This site contains information, news and advice for healthcare professionals.You have informed us that you are not a healthcare professional and therefore we are unable to provide you with access to this site. Diet, exercise, and education remain the foundation of all type 2 diabetes treatment programmes. After metformin, it is reasonable to consider combination therapy with an additional 1-2 oral or injectable agents with the objective of minimising side-effects where possible. For many patients insulin therapy alone or in combination with other agents will ultimately be required to maintain glucose control. All treatment decisions, where possible, should take into account the patient’s preferences, needs and values.
Diabetes may be diagnosed based on HbA1c criteria or plasma glucose criteria, either the fasting plasma glucose (FPG) or the 2-h plasma glucose (2-h PG) value after a 75-g oral glucose tolerance test (OGTT). For all patients, particularly those who are overweight or obese, testing should begin at age 45 years. Two primary techniques are available to assess the effectiveness of glycaemic control: Patient self-monitoring of blood glucose (SMBG) or interstitial glucose and A1C. Patients on multiple-dose insulin or insulin pump therapy should perform SMBG prior to meals and snacks, occasionally postprandially, at bedtime, prior to exercise, when they suspect low blood glucose, after treating low blood glucose until they are normoglycaemic, and prior to critical tasks such as driving. Initial therapy: Most patients should begin with lifestyle changes – healthy eating, weight control, increased physical activity, and diabetes education. Advancing to dual combination therapy: If the HbA1c target is not achieved after ~3 months with metformin, there are six drug choices including a second oral agent (sulfonylurea, TZD, DPP-4 inhibitor, or SGLT2 inhibitor), a GLP-1 receptor agonist, or basal insulin. Advancing to triple combination therapy: Evidence suggests that there is some advantage in adding a third noninsulin agent to a two-drug combination not achieving the glycaemic target. Do you agree that private hospitals should be paid via the NTPF to cut public hospital waiting lists?
Conditions that cause vomiting or acid reflux, such as the eating disorder bulimia, can damage tooth enamel.
Gingivitis, also generally called gum disease or periodontal disease, describes the events that begin with bacterial growth in your mouth and may end -- if not properly treated -- with tooth loss due to destruction of the tissue that surrounds your teeth.
Tooth decay occurs when foods containing carbohydrates (sugars and starches) are left on the teeth. Dental bonding is a procedure in which a tooth-colored resin is applied and hardened with a special light, ultimately "bonding" the material to the tooth to improve a person's smile.
Veneers (sometimes called porcelain laminates) are wafer-thin, custom-made shells that cover the front surface of teeth, changing their color, shape, size or length.
Recontouring or reshaping is a procedure in which small amounts of tooth enamel are removed or shaped to change a tooth's length, shape, or surface. Braces can correct crooked teeth or a misaligned bite, and can improve the health and appearance of anyone's smile, adult or child. Many teeth-whitening systems are available, including whitening toothpastes, over-the-counter gels, rinses, strips, and trays, and whitening agents obtained from a dentist. Amalgam tattoos occur when a tiny piece of amalgam filling embeds in your cheek or gum during or after dental work.
Also called aphthous ulcers, canker sores can show up on your tongue, cheek, and even your gums.
Strep infection often produces a distinct pattern of white patches in the throat and on the tonsils, as well as red swollen tonsils.
Small amounts of the candida fungus are present in the mouth, digestive tract, and skin of most healthy people and are normally kept in check by other bacteria and microorganisms in the body. Tonsil stones (also called tonsilloliths) form when bacteria and mucus get trapped and calcify in your tonsils’ nooks and crannies, leaving a hard piece of matter and a bad taste in your throat.
Cold sores (fever blisters) are caused by the herpes simplex virus (HSV), passed on through contact with infected skin or body fluid. You can't cure HSV or a cold sore, but you can alleviate the pain it causes by avoiding spicy or acidic foods, applying ice, and using over-the-counter remedies. Having type 2 diabetes greatly increases your risk of having a heart attack or stroke as well as other health complications.
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This site complies with the HONcode standard for trustworthy health information: verify here. HbA1c is a term often used in relation to diabetes and this guide explains what HbA1c is, how it's used for diabetes diagnosis and how it differs from blood glucose levels.
When glucose sticks to these molecules it forms a glycoslated haemoglobin molecule, also known as A1c and HbA1c. Due to the fact that red blood cells survive for 8-12 weeks before renewal, by measuring HbA1c, an average blood glucose reading can be returned.
For people with diabetes, an HbA1c level of 6.5% is considered good control, although some people may prefer their numbers to be closer to that of non-diabetics. How often HbA1c levels should be taken depends on the person with diabetes and their history of control and treatment objections. There is little point in having HbA1c checked regularly if you are not making efforts to control your diabetes. Although HbA1c level alone does not predict diabetes complications, good control is known to lower the risk of complications. In well-controlled diabetes without a high level of glucose in the blood, a lower level of glycosylated haemoglobin will be returned.
In the case of poor control, with more glucose, a higher level of glycosylated haemoglobin will be returned. Sleep Well is a wireless blood glucose monitoring device concept, designed aiming to eliminate the sleepless nights of parents with the tension of getting their kids glucose level down to the extreme level. It is important to understand that Type 2 Diabetes is a life-long metabolic ailment, that is characterized by high blood sugar, resistance to insulin or lack of insulin in the body system. Diabetes may be identified in seemingly low risk individuals who happen to have glucose testing, in symptomatic patients, and in higher-risk individuals who are tested because of a suspicion of diabetes. When lifestyle efforts alone have not achieved or maintained glycemic goals, metformin monotherapy should be added at, or soon after, diagnosis (in patients intolerant, or with contraindications for, metformin, select initial drug from other treatment options). This semi-translucent, hard, outer layer of the teeth has an important job: protecting teeth from the daily wear and tear of biting and chewing, as well as temperature extremes from hot or cold foods and drinks.
Over time, the constant clenching and friction can damage teeth and other health complications can arise. Bruxism is often worst when you sleep -- that's when you can't control it. Among the easiest and least expensive of cosmetic dental procedures, bonding can repair chipped or cracked teeth, close gaps, change the shape of teeth, or be used as a cosmetic alternative to silver amalgam fillings. The procedure is usually done to improve appearance by creating more harmony or balance in the look of the smile. The crown, when cemented into place, fully encases the entire visible portion of a tooth that lies at and above the gum line.
Otherwise your tooth could be damaged further or become infected, possibly causing you to end up losing the tooth. Many people use this opportunity to replace silver amalgam fillings with tooth-colored composites. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth. Braces work by applying continuous pressure over a period of time to slowly move teeth in a specific direction. Brackets -- the parts that attach to each tooth -- can be clear, tooth-colored, or multi-colored. Porcelain veneers and crowns can correct crooked teeth, an uneven gum line, and other chipped, worn, and discolored dentistry. Teeth whitening is ideal for people who have healthy, unrestored teeth (no fillings) and gums.
The silver in the amalgam leaches into your mouth's soft tissue, resulting in a blue-gray "stain" that looks a bit like a tiny tattoo. However, certain illnesses, stress, or medications can disturb the delicate balance, causing the fungus candida to grow out of control, causing thrush. They are not as common, but cold sores can appear anywhere on the face, including on the cheek, chin, or nose. The system comprises a portable and lightweight monitor with an ability to take wireless signal that parents keep with them and a wearable bracelet monitor that remains fastened on the child’s hand to transmit the health condition to the monitor. The portable monitor uses Bluetooth technology to […]Beam Is A Stylish and Modern Wearable Health Monitoring Device Health monitoring device is really important for users that need to constantly monitor their vital signs. Parents can easily review their child’s nightly activities during the middle of the night at their bedside convenient. Indication of invasion of diabetes has few symptoms such as enhanced thirst, recurring urination, and weight loss for no obvious reason. Shared decision making with the patient is important to help in the selection of therapeutic option.
Since diabetes is associated with progressive beta-cell loss, many patients, especially those with long-standing disease, will ultimately need to be transitioned to insulin. Purging can also trigger swelling in the mouth, throat, and salivary glands as well as bad breath. The same goes for any condition that causes frequent vomiting, from gastrointestinal problems to eating disorders. The bacteria, acid, food debris, and saliva combine to form plaque, which clings to the teeth.
Veneers offer a conservative approach to changing a tooth's color or shape compared to crowns, but the process is not reversible. Instead of individual crowns, some patients may have attachments on their implant that support a removable denture. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain. Cosmetic dentists can make a dramatic difference in a person's smile and overall oral health, but the work must be carefully planned. Amalgam tattoos pose no harm, but it's not likely an amalgam tattoo if the blue-gray spot grows or changes color.
Triggers include hypersensitivity, infection, hormones, stress, and not getting enough of some vitamins. A weakened immune system, antibiotics, diabetes, or certain medications such as inhaled corticosteroids can give candida a chance to grow wild.
This monitor allows the parents to check their kid’s health without even leaving her bed and can be set to trigger an alarm when the blood sugar level of the child crosses a particular height. Beam is a stylish wearable medical monitoring device that simplifies the way a […]Dr.
Added symptoms may show up in form of unwarranted hunger, tiredness and longer healing time of any open wound or sore. The choice is based on patient and drug characteristics, with the over-riding goal of improving glycaemic control while minimising side-effects. Update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Position statement of the American Diabetes Association and the European Association for the Study of Diabetes.
Anorexia, bulimia, and other eating disorders can also cause serious nutritional shortfalls that can affect the health of your teeth.
The American Dental Association asserts that the mercury in amalgam combines with other metals to render it safe for use in filling teeth.
There are even "invisible" braces that use a series of clear, plastic molds to gradually move the teeth into alignment. Persistent, severe canker sores can be treated with numbing creams or prescription treatments.
HSV-1 damages the skin as it reproduces itself, creating cold sores that last about a week. Moreover, parents can easily review their child’s nightly activities during the middle of the night at their bedside convenient. Hug : Thermometer Bracelet for Baby Being a parent means that we are responsible for baby’s well being.
Also it is found that craving for the sweets increases and become overpoweringly uncontrollable, resulting to the worsening of the diabetic condition.
If an emergency situation takes place, they can rush to their child’s room with the monitor to perform the aid that has to be taken based on the information displayed on the monitor. Diabetes- causes Type-2 diabetes development happens because of merger of your lifestyle and genetic issues.
In using triple combinations the essential consideration is obviously to use agents with complementary mechanisms of action.
Hug is a small bracelet specially designed to allow you tracking of your baby’s condition 24 hours a day, in real […]The Night Sound Wireless Speaker for Big Music Concert or Party Getting a problem in hearing the music in a big concert?
People with type 2 diabetes do make insulin, but the body cells don’t respond to it, as well as they should have, this condition is termed by Doctors as insulin resistance. When the type2 diabetes begins, the pancreas overworks and makes more insulin to try to get glucose into the cells. Over weight– Being overweight or obese can cause insulin resistance, especially if your middle line is heavier. Fasting plasma glucose FPG test This test measures the body’s glucose level before and after fasting with the gap of eight hours. Pregnant women can face miscarriage or still birth child Baby can be born with some inadequacy, if blood sugar not controlled during pregnancy. A study disclosed that eating brown rice can reduce the chances of developing diabetes by 16 percent. A breakfast in low-GI foods Low GI food containing foods include dried beans and legumes such as lentils and kidney beans and all non- starchy vegetables, some starchy vegetables like sweet potatoes, most fruit, and many whole grain breads and cereals such as barley, whole wheat bread, rye bread, all-bran cereal, rolled oats and brown rice, can work to prevent enhanced blood sugar.
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