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There have been a number of new developments in the treatment of type 2 diabetes, and a question often asked is whether some of the type 2 therapies might be beneficial for people with type 1 diabetes. The first thing to think about here is that there is nothing about having type 1 diabetes which inherently prevents one from having features of type 2.
Furthermore, many of the drugs used in treating type 2 diabetes work to lower the blood glucose level to some extent independent of insulin – and so we might wonder whether, regardless of the “type” of diabetes, they could have generally beneficial effect. Although GLP-1 itself cannot be given as a treatment because it is rapidly cleared from the circulation, there are long-acting forms of GLP-1, including exenatide (Byetta and Bydureon), liraglutide (Victoza), albiglutide (Tanzeum), and dulaglutide (Trulicity). An even newer form of treatment is to give medicines which inhibit the kidneys’ reabsorption of glucose. None of the “type 2” medicines will replace insulin for people with type 1 diabetes – and it would be very dangerous to try this, because of the risk of severely uncontrolled blood glucose if insulin levels fall too low.
The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes.
Screening for Gestational Diabetes MellitusThe American Diabetes Association recommends that pregnant women without known risk factors for diabetes get screened for gestational diabetes at 24 - 28 weeks of pregnancy. Type 2 DiabetesType 2 diabetes is the most common form of diabetes, accounting for 90 - 95% of cases.
Gestational DiabetesGestational diabetes is a form of type 2 diabetes, usually temporary, that first appears during pregnancy. Nerve Disorders (Neuropathy)Diabetes reduces or distorts nerve function, causing a condition called neuropathy. Retinopathy and Eye ComplicationsDiabetes accounts for thousands of new cases of blindness annually and is the leading cause of new cases of blindness in adults age 20 - 74. The early and more common type of this disorder is called nonproliferative or background retinopathy.
Mental Function and DementiaSome studies indicate that patients with type 2 diabetes, especially those who have severe instances of low blood sugar, face a higher than average risk of developing dementia. While it’s always fun to create your own essential oil blends, many of us would prefer a little help from the experts. Tazeka Aromatherapy, a new essential oil company created Nonstop Thoughts and Meditation Guru” to support meditation. If you’re looking to diffuse essential oils during your meditation practice, I recommend the Young Living Aria Ultrasonic Diffuser. So whether you’re totally intimidated by meditation or you’ve been doing it for years, these ethically farmed, vegan, certified organic oils can help promote relaxation, reduce stress, and keep you coming back to your meditation practice regularly (even if to simply to smell the heavenly aromas). For example, several years ago, one of my patients with type 1 diabetes was having trouble with weight and with blood glucose control on a basal-bolus insulin combination. If we think about it, the prevalence of type 2 is about one tenth among all adults, and about one quarter among those age 65 and older. This is generally regarded as a basic treatment for type 2, and there have been a few studies of its use in type 1 diabetes going back a number of years.
These medicines are increasingly being studied and used in type 2 diabetic people taking insulin, and in many studies are as effective as insulin itself. In a healthy adult, almost 200 grams of glucose go through the kidneys every day – and it all is reabsorbed. After about four months, even though he was happy with having lost weight and with his level of control, he began to notice frequent hypoglycemic episodes, despite our reducing his insulin doses. And there is a counterargument, that there is no point taking an extra medication just to be able to use a bit less insulin. Bloomgarden is a clinician in private practice with an international reputation for writing and lecturing on diabetes, having authored more than 450 articles.
Centers for Disease Control and Prevention’s (CDC) National Diabetes Fact Sheet, nearly 26 million American adults and children have diabetes. In type 2 diabetes, the body does not respond properly to insulin, a condition known as insulin resistance.
Diabetes can also cause problems with attention and memory.InfectionsRespiratory Infections.
Depression, in turn, may increase the risk for high blood sugar levels (hyperglycemia) and complications of diabetes.HypoglycemiaTight blood sugar (glucose) control increases the risk of low blood sugar (hypoglycemia). Stress is something that we all have to deal with, but if unattended, it can wreak serious havoc on our overall well-being and happiness. Even the concepts of trying to “stop thinking” or “quieting your mind” can feel overwhelming and unreachable. Fortunately, many essential oil companies are creating blends to help meditation hopefuls find the meditation process easier and more pleasant. When these blends were created by founder and modern-day alchemist, Zena Hallam, she used the wisdom of our ancestors, who have used certain essential oils for centuries to promote wellbeing. It’s so gorgeous, can change color depending on your mood, and can even be hooked up to your device, so you can play guided meditations or soothing music during your practice. Features of insulin resistance – what has been called “metabolic syndrome” – are even more common. In diabetes, with the higher blood glucose levels the transporter proteins that do this are even more active, so that more glucose can be reabsorbed.
As many people with type 1 diabetes are able to produce some insulin, if we can make this work more effectively it seems likely that a person’s own insulin would have desirable effects in lowering glucose levels.
He is Clinical Professor at the Icahn School of Medicine at Mount Sinai, and is Editor of the Journal of Diabetes.
About 79 million Americans aged 20 years and older have pre-diabetes, a condition that increases the risk for developing diabetes.Diabetes and CancerType 2 diabetes increases the risk for certain types of cancer, according to a consensus report from the American Diabetes Association and the American Cancer Society. New Drug WarningIn 2012, the Food and Drug Administration (FDA) warned that statin drugs, which are used to treat high cholesterol, may raise blood sugar levels and increase some people’s chances of developing type 2 diabetes. The disease process of type 2 diabetes involves:The first stage in type 2 diabetes is insulin resistance. After delivery, blood sugar (glucose) levels generally return to normal, although some women develop type 2 diabetes within 15 years.Because glucose crosses the placenta, a pregnant woman with diabetes can pass high levels of blood glucose to the fetus. People with diabetes are also at higher risk for developing cataracts and certain types of glaucoma, such as primary-open angle glaucoma (POAG). People with diabetes face a higher risk for influenza and its complications, including pneumonia.


Rooted in years of study and practice, meditation has quite a lot to offer its practitioners.
Overthinking is a problem for most of us, and unfortunately, our brain doesn’t come with an “off” switch.
Once you start to meditate regularly, “Meditation Guru” will take your meditation practice to a whole new level.
Another well-established and powerhouse essential oil company Aura Cacia has created quite a few blends that can help with meditation. Ah yes, and then there’s the entire Chakra Balancing line of essential oil blends from Aura Cacia. Then we added exenatide (Byetta) before breakfast and dinner, and he started to get much better control, lost some weight, and felt much better. In the liver and in skeletal muscle, metformin has actions similar to those of insulin, and it appears to work in the gastrointestinal tract as well to increase production of a hormone called glucagon-like peptide-1 (GLP-1).
The new medicines block much of this activity, and people with type 2 diabetes taking canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), and others in development tend to lose weight (the increased urine glucose could account for a 200 calorie per day energy deficit) and have lower blood pressure, as well as having a substantial reduction in blood glucose levels. Although insulin can attach normally to receptors on liver and muscle cells, certain mechanisms prevent insulin from moving glucose (blood sugar) into these cells where it can be used.
This can cause excessive fetal weight gain, which can cause delivery complications as well as increased risk of breathing problems. It is a common complication for nearly half of people who have lived with type 1 or type 2 diabetes for more than 25 years. If these processes affect the central portion of the retina, swelling may occur, causing reduced or blurred vision.If the capillaries become blocked and blood flow is cut off, soft, "woolly" areas may develop in the retina's nerve layer.
Everyone with diabetes should have annual influenza vaccinations and a vaccination against pneumococcal pneumonia.Urinary Tract Infections. The health benefits of meditation are undeniable–from lowering blood pressure to increasing the brain’s gray matter and from boosting the immune system to reducing stress.
This blend, Nonstop Thoughts, is for the “Type-A,” workaholic who finds it hard to take a chill pill. Tazeka took sacred essential oils used for centuries by the Ancient Egyptians and other wisdom-filled traditions.
One is their Gray Matter Batter, which features peppermint and spearmint to penetrate and cool while lavender and chamomile exercise their calming influence on the mind. In fact, the EURODIAB study, which followed more than 3000 people with type 1 diabetes, and the DCCT study of intensive control of more than 1000 people with type 1 diabetes, both found that features of type 2 diabetes and of metabolic syndrome such as weight gain, elevated triglycerides, and elevated blood pressure all track together. He has continued to maintain his lower weight and excellent control for the past five years. A reasonable approach will be to carefully do studies of all these medicines in people with type 1 diabetes – and to individualize, individualize, individualize.
Certain medications used for treating type 2 diabetes may possibly increase the risk for some types of cancers. However, for most people with diabetes the benefits of statin drugs still outweigh the risks. Most patients with type 2 diabetes produce variable, even normal or high, amounts of insulin.
Children born to women who have gestational diabetes have an increased risk of developing obesity and type 2 diabetes. The most serious consequences of neuropathy occur in the legs and feet and pose a risk for ulcers and, in unusually severe cases, amputation. Women with diabetes face a significantly higher risk for urinary tract infections, which are likely to be more complicated and difficult to treat than in the general population.Hepatitis. Hypoglycemia may also be caused by insufficient intake of food, or excess exercise or alcohol. A variety of oils were selected for their centering qualities, including cardamom and myrrh.
Frankincense, myrrh, sandalwood, ylang ylang, and elemi essential oils form a luxurious fusion that takes you to another realm of awareness. In the beginning, this amount is usually enough to overcome such resistance.Over time, the pancreas becomes unable to produce enough insulin to overcome resistance. In addition to endangering the fetus, gestational diabetes can also cause serious health risks for the mother, such as preeclampsia, a condition that involves high blood pressure during pregnancy.CausesType 2 diabetes is caused by insulin resistance, in which the body does not properly use insulin. Peripheral neuropathy usually starts in the fingers and toes and moves up to the arms and legs (called a stocking-glove distribution).
In this more severe condition, new abnormal blood vessels form and grow on the surface of the retina. Patients with diabetes are at increased risk for contracting the hepatitis B virus, which is transmitted through blood and other bodily fluids.
Usually the condition is manageable, but occasionally, it can be severe or even life threatening, particularly if the patient fails to recognize the symptoms, especially while continuing to take insulin or other hypoglycemic drugs.Mild hypoglycemia is common among people with type 2 diabetes, but severe episodes are rare, even among those taking insulin.
The combination of the oils addresses mental “hamster wheel” situations, making the blend perfect for a rookie meditator trying to get comfortable in the present moment.
Enjoy a few drops blended with a carrier oil (creating a DIY massage oil) or in your favorite essential oil diffuser.
Alternatively, you can use them to give you a heightened meditation experience during a directed mindfulness practice to balance each particular chakra depending on what you’re working on internally.
New Drug ApprovalsJuvisync is a two-in-one pill that combines the diabetes medication sitagliptin (Januvia) with the cholesterol drug simvastatin.Bydureon is a longer-lasting version of exenatide (Byetta) that requires injection only once a week. In type 2 diabetes, the initial effect of this stage is usually an abnormal rise in blood sugar after a meal (called postprandial hyperglycemia).Eventually, the cycle of elevated glucose further damages beta cells, thereby drastically reducing insulin production and causing full-blown diabetes.
Type 2 diabetes is thought to result from a combination of genetic factors along with lifestyle factors, such as obesity, poor diet, high alcohol intake, and being sedentary.Genetic mutations likely affect parts of the insulin gene and various other physiologic components involved in the regulation of blood sugar.
Exposure to the virus can occur through sharing finger-stick devices or blood glucose monitors. Still, all patients who intensively control blood sugar (glucose) levels should be aware of warning symptoms.Hypoglycemia Symptoms.
Byetta is injected twice a day.Peginesatide (Omontys)  is a new erythropoiesis-stimulating drug approved specifically for patients with chronic kidney disease who are on dialysis. This is made evident by fasting hyperglycemia, in which glucose levels are high most of the time.Type 1 DiabetesIn type 1 diabetes, the pancreas does not produce insulin.


Some rare types of diabetes are directly linked to genes.Diabetes Secondary to Other Conditions. Major hemorrhage or retinal detachment can result, causing severe visual loss or blindness. Mild symptoms usually occur at moderately low and easily correctable levels of blood glucose. Conditions that damage or destroy the pancreas, such as pancreatitis (inflammation), pancreatic surgery, or certain industrial chemicals, can cause diabetes. Patients with diabetes should be aware of other warning signs of a heart attack, including sudden fatigue, sweating, shortness of breath, nausea, and vomiting.Rapid heart ratesLightheadedness when standing up (orthostatic hypotension)Heart disease risk factors may increase the likelihood of developing neuropathy. Similar anemia drugs require more frequent injections.New Vaccination RecommendationThe CDC now recommends that adults ages 19 - 59 years diagnosed with diabetes should receive vaccination to prevent hepatitis B. Certain genetic and hormonal disorders are associated with or increase the risk of diabetes.High doses of statin drugs, which are used to lower cholesterol levels, may increase some people’s chances of developing type 2 diabetes.
Lowering triglycerides, losing weight, reducing blood pressure, and quitting smoking may help prevent the onset of neuropathy.Foot Ulcers and AmputationsAbout 15% of patients with diabetes have serious foot problems.
Some types of drugs can also cause temporary diabetes including corticosteroids, beta blockers, and phenytoin.Risk FactorsNearly 26 million American children and adults have diabetes.
Unvaccinated patients with diabetes can become infected with hepatitis B through sharing fingerstick or blood glucose monitoring devices. Most amputations start with foot ulcers.Those most at risk are people with a long history of diabetes, and people with diabetes who are overweight or who smoke. In addition, 79 million American adults have pre-diabetes, a condition that increases the risk for developing diabetes. People who have the disease for more than 20 years and are insulin-dependent are at the highest risk. Type 2 diabetes used to mainly develop after the age of 40, but it is now increasing in younger people and children. Related conditions that put people at risk include peripheral neuropathy, peripheral artery disease, foot deformities, and a history of ulcers.Foot ulcers usually develop from infections, such as those resulting from blood vessel injury. Foot infections often develop from injuries, which can dramatically increase the risk for amputation. Within 10 minutes after a meal, insulin rises to its peak level.Insulin enables glucose to enter cells in the body, particularly muscle and liver cells.
Excess body fat appears to play a strong role in insulin resistance, but the way the fat is distributed is also significant. Numbness from nerve damage, which is common in diabetes, compounds the danger since the patient may not be aware of injuries. Weight concentrated around the abdomen and in the upper part of the body (apple-shaped) is associated with insulin resistance and diabetes, heart disease, high blood pressure, stroke, and unhealthy cholesterol levels. Waist circumferences greater than 35 inches in women and 40 inches in men have been specifically associated with a greater risk for heart disease and diabetes. Charcot foot or Charcot joint (medically referred to as neuropathic arthropathy) is a degenerative condition that affects the bones and joints in the feet.
The syndrome consists of abdominal obesity, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance.Polycystic Ovary Syndrome. Early changes appear similar to an infection, with the foot becoming swollen, red, and warm.
Polycystic ovary syndrome (PCOS) is a condition that affects about 6% of women and results in the ovarian production of high amounts of androgens (male hormones), particularly testosterone. Women with PCOS are at higher risk for insulin resistance, and about half of PCOS patients also have diabetes.Depression.
The bones may crack, splinter, and erode, and the joints may shift, change shape, and become unstable. Severe clinical depression may modestly increase the risk for type 2 diabetes.Schizophrenia. It typically develops in people who have neuropathy to the extent that they cannot feel sensation in the foot and are not aware of an existing injury. While no definitive association has been established, research has suggested an increased background risk of diabetes among people with schizophrenia.
Instead of resting an injured foot or seeking medical help, the patient often continues normal activity, causing further damage. In addition, many of the new generation of antipsychotic medications may elevate blood glucose levels. People with diabetes are prone to foot problems because the disease can cause damage to the blood vessels and nerves, which may result in decreased ability to sense trauma to the foot. Patients taking antipsychotic medications (such as clozapine, olanzapine, risperidone, aripiprazole, quetiapine fumarate, and ziprasidone) should receive a baseline blood glucose level test and be monitored for any increases during therapy.Gestational Diabetes Risk FactorsGestational diabetes is a type of diabetes that develops during the last trimester of pregnancy. They should be screened for diabetes 6 - 12 weeks after giving birth and should be sure to have regular screenings at least every 3 years afterward.SymptomsType 2 diabetes usually begins gradually and progresses slowly.
All lifestyle and medical efforts should be made to reduce the risk for these conditions.People with type 2 diabetes are also at risk for nerve damage (neuropathy) and abnormalities in both small and large blood vessels (vascular injuries) that occur as part of the diabetic disease process.
Such abnormalities produce complications over time in many organs and structures in the body. Although these complications tend to be more serious in type 1 diabetes, they still are of concern in type 2 diabetes.Heart DiseaseThere is an association between high blood pressure (hypertension), unhealthy cholesterol levels, and diabetes.
People with diabetes are more likely than non-diabetics to have heart problems, and to die from heart complications. Diabetes affects the heart in many ways:Both type 1 and 2 diabetes speed the progression of atherosclerosis (hardening of the arteries). With this condition, the tiny filters in the kidney (called glomeruli) become damaged and leak protein into the urine.
Urine tests showing microalbuminuria (small amounts of protein in the urine) are important markers for kidney damage.Diabetic nephropathy is the leading cause of end-stage renal disease (ESRD).



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