Diabetes Specialists in Health Care Mall

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The therapy of Sort II diabetes calls for a team approach. Numerous diabetics do not have a group of pros to aid them control their diabetes or even give them worthwhile data on their situation. Diabetics are typically ill informed on the many pros that are offered and who can support them handle their situation.

There are a quantity of specialists who specifically deal with diabetes and are specifically certified to operate with individuals with Variety II diabetes. The following is a list of specialists that are obtainable to assist you with your situation.

Health-related physician
Nurse educator
Registered dietitian
Eye doctor
Social workers
Exercising physiologist
Functional endocrinologist

People are often shocked to see that chiropractors are a portion of well being care specialists that can assist diabetics. Chiropractors are in fact required to have nutrition education as portion of their degree, which makes them specifically qualified to work with Sort II diabetes sufferers. Chiropractors are necessary for patients suffering from diabetes because nutrition is a huge element of controlling diabetes. With correct nutritional suggestions, many people with Variety II diabetes are able to take back handle of their lives as well as reverse some of the damage triggered by diabetes.

A lot of chiropractors, naturopathic medical doctors and some health-related medical doctors today are explicitly trained in functional endocrinology. This indicates that they have an intricate knowledge and understanding on how the distinct organ systems operate and also establish which organs are not working as they need to. Functional endocrinologists are a necessity if you are to have a Health and Care-related group that is capable to successfully handle your diabetes. Medications for treatment diabetes you can see here: www.healthcaremallofficial.com.

A traditional endocrinologist uses blood function and your blood sugar levels to figure out what medication is required to handle your diabetes. A wellness professional that practices functional endocrinology on the other hand appears at the identical blood sugar levels on the blood function and seeks as an alternative to establish what brought on them to be high or low in addition to helping you control your blood sugar levels. A health professional that practices functional endocrinology is more likely to get to the source of the problem and then effectively function towards reversing it. This also benefits in significantly much better outcomes for a person suffering from Kind II diabetes.



Diabetic Erectile Dysfunction

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For men suffering from type 2 diabetes, life is difficult enough without the added frustration and embarrassment of experiencing sexual problems and erectile dysfunction. Erectile dysfunction can be described as a consistent inability to have an erection firm enough to have sexual intercourse. Estimates of the number of males that suffer from this condition vary from as low as 20% to as high as 70%. Because of the embarrassment associated with this dysfunction, nobody can be sure what an accurate percentage could be.

Diabetic men are three to four more times more likely to suffer from erectile dysfunction than the average non-diabetic man. It is difficult to make the connection between erectile dysfunction and pre-diabetes, as most people with pre-diabetes are unaware of their condition. Aware or not, pre-diabetes problems can affect erectile dysfunction.

Erectile dysfunction is a problem with the nervous system. It is believed that diabetes and high blood sugar levels can damage nerves, which seems to lead to the erectile dysfunction. It is also important to factor in that high blood sugar levels play in altering hormone production. This altered hormone production can cause a male to take on more female hormone characteristics. This means that a male could have increased estrogen levels and decreased testosterone level because of diabetes and high blood sugars. With decreased testosterone levels, the male will experience a low sex drive and an inability to get and sustain an erection.

Most men with erectile dysfunction use medication to correct their problem. Using medication may be an effective to improve ‘performance,’ but it really does nothing to fix the cause of the real problem. Medications in general are an effective way to help certain conditions like blood flow, they rarely get to the root cause of the problem.

If the real problem is high blood sugar levels, then it is very important to get them under control. Too many people suffering from type 2 diabetes do not make an effort to get their blood sugar under control. Instead of doing the education needed for their condition, they are given medication after medication. This is not as effective as it needs to be, and so there has to be another way.

If you, or someone you know is, or thinks they may be a type 2 diabetic, please see a physician as soon as possible and have tests done so you learn exactly what you are dealing with. Type 2 Diabetes is a very serious disease and if left untreated can create serious permanent damage. Go get treated today, you deserve the very best!



Introduction to the Diabetes Diet Menu

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Diabetes has several adverse effects to a person’s body. It may even lead to very serious complications that in the worst case scenario can lead to paralysis, amputation of extremities, or even death. Fortunately for those suffering from type 2 of the disease the dangers can be greatly minimized through proper exercise and a diabetes diet menu. A healthy meal plan is essential not only to ensure that the diabetic meets all his nutritional needs without causing his blood glucose level to become too low or two high but also to help him maintain a desirable weight. Being overweight is a major handicap for a diabetic because it greatly increases the dangers of having the illness.

A diabetes diet menu can help type 2 diabetics more than any available medicine. It helps stabilize blood glucose levels more effectively by guiding the diabetic in consuming the proper amounts of nutrition. A meal plan usually comes in the form of a seven-day eating program. It includes the preparation and composition of each meal including the size of each component as well as when each meal should be eaten. Most plans provide six small meals in even intervals of two to three hours. The small size of the meals helps avoid sudden spikes on the blood sugar level after a meal. The increased number of meals helps compensate for the reduction in meal size. And the regular interval between each meal helps stabilize the amount of nutrients in the body.

Adjusting to the diabetes diet menu may be really hard at first especially since small meals tend to not be satisfying enough. Keeping track of the time also has a high chance of being overlooked. But the biggest hindrance in following a meal plan is the taste. This is why one’s food preferences should always be considered when creating an eating program for him. Avoid including foods he does not like to eat and replace them with alternatives he finds more appealing. Alienation can also slow down the adaptation process. Eating something different from the rest of the family members can be very discouraging. It is best that other family members also follow the diet. Healthy eating will never hurt anyone.

It will take some time before you and your body can fully adjust to the diabetes diet menu. Be patient. Eating right is will not only allow you to keep the illness under control, it will also help you avoid other sickness.



Hypoglycemia – The Dangers of Low Blood Sugar Levels

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People with diabetes are normally concerned about their blood sugars, especially if they are experiencing higher than normal blood sugar levels, because that is the major diabetic problem in life that a person with diabetes normally has to deal with. But it is also important for the diabetic to be aware of a situation that is “opposite” to high blood sugar levels, a condition that doctors call hypoglycemia.

Hypoglycemia is characterized by an abnormally low level of blood sugar. The sugar carried in the bloodstream, called glucose, is an essential nutrient for the body and is the body’s main source of energy, needed constantly by the body’s cells.

Episodes of hypoglycemia are not common and are not often experienced by most adult diabetics or diabetic children of 10 years and older, but they do happen and the condition should be quickly recognized and treated promptly when it does. Hyoglycemia must be treated promptly because it can become progressively worse in a relatively short time, sometimes after tens of minutes, and can lead eventually to additional problems and in some extreme cases, it can become a life-threatening event.

From my own experience as a diabetic I suspect that most of my fellow diabetics have had a few such lower than normal blood sugar occurrences. Food is the source of the blood sugars, especially the carbohydrate content of food. One reason that a hypoglycemic event might occur in a diabetic person is when they have not eaten any food for too long a period of time. An additional or alternative cause might be when they have deliberately avoided consuming carbohydrates, ironic perhaps, because by not eating carbohydrates they wish to combat their own above normal blood sugars that they know can be caused by a high carbohydrate intake.

Just as the avoidance of too many high-carbohydrate foods is a standard recommendation in the treatment of diabetes, so too is the recommendation to participate in some form of exercise. However, sometimes too much exercise can cause blood sugar problems. The muscles involved in exercise require sugar, and low blood sugars can occur after having been involved in vigorous exercise at a time when the body has insufficient blood glucose to supply the necessary energy for the extra activity.

For the person with diabetes, it is not easy to know, without taking a blood test, whether or not they have above normal blood sugar levels but in the case of lower than normal blood sugars, the symptoms experienced are usually noticeable. When glucose levels become too low it can have an effect on the brain and often a sense of confusion and an inability to perform routine tasks becomes apparent. Should that happen, fortunately it can serve as a warning, an alert for the diabetic who is familiar with such symptoms to take immediate action to rectify the situation, usually by eating food that can provide a quick boost of sugar to their system.

Some other recognizable possible symptoms are sweating, anxiety and a sense of unease, trembling hands, perhaps heart palpitations, hunger pangs, blurred vision or other visual disturbances.

The important thing is to know what to do if and when it happens. Whenever a low blood sugar event occurs, a prompt response is needed.

The quick solution is to eat or drink a fast-acting glucose food item. The condition has occurred often enough to me to know what to do, my personal choice is to first drink half a glass of apple juice and I try to always keep a supply of apple juice available.

Possible food items to raise blood sugar levels back to normal, any one of the following:

a half glass or half cup, 4 ounces, of apple juice, orange juice, or similar fruit juice

a teaspoon of honey or sugar

glucose tablets, usual 3 or 4 are sufficient

5 or 6 pieces of hard candy

an 8-ounce glass of milk

a half glass of non-diet pop

Something containing about 15 grams of carbohydrate such as a fast acting energy bar or a serving of glucose-gel snack.

Be ready for an emergency even though it is a rare event

If a hypoglycemic event is not promptly treated and then progresses to a more serious stage, it can lead to a diabetic coma or seizure, even to the extent of becoming life threatening, I’m reluctant to say death but it can happen. The fact that this is known to happen underscores the need to be ready for an emergency of any degree. Try to always have a suitable supply of a fast acting glucose source readily available.



The Dangers Of Diabetes For Women Who Are Pregnant

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More women than ever before are carrying fetuses while they are diabetic. This can have an effect on the mom as well as the developmental process for the baby. Fortunately, modern medicine is doing all it can to make this process less difficult for diabetic women.

Why do some women, with no prior history of diabetes, develop diabetes over the course of their pregnancy? Known as gestational diabetes, this condition occurs in approximately two out of every 100 women who become pregnant. In a normal pregnancy process, the woman’s placenta creates a variety of hormones to nourish the fetus and help it to grow and develop. Of these hormones, some of them have anti-insulin properties. In the women who develops gestational diabetes, the hormones decrease the body’s sensitivity to insulin so much that the body over produces glucose to compensate. The result may end up causing diabetes. In the women to whom this occurs, it usually happens around the 22nd week of the pregnancy.

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Normally, the woman’s blood glucose levels will return to normal once the baby is delivered. In some cases, however, the diabetes will remain. Also, women who develop gestational diabetes, do have a greater chance of developing type 2 diabetes later in life. To lessen the chances of this happening, the woman should work with her doctor and nutritionist to develop a post-delivery plan to return her body’s glucose and hormonal levels to normal as soon as possible. This will usually involve developing healthy meal plans, starting an exercise program, and scheduling follow-up blood work with her doctor.

In the case of a woman who is already diabetic when the pregnancy begins, special precautions are necessary. In the first month of the pregnancy, the fetus has already begun to develop. The fetus’ only source of food is glucose from the mother. If the blood glucose levels are high, the excess sugar can impact the organs of the developing fetus – possibly resulting in birth defects or a miscarriage. That’s why, early on, it’s important that the doctor ensure that the blood glucose levels of the mother are stable and under control as early in the pregnancy as possible.

Many diabetic women are on oral medications. Even though some of the oral diabetes medications have been tested for safety in pregnant women, some women may be advised by their doctor to use insulin during the pregnancy. This is because many doctors believe that insulin is the safer choice for the fetus in controlling blood glucose levels.

Essentially, the primary reason for the preference of insulin is simply that it has a longer history of tests, studies, and observations surrounding it. In addition, many oral medications only work with type 2 diabetes. Fortunately, insulin therapy has been used by doctors for many decades making the woman’s chances for a successful pregnancy nearly as good as for those women without diabetes.

Some women also make use of herbal remedies to control their diabetes during their pregnancy. Any woman that does this, however, should make sure that her doctor is aware of this and that her doctor approves.



Warning Signs For Type Two Diabetes

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Type 2 Diabetes is a sign of the times it seems. Today’s society is the perfect breeding ground for type 2 diabetes. Busy, stressful schedules that leave little time for exercise, latch key children and teenagers who spend hours in front of the television or computer, combined with the availability of convenient yet deadly fast food has paved the way for America’s self destruction.

Are you at risk for Type 2 Diabetes? Symptoms may develop slowly and creep upon us unnoticed. As with any health problems, it’s best to catch this deadly disease as early as possible.

Here’s a list of 5 warning signs:

Are you constantly tired or have extreme energy crashes during the day? – Spikes and crashes in blood sugar can cause extreme fatigue. The truth is, no one should have to experience that “after lunch tiredness” although many people talk about it as if it is common and acceptable. A properly functioning body that receives the right kind of fuel can keep going at a steady pace throughout the day. That after lunch tired feeling may not be type 2 diabetes, but it is a warning sign that you are not eating properly and your body is not running the way it should.
Does your vision ever become blurred? – The medical explanation for blurred vision with type 2 diabetes is because during blood sugar spikes necessary fluid is sometimes pulled from the lenses of your eyes. This can impair your ability to focus.
Do you find yourself extra thirsty? When sugar builds up in your blood stream, fluid is needed, so your body will pull it from your tissues and cause you to be extra thirsty.
Do you have intense cravings for starchy foods or bread products? If your body doesn’t have enough insulin to transfer sugar into your cells for fuel, your body will send hunger signals to your brain even though you may have recently eaten. Your body naturally does all it can to survive, so it will trigger hunger because it is unable to use the supply already in your body.
Do you have sores that take exceptionally long to heal or frequently become infected? Non-healing sores are one of the most common signs of diabetes.



A Warning to 40 Year Olds

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The release of the updated National Diabetes Fact Sheet in January 2011 — the previous one dates back to 2007 — underscores the need for Americans to pay more attention to their health, especially for those aged from 40 to 64, for the reasons given below.

The Fact Sheet statistics, summarized in publications of the American Diabetes Association, provide a truly alarming outline of the growing rate of diagnosed and undiagnosed diabetes and its related condition, now given the medical term of Prediabetes.

Diabetes is a serious disease that can occur in people of any age, from birth to old age. There are three main forms of the disease, referred to as Type-1 Diabetes that occurs most often in children and young adults, Type-2 Diabetes that occurs primarily in older people and is by far the major diabetic condition comprising about 90% of all diabetes cases. There is also another type called Gestational Diabetes, a mostly temporary condition that can develop in a small percentage of women during pregnancy.

From other information sources relating to the 2011 Diabetes Fact Sheet, I came across some significant details regarding age and prevalence. There were 3 groups defined by ages 20 to 44 years, 45 to 64 years, and people of age 65 and older.

Most diabetes occurs in the oldest group
Currently, in existing cases of diabetes, the incidence of diabetes increases with age. The smallest number of diabetic people are included in the 20 to 44 age group. About 4 times as many people are in the 45 to 64 age group and in the 65 years and older age group, there are most by a factor of twice as many as the younger 45 to 64 age group.

Estimated number of new cases
However, the statistics seem to indicate that things are changing. Here are the figures for the estimated number of new cases diagnosed for a more recent period for those same ages, note the numbers for group 2:

Group1: Age 20 to 44 – new cases of diabetes were 465,000
Group 2: Age 45 to 64 – new cases of diabetes were 1,052,000
Group 3: Age 65 and older – new cases of diabetes were 390,000

Conclusion and a warning
Diabetes starts a little earlier and gradually develops over time until it may be finally diagnosed by a doctor, sometimes without warning from any significant identifiable symptoms, although there are some when you know them.

The warning: Therefore, if you are over 40 years of age, overweight, and follow a lifestyle of little physical activity, take warning, see a doctor who can requisition a simple blood test that will show whether you are in the high risk Group 2, if not, there is still time to prevent it, but unfortunately, once diagnosed, there is no cure.


Type II Diabetes and EFAs

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How the right fats and oils can protect you from this insidious disease.

What is now called lifestyle or adult onset diabetes is a condition where ones body loses its sensitivity to glucose, and therefore becomes insulin resistant.

This means that cells do not respond properly to insulin when it’s present, because the cells have become less functional.

This happens due to the continued, and long term consumption of too many refined carbohydrates, which release their glucose too quickly into the blood stream, raising blood glucose levels too high, too quickly.

Stress, with the accompanying release of adrenalin, which leads to insulin release, may also have a role to play in the development of this disease.

Type I diabetes, is different, and is a disorder where there is not enough insulin produced, due to faulty functioning within the pancreas, which is responsible for producing insulin.

Unfortunately, excess glucose, due either to the inability of insulin to do its job, or a lack of insulin, in getting the glucose into the cells, both lead to increased free radical damage, which will cause further damage to cells and cause you to age faster.

The lining of your arteries, the endothelial cells, are also damaged by excess glucose, so the entire circulatory system will become dysfunctional over time.

In diabetes, particularly type I diabetes, there is an impairment of the conversion of dietary Essential Fatty Acids (EFA’s) to HUFA’s (highly unsaturated fatty acids) such as EPA, DHA, AA (arachidonic acid) and DGLA (dihomogammalinolenic acid). If these derivatives aren’t produced, there are many vital functions that are unable to occur or are impaired in fundamental ways.

There is also an inability to incorporate these HUFA’s into cell membranes, likely linked to an enzyme dysfunction.

Damaged fats, such as trans fats and saturated fats, also stop insulin from working properly, which means that it is unable to get the glucose out of your blood stream and into your cells quickly enough.

Consuming the right kinds of fats and oils can therefore facilitate insulin activity, so knowing what these special fats are, is therefore important. They are called essential because you body cannot manufacture them – they have to consumed in your diet. If you don’t eat them you will be deficient, and it is estimated that 95% of people are deficient in them, for various reasons.

Depression puts you at greater risk of getting diabetes, and suffering from diabetes puts one at a significantly greater risk of getting depression, with figures indicating that depression is twice as common among diabetics than among people who don’t have diabetes.

Having both of these conditions worsens the course of both. So the situation can become a vicious cycle. Furthermore, depression is a risk factor for Cardio Vascular Disease (CVD) too. And, having Diabetes also puts you at a much greater risk of developing Alzheimer’s.

Many researchers believe that the underlying mechanism that links all these disease states may very well be a deficiency in EFA’s, coupled with an inability to convert them into the various derivatives required for optimal cell and membrane health.

However, as medical practitioners continue to look at diseases as separate and distinct, they are unable to piece the puzzle together and come up with the whole picture.

Whatever they may uncover as time goes by, it is accepted that Essential Fatty Acids have an enormously important role to play in overall health, so supplementing with the right blend will improve your health on many levels.



Diet of Adolescents With and Without Diabetes: Part 2

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There have been drastic changes over the last 3 decades with regard to the dietary recommendations for people with diabetes. Before 1994, nutrition recommendations were set forth for all people with diabetes with little regard to the individual’s lifestyle. After 1994 and consistent with the 2002 American Diabetes Association (ADA) evidence-based guidelines, the emphasis shifted from a strict focus on dietary components to a focus on maintaining target blood glucose levels and a lipid profile and blood pressure that reduce the risk of chronic disease. The current ADA nutrition recommendations for children and adolescents with type 1 diabetes share these goals and also focus on adequate nutrient intake for growth and development. These recommendations are based on the requirements for nondiabetic children and adolescents that are collected in the Dietary Reference Intakes, which update and expand the recommended dietary allowances (RDAs).

Only a few studies have examined the diets of children with type 1 diabetes, and even fewer have compared those diets with children without diabetes. In terms of energy intake, two studies of children with type 1 diabetes found that energy intake was lower than recommended; one study found that children met the RDA, and a fourth study found that male subjects met the RDA but female subjects had energy levels below the RDA. Two studies compared the energy intake of children with diabetes with that of matched control subjects. One study found that the intake of children with diabetes fell below that of control subjects who met the RDA, and the other study, based solely on girls, found no difference between children with diabetes and control subjects in energy intake, with both groups reporting lower intake than predicted by energy expenditure.

Studies have also examined the components of dietary intake. Carbohydrates are an important consideration in the diets of children with type 1 diabetes, as they are the principal source of energy but require appropriate amounts of insulin to be utilized by the body. Four studies found that children met carbohydrate requirements, and one study found that children had a lower carbohydrate intake than recommended. In the two studies that included a comparison group, children with diabetes had a lower carbohydrate intake than age- and sex-matched control subjects.



A Clinical Screening Tool Identifies Autoimmune Diabetes in Adults: Part 7

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Our findings suggest that assessing multiple clinical features of presentation enables adults with diabetes to be triaged into two groups: lower risk for LADA (LADA clinical risk score ≤1) and higher-risk for LADA (LADA clinical risk score ≥2). The benefits of this screening tool approach for LADA are several. First, it assists in identification and management of patients with LADA. Physicians dealing with a patient who has a higher risk for LADA and who has suboptimal glycemic control should have an increased level of suspicion that the lack of control may be due to insulin deficiency secondary to autoimmune β-cell pathologic changes. With such a patient, it would be logical to perform islet antibody testing to exclude autoimmune diabetes. Our experience is that suboptimal glycemia in such patients is frequently prolonged because it is not attributed to autoimmune diabetes and insulin deficiency. Second, this simple clinical screening tool is practical and cost-effective. LADA can be excluded in a majority of adults with diabetes, e.g., approximately two-thirds (84 of 120) in the prospective study, on the basis of a clinical risk score ≤1. Finally, this screening tool could be used to identify subjects with LADA for inclusion in intervention trials. LADA populations are attractive candidates for autoimmune diabetes intervention trials because they have slowly progressive loss of β-cell function and therefore potentially a wider therapeutic window than in classic type 1 diabetes.

We have pragmatically adopted the five-point LADA clinical risk score over the multivariate scoring method to determine which patients should be tested for GADAs because it is simple to use and has better specificity in the prospective study. The use of the tool in clinical practice will depend on the reliability of the patient’s history, which can be influenced by language and culture, inaccurate reporting of acute symptoms, and lack of awareness of the family medical history. Diabetes in relatives of patients with LADA may also be misclassified, i.e., relatives with LADA may be diagnosed as having type 2 diabetes. Misclassification of diabetes in relatives could only be excluded by testing for islet antibodies. The ability of the LADA clinical risk score to predict LADA in the prospective study, a homogeneous source of diabetic patients, confirms the utility of the clinical screening tool. The applicability of our findings to LADA cohorts from other nations and ethnicities will be important to establish. Finally, testing for other islet antibodies in patients with high-risk LADA clinical risk scores ≥2 could potentially enhance our prediction of autoimmune diabetes, as some of these patients may be GADA− but IA-2A+ and/or IAA+.

In summary, a majority of patients with LADA have at least two of five distinguishing clinical features (age of onset <50 years, acute symptoms before diagnosis, BMI <25 kg/m2, personal history of autoimmune disease, or family history of autoimmune disease) at diagnosis of diabetes. The presence of at least two of these clinical features (LADA clinical risk score ≥2) in adults with diabetes justifies GADA testing. This clinical screening tool should increase the identification of autoimmune diabetes in adults and hopefully improve clinical management of their disease.