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Type 2 Diabetes is a result from insulin resistance, a condition which cells fail to use insulin properly. If you have a family history of diabetes, it is recommended that you undergo glucose tests every 3 months. This entry was posted in Diabetes and tagged insulin resistance, Type 2 Diabetes, type 2 diabetes symptoms. All forms of diabetes have been treatable since insulin became available in 1921, and type 2 diabetes may be controlled with medications. 5 Factors That Determine Photography PricesProfessional photographers have different ways of charging for their services. Why Can't I Lose Weight?You ask yourself "Why can't I lose weight?" Think about it for a moment. How To Lose Stomach Fat – Eat Certain Foods And Avoid The RestIf you are trying to lose stomach fat, you must learn what type of foods you can and can not eat. Treatment Of Yeast InfectionHave you just found out that you have a yeast infection and you are wanting to get rid of it? Educational Toys For BabiesKeeping your baby entertained is a lot of fun but yet it can be challenging at the same time.
Neighborhood Diabetes offers Medical Supplies at 600 Technology Drive 201 continuous glucose monitoring supplies and pharmacy maintenance medications to you via direct home delivery Our strategy which involves working with diabetic patients healthcare providers and insurers Therapy Prevents Repeat Suicide Attempts.
De klassen A B uncontrolled diabetes mellitus type 2 diabetic breakfast bread recipe Hoewel screening op zwangerschaps-diabetes veelvuldig plaatsvindt As a result patient awareness of the warning signs is one of the most important tools we have to sccessfully help women receive the care they need. Before we go into details of these complications, there is one very important message that we must get across to you as patients and members of the public. Type 1 diabetes mellitus has also been known as juvenile-onset diabetes mellitus or insulin dependant diabetes mellitus. Type 2 (adult-onset or non-insulin requiring) diabetes mellitus is much more common and is the type of diabetes that affects most Singaporeans.
This type of diabetes commonly occurs in persons who are overweight and have high blood pressure. Hypoglycaemia is covered in another section so we will only cover hyperglycaemic diabetic emergencies in this section. Diabetic ketoacidosis occurs when there is insufficient insulin to deal with the amount of sugar in the blood stream.
The symptoms of diabetic ketoacidosis include thirst, passing large volumes of urine, feeling very tired, nausea, vomiting and abdominal pain. You can prevent diabetic ketoacidosis by taking your insulin and medication regularly, especially when you are sick. Compared to diabetic ketoacidosis, which can occur very quickly, hyperosmolar non ketotic coma occurs more gradually. Apart from the acute diabetic emergencies, high blood sugar does not cause death or disabilty in itself. The complications of diabetes mellitus affect many organs in the body and these include the eyes, heart, feet, kidneys, and the nervous system.
Diabetes mellitus also causes weakness in the blood vessel walls causing them to bulge and form microaneurysms.
It is important to pick up the changes due to maculopathy and proliferative retinopathy early as laser therapy can reduce the likelihood of loss of vision.
Diabetic eye disease is one of the reasons we must try to keep the blood sugar under strict control, the DCCT has shown us that good control of blood sugar results in less eye disease and even if you already have eye disease, it can prevent it from getting worse. Coronary artery disease or blockage of the arteries supplying the heart is the major cause of death in patients with diabetes mellitus.
With respect to heart disease, diabetes mellitus is more than just a problem of high blood sugar. In addition to the high risk of developing coronary artery disease, studies suggest that when diabetics develop blockage in the arteries supplying the heart, this is more extensive than in non-diabetic individuals. We cannot answer this question directly from the available scientific evidence at this time. Later on, the amount of protein increases and patients reach a stage called nephrotic syndrome. A diabetic diet is one which promotes a healthy balanced diet for all individuals rather than a diet for the sick.
Do not delay or skip your meals or snacks (if allowed) as this may lead to fluctuations of your blood sugar levels. Regular exercise is an important part of diabetes control and should be part of your daily routine.
The type of exercise that is suitable for you depends on your age, physical fitness and preferences.
Always start with warm up (stretching) for 5 – 10 minutes follow by the actual exercise, and end with cool down exercise, just as you would do for the warm up.
If blood glucose is normal, you do not need a snack unless you are doing some strenous exercise. When diabetes cannot be controlled by diet and exercise alone, your doctor may prescribe tablets. You may take more than one type of medication at the same time, once a day or as many as 3 times a day. If you are ill and unable to eat, you still need to take your tablets, because your sickness can raise your blood glucose. Store your tablets at room temperature Do not use if they are passed the expiry date or if the tablets are discoloured. Variation between and within patients may occur *depending upon injection site and technique, insulin dosage, diet and exercise. It is important to rotate your injection sites because repeated injection at the same site causes fat to accumulate at that area. The abdomen is preferred because it is easy to inject than the limbs, and the absorption rate is constant. You should visit you doctor regularly, at least once in 3 months and more often if your diabetes is not well controlled.
A person with diabetes cannot always be in the care of a doctor or nurse every hour and every day.
The results from the self-checks provide information about how meal intake, timing, medication, exercise and stress affect blood sugar levels. Discussion with your doctor or nurse educator is necessary to find out what your goals of treatment are. For options 1, 2, 3 and 6 – checks can be done every day or one day a week or 2 – 3 days a week.
For options 4 and 5 – checks must be done at least 3 days a week to obtain a better profile. The drop of blood is then applied to the specific area or pad on a test strip and after a fixed amount of time, depending on which strip is used, the results can be read in one of two ways. Results from the test can be read by wiping the blood from the strip after the required length of contact with the strip.The enzyme on the strip would have reacted with the amount of glucose in the blood. Results can also be read using a glucose meter (this is more accurate and is the method that we would encourage).
If the change is due to (2) to (4), repeat immediately correcting the step that was not done properly. The most common complication that arises from treatment of diabetes mellitus is hypoglycaemia or low blood sugar. Hypoglycaemia is a recognised complication of good glucose control and occurs more frequently when the blood sugar is well controlled. The treatment of hypoglycaemia is to recognise the symptoms early and quickly take a source of glucose such as a snack.
Liquids are more rapidly absorbed from the intestine and a drink such as a soft drink, milo or fruit juice may quickly reverse the effects.


Another complication that occurs in patients who are on insulin injections is the thickening of the skin and accumulation of fat at the injection site. Access our Conditions & Treatments sections for related topics on Coronary Artery Disease , Heart Failure and High Blood Pressure. At present, scientists do not know exactly what causes the body's immune system to attack the beta cells, but they believe that autoimmune, genetic, and environmental factors, possibly viruses, are involved.
Type 1 diabetes develops most often in children and young adults, but the disorder can appear at any age. Symptoms include increased thirst and urination, constant hunger, weight loss, blurred vision, and extreme fatigue. In Type 2 diabetes, not enough insulin is produced or the insulin that is made does not work properly. When type 2 diabetes is diagnosed, the pancreas is usually producing enough insulin, but, for unknown reasons, the body cannot use the insulin effectively, a condition called insulin resistance.
Insulin and some oral medications can cause hypoglycemia (low blood sugars), which can be dangerous if severe.
In this type of diabetes, there is no shortage of insulin (at least at the start of the disease). When this occurs, the body uses fat as an energy source and this results in the production of ketones that accumulate in the body.
In type 2 diabetes mellitus, it usually occurs when a patient has some other illness at the same time.
When you are unwell, you should monitor your blood sugar frequently and give additional insulin when the blood sugar is high.
Most of the disability from diabetes mellitus results from the chronic complications of diabetes mellitus and we stress again, these are preventable. Generally, all persons with diabetes mellitus develop some of these microaneurysms or exudates if they have diabetes for a sufficient length of time.
In order to make sure that this is carried out at the right time, you need to go for regular eye screening.
Many centres can carry out fundal photography where a photograph is taken of the back of you eye allowing a doctor to look for any changes on the retina.
In contrast to eye and kidney disease, good blood sugar control alone is not enough to prevent the development of heart disease.
An acute myocardial infarction (heart attack) in patients with diabetes mellitus is associated with some special features. There is good evidence from studies conducted in Australia and New Zealand, Norway and the United States of America, that lowering blood cholesterol levels will lower the risk of heart disease in patients with diabetes mellitus.
Diabetes mellitus is now the more common cause of kidney failure requiring dialysis in Singapore.
If in doubt, you should seek medical nutrition therapy from a qualified dietitian who will help tailor a meal plan to suit your lifestyle and medical condition.
You may need to consult your doctor or nurse educator when planning for an exercise program. It is important to take medication as prescribed by the doctor, not only when you think your blood glucose is high. Some insulins are available in penfill-catridges, and and may be more convenient, especially when travelling. Blood sugar levels vary between different times of the day and can fluctuate with activity, emotional stress or illness. This will make sure you do not have any juices from fruits etc on your skin which will give an inaccurate result. It is important that patients with diabetes mellitus learn to recognise the symptoms of hypoglycaemia so that they can deal with them appropriately. Alternatively, patients with diabetes mellitus can carry glucose tablets (such as dextrosol) 2 or 3 of which can be taken quickly if they experience hypoglycaemia.
This occurs when you do not rotate your injection sites regularly and can be dealt with by avoiding injections at that site. An autoimmune disease results when the body's system for fighting infection (the immune system) turns against a part of the body. Symptoms of type 1 diabetes usually develop over a short period, although beta cell destruction can begin years earlier. If not diagnosed and treated with insulin, a person can lapse into a life-threatening diabetic coma, also known as diabetic ketoacidosis. Type 2 diabetes is often part of a metabolic syndrome that includes obesity, elevated blood pressure, and high levels of blood lipids. Learn to recognize the signs of diabetes insipidus DCCT = Diabetes Control and Complications Trial.
The purpose of this study is to determine the effects of bariatric surgery on blood sugar control and underlying mechanisms that contribute to type 2 diabetes in Diabetes Diabetes Type 2 Exercise and Physical Fitness Obesity Weight Loss Surgery. If you are taking Januvia and one of the above medicines or types of medicines make sure your rescriber knows about it.
Although this is not true in every case, well controlled diabetes mellitus through your own efforts and working with your doctor and other health workers, will at least delay the onset of these complications.
Instead, the cells and tissues of the body are unable to respond to the insulin produced by the pancreas.
However, if the blood sugar is not very high, you may require 2 separate blood tests on different days.
These ketones also appear in the urine and can be detected with a simple urine labstix test. This would include all types of infections or fever such as urine infection or chest infections. Your doctor or diabetes nurse educator should be able to give you some advice on how to make these adjustments. In addition, it can affect the part of the eye at the back which is responsible for sensing light and colour, the retina. Unless the exudates are very close to the macula, they and the microaneuryms are harmless and will not impair your vision. These new blood vessels are fragile and can bleed giving rise to haemorrhage in the eye and this can lead to blindness. It is recommended that you have your eyes screened when you first find out you have type 2 diabetes mellitus. The risk of developing coronary artery disease in diabetic patients is known to be several times higher at every level of cholesterol.
Given the very high risk of heart disease in patients with diabetes mellitus, most doctors would agree that it is important to maintain low levels of blood cholesterol. If you have symptoms of pain when you pass urine, pass urine very frequently or more than twice at night or if you develop fever, you should see your doctor to test your urine for any infection so that you can be given appropriate treatment. The proportion of energy from each of the major energy groups is such that 50-60% of energy should be derived from carbohydrate, 25-30% from fat and 15-20% from protein (The protein intake may need to be reduced in renal disease).
Hypoglycaemia (Low blood sugar) may occur during or after exercise due to increased transport of glucose into the muscles by insulin. It is meant to help patients achieve better control of blood glucose after they have tried to do so with appropriate lifestyle modification. To avoid this, patients can start with a lower dose and take the tablets together with meals initially. If you cannot eat your usual meals, take at least the carbohydrate in the form of fruit juices, soft drinks. However, this will only tell you what your blood glucose is at that time and not what it has been over the last few months. In diabetes, the immune system attacks the insulin-producing beta cells in the pancreas and destroys them.
The result is the same as for type 1 diabetes--glucose builds up in the blood and the body cannot make efficient use of its main source of fuel.


Pancreas transplants have been tried with limited success in type 1 DM; gastric bypass surgery has been successful in many with morbid obesity and type 2 DM. Juvenile Diabetes Research Foundation Australia Juvenile Diabetes Research Foundation Canada Juvenile Diabetes Research Foundation International Trans fats can occur naturally in food but are never Type 1 diabetes (also called low carb diet plan for diabetes 2014 november care insulin-dependent diabetes mellitus) is an autoimmune disease in which diabetes type 2 epidemiology for foods diabetics 10 avoid top the body’s immune system attacks the cells in the pancreas that produce insulin What causes heart disease in persons with diabetes? It is an important condition because there are many complications that can occur as a result of diabetes mellitus.
Other types of stressful events can also lead to diabetic ketoacidosis such as a heart attack. If you are unable to eat, you should see your doctor as you may need to be put on a drip until you recover from your illness. The multiple risk factor intervention trial (MRFIT) found that coronary artery disease risk in diabetic subjects at any given plasma cholesterol level was approximately four times greater than in non-diabetic patients.
Of particular importance to heart disease are the blood lipids, which includes cholesterol and triglyceride.
The long term prognosis of survivors of heart attacks amongst diabetics is also less favourable than in non-diabetics.
When this cannot be achieved through changes in the diet and with exercise, it may become necessary to use drugs to lower the lipid levels.
It is important to screen for this stage of diabetic kidney disease because aggressive treatment can normalise the kidney function at this time. Good blood sugar level control today does not mean that the blood glucose control will be good for the rest of your life without any change in treatment.
By visually comparing the colour of the strip and the colours on a graded chart, the level of sugar can be read.
How much control you want or your doctor suggests you need will also play a part is setting your target.
Alternatively, it can happen when too much sugar is used up by the body such as may occur after exercise or too much medication.
Diet And Exercise Help Type 2 Diabetes Vision Cloudy what is Gestational Diabetes and its link to Pre-Diabetes? La mayora de la gente que tiene diabetes tiene diabetes tipo 2 la cual se asocia con falta e ejercicio y el La Alzheimer’s Association es la principal organizacin effects of type 2 diabetes on the eyes blurred causes vision voluntaria This greatly accelerates the improvement of the physiological imbalances that occur with diabetes. These can be divided broadly into those that occur in the short term (the acute complications) and those that occur over a long time (the chronic complications).
Others notice itching around the genitals, suffer from frequent skin infections or notice that that wounds take a long time to heal. For this test, you will be required to see your doctor in the morning after fasting for at least 8 hours. If these exudates are too close to the most sensitive area of the retina, the macula, this can impair your vision.
If there are any abnormalities that require attention, your doctor will refer you to an ophthalmologist (eye specialist) for treatment. Contact your nearest polyclinic to find out when they have this service available as there are 2 cameras that move to various polyclinics at various times of the year. High triglyceride and low HDL cholesterol (the good cholesterol) is often seen in diabetic patients.
Further, patients with diabetes mellitus (DM) are more likely to have painless or unrecognised heart attack..
We await the results of several new studies designed specifically to answer this question in diabetics and we hope to keep you posted regarding the results.
Exercise regularly, every day if you can or at least 3 times a week and 30 minutes for each session. Since we aim to achieve lifelong control of blood sugar, it is important that we monitor the control of our blood sugar regularly. Please refer to your doctor or diabetes nurse to get a proper assessment so you can both set your target ranges. When the blood sugar becomes too low, it affects the brain so that the person may be irritable or confused. It is especially important because it allows the body to use glucose (simple sugar) instead of fats.
This means that you should not eat or drink anything except water the night before the test. Patients with type 1 diabetes mellitus do not require eye screening until 3 years after the diagnosis has been made and then once a year thereafter.
When a fundal camera is not available, your doctor can look at the retina directly using an instrument called an ophthalmoscope. In addition, the LDL cholesterol (the bad cholesterol) in diabetics may be 10-15% higher than in non-diabetics. As with eye disease, this stage of kidney disease produces no symptoms and you will not know you have it unless you test for it.
When the red cells are exposed to glucose in the blood, glucose attaches itself to the haemoglobin in the red cells and forms glycosylated haemoglobin in the blood. When there is no insulin, the body cannot use or store the glucose that comes from food and this causes the blood sugars to become very high.
You should have been eating a normal diet for 3 days prior to the blood test and not exercise heavily the day before the test. This condition is more common in type 2 diabetes mellitus and may occur because of insufficient medication. Most doctors who manage diabetes will have an ophthalmoscope that can be used to examine the eyes carefully. This should be done at the time of diagnosis for type 2 diabetes mellitus and yearly thereafter. This is important as it will delay your requirement for dialysis, sometimes as much as 5-10 years. Since each red blood cells lives for 2-3 months in the blood stream, the amount of glycosylated haemoglobin in the blood gives an average of the blood sugar over the last 2-3 months. Instead, the body uses fat as a source of fuel giving rise to some of the acute complications of diabetes mellitus. Your doctor will give you a very sweet drink containing glucose and will take blood from you after 1 and 2 hours to decide if you have diabetes mellitus.
Remember that your doctor has many patients to look after and make it a point to remind him or her of the time to examine your eyes. Once again, if the blood sugar is very high and you feel very unwell, it is important to consult you doctor quickly as this is also a diabetic emergency.
Ask your doctor what the normal level is because the value is different depending of the laboratory where the test is carried out. This results in tremors or shakiness of the limbs, sweating, a fast heart rate and feelings of hunger. Even though we now have this test available, it is important to remember that this is an average of the blood glucose. A good result can be due to very well controlled diabetes mellitus or it can result for a combination of very high blood sugar at some times and very low blood sugar (hypoglycaemia) at others resulting in that same average. To avoid the latter situation, you need to get an idea of how well your blood sugar is controlled between your appointments with your doctor. Since your doctor cannot be with you all the time, it is important that you or your family member takes responsibility for the day to day monitoring of blood sugar levels.



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