Welcome to Diabetes | Diabetes Information | Diabetes Risks, Symptoms,Causes, Diagnosis,and Treatment


Thursday, March 29, 2007

Insulin Resistance: Change Your Diet

Late onset diabetes usually means that a person has too much insulin because his cells cannot respond to insulin. Too much insulin constricts arteries to cause heart attacks, and stimulates your brain and liver to make you hungry and manufacture fat.

Most people who develop diabetes in later life can be controlled so that they are not at increased risk for the many complications of diabetes such as heart attacks, strokes, blindness, deafness, amputations, kidney failure, burning foot syndrome or varicose veins with skin ulcers.

The Insulin Resistance Syndrome puts you at very high risk for a heart attack and is associated with storing fat in the belly, rather than the hips; having high blood triglyceride levels and low level of the good HDL cholesterol; and high blood pressure.

If you have any of these signs, check with your doctor who will order a blood test called HBA1C. If it is high, you have diabetes and can usually be controlled with diet and/or medication. You should learn how to avoid foods that give the highest rise in blood sugar. When you eat, blood sugar level rises. The higher it rises, the more sugar sticks on cells. Once stuck on a cell membrane, sugar can never detach itself. It is converted to a poison called sorbitol that damages the cell to cause all the side effects of diabetes mentioned above.

The foods that cause your blood sugar to rise quickly include all types of flour products: bread, spaghetti, macaroni, bagels, rolls, crackers, cookies and pretzels; refined corn products and white rice; and all sugar-added foods.

There are two type of drugs that are used to treat diabetes: those that lower blood sugar and raise insulin, and those that lower blood sugar and lower insulin also. The safest drugs are those that lower both insulin and sugar. Most diabetics should be on Glucophage (metformin) before meals, at least while you are learning to change your diet and bring your weight where it belongs. It prevents blood sugar levels from rising too high and sticking to cells and has an excellent safety record. However, eating a bagel will produce such a high rise in blood sugar that Glucophage will not be effective, so Glucophage must be used in addition to avoiding foods that cause a high rise in blood sugar. If HBA1C cannot be controlled with diet and Glucophage, your doctor will usually add Avandia 4mg or Actos 30mg. They are essentially the same and can cause liver damage, so liver tests must be done monthly, at least for the first few months.

You should be seen monthly and get either a HBA1C (which measures blood sugar control over the past two months) or fructosamine (which measures control over two weeks). Each time that your HBA1C is above normal (6.1), you should yell at your doctor to change your drugs and he should yell at you to change your diet.

If your HBA1C is still not under control, you need to take a drug that raises insulin levels. I usually start with Glipizide XL. If that doesn't control your HBA1C, I raise the dose, and if that still doesn't work, you will need to inject yourself with insulin. Check with your doctor.

Exercise for Diabetics

The two most common forms of diabetes are referred to as Type 1 and Type 2. Type 1 diabetes, also known as adolescent diabetes, differs from Type 2 in that the body stops producing insulin altogether. Type 2 diabetes is generally diagnosed in older adults and occurs as the body stops producing enough insulin or the individual becomes resistent to their own insulin.

With either form of diabetes, we lose our ability to adequately untilize sugar. Blood sugar levels increase due to the body's difficulty in transporting sugar into the cells and out of the blood stream. There are various ways to lower blood sugar levels including exercise, diet, and medications.

Exercise is a very important part of diabetic management for both Type 1 and Type 2 diabetics. For the Type 1 diabetic, regular exercise helps to maintain insulin sensitivity, helps prevent accumulation of excess weight, and increases the use of glucose by muscles, thereby lower blood sugar levels. While there is currently no way to prevent Type 1 diabetes, it may be possible to prevent Type 2 diabetes.

Things to consider when attempting to prevent the onset of Type 2 diabetes are regular exercise, supplementation with vitamins and herbs that help prevent insulin resistance, and proper weight control.

Exercise not only helps directly in diabetic management by lowering blood sugar levels and maintaining insulin sensitivity, but also helps minimize many of the complications that can arise in a diabetic individual. Studies have shown that walking for 30 minutes per day can substantially diminish the possibility of developing Type 2 diabetes.

Diabetics tend to develop circulatory problems and exercise can certainly help lower blood pressure and improve circulation throughout the body. Since individuals with diabetes tend to have poor blood flow to their lower extremities and feet, better circulation is of great benefit.

There are some risks associated with exercise, but the potential benefits greatly outweigh the risks. Since exercise does lower blood sugar levels, people with diabetes should measure their blood sugar both before and after exercising. Since your body uses more sugar while exercising and makes you more sensitive to insulin, there is a risk of blood sugar becoming too low and causing hypoglycemia.

When exercising it is important to let others know that you are diabetic. They should be informed what to do in case of hypoglycemia. You should always carry candy or fruit juice to treat low blood sugar levels should they occur. During and after exercise sessions, you should pay close attention to how you feel since rapid heart beat, increased sweating, feeling shaky, or hunger can signal that your blood sugar levels are becoming too low.

Exercise is a critical part of diabetic management and treatment. Exercise helps blood sugar control when the muscles use more glucose and the body become more sensitive to insulin. Exercise also helps to prevent and minimize common diabetic complications including heart problems, high blood pressure and circulatory deficiencies. All diabetics should include a regular exercise program as part of their overall management plan.

Your Diabetes Medication May Be Depleting Important Nutrients

About 17 million American’s have diabetes and approximately one third of them don’t even know it. Diabetes is a disease that is a result of your body’s inability to utilize glucose efficiently or possibly not able to utilize it at all. The results of leaving your diabetes untreated can be devastating. Blindness, heart attacks, strokes, amputations are all possible consequences of diabetes and especially leaving it untreated. One of the most popular medications for the treatment of patients with diabetes is Glucophage (Metformin). This medication also now comes in combination with other products such as sulfonylureas (Glucovance, Metaglip) and the glitazones (Avandamet, Actos plus Met).

Metformin has been used for many years around the world and is a very effective medication for diabetes. Some of the more common side effects include nausea, vomiting, bloating, diarrhea, and loss of appetite. These symptoms generally occur in one out of three patients. But one of the lesser known and yet very important side effects of Metformin is how it depletes some of your essential nutrients and increases your odds of having side effects due to nutrient depletion. The nutrients of most concern are Vitamin B-12, folic acid, and Coenzyme Q-10.

If you happen to be taking one of the products that has Metformin as well as a sulfonylurea included (Glucovance, Metaglip), you should increase your risk of reducing your coenzyme Q-10 levels even further, because the sulfonylurea class of drugs is known to interfere with the metabolism of Coenzyme Q-10.

To learn more about what symptoms you may experience as a result of defeciencies in folic acid, Vitamin B-12 and Coenzyme Q-10 please go to: http://www.essential-nutrients.net/vitamins_minerals.htm

You can have your physician monitor your essential nutrient status or you can simply take a supplement that can replenish your body’s supply of these nutrients. To learn more about your options please go to: http://www.essential-nutrients.net/diabetesessentialnutrients.htm

To learn more about diabetes and the importance of controlling your blood sugar please go to: http://www.essential-nutrients.net/diabetes.htm

Dr. Ford has practiced general internal medicine for the past 22 years. He is a native Texan and trained at Baylor University, the University of Texas Medical School at Houston, and Scott and White in Temple. He is a Clinical Assistant professor at Baylor College of Medicine. In addition to general Internal Medicine, his practice includes travel medicine, vascular disease prevention, and Integrative Medicine with nutrients.

Your Child Has Diabetes?

Well, first of all, diabetes is divided into 2 types, commonly known as Diabetes Type 1 and Diabetes Type 2.

If you have a Diabetes Type 1, the probability that your child will have the same condition is 1:17. If you are a mother with Diabetes Type 1 and deliver a child when you are under 25 years old, then the probability that your child will be diagnosed with the same condition is 1:25. The probability decreases to 1:100 if you give birth over 25 years old.

The risk that your child will have diabetes is doubled if you are diagnosed with Diabetes Type 1 before you turn 11. Should you and your spouse both have Diabetes Type 1, then the probability that your child also has it will increase starting from 1:10 up to 1:4.

What about Diabetes Type 2? This kind of diabetes does have a larger genetical basis than Diabetes Type 1. Though, a huge influence also comes from external factors such as environments, way of lifes, eating habits, etc.

Generally, if you are diagnosed with a Diabetes Type 2 since you are under 50 years old, then the probability for your child to have the same condition is 1:7. The probability decreases to 1:13 if you are diagnosed with it over 50.

Some experts stated that the risk of passing on diabetes to your children will get bigger if the one who has diabetes is the mother. If both parents have Diabetes Type 2, the probability for the child to be diagnosed with the same condition is 1:2.

The Natural 'Cure' for Diabetics That Work Wonders

A natural cure, sorry - therapy, for diabetics begins by totally eliminating sugar and refined carbohydrates - including honey, alcohol, mashed potatoes, cakes, biscuits and sweets.

The other ingredient is the addition of two special minerals to your diet is also a little known natural treatment for diabetics that your health practitioner probably forgot to tell you about.

Chromium and vanadium – these two minerals improve the action of insulin and in the case of vanadium, actually replace insulin for adult diabetes. The intake should be at around 25 mcg/day. Of course, as with any alternative therapy you should see your health care practitioner - referably one who has heard of these two minerals and is prepared to let you 'try'.

Zinc, B Complex vitamins, copper and glutathione and a high intake of essential fatty acids are also part of a natural cure for diabetics. For your supplements find a high quality source you can trust.

As far as dietary nutrition is concerned, consume a high fiber diet consisting of plenty of complex carbohydrates (vegetables, beans, certain grains such as bran).

Also, an allergy test is very useful for a natural cure for diabetics – particularly for dairy, soy and wheat. If you test positive, take digestive enzymes before meals to help improve your nutrition and to clean up any intestinal damage that is likely to have been caused.

Be patient with this nutritional treatment and have your physician closely monitor your progress. Monitor your blood sugar regularly and you will notice results within several weeks.

Herbs may be used as part of a natural cure for diabetics and include licorice, yarrow, Canadian fleabane and Jerusalem artichoke.

Essential oils including coriander, cinnamon, fennel, dill, cypress, rosemary, pine and ylang-ylang can be helpful. These may be applied by inhaling or absorbed in a bath. If pregnant, consult with a physician before use.