This is especially useful for people with a ’sweet’ tooth. Xylitol is a great substitute for sugar. One of the greatest qualities is it can take the place of sugar cup by cup. One teaspoon of xylitol only has 10 calories and a GI of 7. Measuring the same as sugar conversion to this sweetener is extremely easy.

The glycemic index (GI) measures how quickly a food causes blood glucose levels to rise. A food that has a high glycemic index causes glucose levels to rise more rapidly. White sugar has a GI of 68; while xylitol’s GI is only 7. This means that consuming xylitol will not cause an individual’s blood glucose level to spike.

Here is a list of sweeteners and their Glycemic Index measurements:

*High Fructose Corn Syrup-100
*White Sugar-68
*Blackstrap Molasses-55
*Maple Syrup-54
*Barley Malt Syrup-42
*Agave Nectar-15

Since xylitol is not a carbohydrate its glycemic load (GL) is zero. It is metabolized separately from insulin. The formula GL= (The amount of carbohydrate available x GI)/100 is used to calculate the glycemic load. It measures the quantity and quality of carbohydrates.

Sugar has 40% more calories than xylitol. By using xylitol instead of sugar, a diabetic can reduce their calorie intake to lose weight or control their weight. This is an essential element in managing diabetes. Besides being a sugar substitute for diabetics, it has many other benefits as well.

Benefits of Xylitol

*No horrible aftertaste
*1/3 less calories than white sugar
*Helps reduce the formation of plaque
*Delightfully sweet taste
*Helps increase the flow of saliva aiding in the restoration of damaged enamel on the teeth
*Helps with the reduction of dental cavity development
*Fantastic sugar alternative for people with diabetes

Today, obtaining xylitol products is becoming easier than ever. There are candies, ketchups, honeys and jams. This is just a sampling of the products available. Whether you are diabetic, or just looking to eat healthier without giving up your sweet tooth, xylitol may be just what you need.




Diabetes – Control Your Blood Sugar

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Diabetes is a metabolic disorder in which the body does not properly process sugar. While diabetes often runs in families, its onset and course cannot be predicted or prevented. But, with medication, proper nutrition and exercise, diabetics live healthy lives.

Uncontrolled, however, it can cause heart and blood vessel disorders that may lead to blindness, gangrene, kidney disease, and even death.

There are two basic types of diabetes.

  • Type I, the more severe, is caused by a deficiency of the hormone insulin.
  • With Type II, or noninsulin-dependent diabetes, there may be enough insulin, but the body’s cells have trouble using it.

In either form, excess sugar builds up in the blood because insulin is unable to regulate it. The sugar then “spills” into the urine, where it is excreted from the body. Frequent urination or excessive thirst often signals high blood sugar levels.

Having diabetes means you need to eat foods from each food group. Include breads and cereals, milk products, vegetables, fruits, meat and fish, nuts and legumes, and fats and oils.

Minimize sugars and fats while maximizing starches and proteins. The old standard of avoiding carbohydrates no longer applies. In fact, a diet in which 50 to 60% of total calories is obtained through complex carbohydrates is recommended. Keep fat to 30% of calories.

Control your caloric intake; being overweight makes diabetes worse. Weight management, especially in Type II diabetes, is crucial. Losing even a small amount of weight can improve or even normalize blood sugar levels in older diabetics.

Type I diabetics must eat meals on a regular schedule in order to balance their injections of insulin. All diabetics need to space their meals throughout the day so as to minimize extreme highs and lows of blood sugar levels.

If you haven’t been physically active, start slowly and build the intensity. Consult your doctor before starting your exercise program. Be aware that strenuous exercise can throw you out of balance by lowering blood glucose too much; this could lead to hypoglycemia.

Moderate exercise helps lower blood sugar by “burning” it off, making tissues more responsive to insulin and reducing weight. It also reduces fat and cholesterol in the bloodstream and lowers blood pressure. This is important because diabetics are at high risk for heart and vascular diseases.

Babies born to diabetics have a greater risk of birth defects than others. To minimize the risk:

  • Get your body in the best possible condition three to six months before you conceive. If you must lose weight, do it under supervision of your doctor.
  • Choose a doctor trained to care for diabetic mothers and their babies.
  • Closely monitor your blood glucose before and during your pregnancy.
  • Breastfeeding is good for both you and the baby, but it will set up new conditions for controlling blood sugar.


Coffee Counters The Onset Of Diabetes

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Coffee is one of the popular beverages in the world. Nobody knows where coffee began its journey and probably, it all began in Ethiopia. Strangely enough, the greatest coffee drinking countries are those which do not produce them. The only exception is Brazil which is the leading producer of coffee and the second largest consumer in the world. Colombia is the second largest producer of coffee. The leading consumer is the USA which is believed to consume 25% of the coffee produced in the world. 54% of the Americans over the age of 18 are coffee drinkers. America spends nearly $40 billion in coffee consumption. Coffee is the second commonly traded commodity after oil. Around 53 countries grow coffee and most of them lie along the equator.

Each year around 7 million tons of green beans are produced worldwide. Arabica and Robusta are the most popular varieties. Coffee contains hundreds of chemicals and for decades, scientists have been trying to portray it as a villain. In spite of spending millions of dollars, nobody has succeeded in producing concrete evidence that coffee is bad for health. Instead, good news about the beneficial effects of coffee is pouring in.

Coffee supplies antioxidants

It has been shown that drinking three to four cups of coffee a day can reduce the risk for heart disease by 45%. However, when the consumption is over six cups, the beneficial effects decrease. Chlorogenic acid present in coffee is an antioxidant. In addition, caffeine also has been shown to be an antioxidant. HDL whose levels are elevated by coffee consumption is also an antioxidant. The antioxidants protect by preventing the initiation of inflammatory reactions. The antioxidants prevent the accumulation of dangerous free radicals which are believed to be responsible for the onset of several diseases like diabetes.

Coffee decreases diabetes risk
Diabetes is a metabolic disorder characterized by abnormal body metabolism. Just about every part of the body is affected. Coffee contains significant quantities of magnesium. Magnesium helps to prevent the onset of diabetes because it promotes the actions of insulin. For example, one of the actions of insulin is to promote the utilization of glucose within the cells. The first step in the glucose utilization is catalyzed by an enzyme called hexokinase and this enzyme shows an obligatory requirement for magnesium.

The protein called sex hormone-binding globulin is concerned with the binding of sex hormones and has been implicated in the onset of diabetes. The level of this protein in the circulation falls during diabetes. High circulating levels of this protein is believed to protect against the onset of type 2 diabetes. Drinking four cups of coffee a day has been shown to increase the blood levels of sex hormone-binding globulin. Therefore coffee can reduce the risk for diabetes. Coffee also protects the heart because diabetes increases the risk for coronary heart disease.


Things to Consider When Shopping for Diabetic Shoes

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If you are diabetic, you need to be particularly careful when you buying shoes to avoid foot injuries. However this is not implying that you can only wear ugly, clunky or large shoes. In the event that you are not really experiencing lack of feeling in your feet, you can just ensure that you are wearing well-designed and the right fitting shoes. The following will highlight some of the things to consider when you are shopping for diabetic shoes.

Here are some of the things to consider:

The shoes should have 3/8-1/2 inch space at the ending of your longest toe and the shoe. This space must be enough so that your finger can fit inside the back of your shoes and you should also have sufficient wiggle room for your toes

Look for shoes with leather upper material and comfortable, cushioned soles and insoles.

Shoes must be comfortable from the moment you put them on, instead of expecting that it will stretch to fit or that your foot can easily break into it afterward.

You should try to avoid the pointed-toe shoes styles.

Shoes must be firm at the back to support your heels without being too tight.

If you are unable to resist high heel shoes, you should ensure that you are only wearing them for a limited time. The poor fitting shoes can easily lead to many foot problems such as sores, bunions, calluses, hammertoes, blisters and wounds, which you might not feel if you have lost all the sensation in your feet. The best protective footwear will have deep boxes for your toes to prevent rubbing and cramping; a soft lining and a lack of seams at vital spots in the shoe.

In case your podiatrist suggests special footwear, you should follow this guidance at all time to prevent foot problems. A recent research was carried with individuals who have foot problems and were at higher risk for amputation, which indicates that those who wore the protective footwear had fewer amputations as a group.

Many people actually wear the wrong size shoes without realizing it. Generally, this will happen if you are unaware that your size has evolved or if you cannot feel your feet and will not know whether the shoe is tight or not. When you are shopping at certain shoes store, you can get help from trained professionals who are knowledgeable about shoes style, function and fit as well as orthotics products like heel inserts or pads. Ultimately, you can get the help to find footwear that will enhance the function and health of your ankle or foot.


Nutrition and Diabetes

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Diabetes is a widespread disease, the frequency of which increases with that of obesity. The importance of nutrition in the onset and course of diabetes is undisputed scientific fact. Overeating, dietary excesses and overloads with carbohydrates and fats increase the risk of diabetes, especially in persons who have an inherited predisposition to disease.

Diabetes mellitus is a disorder of carbohydrate metabolism resulting in insulin deficiency or impaired insulin action.

There is chronic hyperglycaemia (high blood sugar) due to a shortage of insulin, the inability to achieve insulin effects, or both.

Symptoms of untreated diabetes include excessive thirst, increased urine output, increased appetite, and poor wound healing.

Cardiovascular complications are a major cause of death in most diabetics, but also common among them are kidney disease, stroke, infections, eye diseases, neurological disorders, gangrene and others.

Type 1 diabetes is characterized by lack of insulin production of b-cells of islets of Langerhans of the pancreas. This is the type of diabetes that often occurs in children, especially those aged 10-14 years. Absolute insulin deficiency in these patients have his permanent injection imports. Therefore, this type of diabetes is referred to as insulin dependent diabetes mellitus.

Type 2 diabetes develops as a result of impaired sensitivity of cells to insulin action (insulin resistance), together with the delay or lack of insulin secretion. This insulin resistance leads to increased insulin requirements, which most individuals are unable to produce.

Sixty percent of patients with type 2 diabetes can maintain normal blood sugar levels by diet, physical activity, antidiabetic agents, which are taken orally, without insulin. This diabetes is insulin-type. It occurs mainly in people aged 40 However, in recent years have seen an increase in incidence among younger obese individuals. There is a direct correlation between obesity and insulin resistance in type 2 diabetes.
Orientations and behavior in diabetes.

As for the near and distant prognosis for this disease, the most important have good blood sugar control. Secondly, mandatory measures to regulate lipid metabolism (blood fat) and achieve a healthy weight.

Nutrition in diabetic patients plays a crucial role in their treatment.

Over the past 50 years has radically changed the views on this issue and present recommendations for nutrition of diabetic patients virtually inAdvice for diabetics:

  • Control and optimization of body weight are particularly important.
  • Attention is drawn to both quantitative and qualitative composition of the carbohydrates in food.
  • Recommended mostly complex sugars and dietary fiber. Carbohydrates should supply 55% of daily food energy (E%).
  • The recommended intake of fiber is at least 20-35 g / day.
  • Moderate exercise improves insulin efficiency and energy consumption.
  • Proteins should provide 10-20% E.
  • The intake of fat should be less than 30 E%, sufficient import of polyunsaturated fatty acids (about 10% E).distinguishable from those of healthy people
  • Eat a varied diet
  • Increase consumption of whole grain bread, vegetables and fruits
  • Maintain a healthy weight
  • Reduce consumption of fat and saturated fatty acids
  • Limit salt intake
  • If you drink alcohol, do so in moderation
  • Eat more fish
  • Preserving the nutritional value and safety of food.


How Diabetes Affects Your Feet

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What exactly is the cause of diabetic foot problems? In most cases it is damage to the nerves that affect the legs and feet. This is called Diabetic Neuropathy. There is deterioration of these nerves due to high blood sugar levels in the body. Other factors are high blood fat, and high blood pressure. If you suffer from diabetics and are overweight or over 40 years of age there must be constant vigilance in keeping these levels down and also by checking your feet and legs daily.

The most common condition resulting from Foot Problems in a type 2 diabetic is called Peripheral Neuropathy. It is a loss of sensation which begins at the very tips of the toes and worms it way up the legs. It can result in infections and foot ulcers because there is no feeling. If there’s no feeling, you won’t be able to tell if you have injured your feet. If the infections are not treated it can lead to amputations. That is why a daily regime of foot and leg examinations is so important.

There are things that you can do every day to lessen the risk of infections in the feet of a diabetic. Wash your feet with warm water and soap, and gently dry them with a soft towel. To help with dry skin utilize a good lotion, but not between your toes. Keep your toenails trimmed with rounded edges. If you wear socks, then get seamless socks or ones with soft-flat seams. The important thing is to protect your feet, so wear shoes or slippers, even if you’re at home or enjoying the beach.

Because of the loss in sensitivity, a diabetic may not be able to feel a pebble or other debris in their shoes. It is a very good habit for any diabetic with foot numbness to shake their shoes out before putting them on. In the case where there is a break in the skin: a blister, rash, bruise, or redness, instead of trying to tend it yourself it is better to make an appointment with your physician as soon as possible. It is also highly suggested that any diabetic, especially those with foot problems have a thorough foot examination that will check your skin, muscles, bones and blood circulation, plus, a monofilament test to inspect the nerves in your feet at least once a year.

If you, or someone you know is a known diabetic and has begun to lose sensitivity in their feet to tell their doctor immediately. This is a very serious issue that can easily result in amputation.


Diabetic Socks Help Keep Feet Happy

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Diabetic socks help keep feet happy, and this is extremely important. Happy feet will be healthy feet and people suffering from diabetes are far more at risk at developing problems which if left untreated could end in amputation of one or both of their feet. One particular problem suffered by many diabetics is neuropathy which is where the nerves in the feet have become badly damaged. This makes it impossible for sufferers to have full feeling in their feet which leaves them open to the risk of injury. Walking on hot pavement would not affect them right away, and could burn them before they even realize that their feet are on an extremely hot surface.

It makes them particularly susceptible to burning their feet in hot water, or for them becoming too cold. The reason the nerves come damaged can be due to glucose levels being insufficiently controlled which can then lead to blood vessels becoming damaged. Another problem is that diabetics often have impaired immune systems which leaves them more susceptible to inflammation.

People suffering from diabetes need to be very careful that there are no small wounds or blisters on their feet that might develop into ulcers which do not heal properly. It can often be very difficult for them to tell if this problem is developing due to the nerve damage. They also are likely to have poor circulation and wearing well-designed socks can really help with these problems.

Unlike ordinary socks they are designed to be seamless which puts far less pressure on the skin. They may be thickly padded which not only makes them more comfortable but protects the vulnerable foot. They are designed to be loose around the top which prevents compression which can make bad circulation even worse.

One common problem that they often suffer from during cold weather is chilblains so it’s essential to keep this area of their body as warm and dry as possible. Wearing products that are made from wool and cotton allows the skin to breathe so that it doesn’t become damp which could cause rubbing and sore spots.

Diabetic socks keep feet happy, but more importantly they keep them healthy. They should fit properly for maximum effect and should not be too tight. It’s best to have a selection so that different pairs can be worn for different activities and for when the weather is warmer or colder.


Diabetic Eye Problems – The Facts

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Diabetic eye problems can be one of the major areas of concern for patients of this condition. The diabetes related medical conditions of high blood pressure and blood glucose imbalances can present some issues for number of the parts of the eyes including the retinas, vitreous, the lens and the optic nerve.

Different types and their effects

There a few different types of eye problem that can affect diabetics. They include diabetic retinopathy, cataracts and glaucoma.

Retina damage or diabetic retinopathy is the most common condition and happens when the tiny blood vessels of the retina are damaged by diabetes. Symptoms of a damaged retina affecting vision can include seeing flashing light or floating black spots in one eye only or both together. These symptoms occur in four stages and do respond to treatment involving laser treatment of the retinas blood vessels or having the vitreous rejuvenated.

This condition can affect patients with either type 1 diabetes or type 2 diabetes. The good news is that regular annual checkups at a professional optometrists may have the condition diagnosed early will allow early treatment. Occasionally pregnant women who are diagnosed with gestational diabetes may be affected. Again an eye test will be a big benefit.

Maintaining a healthy blood sugar level will also assist in the onset of retina damage and other eye conditions. It will also reduce other diabetes related health problems. Controlling your blood pressure and cholesterol levels and maintaining a healthy lifestyle in general will also benefit.

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Testing and diagnosis

Diabetic eye problems are not noticeable straight away in the early stages, so it is quite important to have your eyes tested regularly. If you think you might have the condition then you can also pay a visit to your doctor or specialist medical practitioner. If you already have been diagnosed with diabetic eye problems, the more frequent optometrist appointments may be required. Your doctor or optometrist may perform one of several procedures to check for problems including a visual acuity test using a standard eye chart, a dilated eye exam to check the condition of your retinas at the back of the eye or tonometers instruments to check the pressure in the eyeball itself.

If you are diagnosed with a diabetic eye problem there are plenty of proven and simple treatments available. If the condition is detected in an early stage then the treatments will be of great benefit in maintaining healthy vision. For the initial stages of diabetic retinopathy no treatment is needed at all. Blood sugar level control is all that is needed in this instance. If the condition is a little more advanced, then some routine laser surgery may be required. A few visits for treatment will stop the effects and the treatment is very safe. For the small number of patients who have not sought treatment early enough and have lost vision there are opportunities to retain the vision they still have.


How to Stop a Diabetic Amputation

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Diabetes is a silent disease and you may be walking around today and not even aware that you are a diabetic. The fact remains that diabetes is growing at an alarming rate and statistics on American Diabetes Association site reveal that there are 18.8 million people diagnosed as being diabetic with a further 7 million people unaware that they have this disease and as such are not receiving treatment. If these figures are not alarming enough each year there are a large growing number of non trauma amputations with over fifty per cent of the amputations are performed on people with diabetes.

The irony of this is in most of the cases with good medical care can prevent an amputation. Firstly, who are these 7 million people who are unaware that they have diabetes?

  • people that are over 40 years of age or older
  • are smokers
  • obese
  • and who may be ignoring vague symptoms.


One of the more common amputations that is entirely preventable is for people that have ulcers on the foot or leg which do not heal and if left untreated lead to further complications that end with amputation. But there is a lot that you can do to lessen the chance of going under the knife. If you notice you are losing sensation in your feet or lower legs you will need to:

  • mention this to your doctor who will examine your feet thoroughly and check pressure sensation by using an instrument called a monofilament the doctor will note a score from this test. Yearly the same test should be performed to watch for any further change from the original score. This examination should form part of your annual check up.
  • at home you will need to use your vision to check your feet daily for anything that is unusual or not healing
  • if you are losing the sensation on your feet you are best to check water temperatures by hand so as to not to step into water that is too hot
  • always look inside shoes for any debris or stones before slipping them on
  • wear socks made of natural fibers such as cotton, wool or a mix of both to allow your feet to stay dry
  • to lessen the chance of ingrown toenails have your toenails cut by a podiatrist who can also treat any calluses or corns etc
  • if you smoke you will need to stop straight away. Further to the preventative information you need to watch for your feet becoming too dry as you lose the ability to sweat you will need to moisturize the skin on your feet to keep them moist and stop them from drying out altogether. Foot ulcers can develop by either by various sorts of constant pressure, the treatment is easy if you develop an ulcer you need to take the pressure off by elevating the foot. Ulcers of the feet can lead to amputation if not treated, ensure you follow the foot care advise given above to avoid diabetic complications.