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Gulliford also explained that people need to understand how weight loss surgery can be used, together with interventions to increase physical activity and promote healthy eating, as part of an overall diabetes prevention strategy. The results, published in the Lancet Diabetes and Endocrinology journal, showed an 80% reduction in type 2 diabetes in those having surgery. Doctors followed nearly 5,000 people as part of a trial to assess the health impact of the procedure. The study followed 2,167 obese adults who had weight loss, better known as bariatric surgery. Bariatric surgery is used as a last resort to treat people who are dangerously obese and carrying an excessive amount of body fat.
Keep in mind that Type 2 diabetes leaves a person unable to control their blood sugar levels can result in blindness, amputations and nerve damage. Gastric bypass, which involves redirecting the digestive system past the stomach, is the most common weight loss procedure. Anna grew up on a steady diet of 20th century literature, science-fiction movies and Viking lore. Enter your email address to subscribe to this blog and receive notifications of new posts by email.
Neuropathy can occur in both type 1 and type 2 diabetes and manifest as a wide variety of sensory, motor, and autonomic symptoms.
In some cases it may also affect the nerves in the back, chest, as well as the nerves controlling the eye muscles. Please read Compounding: The Diabetic Neuropathy Cure for more information on compounding and neuropathy. Focal neuropathy is less common than peripheral or autonomic neuropathy and typically caused by compression or trauma. This condition occurs when one nerve stops sending information correctly between the body and the brain.
When the incorrect information is received by the brain, debilitating symptoms are experienced.
By applying a customized compound cream 2 – 4 times daily, your symptoms will be almost non-existent. Your doctor may be able to diagnose diabetic neuropathy based on a physical exam and symptoms.
As with many other conditions, neuropathies are poorly treated by conventional methods and options are fairly limited. Traditional medication has well documented, significant side effects when taken orally, wreaking havoc on the body and internal organs.
If you suffer with focal neuropathy pain daily, compounded medication can finally change everything. Compounding is an age old technique which makes up roughly 3% if all prescribed medication in the U.S.
Pharmacists work with their patients making sure to mix only the ingredients a patient can tolerate and require. Instead of using multiple, side effect inducing prescription drugs, compounding dares to defy modern medicine by recognizing patients as unique, even when they are diagnosed with similar conditions. Compound creams are applied topically, thus minimizing systemic side effects while maximizing local pain relief. Perfect for patients who are not suitable candidates for traditional forms of prescription drugs.
Most of today’s health insurance companies will also pay for your compounded medications.
By using a compound cream, you could completely eliminate the need for ANY other form of medication.
To find out more on chronic pain treatments please read Custom Compounding For Chronic Pain Finally Uncovered. Science, Technology and Medicine open access publisher.Publish, read and share novel research.
Behavioral Problems and Depressive Symptoms in Adolescents with Type 1 Diabetes Mellitus: Self and Parent ReportsNienke M.
Moreover this risk is,undoubtedly, separate from other factors including high blood pressure, high cholesterol and smoking.
The UK NHS is considering offering the procedure to tens of thousands of people to prevent diabetes. They were compared to 2,167 fellow obese people who continued as they were. There were 38 cases of diabetes after surgery compared with 177 in people left as they were. This type of surgery is available on the NHS only to treat people with potentially life-threatening obesity when other treatments have not worked.
Gastric banding involves having an inflatable band placed around the top portion of the stomach, creating a smaller stomach, while sleeve gastrectomy involves removal of around 80% of the stomach. We need to understand how weight-loss surgery can be used, together with interventions to increase physical activity and promote healthy eating, as part of an overall diabetes prevention strategy,” Gulliford said. Unsurprisingly she turned into a technology geek with an inclination for history & fantasy. Although these subjects are seemingly opposite, Anna believes that history can give us a better perspective on the future.
Hood, 2010Depressive symptoms in adolescents with type 1 diabetes: associations with longitudinal outcomes.
IntroductionChildren and adolescents with chronic diseases are at higher risk for mental health problems.


Drash, 1997Major depressive disorder in youth with IDDM: a controlled prospective study of course and outcome. Especially in adolescence, which involves a multitude of physical, cognitive and emotional developmental changes, a chronic disease such as diabetes mellitus type 1 (T1DM) that requires daily, careful attention, may influence social and emotional functioning. Offord, 1993The outcome of adolescent depression in the Ontario Child Health Study follow-up. Adolescents with T1DM must deal with disease-specific stressors, in addition to age-specific stressors (Reid, Dubow, Carey, & Dura, 1994). Cakan, 2004Child behavior problems and family functioning as predictors of adherence and glycemic control in economically disadvantaged children with type 1 diabetes: a prospective study. Garralda, 2009Neuro-cognitive performance in children with type 1 diabetes--a meta-analysis.
Stress, in itself, may dysregulate diabetes through psycho-physiological processes or associated changes in self-management behaviors (Snoek, 2000). Cicognani, 2008Quality of life, psychological adjustment and metabolic control in youth with type 1 diabetes : a study with self- and parent-report questionnaires.
Dura, 1994Contribution of coping to medical adjustment and treatment responsibility among children and adolescents with diabetes. Therefore, diabetic treatment guidelines include metabolic goals, as well as facilitation of normal social and emotional development (Grey & Boland, 1996). Problems in social-emotional functioning are reflected in the occurrence of internalizing or externalizing behavior problems. Werther, 2005Psychiatric comorbidity and health outcome in type 1 diabetes; perspectives from a prospective longitudinal study. Hershey, 2008Effects of prior hypoglycemia and hyperglycemia on cognition in children with type 1 diabetes mellitus.
Snoek, 2007Self-report and parent-report of physical and psychosocial well-being in Dutch adolescents with type 1 diabetes in relation to glycemic control.
The kind of mental health problems experienced by adolescents with T1DM needs to be clarified, in order to improve guidelines for treatment of diabetes. To this end, researchers should rely upon both adolescent-reported measures that might be applied in regular care, as well as parent-reported measures. Young, 2004Relationship of depression and diabetes self-care, medication adherence, and preventive care. Comparing answers of these youths to those from healthy peers can indicate the extent to which differences exist between these groups.We studied whether Dutch adolescents with T1DM had increased levels of behavior problems in comparison to peers without T1DM, both according to their self-reports and reports from their mothers and fathers. Additionally, we examined the extent to which metabolic control is related to depressive symptoms and specific behavior problems. Mc Keown, 2006Prevalence and correlates of depressed mood among youth with diabetes: the SEARCH for Diabetes in Youth study.
Sample Patients with T1DM between 12 and 18 years of age (n=302) and their parents were recruited for participation.
Medical information (most recent HbA1c, duration of the disease, and treatment regimen) was recorded from the hospital charts. HbA1c was analyzed with similar assays, using gas chromatography, in the different hospitals. Schools were approached for cooperation in the same time period in order to recruit the comparison group. Healthy adolescents without T1DM and their parents were invited to participate, matching school type, age, and gender to that of the adolescents with T1DM. The comparison group comprised 122 adolescents without T1DM; In formation was also collected from 114 of these mothers and 61 of the fathers.
Exclusion criteria for both groups were no participation of a parent, and comorbid medical or psychiatric illness of the adolescent. The children’s depression inventoryThe Children’s Depression Inventory (CDI) was developed to measure self-reported depressive symptoms in children and adolescents aged 7 to 17 years (Kovacs, 1992). The inventory assesses a variety of self-reported depressive symptoms, including disturbance in mood, self-evaluation, and interpersonal behaviors.
A cutoff score of 13 was used to indicate a serious level of depressive complaints, at risk for a clinical depression (Kovacs, 1992). The child behavior checklist (CBCL) and youth self-report (YSR)The presence of behavior problems was studied using information from different sources, namely the adolescent themselves (YSR), and their mothers (CBCL) and fathers (CBCL). The Child Behavior Checklist (CBCL) measures behavior problems and competencies of children and adolescents between the ages of 6 to 18, as reported by their parents (Achenbach & Rescorla, 2001). The Youth Self-Report (YSR) is a self-report derivative of the CBCL for adolescents between 11 and 18 years. The CBCL and YSR questionnaires have been shown to have adequate reliability and validity (Evers et al., 2000). ProcedureThe adolescents with T1DM answered the questionnaires when they visited the diabetes team, or at home. For the control group, the questionnaires were sent to the adolescents and their parents at home. Data analysesPotential differences in group characteristics were analyzed using chi-square or t-tests. Within the T1DM group, a regression analysis was conducted to study the relationship between HbA1c and the depressive symptoms and behavior syndrome scales.3. Group characteristics A description of baseline group characteristics can be found in table 1.


The total group of adolescents with T1DM did not differ from the comparison group in age, gender, or education level, as expected in light of the matching procedure. In the group with T1DM, 18 adolescents (12.4% of a total 145 with complete data) were identified as being at risk for a clinical depression, as were18 adolescents in the control group (14,8% of in total 122 with complete data). Behavior problems Means and standard deviations for the YSR (as assessed by the adolescents) are presented in table 2, as are CBCL behavioral syndromes (as assessed by mothers and fathers). This table also indicates significant differences found with univariate analyses of variance. Mean factor scores (internalizing, externalizing, and total behavior problems,) and mean scores for the behavioral syndrome scales for adolescents with and without T1Dm, are presented in figures 2 and 3. One behavioral syndrome scale differed significantly between the groups, reflecting Thought problems, (F(1,247)=11,63, p=0.001), see table 2. Glycemic control and social emotional functioningA regression analysis, using the enter procedure, was conducted in order to study the relationship between glycemic control and social-emotional functioning of adolescents with T1DM, as represented by their CDI score and the scores on the eight behavioral syndromes of the YSR (see table 3).
DiscussionOur study on the types and extent of social-emotional problems among adolescents with T1DM revealed that emotional and behavior problems are related to glycemic control. Blood glucose regulation was found to be related specifically to depressive symptoms and rule breaking behavior among the adolescents with T1DM. The adolescents with poor blood glucose regulation experienced difficulties, in general, as well as problems followng rules; This likely also extends to difficulties in following the rules of their treatment for diabetes. The problems adolescents with T1DM experienced in social emotional functioning could be specifically related to diabetes and diabetes management tasks. The questionnaires used in this study were not diabetes-specific, however, so we cannot indicate diabetes-specific burdens yet.We also found a remarkable difference, in that the adolescents with DM1 reported more thought problems than the comparison group.
The results of our comparison group were in the same range as those of the original norm group of the YSR (Achenbach & Rescorla, 2001).
The reports of both mothers and fathers did not show an overall significant difference, but looking univariately at the dimension, a difference in thought problems also appeared in mothers’ and fathers’ reports of youths’ functioning, with parents of adolescents with T1DM reporting more thought problems than the parents of healthy adolescents. The fact that mothers and fathers of youths with T1DM agreed with their children regarding the higher prevalence of Thought problems may underline the importance of these kinds of behavioral difficulties. Thought problems refer to a variety of problems in learning behavior and information processing. These adolescents more often ruminate on certain thoughts, and have twitches, strange thoughts, or sleeping problems. An explanation for such group differences may be found in subtle neuropsychological effects of diabetes. Both hypo- and hyperglycemia affect cognitive functioning, but in different ways (Periantie et al., 2006). In a recent meta-analysis, Naguib and colleagues (Naguib, Kulinskaya, Lomax & Garralda, 2009) found mild cognitive impairments in adolescents with T1DM, especially poorer visuospatial ability, motor speed, writing, and sustained attention. The relationship between thought problems and blood glucose regulation was only marginally significant in our study. It is conceivable, however, that the fluctuating blood glucose levels that all patients with diabetes experience, and the high blood glucose regulation in our group (mean 8.3%), may influence thinking and perception. Our findings are also in line with Nardi (Nardi et al., 2008), who found more thought problems among adolescents in the age of 14 to 18 with T1DM, relative to a comparison group. Our findings indicate that one in eight youths with T1DM met the clinical cut off for depression. This level of depressive symptoms is comparable with the results of Hood (Hood et al., 2006), who reported that one in seven adolescents with T1DM met the same criteria for depression as used in our study. Clinical implications In view of the elevated thought problems, and the important associations that blood glucose regulation held with both depressive symptoms and rule breaking behaviors, routine screening for behavioral problems in adolescents with T1DM is recommended. Increased attention should be devoted to the large group of adolescents who have poor metabolic control. Although strict diabetic treatment management is necessary to maintain adequate levels of HbA1c, this may indicate greater interference with daily life. Adolescents need to be stimulated by their parents and health care professionals to find intrinsic motivation for their own disease management, and to maintain their mental health. Thought problems may need special consideration, and it seems useful to investigate whether and how these problems interfere with diabetes management and daily living. To optimize glycemic levels, specific attention should be paid to adolescents reporting depressive symptoms or rule breaking behavior, in general, because they may experience the most adaptation problems when it comes to treatment rules.
Strengths, limitations, and future directions A strength of our study is that we examined a relatively large group of 151 adolescents with T1DM. The self-selection evolving from voluntary participation may have led to an underestimation of the number of adolescents with depressive symptoms in the group with T1DM. Nevertheless, the group differences found in a behavioral syndrome like thought problems need further study, as it may be important to consider for treatment improvements. The adolescents with T1DM did not differ from healthy peers in their number of depressive complaints.
However, the combination of depressive symptoms and rule breaking behavior was related to metabolic control.
Further, elevated thought problems were found among adolescents with T1DM, in comparison to healthy peers.



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