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April 27, 2012  Mexico City, Mexico - Jose Manuel and his mother (R) Sanjuana Rosas Velasquez, a 62 year old diabetic woman.
Polycystic ovary syndrome (also called PCOS or Stein Leventhal syndrome) is the most common hormonal and reproductive problem affecting women of childbearing age. Ovulation is a process in which a mature egg cell (also called an ovum), ready for fertilization by a sperm cell, is released from one of the ovaries (two female reproductive organs located in the pelvis). With an ovulatory problem, the woman's reproductive system doesn't produce the proper amounts of hormones necessary to develop, mature, and release a healthy egg. When the ovaries don't produce the hormones needed for ovulation and proper function of the menstrual cycle, the ovaries become enlarged and develop many small cysts which produce androgens. Increased levels of androgens can also interfere with ovulation and normal menstrual cycles. Still, some women with polycystic ovaries have normal menstrual cycles. In addition, women with PCOS may be at increased risk for developing certain health problems.
Pelvic examination. This involves a physical examination of both the external and internal female reproductive organs.
Blood tests. These tests are used to detect increased levels of androgens and other hormones. For women who don't want to become pregnant, treatment is focused on correcting the abnormal hormone levels, weight reduction, and managing cosmetic concerns. Diabetes medications (Metformin, a medication used in the treatment of type 2 diabetes, is often used to decrease insulin resistance in PCOS.
For women who want to become pregnant, treatment is focused on weight reduction and promoting ovulation.
Ovulation induction medications. (These medications stimulate the ovary to make one or more follicles [sacs that contain eggs] and release the egg for fertilization.
Women sometimes struggle with the physical changes that occur with PCOS, such as weight gain, hair growth, and acne.
Because of the possible long-term health risks for PCOS, including heart disease and type 2 diabetes, women with PCOS should consult their health care provider about appropriate treatment. It’s not an uncommon condition—in fact, nearly 20% of pregnant women are believed to have gestational diabetes. While the exact cause isn’t known, it’s believed it is related to how hormones released during pregnancy impact insulin. Typically it begins to occur later in the pregnancy, but luckily for mothers with the condition, it’s not necessarily linked to birth defects—although the same can’t be said for mothers who had diabetes before becoming pregnant.
With that being said, if gestational diabetes isn’t properly treated during pregnancy, it can lead to problems for both the mother and baby, which is why it’s important to follow a careful gestational diabetes diet plan. Gestational diabetes that isn’t well controlled can lead to babies who are born overweight, which increases the risk of Type 2 diabetes and obesity into adulthood. The best treatment for gestational diabetes is to follow a diet plan for gestational diabetes, get a moderate amount of pregnancy-friendly exercise, and maintain a healthy weight. The primary way to ensure both you and your unborn baby remain healthy despite having gestational diabetes is to follow an appropriate diabetes exchange diet. Carbohydrates will make up a very important part of your diet, but you have to choose carbs carefully because some carbs cause spikes in insulin levels. A gestational diabetes diet plan should center on eating three meals and two smaller snacks a day. If you’re diagnosed with gestational diabetes, you may need to gain an understanding of the diabetic exchange diet. Essentially it’s a compilation of food lists, created by the American Diabetes Association and the American Diabetic Association.

The exchange lists are divided into six different groupings, and they’re great for use to plan a gestational diabetes diet menu. Vegetable List: Contained on the vegetable list are serving sizes that provide about five grams of carbs, two of protein and 25 calories.
Fruit List: As mentioned, you may have to be careful and limit your fruit intake if you’re following a gestational diabetes diet plan. Milk List: Milk gets its own list on the diabetic exchange diet, because it does have carbohydrates.
Fat List: It’s not what it sounds like—many of the fats on this list are considered healthy, in moderation. Plain oatmeal with a bit of cinnamon and almonds: Make sure it’s plan or has very little sugar, because there are some oatmeals that have lots of extras that can mean more sugar. These are just a few of the many food options you have when you’re creating a gestational diabetes diet plan. The key to gestational diabetes is being proactive and taking action immediately to ensure you’re following a healthy diet plan for gestational diabetes, so your baby has the best possible outcome, and you can become healthy after you give birth.
Jose Manuel Perea Rosas, a sixteen year old Mexican boy, attends a monthly consultation with doctors while being treated at the Federico Gomez children´s Hospital in Mexico City for symptoms related to severe morbid obesity. It's common for sisters or a mother and daughter to have PCOS, but a definite genetic link hasn't been found. Many women with PCOS have insulin resistance, in which the body can't use insulin efficiently. If the egg doesn't become fertilized as it travels down the fallopian tube on its way to the uterus, the endometrium (lining of the uterus) is shed and passes through the vagina (the passageway through which fluid passes out of the body during menstrual periods; also called the birth canal), in a process called menstruation. Lack of ovulation for an extended period of time may cause excessive thickening of the endometrium (the lining of the uterus). Ultrasound is a diagnostic imaging technique which uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs.
It may also help reduce androgen levels, slow hair growth, and help a woman ovulate more regularly. In addition to diet and medications, cosmetic procedures, such as electrolysis and laser hair removal can often help a woman feel better about her appearance.
A woman who has never been previously diagnosed as diabetic, but who has high glucose levels during pregnancy is considered to have the disease. Opt for complex carbohydrates that take a long time for the body to digest, like fruits, vegetables and whole grains. People have the idea that fruit is healthy so they can eat as much as they want, but if you have gestational diabetes, you have to factor in the amount of sugar found in fruit. This will help level out your blood sugar levels, but you should avoid eating too much at any one time, because that can cause insulin spikes. The serving sizes on this list all equal about 80 calories, which is important for a gestational diabetes diet plan, since you have to focus on gaining a healthy amount of pregnancy weight. Each serving size represented on the list means you’re going to be getting around seven grams of protein, and the meat list is divided into four subsections, based on how lean the meats are. They also contain a substantial amount of fiber, which is important to the management of gestational diabetes.
Each serving size of milk on the list has about 12 grams of carbs, and the fat and calories vary based on the type of milk being consumed.
Cinnamon is great for controlling blood sugar, and almonds are a healthy protein that will help you feel fuller for longer. Just because you have gestational diabetes doesn’t mean you can’t eat foods that taste good, and it certainly doesn’t mean your baby isn’t going to be healthy.

Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels. One of the best ways to treat it is through a gestational diabetes diet plan, specifically designed for pregnant women who are experiencing insulin issues. It’s important to find the right balance of carbs so that you remain energized, but you’re not eating a large amount that could potentially cause your blood sugar levels to rise too much.
He has gained 32 pounds in 3 years since his first visit to the hospital in 2009 when he weighed 301 pounds and was 161,3 centimeters tall with a BMI 52. It's believed that hyperinsulinemia is related to increased androgen levels, as well as obesity and type 2 diabetes. Ultrasound can determine if a woman's ovaries are enlarged or if cysts are present, and to evaluate the thickness of the endometrium.
Happens because the amount of insulin produced is not sufficient for the body or because body cells do not respond to insulin properly (insulin resistance).Diabetes type 2 more common in adult life, as it often called adult-onset diabetes.
A vaginal ultrasound, in which an ultrasound transducer is inserted into the vagina, is sometimes used to view the endometrium. This disease used to be called non-insulin dependent of diabetes mellitus (NIDDM) because it does not depend on the hormone insulin.
He has been diagnosed with morbid obesity, Metabolic Syndrome X, insulin resistance, acanthosis nigricans, systemic arterial hypertension, Ventricular hypertrophy, fatty liver disease, chronic severe obstructive sleep apnea hypopnea, Cryptorchidism, bilateral genu valgum, instability of the Capsular ligaments and Palmoplantar keratodermas. Jose Manuel would like to get a bariatric surgery, but he must loose weight and get his BMI down to 45 before he can apply.
Jose Manuel is a student from a family with financial difficulties living in Ecatepec de Morelos. The poor in Mexico have a difficult time accessing preventive health care and education about unhealthy food. Diabetes type 2 can also be caused by the amount of insulin produced is not sufficient for the body’s pancreas.
Mexico has one of the highest obesity rates in the world, and public health officials are increasingly alarmed by the rapid rise in child and youth obesity. It is the two most important elements that must be maintained properly by people with diabetes. Regular exercise will increase your metabolism, able to maintain glucose levels remain normal and increase the sensitivity of cells to insulin.People with diabetes, either type 1 or type 2, should be examined in blood glucose levels regularly.
Always consult your doctor to plan a lifestyle appropriates to their respective conditions.
Many people with diabetes can still live a normal life and the length by adopting a healthy lifestyle. Share on: Twitter Facebook Google +Posts Related to Type 2 Diabetes Causes Symptoms Treatment4 Differences Between Diabetes Type 1 and Type 2Most people do not understand what the difference between diabetes type 1 and type 2. Most people think that diabetes is just one disease that occurs due to high sugar levels in the blood. This condition (prediabetes) almost always comes before a person has type 2 diabetes that more severe.

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