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If the person recovers and weigh up to 120 kg, therefore, increase the number of cells that you want to open. It is overweight is a leading cause of diabetes type 2, which accounts for more than 90% of all cases of this disease. Rarely, other types of diabetes associated with various endocrine and endokrinnye diseases, and certain medications.
On our website describes the most common disease of adults and children, causes and symptoms of these diseases, as well as the most effective treatments for these diseases. The information on this health site are for informational purposes only, professional diagnosis and treatment of the disease should be done by the doctor in the clinic. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The major advantage of carb counting is that it gives flexibility to eat a meal or snack when ever you wish and gives a freedom to choose any food you like.
The carbohydrate content of a meal is quantitatively a determining factor of the mealtime insulin doses. Initially carbohydrate counting and insulin dose calculation may sound like a difficult task. The good news is that the technology for the management of type 1 diabetes is moving fast and is making living with type 1 diabetes a lot easier. At ACE diets we can help you to learn the differences between carbohydrate counting and general diabetes control. People with diabetes are at risk of developing ulcerations and infections within their feet, which have the potential to require an amputation of the foot or leg.
Our podiatrists are very experienced in the care of people with diabetes, and Anthony Short is a consultant podiatrist to the Queensland Diabetes Centre at the Mater Hospital in Brisbane.
One of the lesser known, but most devastating, complications of diabetes is known as a Charcot neuroarthropathy (or a Charcot joint).
Charcot neuroarthopathy is a situation where one or more joints within the foot can ‘collapse’ and cause serious deformity and instability, often after a seemingly trivial or inconsequential injury.
Most typically, neuropathic foot ulcers are painless wounds under the joints of the front of the foot, or around the toes. The use of special dressings to heal these wounds is typically not of great importance, and simple sterile dressings are usually sufficient because the focus is on removing pressure from these areas. Our podiatrists will need to see the wound regularly for wound debridements, and to evaluate the effectiveness of pressure offloading approaches. By contrast, ischaemic ulcers are due to a lack of blood supply (caused by peripheral arterial disease) reaching the foot, and necrosis of the skin following often trivial injury. The American Diabetes Association released statistics in June of 2014 from the National Diabetes Statistics Report. There are two primary types of diabetes.  Type I is when the body is unable to make enough insulin and insulin injections are the conventional form of medicine used to treat this disease. With this impending doom, what can we do?  We can each take responsibility for our own health, and do what is necessary to change our lifestyle to prevent contracting diabetes.  The most important things research shows us is that with just 30 minutes of physical activity 5 days a week and healthier eating, we could dodge diabetes. Good blood sugar control today will reduce the risk of damage to kidneys and other organs tomorrow.
Early detection of kidney damage is important, but there might not be noticeable symptoms in the early stages. Keeping blood sugar as close to normal as possible is the first step to preventing kidney disease. Educating individuals on best ways to avoid this and other diabetes complications is a goal of self-management courses. Whether you have already planned a summer vacation or still in the process, incorporate your pump or CGM needs into your travel plans instead of treating your needs as an afterthought or an overwhelming fear. You can obtain a Transportation Security Administration Card to print out and bring with you to notify TSA of your diabetes can be found online. Always have Plan B in place in case something goes wrong with your current device, such as carrying syringes or pens to give injections and carrying extra supplies in case you run low. Be sure to carry some form of prescription or letter from your physician that treats you for your diabetes. Carry all of your medicines, such as insulin, and all related supplies in your carry-on baggage.
If you wear an insulin pump or continuous glucose monitoring device, it is OK to continue to keep them on as you go through security at airports or terminals. A printed checklist might help elevate stress and keep your plan in your hands, front and center. Learning how to handle life’s challenges like traveling and treatment plans is a covered topic in diabetes self-management courses. Although the calendar says the influenza season should be over, cases of the flu are increasing into March 2016 instead of winding down to a close.
A sick day plan should include these elements of good blood sugar control.  Monitoring, meals and medications are key while exercise or physical activity is usually halted during the illness.
The sick individual needs to follow a schedule for monitoring that gives the diabetes care team information to direct the modifications for the patient’s needs. Recording temperature, blood sugar, medication amount and time, fluid and food intake and the presence of ketones are highly important on sick days.
A log to monitor the sickness over time, glucose meter, lancets, lancing device, test strips, control solution, and a bottle of Ketostix should be included in a sick day management tool kit.
The start of each year is a prime time to consider your life, health and ways to improve both. Timely – I will make an appointment with my care team every three months in 2016 to evaluate my A1C with hopes to start 2017 near 7.5. Other goals that will impact blood sugar control include getting regular and sufficient exercise, gaining or losing weight, following a diabetes nutrition plan, and being more compliant to medication schedules. The National Diabetes Education Program, a part of the National Institutes of Health (NIH), offers an online resource for making a plan for success. The CGM reads blood sugar levels every one to five minutes and shows whether a person’s blood sugar is rising or falling.
The diabetes educators at Diabetes Management & Supplies can help take the guess-work out of your monitoring needs.
Insulin pumps and Continuous Glucose Monitoring devices work best when insertion sites and parts and accessories are changed as recommended. Insertion site management refers to choosing the best locations on your body to place insertion sets and sensors, but it also involves the frequency in which the site is changed and new supplies are put in place.
John Wright, Diabetes Management & Supplies Director of Sales, wears an insulin pump and stresses that site management can affect the level of blood sugar control.
Insulin pump wearers will experience poorer blood sugar control when a site has been used too long before rotation.
It is recommended that CGM sensors be changed every six to seven days, but infusion sets should be changed every two to three days. Insulin pump use will require supplies that include insertion sets, reservoirs, tubing, cartridge caps, batteries, dressings and adhesives.
CGM devices will require supplies that include sensors, receivers, transmitters and batteries. To ensure the best results, keep an eye on your supplies on hand and always place reorders enough in advance that you don’t run out of supplies or over use your insertion sites.
The holiday season may help bring attention to a rarely-discussed diabetes symptom: depression. The American Diabetes Association explains that people with diabetes are at a greater risk to depression and the complications of poorly controlled blood sugars are very similar to the symptoms of depression. Spotting depression in yourself or someone you love is an important step to countering depressions effects.
Change in sleep patterns: You have trouble falling asleep, you wake often during the night, or you want to sleep more than usual, including during the day. Change in appetite: You eat more or less than you used to, resulting in a quick weight gain or weight loss.
This month (November) is Diabetes Awareness Month, a time set aside to education and inspire those living with a form of diabetes and those who can take steps to reduce their risk of the preventable conditions associated with diabetes. Type 1 Diabetes accounts for only 5 – 10 percent of all cases, and used to be called juvenile diabetes. Type 2 Diabetes is the most common form of diabetes, accounting for 90 – 95 percent of all cases. The causes of Type 2 Diabetes are not completely understood, but it almost always starts with insulin resistance.


The causes of Gestational Diabetes have not been determined, but the many hormonal changes during pregnancy contribute to what is called insulin resistance – which is your body not using the insulin that your pancreas produces.
For more on these forms of diabetes, visit the Diabetes Management & Supplies Learning Center. Diabetes affects almost every biochemical process of the body including the hair growth process. People with diabetes experience significant loss of body hair, especially loss of hair on the legs. Hair loss especially on the legs is usually a symptom of reduction in blood flow in the peripheral arteries. Hair growth can be promoted by topical application of Minoxidil, a medication that is available over-the-counter. To promote hair growth include five servings of healthy proteins such as lean meat, fish, dairy and legumes, seeds and nuts, variety of fruits and vegetables and whole grains in your daily diet. Physical activity can help considerably in improving diabetes primarily through blood sugar control, weight and cholesterol management. Check with your doctor to determine what form and intensity of physical activity can best suit and benefit you. Here are some useful tips on implementing physical activity in your lifestyle where diabetes is already existing. According to experts, people with diabetes should do physical activities of moderate intensity for about half an hour for 5 (or more) days in a week. A physical activity regimen can consist of various types of exercises having varied intensity levels.
Diabetes can restrict you from performing many physical activities, especially the more vigorous ones.People having complications, like foot problem and nerve damage, should avoid doing exercises which can aggravate the problem. Physical activity may also upset your normal blood glucose levels – either raising or lowering them.
It is important to prepare a safe exercise agenda.  Exercising, which is essentially aimed at enhancing your health, should not undermine or deteriorate it in any case. Therefore, it is important to eat right, live an active lifestyle to prevent obesity, which, as you understand, is a leading factor in the implementation of the genetic information, which he handed to parents.
For people with Type 1 Diabetes, blood glucose control is best achieved by matching rapid acting insulin dose directly to the amount of carbohydrate consumed; this method is called Carbohydrate Counting.
Find your individual “correction factor” – extra units of insulin to correct a high blood glucose level that is above your personal targets. However, you will gradually become more familiar with the process and it will eventually become second nature.
If you are using insulin pump therapy, you are probably already using the bolus calculators built into most pumps.
The randomized and non-randomized studies have shown the efficiency of Insulin Pump Therapy across all age groups. We are experts in advising people with multiple daily injection therapy (MDI) as well as those on insulin pump therapy (CSII).
In fact, the most common reason a person with diabetes will require hospitalisation is for a foot complication. We have also been involved in Diabetes Programs with the Divisions of General Practice, and training programs for doctors involved in the Royal Australian College of General Practitioners, along with community education seminars with Diabetes Australia (QLD). The name is derived from a French physician, Dr Jean-Martin Charcot, who first identified this condition in patients with peripheral neuropathy (in this case, due to syphilis) whilst working in Paris in the 1800’s.
The foot can change appearance quite dramatically over the course of a few months, and it is difficult to diagnose at first – as it is often confused with infection or gout. These wounds can be difficult to heal unless a good understanding of the cause of the problem is taken into consideration. They are primarily caused by unremitting pressure over bony prominences, altered biomechanics, and the lack of ability to feel pain. They are far more difficult to heal unless restoration of blood flow to the foot can be achieved. This activity gives you the opportunity to raise the public awareness about the importance of a healthy lifestyle in preventing diabetes. Having diabetes puts you at a greater risk for developing kidney disease also called diabetic nephropathy. It’s important to have regular urine tests to find kidney damage early because early kidney damage might be reversed. Control your blood pressure by checking it on a regular basis and following your doctor’s recommendations for acceptable levels.
If you need help developing a strategy to avoid complications or face other challenges, Diabetes Management & Supplies can assist with diabetes self-management and education services. There’s nothing new under the sun and you can also reap the benefits of those who have traveled the vacation path before you. If you need help developing life and treatment strategies, Diabetes Management & Supplies can assist with diabetes self-management and education services. Avoiding illness is a prime goal, but people living with diabetes should be aware of the special needs presented by sick days caused by the flu and other conditions.
Meals and eating will play an important role as medication will need to be adjusted to match rising or falling blood sugar levels.
This log or report will give insight to the diabetes care team of current health status and allow them to help adjust medication or intake to prevent dehydration or ketoacidosis.
Certain foods, testing equipment and testing supplies need to be handy before a sickness occurs.  The phone number of the doctor or diabetes care team should be readily available. The food pantry should contain: broth, both sugar-free and regular Jello, both diet and non-diet soft drinks, both sugar-free and regular popsicles, both thin and creamy soups, regular and sugar free pudding, yogurt, juice and milk. Centers for Disease Control (CDC) reports that across the country, this flu season was significantly less severe than in the last few years, though number of cases have been increasing since early January. Motivation and method are both key to setting new goals and ending your year with a sense of accomplishment.
SMART Goals provide a road map to success because those goals are Specific, Measurable, Attainable, Realistic and Timely.
Beyond those faceless figures, one should focus on goals that bolster your diabetes control. Your diabetes care team should be consulted about ways to reduce your A1C and risk of complications. Lowering one’s blood sugar is a great goal, but drastic drops can increase changes of hyperglycemia. Diabetes Management & Supplies offers diabetes self-management and diabetes education services. A CGM automatically takes several blood sugar readings throughout the day, sends alerts for extreme readings and feeds those levels to the insulin pump.
Combining CGM with insulin pump therapy can provide a method to monitor and manage blood glucose levels. For more information on specific monitoring or insulin delivery needs, call our Education Department at 1-888-738-7929.
Resolving to make “a healthier you” in 2016 can start with a good understanding of your device and its disposal parts and ensuring you are always equipped with adequate supplies. Click HERE for our efficient reorder form or call 1-888-738-7929 to place an order by phone. Whether emphasized by SAD (Seasonal Affective Disorder) or just noticed in contrast to the festive season, depression may be one sign of diabetes or a flag that one’s diabetes is not in good control.
Treat yourself to your favorite stuffing or homemade pie on these days.  Keep these treats to the holidays. These foods fill you up, but will not affect your blood sugar. Chicken, turkey and cheese are often on party trays. Just a 15-minute walk before or after a holiday party can help to keep your blood sugar in control when you are celebrating. It is group of similar conditions that fall into the same category because the symptoms and effects on the body may be similar.
Three-quarters of people who develop type 1 are under the age of 18, and most others are under 40 years old, but older adults develop it as well. Most experts believe it is an autoimmune disorder, which is a condition that occurs when the immune system mistakenly attacks and destroys healthy body tissue.
In studies that followed relatives of people with Type 1 Diabetes, researchers found that relatives who later developed diabetes had certain auto-antibodies in their blood for years. It used to be called adult-onset diabetes, but, unfortunately, both children and adults develop this kind of diabetes. Gestational diabetes is still diabetes, which means your blood sugar levels are abnormally high.


Severe hair loss is often a symptom of diabetes-induced complications that usually occur in people with poorly controlled diabetes. In diabetics, hair loss is caused by early onset of the telogen phase, a disorder known as telogen effluvium. Consuming dietary supplements containing nutrients essential for hair growth helps in arresting hair loss.
Hair loss can also be treated by taking omega-3 fatty acid supplements that help in arresting hair fall by inhibiting activities of pro-inflammatory substances.
A balanced diet and regular exercises help in improving supply of nourishment to the skin and the hair follicles present in the skin. Practicing stress management techniques such as deep breathing exercises and meditation also help in preventing hair loss by reducing elevated levels of stress hormones that worsen diabetes control and trigger hair fall. Besides, there are many other good effects of including adequate physical activity and exercising in lifestyle. If this is your first instance of adopting an exercising regimen, better start slowly and then catch up with the intense activities. It also enhances blood circulation and reduces the risk of heart illnesses. Aerobic exercises can be done for half an hour a day for a minimum of 5 days every week. Stretching can give you better flexibility and prepare you better for other forms of exercising.
There are many forms of exercising and you can choose and implement the ones which suit you. If you are on  MDI therapy there are now several blood glucose meters available with a built in mealtime (bolus) insulin calculator for calculating suggested insulin doses which means that it eliminates the need for you to make any mathematical calculations when estimating your mealtime insulin dose.
However, to make most of the technology, you also need to know about carbohydrates, how to monitor your blood glucose regularly, how to re-address insulin to carb ratios and about correction factors, how to re-address the adequacy of your background basal rate and use correct strategies for high and low blood glucose. Of all of the foot problems our patients can present with, there is little that is more serious to life or limb than a foot complication due to diabetes. Even trivial or minor injuries to the foot have the potential to become very serious and threaten a limb. Long term, patients with a Charcot joint can be left with a severely deformed foot and high risk of ulceration or amputation.
If blood flow is still good, they are usually relatively easy to heal once suitable pressure offloading is done with either special footwear, orthotics, bracing or casts. We will often work with your GP and vascular surgeon to look for ways to get better blood flow back into the foot, in order for these to heal. In type 1 diabetes, hyperglycemia starts in the first decades of life and is usually the only recognized cause of nephropathy. Finally, don’t use tobacco because it narrows your blood vessels including the already tiny ones working deep inside your kidneys. Transportation Security Administration (TSA) has a helpline number to assist patients with medical conditions who want to prepare for the screening process prior to flying. It will help to remove this bag from your luggage so that the TSA officials can clearly see what is inside. Please notify the TSA officials as you move through the checkpoints that you are wearing a pump or CGM.
The purpose of a sick day management plan and more vigilant testing has to do with limiting hyperglycemia and dehydration. Medications are to be taken on the usual schedule or may be modified to meet the patient’s needs by the doctor or a member of the healthcare team. The most common types of diabetes in our presence society are Type 1 Diabetes, Type 2 Diabetes and Gestational Diabetes. With Type 1 Diabetes, an infection or some other trigger causes the body to destroy the cells in the pancreas that make insulin. Such factors appear to be more common in whites, who have the highest rate of type 1 diabetes.
That excess sugar crosses the placenta and can make your baby grow too large and lead to problems with your pregnancy and delivery. Sluggish blood circulation in the scalp decreases supply of oxygen and nutrients to the hair follicles, increasing hair fall. Accelerated production of free radicals triggered by diabetes is another common cause of hair loss.
However, permanent hair loss will require surgical procedures such as hair transplants or scalp reduction. Diabetes may put some restrictions on exercising and you should be careful and alert when performing a physical activity. You can also consider dividing the activity for a day if you cannot perform it at a stretch. Strength training can be done through lifting weight, elastic bands and through resistance bands. Strength training can be done several times in a week. Stretching for 5 to 10 minutes helps in warming up the body and even cool down vigorous exercising. That is, if a person, for example, weighs 60 kg, then the body produces about 60 units of insulin per day. Many may argue that it is never anyone in the genus diabetes was not, and I suddenly became ill. For example, 1 unit of rapid acting insulin may be appropriate for every 10g of carbohydrate in a meal.
Once you have worked out and programmed the information into the meter along with your insulin-to-carbohydrate ratio and correction factors, the rest is then calculated by the meter. Using fasting tests help you learn about your individual background insulin requirements over 24-hour period and allow programming of your pump to your individual needs. There is usually a preponderance of hyperkeratotic tissue (hard skin callus) around the wound, along with non-viable tissue that needs removal by surgical debridement. It may be important to use protective footwear or bracing during this period to protect these fragile tissues from any further pressure or injury. This year, we hope to welcome even more participants, so bring your friends, family and colleagues along for an early morning run or walk through the French Quarter.
It is a progressive kidney disease caused by damage to the tiny blood vessels in the kidneys that are used to filter waste from the blood. With type 2 diabetes, to the contrary, hyperglycemia starts near middle-age, usually when the kidneys have already suffered the long?term consequences of aging and of other recognized promoters of chronic renal injury such as arterial hypertension, obesity, high cholesterol, and smoking. Also, in case your checked luggage is lost, you will still have your insulin and supplies with you in your carry-on bag.
The goals are to prevent DKA in the Type 1, avoid dehydration of the Type 2 individual and avoid potential hospitalizations for either individual. Understanding what they have in common, how they differ and the associated risk factors is crucial to raising awareness and encouraging prevention, when possible.
People with type 1 diabetes are especially susceptible to alopecia areata that causes bald patches on the scalp and other areas of the body.
This ratio is individualized from patient to patient, and it may even vary for the same patient at different times of the day. It is also important to make full use of the extra features available on your pump, such as temporary basal rates and multi wave and square wave boluses. This is because the pancreas produces less and less insulin over time, so it must be injected to meet the body’s needs.
Production and activities of hormones associated with hair growth are also affected by diabetes. Patients will also have to take into account pre-meal blood glucose level and give a correction dose if blood glucose is above the target range. This, however, does not mean that if the parents had diabetes, he will develop and the child. The correction factor is again individualized to each patient and it may vary at different times of the day.
The risk of developing type 1 diabetes in a child if sick mother, is 3-5%, if sick father is about 6%, if both parents – to 11%.




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