DIABETES FACT LIST- Enjoy!
Diabetes
is a metabolism disorder involving the way the body digests food. Learn
how you can control some of the process:
There
are three kinds of Diabetes:
-
Type 1
diabetes, aka juvenile diabetes
-
Type 2
Diabetes, aka Metabolic Syndrome
-
Gestational Diabetes
In
Type 1 Diabetes
the Pancreas, located behind the stomach, which is usually responsible
for producing Insulin through the Beta cells in the Islets of Langerhans,
does not produce Insulin, or not enough to handle normal sugar
metabolism. These individuals usually take Insulin injections into their
subcutaneous, or fatty tissue.
Monitoring blood sugar levels, while on Insulin therapy, is important to
prevent the individual from going into one of two metabolic imbalances,
Glucose overload, or Insulin shock.
If
there is too much sugar in the blood, it will overflow into the urine.
The person will have some or all of the following symptoms of high blood
sugar:
-
Flushing and feeling warm all over
-
Increased
thirst (polydypsia)
-
Frequent
urination (polyurea) and urgency
-
Increased
respirations
-
Fatigue
which could progress to malaise and loss of energy and possible
unconsciousness
If
there is too much insulin in the blood the symptoms of shock will ensue:
-
Drop in
blood pressure
-
Diaphoresis (profuse sweating)
-
Delerium,
Fainging or Loss of consciousness, or coma.
-
Very
fast heart rate (tachycardia) to compensate for the drop in blood
volume which carries oxygen
throughout
the body.
In
Type 2 Diabetes
the Pancreas produces Insulin but the body’s cells are resistant to
taking up the Insulin to ensure the metabolism of sugar. This condition
has also been referred to as Metabolic Syndrome. It is responsible for
about 85% of Diabetes incidence.
Gestational Diabetes
is triggered during pregnancy and can recede after giving birth. However
these patients are predisposed to recurrence, and should be monitored.
Causes:
-
Type 1
can be caused by an auto-immune response, genes or virus, which
destroy the insulin producing cells in the pancreas’ Islets of
Langerhans
-
Type 2
is usually associated with obesity, sedentary lifestyle, and can
have a genetic pre-disposition. This syndrome can also be
accompanied by high blood pressure, high cholesterol, and
atherosclerosis which is the thickening of the walls of the blood
vessels with plaque
-
Gestational is triggered by pregnancy
Tests:
-
Urine
can be tested either at the doctor’s office or using an at-home
testing kit.
-
Blood
sugar can be tested by seeing your physician and going to the lab
for a blood test
-
A1C
test is a Hemoglobin averaging test which averages the blood sugar
levels over the last 2-3 months. Normal is below 7%
-
If
diagnosed with diabetes the cardiovascular system should be
monitored for narrowing of vessels which causes less blood carrying
oxygen, to travel throughout the body
-
Stress
testing, which is walking on a treadmill with EKG leads on, should
be done to test for ischemia, which is oxygen depletion level
-
If
the vessels of the heart are suspected of being affected, then an
echocardiogram should be performed
-
Cholesterol levels should be monitored. The goal is to have low LDL,
and Triglycerides, and a high HDL
Complications of Diabetes:
-
Heart
attack, (myocardial infarction)
-
Stroke, (cardiovascular accident, aka CVA)
-
Retinopathy, causing damage to the structures of the retina in the
eye, causing serious vision disturbances and possible blindness
-
Kidney
dysfunction due to the pathology of the circulatory system. The
structures in the kidney become narrowed, twisted and possibly
obstructed. This slows the glomerular filtration rate, which is the
filtering of waste products through the kidney for excretion. This
chronic condition can progress to kidney failure which is life
threatening. If there is protein in the urine this signals kidney
damage
-
Poor
peripheral perfusion , again due to the pathological changes in the
blood vessels. This can lead to poor healing and gangrene, and the
loss of limbs
-
Peripheral neuropathy which is damage to the nerve branches
Treatment and Prevention Options:
-
Insulin subcutaneous injections for Diabetes Type 1
-
Oral
meds for Type 2. These meds increase the sensitivity of the cells to
be more receptive and responsive to the natural insulin from the
pancreas
-
Lose
weight! Losing 5-10 lbs can make a huge difference in your sugar
metabolism.
-
Cholesterol lowering agents may be prescribed. If statins are
prescribed ask your doctor about taking a daily coq10 supplement, as
statins may deplete your normal stores of coq10 which helps with
cellular energy
-
Blood
pressure meds may be prescribed
-
Eat a
no sugar, no carbohydrates, no alcohol diet. Avoid foods that
convert to sugar
-
Increase vegetables by triple
-
Eat a
low glycemic diet. Get the list of low glycemic foods and choose
them
-
Eat a
high fiber diet and complex carbohydratess such as green veggies,
fruit (low glycemic) beans, whole grains
-
Exercise is mandatory. It increases circulation from your brain to
your feet, and it enhances cellular repair
-
Don’t
smoke. Get the “stop smoking” lozenges to melt in your mouth
-
Keep
moving! Walk for 30 minutes a day, 5 days a week, or walk for:
10
minutes, 3 times a day if that is easier. The long list of positive
results from walking cannot be overestimated. Here are a few
benefits to moving:
-
Weight
loss
-
Bone
strength increased
-
Blood
pressure drops
-
HDL,
the good “sweeper” cholesterol goes up
-
Stress
is reduced as endorphins go up
-
Relaxation occurs due to the feeling of being in control and knowing
that you are doing something to make a positive change
-
Psychological improvement because there is hope and optimism in
doing something positive for yourself
-
Dancing,
Swimming, Biking, Golf, Tennis, are all great. Do what you enjoy!
Smile!
Sleep:
-
When
you sleep your body repairs itself. Your mind is allowed to be
stress free. Blood sugar levels are more balanced in people who have
enough sleep
-
Create
a peaceful sleep environment. Pamper yourself
Manage Your Stress:
-
Stress
causes a physical response in your body. It raises cortisol, a very
damaging hormone which rips through your blood vessels and body
-
Refuse
to let constant worries and fear dominate your day. Fight it with
action
-
Problem-solve instead of worrying
-
Remember that 85% of what you worry about never happens!
-
Use
your resources. Get help. There are people who would love to give
you a hand. Just ask. Doctors and nurses enjoy helping. Use their
education to solve your problems
-
Arm
yourself with solid information. It will pave the way to
peacefulness
-
Have a
massage, or float in a pool at the gym, or take a long bath with
your favorite book or music
-
Avoid
toxic people. They will make you sick
-
Don’t
do difficult frustrating things if you don’t have to
-
Try to
spend time with positive people
-
Don’t be
too hard on yourself. Give yourself a break
-
Watch TV
shows that make you laugh
-
Go on the
computer and communicate with people that make you smile!
-
Be good
to yourself. You deserve it!
Be the best that you can be
using today’s Science! |