Drugs for diabetes part 2 dailymotion,type 2 diabetes microalbuminuria treatment,type 1 or 2 diabetes symptoms nhs,type 1 or 2 diabetes insulin dependent athletes - PDF 2016

Generally speaking, your liver is the primary detoxification organ and when we speak about detoxifying the liver we’re really talking about supporting the liver so that it can deal with the toxins that are floating around in your body by a process called metabolic detoxification.
Having a slow Phase 1 can be tricky because the actual drug or toxic item is floating around doing it’s thing waiting in a really long line to get into the factory, the liver. A slow Phase 2 can be even more hectic with almost fully assembled cars waiting to get tires on so they can leave the factory. Below is an image of Phase 1 and Phase 2 detoxification and many of the vitamins, minerals and compounds that can be manipulated to balance the liver phases.
So you may be getting the picture that since detoxification happens all the time and problems can persist for a number of reasons, a once a year detox from a box kit isn’t as powerful as it seems. DISCLAIMERDISCLAIMER: The material on this website and blog is provided for informational purposes only. The percentage of adults aged 45a€“64 and 65 and over with two or more of nine selected chronic conditions increased between 1999a€“2000 and 2009a€“2010. The percentage of adults aged 45 and over with two or more of nine selected chronic conditions increased for all racial and ethnic groups between 1999a€“2000 and 2009a€“2010. During the 10-year period, the prevalence of two or more of nine selected chronic conditions increased for adults aged 45 and over in most family income groups.
The percentage of adults aged 45 and over with the three most common combinations of the nine selected chronic conditions increased over the 10-year period. The percentage of adults aged 45a€“64 with two or more of nine selected chronic conditions who did not receive or delayed needed medical care in the past year due to cost, or who did not receive needed prescription drugs in the past year due to cost, increased over the 10-year period.
Between 1999a€“2000 and 2009a€“2010, the percentage of adults aged 45a€“64 and 65 and over with two or more of nine selected chronic conditions increased for both men and women, all racial and ethnic groups examined, and most income groups. The percentage of adults aged 45a€“64 with two or more of nine selected chronic conditions who did not receive or delayed needed medical care due to cost increased from 17% to 23%, and the percentage who did not receive needed prescription drugs due to cost increased from 14% to 22%. The percentage of adults with two or more chronic conditions increased for men and women in both age groups during the 10-year period (Figure 1). In 2009a€“2010, 21% of adults aged 45a€“64 and 45% of adults aged 65 and over had been diagnosed with two or more chronic conditions.
Between 1999a€“2000 and 2009a€“2010, the percentage of adults aged 45a€“64 with two or more chronic conditions increased 20% for non-Hispanic black, 35% for non-Hispanic white, and 31% for Hispanic adults (Figure 2). During this period, the prevalence of two or more chronic conditions among those aged 65 and over increased 18% for non-Hispanic black, 22% for non-Hispanic white, and 32% for Hispanic adults. In both time periods, the prevalence of two or more chronic conditions was higher among non-Hispanic black adults than among adults in other racial and ethnic groups.
In both 1999a€“2000 and 2009a€“2010, the prevalence of two or more chronic conditions for adults aged 45a€“64 decreased with rising family income and was more than twice as high among those living in poverty as among those at 400% or more of the poverty level (Figure 3).
Among those aged 65 and over, the percentage with two or more chronic conditions also decreased with increasing family income, but the percentage varied less by family income than among those aged 45a€“64. Between 1999a€“2000 and 2009a€“2010, the percentage of adults aged 45a€“64 with both hypertension and diabetes increased from 5% to 8% because of an increase in the share with hypertension and diabetes only, as well as an increase in the share with hypertension, diabetes, and additional chronic condition(s) (Figure 4). In 2009a€“2010, 23% of adults aged 45a€“64 with two or more chronic conditions did not receive or delayed needed medical care in the past year due to cost, and 22% did not receive needed prescription drugs due to cost (Figure 5). For adults aged 65 and over with two or more chronic conditions, there was no change in the percentage who did not receive or delayed needed medical care in the past year due to cost, while the percentage who did not receive needed prescription drugs in the past year due to cost increased over the 10-year period. These findings demonstrate the widespread rise in the prevalence of two or more of nine selected chronic conditions over a 10-year period.
Growth in the prevalence of MCC was driven primarily by increases in three of the nine individual conditions. Increases in the prevalence of MCC may be due to a rise in new cases (incidence) or longer duration with chronic conditions. The rising prevalence of MCC has implications for the financing and delivery of health care.
Chronic disease, and combinations of chronic diseases, affects individuals to varying degrees and may impact an individual's life in different ways.
Estimates in this report are based on NHIS data, which provide information on the health status of the civilian noninstitutionalized population of the United States. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.
As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. Laboratory values provide healthcare professionals with essential clues about the patient’s condition and the medical interventions needed for his full recovery. Complete blood count is one of the most basic laboratory examinations to determine the status of the patient’s health. On the other hand, if the total RBC count is above normal, polycythemia vera may be present. High Level:    Dehydration, cigarette smoking, congenital heart disease, pulmonary fibrosis, renal cell carcinoma, polycythemia vera. Low Level:     Bleeding, anemia, malnutrition, overhydration, hemolysis, erythropoietin deficiency, leukemia, multiple myeloma, porphyria, thalassemia, sickle cell anemia. Drugs that may decrease RBC count: Quinidine, hydantoins, chloramphenicol, chemotherapeutic drugs. High hemoglobin levels are usually present among people living in high altitude levels and among smokers. High Level:    Dehydration, cigarette smoking, polycythemia vera, tumors, erythropoietin abuse, lung diseases, blood doping.
Low Level:     Nutritional deficiencies, blood loss, renal problems, sickle cell anemia, bone marrow suppression, leukemia, lead poisoning, Hodgkin’s lymphoma. Drugs that may decrease hemoglobin: Aspirin, antibiotics, sulfonamides, trimethadione, anti-neoplastic drugs, indomethacin, doxapram, rifampin and primaquine.
High Level:    Dehydration, hypoxia, cigarette smoking, polycythemia vera, tumors, erythropoietin abuse, lung diseases, blood doping, erythrocytosis, cor pulmonale. Low Level:     Overhydration, nutritional deficiencies, blood loss, bone marrow suppression, leukemia, lead poisoning, Hodgkin’s lymphoma, chemotherapy treatment.
High Level:    Cancer, allergic reactions, polycythemia vera, recent spleen removal, chronic myelogenous leukemia, inflammation, secondary thombocytosis.
Low Level:     Viral infection, aplastic anemia, leukemia, alcoholism, vitamin B12 and folic acid deficiency, systemic lupus erythematosus, hemolytic uremic condition, HELLP syndrome, disseminated intravascular coagulopathy, vasculitis, sepsis, splenic sequestration, cirrhosis.
Drugs that may decrease platelet: Aspirin, hydroxyurea, anagrelide, chemotherapeutic drugs, statins, ranitidine, quinidine, tetracycline, vancomycin, valproic acid, sulfonamides, phenytoin, piperacillin, penicillin, pentoxifylline, omeprazole, nitroglycerin. White blood cells, also known as leukocytes, defend the body against infections and other foreign bodies. High Level:    Infections, cigarette smoking, leukemia, inflammatory diseases, tissue damage, severe physical or mental stress.
Low Level:     Autoimmune disorders, bone marrow deficiencies, viral diseases, liver problems, spleen problems, severe bacterial infections, radiation therapy. Drugs that may increase white blood cells: Corticosteroids, heparin, beta adrenergic agonists, epinephrine, granulocyte colony-stimulating factor, lithium. Drugs that may decrease white blood cells: Diuretics, chemotherapeutic drugs, histamine-2 blockers, captopril, anticonvulsants, antibiotics, antithyroid drugs, quinidine, chlorpromazine, terbinafine, clozapine, sulfonamides, ticlopidine.
Pink to reddish – consumption of beets, rhubarb or blueberries, mercury poisoning, tumors, kidney diseases, prostate problems, UTI.
Blue or green – consumption of asparagus, genetic disorders, excess calcium, heartburn medications, multivitamins. Once the strip is dipped into the urine, there will be some changes in the color of the partitions. Albumin is usually the first type of protein compound excreted in the urine whenever there is a kidney problem. The presence of blood in the urine is called hematuria and this usually happens when there is an injury in the urinary tract. On the other hand, when there are many white blood cells present in the urine the leukocyte esterase level elevates and it could be detected in strips. Bilirubin is a part of bile which is the yellow fluid secreted into the intestines to aid in digestion.
When bacterial infection is present in the urinary tract, the bacterial flora can convert the urine’s nitrate compound to nitrite.


In microscopic examination, the urine sample is centrifuged so sediments will settle at the bottom and the clear part can be discarded. RBCs are present in the urine sample of a person with severe urinary tract infection, renal disorders, urinary tract injuries and inflammation. In a normal urine specimen, there are few epithelial cells that can be seen under microscopic examination. Casts are cylindrically shaped particles formed from coagulated protein secreted by renal cells.
Crystals can be formed from the solutes of the urine especially if the urine is concentrated or when the pH is too high or too low. Low Level:     Anorexia nervosa, malnutrition, diarrhea, vomiting, poorly managed diabetes, hyperaldosteronism. Drugs that may increase potassium: ACE inhibitors, beta blockers, NSAIDs, potassium-sparing diuretics. Drugs that may decrease potassium: Amphotericin B, gentamicin, carbenicillin, corticosteroids, beta-adrenergic agonists, potassium-wasting diuretics. Sodium reflects a part of renal function as kidneys are responsible for the elimination of sodium from the body.
High Level: Cushing syndrome, diabetes insipidus, excessive fluid loss, malnutrition, dehydration. Drugs that may increase sodium: NSAIDs, laxatives, birth control pills, corticosteroids and lithium. Together with sodium, potassium and carbon dioxide, chloride maintains the normal acid-base balance of the body through balancing body fluids. High Level:    Diarrhea, metabolic acidosis, compensated respiratory alkalosis, renal tubular acidosis, bromide poisoning, kidney diseases, Cushing syndrome, hyperventilation.
Low Level:     Malnutrition, vitamin D deficiency, hypoparathyroidism, low blood level of albumin, kidney failure, magnesium deficiency, liver disease, osteomalacia, pancreatitis.
Drugs that may increase calcium: Lithium, tamoxifen, thiazides, calcium supplements, vitamin D supplements.
Magnesium is important in muscle and nerve functions, blood pressure regulation and immune system. Although half of magnesium in the body is stored in bones, magnesium can also be found in cells of organs and body tissues.
High Level:    Oliguria, dehydration, Addison disease, chronic renal failure, diabetic acidosis. Low Level:     Chronic diarrhea, alcoholism, hemodialysis, ulcerative colitis, delirium tremens, hypoparathyroidism, hyperaldosteronism, hepatic cirrhosis, pancreatitis, toxemia of pregnancy.
Drugs that may decrease magnesium: Insulin, antiarrhythmic drugs, digoxin amiodarone, sotalol, quinidine, bretylium,  strophanthin, diuretics, isoproterenol. Phosphorus is involved in the intracellular metabolism of proteins, fats and carbohydrates. Drugs that may decrease phosphorous: Antacids, diuretics, corticosteroids, anticonvulsants, ACE inhibitors, insulin. BUN can also reflect protein tolerance, hydration status, degree of catabolism and risk of uremic syndrome. High Level: Hypovolemia, excessive protein levels in the gastrointestinal tract, congestive heart failure, gastrointestinal bleeding, heart attack, urinary tract obstruction, glomerulonephritis, pyelonephritis, acute tubular necrosis, kidney failure, shock.
Drugs that may increase BUN: Allopurinol, furosemide, indomethacin, cisplatin, methyldopa, propanolol, tetracyclines, rifampin, vancomycin, thiazide diuretics, gentamycin, carbamazepine, aminoglycosides, amphotericin B. High Level: Preeclampsia, dehydration, renal problems, rhabdomyolysis, blocked urinary tract, myasthenia gravis, hyperthyroidism, muscular dystrophy. Drugs that may increase creatinine: Aminoglycosides, methicillin, amphotericin B, cistplatin, dextran,cyclosporine, gallium, lithium, hydroxyurea, methoxyflurane, nitrofurantoin, plicamycin, pentamidine, streptozocin.
As a Naturopathic Doctor, I strongly agree that this includes detoxification mechanics. There are a lot of opinions and products developed in the dark and sold to you, also in the dark.
When we lose weight those toxins enter the blood stream and that is when it is particularly important to support detoxification pathways. Your liver takes in things called xenobiotics which is a technical term for drugs, toxins and heavy metals. The cars that are being made are things we want to get rid of in the body and the car has to run and be tuned up before it can be expelled from the factory; us. When that happens lots of things get disrupted in the liver factory and the parking lot (the blood), things back up and damage other things and riots ensue (illness). When something we want to eliminate is in the middle of Phase 1 and Phase 2 (in the middle of the assembly line) they are more likely to be exceptionally toxic to the body. The key to supporting your detoxification mechanics is getting help from someone who knows how it works, can order the appropriate tests (including genetic) and can make a customized plan for your unique health case.
It is general information that may not apply to you as an individual, and is not a substitute for your own medical or naturopathic doctor's care or advice. Department of Health and Human Services established a strategic framework for improving the health of this population (2). The most common combinations of chronic conditionsa€”hypertension and diabetes, hypertension and heart disease, and hypertension and cancea€”rincreased during this time.
During this 10-year period, prevalence of hypertension increased from 35% to 41%, diabetes from 10% to 15%, and cancer from 9% to 11%, among those aged 45 and over. The prevalence of obesitya€”a risk factor for certain types of heart disease and cancer, hypertension, stroke, and diabetesa€”increased in the United States over the past 30 years, but has leveled off in recent years (7a€“9). Persons with MCC are more likely to be hospitalized, fill more prescriptions and have higher annual prescription drug costs, and have more physician visits (3). Questions about all nine of the selected chronic conditions were answered by 30,682 respondents in 1999a€“2000 and 29,523 respondents in 2009a€“2010. Multiple chronic conditions: Prevalence, health consequences, and implications for quality, care management, and costs. Recent trends in the prevalence of high blood pressure and its treatment and control, 1999a€“2008.
Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family.
As nurses are the first-line responders to the healthcare needs of patients, we should always be familiar with the common laboratory values and how to interpret them. It can help diagnose conditions such as infections, autoimmune disorders, anemia and other blood diseases. They circulate in the bloodstream and bind together to form a clot over the damaged blood vessel.
In general, there are five types of white blood cells – neutrophils, lymphocytes, monocytes, eosinophils and basophils. Although the result of urinalysis cannot directly pinpoint the disease that may be present, it is often used as a supportive examination in diagnosing illnesses. This strip has partitions impregnated by different chemicals that correspond to certain substances present in the urine, so abnormalities will be detected. Therefore, consumption of acidic or basic foods as well as the occurrence of any condition in the body that produces acids or bases will directly affect the pH of the urine.  In some circumstances, too acidic or basic urine produces crystals. Other types of protein compounds are not detectable in dip stick test and can be measured through a different urine protein test. However, in some circumstances the renal threshold allows the excretion of glucose in the urine when the blood glucose levels are too high. Ketones are by-products of fat metabolism and they form whenever there is not enough carbohydrates present for energy production.
Other conditions that may induce hematuria include cigarette smoking, strenuous exercise, kidney problems and trauma. Normally, there are white blood cells present in the urine, but they are so few that there is no leukocyte esterase detectable in dip stick test. However, the detection of nitrite in the urine is not used as a sole basis for the determination of UTI as some people can still have UTI with a negative nitrite result.
It can also reflect improper urine sample collection as in the case of urine specimen contaminated by vaginal secretions. However, in cases of severe urinary tract infection, inflammation and malignancies, there will be increased number of epithelial cells in the urine.


However, in cases of urinary tract infection and improper urine collection, microorganisms such as bacteria, yeast and trichomonads can be found under microscopic examination. Examples of casts that are not typically present in the urine include leucine, cystine and tyrosine. For this reason, a standard calcium test can be misleading and determination of ionized calcium is recommended. Magnesium levels are determined whenever there are changes in motor functions or when patients are suspected for metabolic diseases.
It also participates in the production of ATP which is the chemical compound that supplies energy to the cell. This test is used to determine the adequacy of renal function but it may also produce false-positive result as it is dependent on renal blood flow, protein metabolism, catabolism, drugs and diet. Whenever there is an elevation in serum creatinine levels, renal dysfunction is usually suspected since the kidneys are responsible for the excretion of creatinine in the body. She is working as a staff nurse in the pediatric ward of a private city hospital for more than two years. They support detoxification but it is very important that the correct herbs, dosages and time used are chosen based on your individual case. Put simply, your liver enzymes use two phases of reactions to modify these xenobiotics to become water soluble so they can be excreted by the body in Phase 3. These machine enzymes need nutrients like B vitamins, CoQ10, Glutathione, Vitamin E and many many more to carry out their roles properly. Phase 1 and Phase 2 liver detoxification have different enzymes that require different nutrients. This report presents estimates of the population aged 45 and over with two or more of nine self-reported chronic conditions, using a definition of MCC that was consistent in the National Health Interview Survey (NHIS) over the recent 10-year period: hypertension, heart disease, diabetes, cancer, stroke, chronic bronchitis, emphysema, current asthma, and kidney disease.
Between 1999a€“2000 and 2009a€“2010, adults aged 45a€“64 with two or more chronic conditions had increasing difficulty obtaining needed medical care and prescription drugs because of cost. A limitation of this report is that it includes only respondent-reported information of a physician diagnosis; thus, estimates may be understated because they do not include undiagnosed chronic conditions. Advances in medical treatments and drugs are contributing to increased survival for persons with some chronic conditions.
Out-of-pocket spending is higher for persons with multiple chronic conditions and has increased in recent years (5).
For more information about NHIS, including the questionnaires used, visit the NHIS website. All comparisons reported in the text are statistically significant unless otherwise indicated.
Bernstein, and Mary Ann Bush are with the Centers for Disease Control and Prevention's National Center for Health Statistics, Office of Analysis and Epidemiology. Currently, all other agents that inhibit the renin-angiotensin-aldsterone system (like ACE inhbitors and angiotensin receptor blockers) increase the levels of renin (through feedback mechanisms). On the other hand, low hemoglobin levels may be present in a variety of blood diseases like sickle cell disease and thalassemia.
Determining platelet count is vital in assessing patients for tendencies of bleeding and thrombosis. The total number of white blood cells is often used as indicator of bacterial and viral infections. A standard urinalysis involves three stages – visual exam, dipstick test and microscopic exam. If cloudiness and unpleasant odor are present, there might be infection in the urinary tract system. Determining specific gravity is useful when you want to detect a particular substance in the urine sample. Conditions that usually produce high amounts of protein in the urine include preeclampsia, multiple myeloma, inflammation, urinary tract injuries, malignancies and other disorders that destroy red blood cells. The conditions that can cause glucosuria are pregnancy, diabetes mellitus, liver diseases and hormonal disorders. Ketones also form when insulin levels are not enough to initiate carbohydrate metabolism so the body just uses fat in order to produce the energy needed for daily activities. It should not be present in a normal urine sample but once detected, it can reflect the presence of liver diseases. High urobilinogen levels in the urine can signify liver diseases and other conditions that can cause RBC destruction. The sediments observed under the microscope are measured in terms of per lower power field (LPF) or per high power field (HPF). Elevated number of epithelial cells can also signify improper collection of urine specimen, especially if it is not collected using the midstream-catch technique. Results should be correlated clinically as these microorganisms are also present externally in the genitals. When there are kidney problems present, the casts have different components inside like RBCs or WBCs. The movement of nutrients into the cell and the transport of waste products out of the cell are also mediated by potassium. Patients are tested for serum sodium levels in cases of dehydration, edema, abnormal blood pressure levels and changes in motor functions. Think of them as crucial steps in the car factory like welding the frame together and putting the tires on respectively. In part three I’ll talk about how to support your 24 hours a day detox pathways with daily tips.
Examining trends in the prevalence of MCC informs policy on chronic disease management and prevention, and helps to predict future health care needs and use for Medicare and other payers. During this 10-year period, death rates for heart disease, cancer, and stroke declined (9). The four heart disease questions were combined into one variable and considered as one chronic condition. Determining hematocrit is helpful in diagnosing and assessing blood diseases, nutritional deficiencies and hydration status. For example, if you suspect that a patient secretes small amounts of protein in the urine, the first morning-void urine is the best sample because it has high specific gravity and appears concentrated. Other conditions that produce ketones in the urine are diabetes mellitus, frequent vomiting, strenuous exercise, and high protein diet.
For people with liver problems and obvious signs of liver dysfunction, the absence of urobilinogen may indicate the presence of hepatic or biliary obstruction.
Whenever potassium levels are increased or decreased, the heart rhythms are affected as signified by EKG changes.
Determining serum calcium levels is important when there are existing nerve and motor dysfunctions.
Research is showing how to selectively support Phase 1 and Phase 2 with herbs and nutrients. In recent years, the percentage of Americans who were aware of their hypertension, and the use of hypertension medications, has increased (8).
Other definitions of MCC are used in the literature and differ based on analytic objectives and the data sources used in the analyses (2,3).
Aliskiren, in contrast, reduces the activity of renin and has the potential to blunt the effects of the increased renin levels caused by other agents.For lowering blood pressure, aliskiren is indicated as a single agent and in combination with other agents that affect the renin-angiontensin-aldosterone system.
So if someone for genetic, illness or toxic exposure reasons (which we can test for) has a fast Phase 1 for example and a slow Phase 2, those intermediates build up in the factory and interrupt the flow of activity.
The blood pressure reductions with the combination of aliskiren and other medications, in some studies, are greater than the reductions with either agent alone.In addition, medications that block the renin-angiotensin-aldosterone system are particularly important in patients with kidney disease and heart failure. For patients with kidney disease and protein in the urine, medications like ACE inhibitors and angiotensin receptor blockers have been shown to protect the kidneys and prevent or delay progression of kidney disease.



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