Polycystic Ovary Syndrome (PCOS) is a medical condition that affects 10-20 percent of women who are of childbearing age.
Although the cause is unknown, many doctors believe that genetics is an important factor since it seems to run in families.
Since several of the symptoms can indicate other conditions, it is often overlooked until infertility becomes a problem.
The main issue seems to be a hormone imbalance where excess male hormones, or androgens, are produced.
Although women need a certain level of these male hormones, those with PCOS have so much that it interferes with ovulation and causes other symptoms such as irregular menstrual periods, facial hair growth and thinning of scalp hair. There are several symptoms associated with PCOS; however, these can vary from woman to woman so it is important to speak with your doctor about both diagnosis and treatment.
Weight gain, obesity, or difficulty losing weight: Many women with PCOS also have insulin resistance, which can lead to both weight gain as well as difficulty losing weight. Hirsutism: Excessive hair growth in places typically associated with men, such as the face, chest, back, fingers, and toes. Insulin is a hormone that is produced by the pancreas and is very important in converting carbohydrates (glucose) to energy for the body to use. Studies have found that women with PCOS have too much insulin because their bodies have difficulty using what the pancreas produces.
In many cases, a normal level of insulin is actually being secreted, but since the body does not respond appropriately, the pancreas is signalled to make even more.
This high level of insulin tells the body to store energy as fat, which leads to weight gain. And, this perpetuates a frustrating cycle, since weight gain leads to an even greater level of insulin resistance, which may eventually result in Type 2 diabetes. There also appears to be a connection between excess insulin and the production of androgens, or male hormones, particularly testosterone. Although women need a small amount of testosterone, too much can cause an imbalance that leads to irregular periods, acne, weight gain, abnormal hair growth, and infertility.
There are also other serious health concerns associated with insulin resistance, including high blood pressure, high cholesterol levels, heart disease, and diabetes. Following a diet for PCOS and incorporating regular exercise into your daily routine can effectively manage blood sugar levels and help reduce the risk of developing other diseases. Ovulation is difficult to predict since fluctuating hormones interfere with the ovulation process.
As the egg grows, the fluid increases, and eventually the follicle will break open and release the egg. In women with PCOS, the ovaries do not produce enough hormones to allow the egg to fully mature.
Follicles may begin to mature, but the stage where ovulation occurs may be postponed to a smaller or larger degree.
In a normal menstrual cycle, ovulation triggers the production of progesterone, which prepares the lining of the uterus for the fertilized egg.
Besides the smaller presence (or absence) of progesterone, ovaries affected by PCOS also make male hormones, or androgens, in greater amounts than needed, which further interferes with the ovulation process. Also, many of the immature follicles may remain in the ovaries as cysts, which is why the condition is referred to as polycystic ovary syndrome. Although it can be much more difficult, it is possible for women with PCOS to become pregnant. There are many fertility treatments available, but effectiveness may vary depending on the individual and severity of the condition. Also called a low glycemic diet or a GI diet which basically focuses around not raising the insulin level unnecessarily when eating (more about this in depth later). A Danish gynaecologist, Bjarne Stigsby, an expert on PCOS has done extensive research into the relationship between PCOS and the level of sugar food. Many women find that weight loss will help restore hormonal balance and improve regularity of the menstruation cycle, which increases the likelihood of pregnancy. Metformin is a drug that is used quite regularly in the treatment of PCOS because it improves the body’s sensitivity to insulin. As already mentioned, studies have shown a connection between high insulin levels and the production of male hormones in women with PCOS.
The theory is that by decreasing the amount of insulin secreted, the level of male hormones will also be reduced, and ovulation may resume at a more normal frequency. Although Metformin is commonly used in patients with diabetes, it is also safe for those who have not been diagnosed with Type 2 diabetes since it works by affecting insulin levels rather than directly interfering with blood sugar. The most frequently prescribed fertility drug is Clomid, which works by increasing the production of FSH and LH. Often, Metformin is also prescribed to help reduce insulin levels and restore regular menstruation. If Clomid, or other similar drugs, are not successful, injections of FSH or LH may be given to help stimulate the ovulation process. In Vitro Maturation (IVM) is a process that removes immature eggs from the ovary and allows them to mature in a lab. In this case, a woman is given medications that will cause the follicles to grow and mature, and when they reach the appropriate stage of maturity, they will be removed, fertilized in a lab, and replanted into the uterus.
The main difference between IVM and IVF is the use of medications that lead to the production of mature eggs. In by far most cases when a woman with PCOS to becomes pregnant, she carry full-term, and delivers a healthy baby. Many factors will play a role, including the severity of the condition, the woman’s general overall health, how well PCOS has been managed, how prepared the woman was for a pregnancy, and the quality of treatment and medical care received throughout the pregnancy. With proper management and medical care, many issues can be controlled or prevented, thus increasing the likelihood of a problem-free pregnancy. Some studies have shown that women with PCOS have a somewhat higher risk of miscarriage, however, this can be greatly reduced when women are aware of the risk and take the proper precautions to maintain pregnancy. Preclampsia is a condition that involves high blood pressure and high levels of protein in the urine.
Since many women with PCOS already suffer from hypertension, increased numbers during pregnancy create an even greater problem that puts both the fetus and mother at risk. If the health of the mother or the life of the baby is in great enough danger, then labor may be induced or a cesarean section may be performed.
Women with PCOS are also at a greater risk of suffering from hypertension (high blood pressure) without the complications of preclampsia, so this should be monitored regularly to ensure a healthy pregnancy.
This is a form of diabetes that appears during pregnancy and disappears following delivery. Since PCOS is often associated with diabetes, women suffering from this syndrome are at an even greater risk of developing such complications during pregnancy. If gestational diabetes occurs, women must eliminate sugar from their diet and be monitored closely for any potential problems. In some cases, premature delivery may be induced due to other complications, but women with PCOS will often go into early labor on their own.
Today’s technology makes survival of premature births much more likely, but both the baby and mother will be monitored closely. Promising studies have shown that metformin can be effective in reducing many of the problems associated with PCOS and pregnancy. The drug appears to be safe to take during pregnancy and there is no evidence that is causes any birth defects. There is no cure for PCOS, but there are several treatments that can help reduce or minimize many of the symptoms associated with the condition. Since symptoms will vary greatly from woman to woman, treatment will be decided on an individual basis. Many factors will be considered including symptoms, risk for specific complications such as heart disease or diabetes, and whether or not there is a desire to become pregnant.
Most women find that a combination of lifestyle changes, natural remedies, and medical treatments works the best to help combat the symptoms of PCOS. It may also take some time and experimentation to discover what works for each individual, and treatments may need to be adjusted as the body ages or goes through hormonal changes. Weight gain or obesity is often associated with PCOS, and this can lead to other health problems such as heart disease, type 2 diabetes, or infertility. Studies have shown that losing as little as 10% of body weight can help restore ovulation and normal menstrual cycles, improve the chances of pregnancy, and greatly reduce the risk of serious disease. From years of study and experimentation, it seems that a low glycemic diet, the basis of a PCOS diet, has been one of the most successful approaches to weight loss for women with PCOS. The low glycemic diet, or the GI diet, was designed specifically for diabetics as a means of controlling blood sugar and reducing excess insulin production. Since the weight gain experienced with PCOS is connected to insulin metabolism, the GI diet is a good choice for managing the symptoms. Eat low glycemic grains such as quinoa, barley, buckwheat, brown rices, dark, heavy bread and millet. Eat two servings of fruit a day, but try to make low-GI choices such as berries, oranges, or cherries. Choose healthy fats such as olive oil, avocado oil or nuts and avoid processed fats or products containing hydrogenated oils. While the low glycemic diet has been very successful for many women suffering from PCOS, it does not work for everyone.
Some people have found that a vegan diet is much more effective, and others enjoy results by counting calories or joining a diet club or support group that encourages them to stay on track and helps them to overcome discouragement. Whatever method is chosen, the key to aim for a balanced diet that consists of mainly low GI foods and is free of processed foods and added hormones. While there is no scientific proof that supplements can actually cure PCOS, some natural treatments can help restore balance to the body or improve systemic functions so that the condition also improves. Certain remedies are shown to be effective in lowering testosterone levels, increasing the likelihood of ovulation, and aiding in weight loss.
Again, keep in mind that each body will responds differently to treatments, so all the supplements listed will not work for everyone. Even though these herbs are natural, it is still important to speak with your health care provider to make sure that they are safe for your particular situation.
If you are wanting to become pregnant, these supplements should only be taken until pregnancy occurs, and then discontinued until after delivery unless your doctor tells you that they pose no risk to the baby.
You should also speak with your doctor about the safety of any supplements while breastfeeding. Chromium: This is a trace mineral that may help balance blood glucose levels, improve insulin sensitivity, and aid in weight loss. Cinnamon: Cinnamon is a popular supplement used to balance blood glucose levels and control appetite. N-acetyl-cysteine (NAC): This is an antioxidant that has been found to help reduce insulin resistance, lower testosterone levels, and increase the chances of ovulation and pregnancy in women with PCOS when combined with other fertility drugs. Chasteberry: Vitex, or chasteberry, is one of the most popular PCOS supplements due to its ability to balance reproductive hormones.
Inositol: Inositol is part of the vitamin B family and is used to reduce testosterone levels, improve insulin sensitivity, reduce acne, and lower unwanted hair growth. Vitamin D: Vitamin D deficiency has been linked to insulin resistance, weight gain, liver problems, and irregular menstruation. Stinging Nettle Root, Licorice Root, Ground Flax Seed: All three of these substances are thought to decrease testosterone levels in women with PCOS, and possibly also help increase the production of female reproductive hormones. Biotin: Biotin is a type of B vitamin that aids in glucose metabolism, nervous system health, and the growth of skin and nails.
Black Cohosh: This herb is often used to lower blood pressure and manage symptoms of PMS or other menstrual cycle related issues. Dong Quai: The root of this plant has very strong medicinal properties and is useful for restoring irregular menstrual cycles and controlling the symptoms of PMS. Not only will regular exercise help women with PCOS lose or maintain weight, it has also been shown to improve insulin resistance. Plus, exercise will improve mood and help increase the chances of a healthy, full-term pregnancy. Remember, just a 10% loss of body weight can improve the symptoms of PCOS, and exercise is a great way to achieve this goal. Many women with PCOS have found that taking birth control pills can help restore normal menstrual cycles, reduce male hormone levels, clear acne, and decrease the amount of facial hair.
As previously mentioned, Metformin is a drug used to treat people with type 2 diabetes, but it is also often prescribed to women with PCOS.
Since many of the symptoms of PCOS are associated with insulin resistance, there has been a lot of support for using metformin as a form of PCOS treatment, although it is not approved for this use in many countries.
Although ovarian drilling is considered to be a fertility procedure that can restore normal ovulation, it has also been shown to lower the male hormone levels that are often the cause of many other PCOS symptoms.
Unfortunately, these benefits may only last a few months, so the surgery will need to be repeated. Ovarian drilling does not deal with all the other symptoms associated with PCOS, particularly weight gain or abnormal hair growth; although some improvements of these conditions may be noticed if the benefits of normal ovulation and male hormone reduction last for an extended period of time.
These are drugs that are designed to help reduce the production of male hormones, thereby reducing unwanted hair growth and other symptoms caused by an overproduction of androgens.
This treatment is often given in conjunction with birth control pills; however, neither medication can be used while pregnant or breastfeeding.
While the effectiveness of acupuncture for PCOS is controversial, many women have found that it helps restore regular ovulation and improves the likelihood of pregnancy. Further studies need to be done before a conclusion can be made regarding acupuncture as a treatment for reproductive disorders, but similar to natural remedies, the results are very individualized and, despite criticism, some women are experiencing very positive results.
Some women find that counselling, psychotherapy, or even support groups can help them cope with the condition and teach them how to manage PCOS effectively. Simple cosmetic procedures such as laser hair removal or electrolysis can help remove abnormal hair and improve confidence or a sense of well-being. Many studies have shown that a low glycemic diet, a PCOS diet, physical exercise and weight loss are the best ways to improve insulin resistance and reduce the symptoms of PCOS. Also certain supplements have been found to be successful; however, care should be taken when using any herbs or vitamins, particularly if you are wanting to become pregnant or if you are breastfeeding your baby.
The condition of gangrene is a serious one, primarily marked by loss of adequate supply of blood to the tissues of the body, ultimately resulting in its necrosis or death. Injury to the tissues, infection (mostly of bacterial origin) and presence of any underlying health ailment that inflicts damage to the blood carrying vessel structure form the three key underlying mechanisms that are responsible for initiation and development of irreversible tissue damage and life threatening condition of gangrene. As already explained, one of the causes of gangrene in the toes and fingers is linked with damaged blood vessels. High level of blood glucose associated with diabetes mellitus also damages the nerves (known as peripheral neuropathy), especially the nerves in the lower extremities.
The dullness or lack of sensation puts diabetic individuals at an increased risk of injuring the skin of their fingers or feet without having any realization (it mostly goes unnoticed in the feet region). The sore or foot ulcer formed takes an extended time to heal because of both, poor circulation of blood through the injured area as well as lesser number of defence cells. Bacterial infection also forms another causative factor that makes the diabetic individual more prone to developing gangrene.
Such type of infection is marked by noticeable skin discolouration and dryness along with the formation of skin blisters. The weakened immune system (seen in diabetes) further raises the risk of incurring serious infection, which later develops, into gangrene.
Many people know about normal blood sugar levels, and that insulin plays a role in regulating blood sugar.
When you say that someone is insulin resistant you are saying that their hormone insulin does not work well. One of the main functions of insulin is to lower blood sugar levels by enabling blood sugar to enter into the cells of your body, where it is used for energy, or stored for future use.
This causes the body to make more and more insulin to get enough potentially harmful glucose sugar out of the bloodstream. Insulin resistance is found most commonly in Type 2 diabetes, but it can begin when you are only borderline diabetic or prediabetic. There are blood tests that your doctor can do to check your blood sugar and insulin levels. Any type of physical activity has the potential to make your insulin work better…you knew I was going to say that. Combining both endurance and resistance exercise activity has been shown to be the best approach in a number of research studies that have looked at these different forms of exercise. Exercise resistance bands are a good way to start to get used to some resistance activity at home.
During exercise, your body burns the stored up form of sugar in your muscles and liver called glycogen.
This increased insulin sensitivity from an episode of exercise movement activity does not last forever. In addition to the direct effect of exercise movement to burn off sugar and to build sugar burning muscle, there’s also an indirect benefit. You especially benefit from losing the body fat at your gut commonly referred to as abdominal or visceral fat. Eating in a way that avoids marked increases in blood glucose levels after meals can decrease insulin resistance and improve your insulin sensitivity. How high your blood sugar level is after you eat is mainly a reflection of the amount of carbohydrates you have eaten. There are several variables to be considered when looking at the different approaches to food in relationship to insulin resistance and blood sugar levels.
To dig into these studies and try to parse them out is not only beyond the scope of this article, it is simply beyond me. As I said above insulin dependent diabetics understand the relationship of carbs to insulin secretion. For more information on how to food can be used to improve insulin sensitivity grab a book at the Nutrientology Store and get some more learnin’ done. A recent study of green tea extract using animals suggests that green tea extract (EGCG) may provide support to people with insulin resistance. Although the research was done using mice, there’s enough positive data to make a case for proceeding with human studies. An EGCG containing green tea extract supplement appears to slow the digestion of starches resulting in a slower rise in blood sugar after a meal.
Cinnamon has been shown to decrease blood sugar levels and improve insulin sensitivity in people who were both of normal weight and overweight.
Cinnamon research has focused on its potential as a preventative supplement and possible treatment for insulin resistance, metabolic syndrome and type 2 diabetes.
The only measurement consistently improved by using cinnamon is fasting glucose blood sugar levels.
Since alpha lipoic acid (ALA) is such a potent and interesting anti-oxidant that plays a role in metabolism helping to turn glucose sugar into energy, several studies have looked at the potential for this nutrient to improve insulin resistance. Another study looked at the degree of insulin resistance of fat cells treated with alpha lipoic acid. And one more…this study examined the idea that diabetes can be improved by getting the body to make more alpha lipoic acid.
As an aside, alpha lipoic acid supplementation has shown promise in helping the symptoms of diabetic nerve damage known as diabetic peripheral neuropathy. Cyanidin-3-glucoside is actually a pigment compound found in many red berries including grapes, blackberries, blueberries, cherries, cranberries and others.
Like green tea and cinnamon, it appears that anthocyanins can affect the activity of PPARs – peroxisome proliferator-activated receptors.
Limited animal and test tube studies have been done looking at the effect of cyanidin-3-glucoside containing berries on triglycerides, fasting insulin, insulin resistance, and blood sugar.
If you are a member of a healthcare field, or otherwise have a special knowledge in the area of nutritional supplements, exercise-movement or food, and you would like to share your knowledge with the Nutrientology family, go here.
8) Interactive Medical Media LLC, Fitzpatrick's Color Atlas & Synopsis of Clinical Dermatology, Dr. A Gallup poll released on Tuesday reveals that for the first time in history, Americans are more in favor of legalizing marijuana than criminalizing it.
With the majority of Americans agreeing that marijuana should be legalized, we've gathered up eight reasons why those who are still on the fence about the natural plant should possibly reconsider their feelings.
You may think having a large amount of THC in your system will kill you, but you are wrong. Most polls regarding Americans and their pot use hover around the 40% mark for having tried marijuana at least once. If you are completely fine with alcohol and cigarettes, then there shouldn't be a reason you aren't accepting of marijuana as well. Recent increases in obesity, diabetes, and hypertension, along with the aging of the US population, are driving a dramatic rise in the prevalence of chronic kidney disease (CKD). With a growing awareness of renal failure and its devastating complications, the PCP will continue to be the earliest and, in many ways, the most important responder to this growing epidemic.
Patients with evidence of CKD should be referred to a nephrologist for diagnostic workup and collaborative management of kidney disease; nephrologist care is particularly important as CKD progresses. However, many women do not even realize that they have PCOS until they have difficulty becoming pregnant. In fact, PCOS is the leading cause of infertility in women – mainly because it often goes unnoticed. However, since ovulation does not always occur in women with PCOS, progesterone is not secreted, and this causes irregular, or even absent menstruation.
His overall conclusion is that if women change their diet to a much lower GI than the typical diet of the western world today, they may get pregnant much quicker than what would normally otherwise be the case.
While there has been some success, only about 30-40% of women with PCOS will become pregnant when using fertility drugs alone.
This current destroys a tiny portion of the ovary and is sometimes successful in lowering the production of male androgens and restoring more regular ovulation. Once maturation is reached, the eggs are fertilized and implanted into the woman’s uterus. While IVF is the more common procedure, IVM is a great alternative for women who do not respond well to drug therapy. However, it is passed through breastmilk, so if you plan to breastfeed, you should talk to your doctor before continuing treatment. It can be very frustrating, especially since many of popular diets do not really address issues of insulin resistance, which is the main underlying cause of PCOS weight gain. These also take longer to digest, so you will feel full longer and be less tempted to snack. Since hormone imbalances are often an issue with PCOS, if possible, try to purchase hormone free meats.
Also, depending on your symptoms, not all herbal or natural remedies will be necessary, or even ideal, for your condition. It is often used by diabetics, and has been shown to be quite effective in women with PCOS as well. In fact, some studies have shown that women can experience up to a 70% drop in male hormone levels when using inositol, which also improves the frequency of ovulation and increases the chances for pregnancy. Many women with PCOS have low levels of vitamin D, and when given supplements, they have noticed weight loss, balanced glucose levels, and the return of normal menstrual cycles. For women suffering from thinning hair, biotin may be a beneficial supplement to help improve male pattern baldness. If you have a hard time disciplining yourself to exercise regularly, join a gym or walking club so you can socialize while also getting fit. Since a electric needle is used to send a current into the ovary, there is a small risk of scar tissue developing, so this will need to be closely monitored. Struggles about body image and infertility can impact self-esteem and put a strain on relationships. Other lifestyle changes such as quitting smoking, limiting alcohol consumption, reducing stress, and coming to terms with your body image will also help you cope with PCOS. They will be more personal in nature than this one as they will often refer to my own experience with PCOS. Death of cell and tissue may target any part of the body, however, it has been typically observed in the extremities, such as the toes, fingers and hands.
In both, type 1 and type 2 diabetes, the raised level of sugar is capable of causing damage to the blood vessels and reducing blood supply. Owing to the nerve damage, the transmission of sensation, particularly those of pain to the brain gets impaired.
A notorious bacterial organism, Clostridium perfringes is often linked with gas gangrene; after it attacks the site of injury or sometimes, surgical wound.
But they do not know about “insulin resistance.” Insulin resistance is a condition present in many people with diabetes, as well as borderline diabetes, also known as prediabetes. The body becomes “resistant” to insulin’s job of keeping your blood sugar level healthy, among the many other things that it is does.
If you have prediabetes you need to fix your insulin resistance and get your body sensitive to insulin once again. It has many functions including signaling the movement of sugar out of your blood and into your muscles, liver and fat cells. Someone who is very sensitive to the effects of insulin will only need a small amount to get the job done. In many cases, borderline diabetes begins when your insulin sensitivity starts to decrease and your body starts to become resistant to insulin’s ability to move sugar out of your blood and into your cells. Increased blood sugar levels, decreased insulin sensitivity and increased insulin resistance typically occur silently as your metabolism becomes more and more quietly corrupted by this process.
Combining aerobic activities — such as brisk walking, swimming, and riding a bicycle — with resistance training, is a good prescription for reversing insulin resistance. Discuss your desire to improve your blood sugar levels and insulin sensitivity through exercise.
Start slowly with just endurance physical activity, you can then pick up the pace of your endurance activity (increasing intensity). Resistance exercise movement (with weights or rubber resistance bands) will benefit you the most if you build up to a weight or resistance that you can lift with good form at least 8 times, but not more than 12 times in each set. After exercise, your muscles replenish their glycogen storage with glucose sugar from the food you eat. This benefit involves the reduced body fat that comes about from exercise physical activity. This fat tissue is not a passive storage area for all the excess food calories you have eaten over the years. You can prevent such elevations by choosing foods with higher fiber content and lower glycemic index and glycemic load such as vegetables. Diabetics on insulin understand this all too well since they often have to adjust their insulin dose based on how many carbohydrates they have eaten at a meal.
It depends, there is not a one size fits all recommendation that can be made, and to make matters even more confusing, there are a number of research studies that support both low-carbohydrate and low-fat eating to improve insulin resistance. My take on the literature is that we run into problems when we eat both high carbohydrate and high fat, especially when the carbohydrates are in the form of starches or processed foods, as opposed to those found in vegetables. I have previously posted about green tea and its ability to apparently inhibit the digestion of certain macronutrients including fat and protein. This may benefit some people and be a means toward healthier blood sugar levels, especially for people with diabetes and prediabetes-metabolic syndrome. Some medical research has suggested that chromium may be supportive of insulin sensitivity and better blood sugar levels, but this is not clear. The first rule is “do no harm.” Chromium has shown some benefits in blood sugar management for some people, but there can be problems involved in taking too much.
Extensive “test tube” evidence has shown that cinnamon may improve insulin resistance by helping the body overcome impairments in insulin signaling in muscle tissue.
However, numerous human clinical trials with cinnamon have been conducted with varying findings. One such study recruited and looked at184 patients with type 2 diabetes and insulin resistance. The proponents of this theory think it may work by “firing up” the enzyme in the body that makes ALA so that it makes more. I have written about this in my Special Report on the The 5 Top Supplements for Diabetic Peripheral Neuropathy.
Creighton is a podiatrist and foot surgeon with over 24 years in podiatric practice treating thousands of patients afflicted with the physiological, physical, and psychological side effects and complications of diabetes and pre-diabetes metabolic syndrome. It is intended for general informational purposes only and does not address individual circumstances. 2013 has markedly been a successful year for marijuana legalization, with Colorado and Washington both passing laws to decriminalize the drug.
Ever since marijuana has been known to mankind, not one single account of death from overdose has been recorded.
This is compared to the 16% of Americans who have tried cocaine, which is obviously a significantly lower percentage.
As you can see from a 2010 study published in the Lancet and reported on by the Economist, a team of drug experts in the U.K.
Despite this increase, the majority of Americans with early-stage CKD remain unaware of their disease.
Difficulty losing weight and facing the increased risk of serious conditions such as heart disease or diabetes can be discouraging. In the absence of a continuous supply of nutrient and oxygen rich blood, the cells within the body begin to fail in carrying out their normal function and finally give up. As a result of restricted blood circulation to the extremities, such as the feet, the area becomes deprived of those cells (white blood cells) which aid in fighting off any infection.
For many people, the best way to begin is with a low intensity activity like simply walking.
After you are comfortable with this, then you can start to do the same approach with your weight lifting.
On the days when you are not moving as ambitiously and intensely, just do some more casual movement “in low gear” like going for a stroll. This fat tissue is actively involved in your metabolism, and therefore your overall health. Exercising just before meals can also help to lower your blood glucose sugar levels after you are done eating since insulin sensitivity is heightened right after exercise. If you have insulin resistance you should not be eating a significant amount of non-vegetable and non-fruit carbohydrates.
The response to taking a chromium supplement for blood sugar levels appears to be individualized.
In fat tissue, it has been shown that cinnamon increases the expression of something that regulates metabolism known as PPAR.
Anthocyanins are a type of plant flavonoid polyphenol compound that have shown favorable human biologic activity. The general short answer is that insulin is a hormone, and hormones work properly only within very specific ranges. Some types cause warts and are usually harmless, but others may lead to cervical or anal cancer. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Marijuana is becoming more and more ubiquitous every year despite being less addictive than coffee. Primary care physicians are at the forefront of efforts for early recognition of CKD and management to control its progression. Early detection and treatment can reduce the impact of CKD complications and slow the progression of CKD; these benefits are forgone by the many patients who are currently not diagnosed until their CKD becomes severe.
Swelling and inflammation resulting from the infection causes the local temperature of the area involved to be slightly elevated, and also leads to pain.
Talk to your doctor about taking the necessary steps to reverse insulin resistance so you can stop prediabetes and avoid full type 2 diabetes along with its potentially devastating complications that can keep you from leading a functional independent life, not to mention the medical costs that could send you to the poorhouse. Sugar is “sticky” and it will start to bind onto different parts of your system causing disease. A person who is insulin-resistant needs a lot more insulin to get the same amount of blood sugar out of their bloodstream. Too much insulin in the blood is associated with high blood pressure, heart disease and heart failure, obesity (particularly abdominal obesity), osteoporosis (thinning bones), and certain types of cancer, such as colon, breast, and prostate cancer. If you have a foot problem that keeps you from walking, see a podiatrist and get that addressed, but in the meantime start moving your feet and legs on a stationary bike. In other words, start with a low weight, and moderate repetitions, then gradually increase the weight and adjust the number of repetitions as needed depending on your desired intensity level and weightlifting goals.
Abdominal fat actually puts out biological chemicals that cause inflammation throughout your body.
Likewise, eating carbohydrates within 90 minutes after exercise is also beneficial for the same reason.
Eat real carbs, not from a package, and eat them after exercise when your muscles are ready to use them. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Primary care interventions that can slow the progression of CKD include treating hypertension to normal blood pressure levels, controlling blood glucose in patients with diabetes, and monitoring diabetic and hypertensive patients for the development of microalbuminuria or more severe proteinuria. I have written about the formation of so-called advanced glycation end products in the past. This inflammation from fat is believed to play a role in the development of insulin resistance, the onset of prediabetes, metabolic syndrome and eventual type 2 diabetes.
Think real food…real plants and animals…food from the farmer’s market…food without a label.
That way they do not get turned into fat and get shipped off to your belly to join the ruckus, and start pumping out inflammatory compounds. Nephrology evaluation at this point is essential to facilitate timely preparation for care of end-stage renal disease through preemptive transplantation or planned transition to dialysis. Blood pressure management with agents modulating the renin-angiotensin-aldosterone axis may be associated with beneficial effects on CKD progression and cardiovascular risk factors in some patients. It may take time but if you choose that is what you really want, it is possible to get your body back into balance. It is this process that causes many of the side effects of diabetes that I see on a regular basis, namely foot wounds and ulcers due to loss of feeling. Even if you do not lose body fat, there is some preliminary research suggesting that exercise can change less healthy white body fat into brown fat which is better for your metabolism, including insulin resistance. The term comes from the shape of the tiny parasites, which look very different from head or body lice. ScabiesScabies is an itchy infestation caused by a tiny mite that burrows into human skin to lay eggs. The Clap (Gonorrhea)Gonorrhea spreads easily and can lead to infertility in both men and women, if untreated. Later there may be a rash on the soles, palms, or other parts of the body (seen here), as well as swollen glands, fever, hair loss, or fatigue. In the late stage, symptoms come from damage to organs such as the heart, brain, liver, nerves, and eyes. This virus is usually not an STD; it spreads easily among household members or through kissing. But it can be spread to the genitals through oral or genital contact with an infected person.
Herpes Simplex Virus Type 2Most cases of genital herpes are caused by a virus called HSV-2. It's highly contagious and can spread through intercourse or direct contact with a herpes sore. People can be infected through sex, needle sharing, and at birth, as well as by sharing razors and toothbrushes.
One limitation is the "window period" of up to six months after exposure to HIV when these antibody tests sometimes do not find the virus. People take a combination of antiviral drugs in hopes of preventing the infection from advancing to AIDS.
Additional treatments can help prevent or fight off serious infections, if the immune system has weakened. ChancroidChanchroid is a bacterial STD that is common in Africa and Asia but rare in the U.S. LGV (Lymphogranuloma Venereum)LGV is caused by a type of chlamydia that is usually rare in the U.S. Pelvic Inflammatory DiseaseNot an STD itself, pelvic inflammatory disease (PID) is a serious complication of untreated STDs, especially chlamydia and gonorrhea. Who's at Risk for STDs?Anyone who is sexually active is at risk for an STD, regardless of gender, race, social class, or sexual orientation. The CDC has noted that some STDs are on the rise in men who have sex with men, including syphilis and LGV.
Many STDs spread through any type of sexual activity, including skin-to-skin contact and oral sex.
Preventing STDsThe best ways to avoid getting an STD are to abstain from any sexual contact and be in a monogamous, long-term relationship with an uninfected partner.
These infections can spread through contact with skin lesions that are not covered by a condom. How to Tell Your PartnerIf you think you have an STD, tell your partner(s) as soon as possible.
You may be able to spread the infection even if you have already begun treatment or are using condoms. Many STDs can be passed from mother to baby during pregnancy, childbirth, or after the baby is born. STDs' effects on babies can include stillbirth, low birth weight, neurologic problems, blindness, liver disease, and serious infection. Treatment during pregnancy can cure some STDs and lower the risk of passing the infection to your baby. Can STDs Come Back?Most STD treatments do not protect you from getting the same infection again. A course of drugs may cure gonorrhea, syphilis, chlamydia or trichomoniasis, but a new exposure can start a new infection.
And if you're not taking the right precautions to protect yourself, you can be re-infected quickly or even pick up a second STD.
How can i keep my type 2 diabetes diet controlled substance|
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