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VACCINATION RECOMMENDATION The CDC now recommends that adults ages 19 to 59 years diagnosed with diabetes should receive vaccinations to prevent hepatitis B.
DIABETES SECONDARY TO OTHER CONDITIONS Conditions that damage or destroy the pancreas, such as pancreatitis (inflammation), pancreatic surgery, or certain industrial chemicals, can cause diabetes. 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. Charcot Foot: Charcot foot or Charcot joint (medically referred to as neuropathic arthropathy) is a degenerative condition that affects the bones and joints in the feet. Respiratory Infections: People with diabetes face a higher risk for influenza and its complications, including pneumonia.
Urinary Tract Infections: 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: People with diabetes are at increased risk for contracting the hepatitis B virus, which is transmitted through blood and other bodily fluids. Hypoglycemia Symptoms: Mild symptoms usually occur at moderately low and easily correctable level of blood glucose. Diabetes and Pregnancy: Diabetes that occurs during pregnancy (gestational diabetes) and pregnancy in a person with existing diabetes can increase the risk for birth defects. Diabetes and Menopause: The changes in estrogen and other hormonal levels that occur during perimenopause can cause major fluctuations in blood glucose level.
Insulin pumps produce streamlined and continuous insulin delivery into the individual resulting in excellent blood sugar control, as they can be adjusted and refilled every 4-5 days. Join tens of thousands of doctors, health professionals and patients who receive our newsletters. Only one third of British men are considered to be normal weight, according to the latest statistics from the NHS Health and Social Care Information Centre (HSCIC). Experts warn that the UK obesity crisis is 'spiraling out of control', with the number of people being admitted to hospital because of obesity-related problems increasing significantly in recent years. The finding relates to information gathered in 2011 which paints a rather alarming picture of the obesity problem in the country, indicating that the epidemic has shown no signs of improvement. The percentage of men with a healthy body mass index (BMI) - of between 18.5 and 25 - went down from 50 percent in 1993 to 34 percent in 2011. Currently, 65 percent of men and 58 percent of women are classed as either overweight or obese in England. In addition, the authors of the report found that only one third of adults (only 36%) participate in at least 30 minutes of moderate intensity activity per week. Obesity is known to be the cause of a range of diseases, such as type 2 diabetes, cardiovascular disease, and even several cancers. The WHO (World Health Organization) estimates that close to a third of coronary heart disease cases are because of obesity or excess weight gain. Young children not getting their recommended daily hours of sleep - which increases their risk of becoming overweight. Gastric banding has also been identified as a safe, effective, low-cost, and long-term solution for morbidly obese patients who have not responded to standard treatments. Please use one of the following formats to cite this article in your essay, paper or report:MLANordqvist, Joseph. For any corrections of factual information, or to contact our editorial team, please see our contact page. Please note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional. The sugar industry tries to sell us on the fact that sugar is natural because it comes from sugarcane.
Grain-fed animals that are kept in concentrated animal-feeding operations (CAFOs) are sick and unhealthy because they are not doing what comes naturally to them: grazing and living outdoors. Because they typically have a higher fructose content than other fruits, eating fruits like bananas, oranges, mangoes, papayas, and pineapples should be limited to once a week for people with diabetes.
Vegetable oils (like corn, soy, and canola), all hydrogenated (or partially hydrogenated) oils, and all oils that have been heated for frying or deep-frying should be avoided. Morbid Obesity or being ‘morbidly obese’ or ‘clinically obese’ is a clinical term for somebody who has a BMI higher than 40 (check out my last blog for more info . So…what in fact causes people to gain so much weight that they become Morbidly Obese?
So we have highlighted the possible causes of morbid obesity and I hope you can appreciate that being morbidly obese is not a simple condition to understand. Your body has to work up to 10 times harder just to enable you to do every day activities and this doesn’t come without serious health impacts.
The body still has to pump blood to every cell in the body in order to keep those cells alive; extreme weight gain can cause that blood flow to be cut of therefore killing cells in the more distant of limb’s which can result in increases of medication and even amputation.
About Latest Posts Toby Trundle - Personal TrainerWeight Loss - Nutrition - Advice - Guidance - Support I specialise in one to one training and lifestyle coaching for weight loss & diabetes. Key recommendations include: Your eating plan should be individualized to accommodate your unique health profile. FDA and the European Medicines Agency concluded that incretin mimetic drugs do not appear to cause pancreatic problems.
In type 2 diabetes, the body does not respond properly to insulin, a condition known as insulin resistance.
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 the risk of developing type 2 diabetes. Retinopathy generally occurs in one or two phases: The early and more common type of this disorder is called nonproliferative or background retinopathy.
Everyone with diabetes should have annual influenza vaccinations and a vaccination against pneumococcal pneumonia.
Exposure to the virus can occur through sharing fingerstick devices or blood glucose monitors. A high blood sugar level (hyperglycemia) can affect the developing fetus during the critical first 6 weeks of organ development. Women with diabetes also face an increased risk of premature menopause, which can lead to higher risk of heart disease. DiagnosisHealthy adults age 45 and older should get tested for diabetes every 3 years. In addition, they prevent weight gain and have a much lower risk of causing hypoglycaemia-two of the most unwanted side effects of insulin.
Even though diabetes continues to persist in epidemic proportions in the US, newer developments in diabetes management have given more than a glimmer of hope to many diabetics. Nearly 1 in 10 children attending reception class in 2011-12, aged 4-5 years, were classed as obese. A quarter of all men and women (24% and 29% accordingly) are consuming the recommended daily amount of fresh fruit and vegetables, these figures are lower among children (16% for boys and 20% for girls). In 2011-12 a total of 11,736 hospital admissions were related to obesity - more than 11 times higher than in 2001. Just over half of all obese men and 44 percent of obese women have high blood pressure (hypertension). We take a look at BMI, BMR, waist-hip measurements and more and assess the advantages and disadvantages of each option.


From BMI to BMR and body-fat percentage, we discuss the advantages and disadvantages of each.
This article looks at how to be physically active, eat the right types of foods and get enough sleep as well as other ideas.
Instead, these items are processed, adulterated, refined, diluted, sweetened, salted, or changed in some way. But it’s not natural because all the cells within the sugarcane have been eliminated during the refining process. Limit your intake of pasta to once a week, and avoid refined grains in white bread, cereal, and pizza. Also, if your ancestors did not come from hot climates, tropical fruits might be hard for you to digest. Anybody in this weight category is said to be at High Risk of Type 2 diabetes, Heart disease, Breast and Colon Cancer and Stoke. Well the causes of morbid obesity can be slightly different to lose of the normal overweight or obese person; which is often a high sugar diet and more calorie consumption than expenditure.
This now leads me on to discuss whether being morbidly obese is ‘un-healthy’ and without a doubt the answer is obviously yes!
There is sufficient evidence from scientific research and case studies that yes – you should be. I am an expert in all aspects of training and nutrition for Individuals who are looking to lose anything between 1-10 stone. For nutritional advice, consult a dietician or participate in a diabetes self-management education program. The ADA no longer has general recommendations for the percentage of daily calories that carbohydrates, fats, or protein should comprise. These drugs include exenatide (Byetta), liraglutide (Victoza), sitagliptin (Januvia), and saxagliptin (Onglyza and Kombiglyze).
Unvaccinated people with diabetes can become infected with hepatitis B through sharing fingerstick or blood glucose monitoring devices.
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. In addition, many of the new generation of antipsychotic medications can elevate the blood glucose level. Early changes appear similar to an infection, with the foot becoming swollen, red, and warm. Adults newly diagnosed with type 1 or type 2 diabetes should get hepatitis B vaccinations. DEPRESSION Diabetes doubles the risk for depression. People who have certain risk factors should ask their doctors about testing at an earlier age and more frequently. Today, with regular scientifically-proven treatment, they can definitely hope for a long and healthy life.
The health consequences associated with childhood obesity were recently published in Frontiers in Endocrinology, where researchers believe it could be responsible for disrupting the timing of puberty as well as leading to a diminished ability to reproduce. A major challenge faced by people with type 2 diabetes is making the transition back to eating real food. Contrary to popular belief and advertisement, bone strength does not come from consuming milk and other dairy products but from plant foods. Many people eat bananas because their doctors have told them that bananas are a terrific source of potassium.
Does it mean that you are unhealthy and should you be worried and being classed as ‘morbidly obese.’ These are the questions I want to try and answer for you today.
The first cause to look at would have course been lifestyle and diet, what is the person eating that is making them fat and how much of it they are eating! To put it simply, the amount of pressure your body is under to carry that volume of weight in phenomenal and unnatural. Morbidly obese individuals will often find that they will experience huge discomfort in their muscles and joints which can cause intense onset of arthritis and other muscular diseases.
Simply because of the amount of stress the extra weight is putting your body under both physically (inside and outside) and well as emotionally and psychologically. I have worked in the fitness industry for 8 years, including work for SKY TV featuring as a trainer on TV series FAT: The Fight Of My Life (2013) in which my contributer Darren lost 10 Stone in 8 months. Those percentages need to be individually determined for each person. There is no evidence that any specific eating plan (Mediterranean, vegetarian, or low-carb) is better than another.
The FDA is reviewing possible heart failure risks associated with saxagliptin. In 2013, the FDA lifted restrictions on rosiglitazone (Avandia), citing studies that indicated the drug posed no heightened risk for heart attack or death.
Although insulin can attach normally to receptors on liver and muscle cells, the hormone becomes less effective at triggering the mechanisms inside the cell that allow glucose to enter and be burned for fuel or stored. This can cause excessive fetal weight gain, which can cause complications during delivery as well as increased risk of breathing problems. People taking atypical antipsychotic medications (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 FACTORS Gestational diabetes mellitus (GDM) is a type of diabetes that develops during the last trimester of pregnancy.
Depression, in turn, may increase the risk for high blood sugar level (hyperglycemia) and the complications of diabetes. HYPOGLYCEMIA Tight blood sugar (glucose) control increases the risk of low blood sugar (hypoglycemia).
Ketones are byproducts of fat breakdown that build up in the blood and appear in the urine. These drugs work by activating the Incretin hormonal system in the human gut, stimulating insulin production and inhibiting glucagon (anti-insulin hormone) production from the pancreas in response to food in the stomach. Unfortunately, artificial sweeteners have their drawbacks, too—they are suspected to cause many diseases, not to mention weight gain. And on top of it, processed meats are laced with preservatives, colorings, and artificial flavorings. This will the main cause of weight gain, but they question is WHY is the persons eating habits so disruptive. Morbidly obese individuals are at SIGNIFICANTLY HIGHER risk of developing other chronic diseases if they do not attempt to lose a substantial amount of weight.
What is most important is to find a plan that best suits your lifestyle and food preferences.
Most people with type 2 diabetes initially produce normal, or even high, amounts of insulin, and the insulin is enough to normally regulate blood sugar. In addition, 86 million American adults have pre-diabetes, a condition that increases the risk for developing diabetes. The bones may crack, splinter, and erode, and the joints may shift, change shape, and become unstable. 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. It is also important for women to closely monitor their blood sugar level during pregnancy. People who have pre-diabetes have a fasting blood glucose level that is higher than normal, but not yet high enough to be classified as diabetes.
This improves glycaemic control without the risk of blood sugar levels dropping and causing hypoglycaemia.


We have already mentioned about potential the long term risks of being morbidly obese, but what about the short term? Without doubt … you can be extremely overweight and still physically fit, but in reality this is not the case for most people.
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. Guidelines recommend that women without diabetes symptoms should be screened for gestational diabetes at 24 to 28 weeks of pregnancy. For women with type 2 diabetes who take insulin, pregnancy can affect their insulin dosing needs. If you think that your morbid obesity could be due to any of the above then you should seek professional help from your GP. Individuals will often experience shortness of breath & exhaustion, problems with their digestive system and even more importantly their circulatory system.
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. In this more severe condition, new abnormal blood vessels form and grow on the surface of the retina.
Extreme stages of diabetic ketoacidosis can lead to coma and death. DKA is usually a complication of type 1 diabetes.
These drugs are of 2 types-the GLP1 analogues extracted from the saliva of the Gila monster and the DPP IV inhibitors.
This is made evident by fasting hyperglycemia, in which glucose levels are high, even early in the morning before eating breakfast.
The immune system is also altered, so that the person cannot efficiently fight infection. RETINOPATHY AND EYE COMPLICATIONS Diabetes accounts for thousands of new cases of blindness annually and is the leading cause of new cases of blindness in adults age 20 to 74. Usually the condition is manageable, but occasionally, it can be severe or even life-threatening, particularly if the person 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. Excess body fat plays a strong role in insulin resistance, but the way the fat is distributed is also significant. Major hemorrhage or retinal detachment can result, causing severe visual loss or blindness. Still, people who intensively control their blood sugar (glucose) level should be aware of warning symptoms.
However, in rare cases DKA can also occur in people with type 2 diabetes, usually due to a serious infection or another severe illness. HYPERGLYCEMIC HYPEROSOMOLAR NONKETONIC SYNDROME (HHNS) Hyperglycemic hyperosmolar nonketonic syndrome (HHNS) is a serious complication of diabetes that involves a cycle of an increasing blood sugar level and dehydration, without ketones. People with diabetes are also at higher risk for developing cataracts and certain types of glaucoma, such as primary-open angle glaucoma (POAG).
Waist circumferences greater than 35 inches in women and 40 inches in men are specifically associated with a greater risk for heart disease and diabetes.
MENTAL FUNCTION AND DEMENTIA Some studies indicate that people with type 2 diabetes, especially those who have severe instances of low blood sugar, face a higher than average risk of developing dementia.
Some doctors recommend it as a follow-up after FPG, if the latter test results are normal but the person has symptoms or risk factors of diabetes.
People with a "pear-shape", fat that settles around the hips and flank, appear to have a lower risk for these conditions. However, obesity does not explain all cases of type 2 diabetes. Metabolic syndrome is a pre-diabetic condition that is significantly associated with heart disease and higher mortality rates from all causes.
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. In terms of sexual health, diabetes may cause decreased vaginal lubrication, which can lead to pain or discomfort during intercourse. Women with diabetes should be aware that certain types of medication can affect their blood glucose level. 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.
Long-term use (more than 2 years) of birth control pills may increase the risk of health complications.
Thiazolidinedione drugs such as rosiglitazone (Avandia) and pioglitazone (Actos) can prompt renewed ovulation in premenstrual women who are not ovulating, and can weaken the effect of birth control pills. The results are given in percentages and indicate a person's average blood glucose level over the past 2 to 3 months. KIDNEY DAMAGE (NEPHROPATHY) Kidney disease (nephropathy) is a very serious complication of diabetes.
With this condition, the tiny filters in the kidney (called glomeruli) become damaged and leak protein into the urine. 6.5% or higher A1C tests are also used to help people with diabetes monitor how well they are keeping their blood glucose levels under control. For people with diabetes, A1C is measured periodically every 2 to 3 months, or at least twice a year. While fingerprick self-testing provides information on blood glucose for that day, the A1C test shows how well blood sugar has been controlled over the period of several months.
It is a common complication for nearly half of people that have lived with type 1 or type 2 diabetes for more than 25 years. The most serious consequences of neuropathy occur in the legs and feet and pose a risk for ulcers and, in unusually severe cases, amputation. Peripheral neuropathy usually starts in the fingers and toes and moves up to the arms and legs (called a stocking-glove distribution).
People 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 rates Lightheadedness when standing up (orthostatic hypotension) Heart disease risk factors may increase the likelihood of developing neuropathy. Microalbuminuria typically shows up in people with type 2 diabetes who also have high blood pressure. The ADA recommends that people with diabetes receive an annual urine test for albumin. Lowering triglycerides, losing weight, reducing blood pressure, and quitting smoking may help prevent the onset of neuropathy. FOOT ULCERS AND AMPUTATIONS About 15% of people with diabetes have serious foot problems.
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. People who have the disease for more than 20 years and are insulin-dependent are at the highest risk. A doctor uses the results from a creatinine blood test to calculate the glomerular filtration rate (GFR).
Foot infections often develop from injuries, which can dramatically increase the risk for amputation. Numbness from nerve damage, which is common in diabetes, compounds the danger since the person may not be aware of injuries. In addition to a comprehensive eye exam, fundus photography may be used as a screening tool.



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