Nhs diabetes type 2 statistics 5th,m-x zone emacs,how to treat wounds in diabetics - Plans Download

This leaflet outlines the nature of tuberculosis, including the symptoms, treatments and side effects.
How can diabetes affect my feet?If you have diabetes you probably already know it’s essential to take special care of your feet. I am a New Zealand registered nurse and nutritionist (Grad Cert Sci: nutrition, Massey Univ). Apparently, if you’re cooking for a diabetic, no foods are to be avoided and you should give them plenty of starchy carbohydrates (potatoes, pasta etc) and vegetables. I had hoped that nutritionists would have come to their senses about diabetes in the 10 years since I started ignoring them, but it seems dogma still holds sway. Diabetes, whether type 1 or type 2, essentially means the body is no longer able to handle glucose in the blood properly. The body gets glucose from food, and some foods are turned into glucose by the digestive system much more rapidly than others. Given the fact that Type 1 diabetes is an auto-immune disease, I recommend that if you have it you follow the paleo diet – Why? It is startling to me that Diabetes New Zealand are not even yet following recommendations of on of the most prestigious diabetes clinics recommend.
When I first started my own nutrition practice I exclusively taught the Zone diet, because this was the plan that radically changed my own health (I’ve since evolved to teaching paleo and lower carb principals). The decrease in each of the risk factors indicates the Zone Nutritional Program has significant potential in reducing the cardiovascular risk that is elevated in Type 2 diabetics.
The main result was that the blood sugar rise in response to carbohydrate intake was markedly lower after 12 weeks in the Paleolithic group (–26%), while it barely changed in the Mediterranean group (–7%). The improved glucose tolerance in the Paleolithic group was unrelated to changes in weight or waist circumference, although waist decreased slightly more in that group. Low-carbohydrate diets, due to their potent antihyperglycemic effect, are an intuitively attractive approach to the management of obese patients with type 2 diabetes. Of the 23 patients who have used a low-carbohydrate diet and for whom we have long-term data, two have suffered a cardiovascular event while four of the six controls who never changed diet have suffered several cardiovascular events. Advice to obese patients with type 2 diabetes to follow a 20% carbohydrate diet with some caloric restriction has lasting effects on bodyweight and glycemic control. So it looks like what works best for type 2 diabetics who wish to control blood glucose and reverse the symptoms diabetes is a low – moderate carbohydrate, paleo eating plan. Other supplements are also useful; magnesium, chromium and alpha lipoic acid, and of course a very high nutrient, high anti-oxidant diet. Yes, you are right, point taken, reversing the symptoms of type 2 diabetes is more accurate – text has been changed. There are reasons that some people with diabetes are advised to avoid high protein food plans (such as Atkins). Also, I think that scare tactics are nasty, don’t work and, when what is being said is wrong, can be damaging. I have personally seen people reverse symptoms of type 2 diabetes and manage it in such a way as to show no measurements of diabetes. Copyright © 2016 Bedford Borough Council - all other trademarks are acknowledged as belonging to their respective owners. Some methods of debridement require a lower level of skill to perform and are available to generalist nurses. WHEN IS REFERRAL NECESSARY?If any doubt exists as to the diagnosis or treatment pathway, referral for assessment and advice from the specialist wound care or tissue viability team should occur prior to debridement. Patients with inflammatory conditions such as pyoderma gangrenosum where active debridement may lead  to wound deterioration.
Wounds that are associated with congenital malformation or when malignancy is suspected or the normal anatomy is changed.
Patients with a prosthetic implant in the region of the wound require a review and advice from the appropriate surgical team. Early appropriate wound debridement facilitates healing, reduces risk of infection and improves patient quality of life. Debridement is frequently an ongoing process and will involve the integration of a number of debridement methods if healing is to be optimised. Bahr S, Mustafi N, Hattig P, et al (2011) Clinical efficacy of a new monofilament fibre-containing wound debridement product. Gray D, Acton C, Chadwick P, et al (2011) Consensus guidance for the use of debridement techniques in the UK.
It described the condition in detail and gives sources of furter information including the number for the COPD helpline.
This leaflet gives brief introductory details about causes, symptoms and treatments available. That’s because having too much glucose in your blood over a long period of time can cause serious complications, often before you realise there’s a problem. It is intended for general information purposes only and does not address individual circumstances.
I am a Certified Zone Instructor, and have worked teaching Zone diet principles to hundreds of clients over the last 10 years. I went and had a look at Diabetes UK and their food recommendations for diabetics are horrifying. So it seems clear that nutritionists will be a big help to diabetics, because they can tell diabetics which kinds of foods will quickly raise blood glucose and should be avoided, right? Well, not if that diabetic is listening to professional nutritional advice, which actively warns them off the foods that won’t raise blood glucose rapidly and actively encourages them to scoff down the foods that will.

It reduces the auto-immune reactions caused by agricultural foods; grains, legumes and dairy. In those days Sears recommendations were very paleo and meals usually ended up being lower carb than the 40% calories prescribed. All patients had increased blood sugar after carbohydrate intake (glucose intolerance), and most of them had overt diabetes type 2. Hence, the research group concludes that something more than caloric intake and weight loss was responsible for the improved handling of dietary carbohydrate.
Both groups received group meetings, nutritional supplementation, and an exercise recommendation.
Both interventions led to improvements in hemoglobin A1c, fasting glucose, fasting insulin, and weight loss. We previously reported that a 20% carbohydrate diet was significantly superior to a 55–60% carbohydrate diet with regard to bodyweight and glycemic control in 2 groups of obese diabetes patients observed closely over 6 months (intervention group, n = 16; controls, n = 15) and we reported maintenance of these gains after 22 months. So it may have gone into remission, but the potential for it to come back would probably be a few bad meals away. So many people are erroneously being given the message that biology is destiny when they can do something constructive about it e.g. The decision to debride a wound can be complex and may require the multidisciplinary team involvement. These include autolytic methods, biosurgical therapy and the recently introduced mechanical method, Debrisoft® (Activa Healthcare).
New techniques of mechanical debridement provide the generalist practitioner with more rapid options for debridement when used in conjunction with autolytic techniques.
Maintaining a healthy wound bed following initial debridement of a chronic wound can be performed using non-specialist methods.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
More recently after finding that eating Paleo food choices was the "icing on the cake" health wise, I have become a Paleo enthusiast and teacher. If your blood has high glucose levels over the long term, you can look forward to blindness, impotence, kidney failure, amputated limbs and an early death, so the diabetic’s task is to keep those blood glucose levels down as close to normal as possible. It burns me up that these imbeciles are encouraging people to sabotage their chances of surviving diabetes. Why would professional nutritionists instruct diabetics to eat mostly foods that are going to turn them into broken-down pieces of shit? The main difference between the groups was a much lower intake of grains and dairy products and a higher fruit intake in the Paleolithic group. The risk of diabetes complications increase when BGs are elevated over long periods of time. I have also heard others like yourself say that they can manage their T1 diabetes with a controlled amount of carbs (carb counting) and careful insulin dosage. This made easy section looks at the reasons for debridement, the methods available and the skills required to manage the wound effectively.What is debridement? Once the decision to debride a wound is made and the method confirmed, clinicians should consider their own skills to perform the task. New additions to existing options may demonstrate a reduced need for more advanced debridement treatments. Autolytic debridement and biosurgical (larval) therapy, combined with the use of new products (such as Debrisoft®)may make the process of debridement more universally available.
Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. Patients in the Paleolithic group were recommended to eat lean meat, fish, fruit, vegetables, root vegetables and nuts, and to avoid grains, dairy foods and salt.
In my opinion, the best information for people with T1 diabetes is to learn to carb count, dose insulin accordingly and eat from a wide variety of foods.
Debridement is the removal of non-viable tissue (see Box 1) from the wound bed to encourage wound healing.
Further staff training or specialist referral may be a necessary consideration to provide safe and effective care. Of the sixteen patients, five have retained or reduced bodyweight since the 22 month point and all but one have lower weight at 44 months than at start.
Diabetes UK says about 80% of 6,000 amputations a year, related to diabetes, could be prevented – so make sure you make foot care part of your daily routine. I have in all seriousness been given medical advice that I should eat a high-carb diet that will wreck my blood sugar control because low-carb diets involve lots of fat, and diabetics have an increased risk of heart attack. What is diabetic neuropathy?If you develop uncontrolled diabetes, it can damage your nerves.
What is peripheral vascular disease?Another reason why people with diabetes have foot problems is because high blood glucose levels can damage blood vessels.
This is known as 'peripheral vascular disease', which affects the blood supply and circulation to your feet and legs.
Poor blood flow means cuts take longer to heal and puts you at risk of developing ulcers or gangrene – when tissue dies due to a lack of blood.
Even if your feet may look pink and healthy, it’s important to check them regularly and have your nerves tested each year by an appropriately qualified healthcare professional. Usually skin heals quickly, but with diabetes even common foot conditions need to be monitored carefully. Athlete's footIf you have diabetes you have a higher risk of developing some skin problems, including fungal infections.

Fungal nail infectionA fungal nail infection develops when a fungus attacks a fingernail, a toenail, or the skin under the nail.
Calluses are caused by an uneven distribution of weight, generally on the bottom of the forefoot or heel. Some callus formation on the sole of the foot is normal, but if you have diabetes you need to be vigilant. During your routine visits, talk to your GP or diabetes nurse about preventing and treating calluses, cracks or broken skin. A hard corn is a small patch of thickened, dead skin with a small plug of skin in the centre. Seed corns are clusters of tiny corns that can be very tender if they are on a weight-bearing part of the foot. They are often caused by wearing shoes that don’t fit well, or wearing shoes without socks. If you have diabetes you need to take special care to avoid a blister becoming infected, which will need treatment from your GP. Use an appropriate cream as advised by your doctor, diabetes nurse or pharmacist, and clean, soft bandages to help protect the skin and prevent infection.
The foot becomes deformed as shoes put pressure on the big toe, pushing it toward the second toe. Moisturising soaps and lotions can help keep your skin moist and soft.The next couple of slides contain images of severe foot problems. Foot ulcersAs skin does not heal as quickly when you have diabetes, you’re more at risk of developing a foot ulcer due to a break in the skin or a deep sore.
Foot ulcers can develop after minor scrapes, or from the rubbing of shoes that don’t fit well.
Hammer toesHammer toes can be a problem if you have diabetes because of the risk of skin damage. They can cause problems with walking and can lead to other foot problems, such as blisters, calluses and sores. Trimming toenails regularly - cutting only straight across - helps to prevent ingrown toenails. Get medical advice if you develop an ingrown toenail, especially if you have a persistent problem or a nail infection.
Severe problems with ingrown nails can be corrected with surgery to remove part of the toenail and growth plate.
VerrucasVerrucas, also called plantar warts, are small bumpy growths on the soles or heel of the feet.
Preventing foot problemsPreventing foot problems before they start is crucial if you have diabetes. There are health professionals who can help you keep your feet healthy but you are the one who needs to be vigilant and check your feet day to day. Prevention – stay healthyPrevention of foot problems starts with leading a healthy lifestyle and keeping your blood glucose levels under control. This helps ensure you prevent or slow down any changes to the nerves and blood vessels that supply your feet and legs. Follow your doctor’s advice on diet, exercise and medication and how frequently to check your blood sugar levels to make sure these stay within the desired range. Prevention - daily checksEstablish a daily foot care routine and take steps to prevent damage to your feet. Check for a build-up of dry skin, sores, blisters, redness, calluses, or any of the foot problems listed in this slideshow.
If you know you have circulation problems, it’s especially important to check your feet daily. Prevention - home careYou can deal with areas of dry skin at home by gently moisturising with a suitable cream or ointment.
Do this after your bath or shower when your skin is soft and damp to help lock the moisture in. You can also clean small cuts and scrapes, by putting on antiseptic cream and using a dry sterile dressing. Check the wound regularly and if you see redness, swelling or oozing fluid, or if you are at all concerned, seek medical advice immediately. Prevention – nail careIf you have damage to the nerves and blood supply to your feet, don’t attempt to cut nails yourself, unless you have been shown how to do it by a podiatrist or nurse. Seeing an NHS stop smoking advisor can massively boost your chances of quitting successfully. Prevention - checkupsSee a podiatrist at least once a year for a check up – even if you don’t have foot problems. An annual foot examination should include an inspection of the skin -- checking for redness or warmth of the skin. Get help from a GP or podiatrist immediately if foot blisters or injuries don’t heal quickly.

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