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Your skin: A window to your healthSkin problems are often the first sign of serious underlying health problems. NHS National Genetics Education & Development Centre - Tuberous Sclerosis Complex (TSC). To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. During the past several years, the incidence of type 2 diabetes has increased.  Type 2 diabetes is an outcome of a combination of lifestyle and genetic elements.
Diabetes poses the risk for many conditions mainly because due to poorly controlled blood sugar levels. With time, the high glucose levels in the blood can cause damage to the nerves and small blood vessels affecting the eyes, kidney and heart.
Other long term complications can appear as poor circulation (leading to amputation), diabetic retinopathy, kidney failure and ketoacidosis. Hyperglycemia is an outcome arising out of an excessively raised blood sugar level in diabetes.
Due to the buildup of sugar in blood, there can be increased urination causing the kidneys to lose glucose (through urine). It is practically feasible for people with type 2 diabetes to lead an active life with limited medical intervention.
Just as the right intake of food can make it easier to manage diabetes, the wrong food (or the bad food in this reference) can worsen the condition and upset your health for long-term adverse effects.
Since you need carbs for energy, you would better resort to the more favorable food in this category such as whole grains (like brown rice).  The complex carbs get absorbed more slowly than the simple ones.
As per the American Diabetes Association, diabetics may substitute protein and fat items for carbohydrates but should avoid high-fat items and saturated fats. Foods in this category are canned vegetables having excessive added sodium, vegetables cooked with excessive butter (or sauce), canned fruits having excessive sugar syrup, regular jam (until the portion is small), fruit punch and fruit juice drinks. Snacks fried in fat like potato chips and corn chips, pork rinds, lard, hydrogenated vegetable shortening, butter, regular mayonnaise, butter-flavored stove-top popcorn, etc. While certain amount of sweetness should remain in life, diabetics mainly need to limit the amount of sweet foods they eat. But you should keep a watch if you are eating honey, fruit juice, canned fruit in syrup, pastries, candy and sugared cereal.
Besides, they can easily add to your weight and possibly provide no sound reason to include them in the diet. If you are including carbonated beverages, check for the nutrition content (micronutrients). You cannot be expected to completely refrain from all recommended food items when others in around you are having them (especially when it comes to your favorite food). Experts suggest a food pyramid, which diabetics can adhere to, in order to maintain good health and reduce the possibility of long-term complications. In development for the last 13 years, Invokana employs a “novel mechanism of action” to lower blood sugar in type 2 diabetics, Bloomgarden says. Invokana works by inhibiting sodium glucose co-transporter 2, a carrier that aids in the reabsorption of glucose into the bloodstream through the kidneys, which occurs during the process in which blood is filtered through the kidneys.
Because Invokana is such a powerful diuretic, it can help lower a person’s systolic blood pressure, which made some clinical trial subjects feel dizzy and even faint in the first three months while taking the drug. Additionally, because Invokana blocks absorption of glucose, it could reduce a person’s weight. This method of reducing blood sugar by blocking glucose absorption in the kidneys proved safe and effective through nine clinical trials involving 10,285 participants, according to Janssen Pharmaceuticals.
Even though the FDA voted 10 to five to approve Invokana, the jury is still partially out on the drug’s complete safety and the long-term effects of the new class of medication.
Even though Invokana is a creative and apparently effective new way of reducing blood sugar, Bloomgarden says that metformin, or Glucophage is, and will most likely remain, the primary drug for treating type 2 diabetes.
The FDA said Invokana can be used in conjunction with other drugs, such as metformin, in patients as long as they do not have suffer from any kidney function impairment. Patients won’t have to wait long to get their hands on Invokana if their doctor prescribes it for them.
I am taking Invokana alone, as I am allergic to all othet medications for type 2 diabeties it works well keeping my sugars controlled, just have to drink a lot of water, but that is ok. Just started with Invokana about 2 weeks now (taking in addition to other type 2 meds and have seen a considerable drop in blood sugar readings. After I eat breakfast and take my blood sugar two hours after eating it is actually lower than when I take it first thing in the morning before I take my medications. I know that the price of this medication is high in cost but I really feel if it works for me which it is my life is more important to me than the money.
Have been taking Invokana 100 mg for 4 weeks now and have just started to have cramps and diarrhea every day. I have been on Invokana for 1 week now and have had the best results I have had in 2 years. I can’t tell how much of my positive result was caused by Invokana and how much to attribute to Weight Watchers. I have been taking Invokana for 2 months now after struggling for 2 years to get my blood sugars under control.
The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes. Have you got skin problems?Is your skin itching, breaking out, covered in a rash, or playing host to strange spots? PCOS is a debilitating and upsetting condition that hundreds of girls and women suffer from that can lead to great anxiety and distress because no one believes their symptoms are real. We strongly believe here that a multi disciplinary approach is needed that is in a warm caring and compassionate non-judgmental environment.
We create a thorough and multi faceted management plan in collaboration with Australiaa€™s leading practitioners in this field.
We provide a comprehensive and holistic approach for the management of PCOS in collaboration with your medical practitioner.
Butterfly rashA butterfly rash across the face is often the first sign of lupus, but don't jump to conclusions. Jorizzo, professor and founding chair of dermatology, Wake Forest University, Winston-Salem, USA. It is intended for general information purposes only and does not address individual circumstances. Many people are not aware of the risk factors and complications which type 2 diabetes mellitus can bring along with, both in the short and long run. Consequently, glucose (sugar) cannot get into the body’s cells and their functioning gets impaired. Many of them can be controlled when you know what puts your health at risk for the illness and the adverse effects which are likely to come.
It may create an overwhelming reaction creating apprehensiveness of the long-term health outcomes and effects on everyday life. This damage can also appear as atherosclerosis, or hardening of the large arteries, making way for heart attack and stroke.
Type 2 diabetes can also reduce life expectancy by about 10 years and can be especially concerning for the health and well being of children.
Severe illness may develop into a life-threatening complication. Type 2 diabetes, also referred to as non-insulin dependent diabetes, can pose problems in the short run also. Some people may even not remain drug-dependant if they bring in favorable lifestyle changes. The choice of food becomes considerably significant when you are diabetic because there are many foods which can potentially deteriorate your health or make it difficult to control blood glucose level which is an essential requirement of diabetic management. Keeping away from triggers and potentially harmful elements is one of the best ways to manage long-term complications of diabetes.


The glycemic index is a system of ranking food based on their affect on the blood sugar levels.
For diabetics, it is better to resort to the non-meat sources of protein instead of the high-fat sources of protein.
High-fat sources include pork, beef, higher-fat parts of meat (like ribs), fried meat, poultry with skin, turkey, seafood and fried fish. But when the natural nutritional content of the food is disturbed, it can be potentially harmful.
Being high in glycemic index, sweet foods can turn faster into sugar and can be potentially harmful to your body parts also. The regular beer, fruity mixed drinks, dessert wines and even sweetened tea can also create trouble for diabetics. Carbonated beverages, which can be good to the taste buds, should have a careful inclusion in your diet. Usually, foods eaten in restricted quantities coupled with effective diabetic management and care should not be problematic.
The above foods are usually found to be at the peak, meaning ones which you should shop less for. Food and Drug Administration means diabetics have a significant new tool for treating the disease, as well as for losing weight and improving their overall health. The excess glucose is then flushed out of the body, which is why Invokana also acts as a “potent diuretic,” Bloomgarden said. It also worked with about the same effectiveness as sitagliptin, or Januvia, which inhibits enzymes and increases pancreatic function, Ren added.
For extended periods, however, reducing blood pressure in a population of patients with typically higher than normal blood pressure as a result of their diabetes is a positive side effect.
According to Janssen Pharmaceuticals, clinical trials subjects taking the drug experienced a 3 percent weight loss compared to subjects taking a placebo. The most common side effects experienced were vaginal yeast infections and urinary tract infections, according to the company. A drug called dapagliflozin, from Bristol-Myers Squibb and AstraZeneca, that also works as a SGLT2 inhibitor, for instance, was rejected for approval by the FDA in 2012 because of concerns it increased rates of bladder and breast cancers in subjects. However, Invokana can be taken by those already taking metformin and other medications, according to the FDA. According to company spokesperson Christina Holden, Invokana is already being manufactured and field sales agents are already taking order from doctors. With the prescription she gave me a card to give to the pharmacy, now I get a year for free. I was taking Metformin only, but when it alone wasn’t controlling my glucose level my doctor put me on glimepiride. Skin inflammation, changes in texture or colour and spots may be the result of infection, a chronic skin condition, or contact with an allergen or irritant. Many are mis diagnosed, fobbed off, dismissed and have been on an extraordinary roundabout of various treatments. This can cause many symptoms such as menstrual irregularities, unwanted and rapid weight gain, difficulty in losing weight despite lots of exercise and healthy eating, acne, unwanted facial and body hair, difficulties in falling pregnant and increased risk of miscarriage.
This takes into consideration the medicinal side, a tailor made exercise program to best treat PCOS , nutritional and dietary ideas to suit your tastes and lifestyle and counselling to help with anxiety, depression and sleeplessness that so often accompanies PCOS.
It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Being diagnosed with diabetes may not only affect you but your loved ones as well who now need to be aware of your additional medical and non-medical needs in living a healthy life.
Weight management is an important aspect of managing and living with type 2 diabetes as it promotes the body to utilize insulin appropriately.
A food that is bad for diabetics is better kept at bay than regretted (later) for the lust of taste buds or sheer ignorance. This reading can make you better aware of the potentially worst and bad food choices which should be avoided in diabetes. White rice can be a staple food in many places, forming a major part of cooking, like in Indian cuisine. Many fruits and vegetables, which are otherwise low in fat and sodium, can be unfit for consumption after being canned.
Low glycemic index foods release glucose slowly and steadily and can better control blood glucose levels. Soda and energy drinks are two bad components of a diabetic diet because these can dehydrate you. However, do not take this as medical advice and have an exchange of ideas with your doctor. Financial analysts are predicting that the drug will bring in more than $100 million in sales this year and top out at more than $660 million in annual sales by 2016.
I was switched to Invokana after I had a seriously bad reaction with Toujeo ugh it didn’t work for me. Because I was getting dangerously low readings on the glimepiride, I decided to get a referral to an endocrinologist. Self-esteem has often taken a beating through the years of despair of not knowing what is going on, feeling upset about many of the physical symptoms that you experience and embarrassment at having to deal with so many symptoms that society deems not acceptable for women.
Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. Even though type 2 diabetes is the form affecting most people suffering from diabetes, it is possible to lead a healthy and active life with minimum complications with the right resources like appropriate information and support.
While a limited intake coupled with appropriate diabetic care and monitoring may not be harmful, there should be no generous eating of white rice.
By choosing the non-meat sources, you can   reduce the fat content of diet and manage diabetes in a better manner.
My doctor put me on Invokana and also gave me a card so I can get a year’s free supply.
Yet, while many are minor, they may indicate something more serious, so always seek medical advice for correct diagnosis.
Other foods in similar category are doughnuts, soda, white bread, white flour, processed grains and French fries which should be avoided. Diabetics have an increased risk of heart disease and consuming saturated fat in excess can be damaging.
Now if I check right after I eat, I might see like 250~300 but if I eat and wait like 2 hours and check, its back down in the 150 range normally. Looking to to me so far other than I’ve gotten dizzy a few times for a couple seconds and I checked, my sugars were not too low.
Rarely, if it occurs in other parts of the body such as the hands or lips, it may indicate an internal malignant cancer. Invokana has certainly helped and I will continue to take it until I no longer need it for control. Most people recover, but pain, numbness, and itching linger for many and may last for months, years, or the rest of their lives. Leg plaque: Red on edge, gold in centreNecrobiosis lipoidica is an inflammatory skin condition. It may occur with inflammatory conditions such as inflammatory bowel disease, rheumatoid arthritis and sarcoid.
Hives (urticaria)Hives, a common allergic reaction that looks like welts, are often itchy, stinging, or burning.
Very often it is associated with diabetes, when it is called necrobiosis lipoidica diabetica, and often means the underlying diabetes may have damaged the blood vessels in the eyes and kidneys.
Itchy, violet bumps on wristLichen planus is a rash made up of reddish-purple, flat-topped bumps that may be very itchy.


Severe hives can be associated with difficulty breathing (get immediate medical attention if this occurs).
It usually appears on the wrists or ankles, but may appear on the lower back, neck, arms, legs and genitals. Medication, foods, or food additives, temperature extremes, and infections like a sore throat can cause hives. Flesh coloured, orange-peel patches on backShagreen patches are flesh-coloured lesions on the lower back that have the texture of orange peel. PsoriasisA non-contagious rash of thick red plaques covered with silvery scales, psoriasis usually affects the scalp, elbows, knees, and lower back. They often occur with other skin signs: red or brown acne-like bumps spreading across the cheeks and nose, and ash-leaf spots of under-pigmented skin, most often on the trunk, that are oval at one end and pointy at the other. These are signs of a rare genetic disease called tuberous sclerosis that causes benign tumours to grow in the brain and other vital organs. The precise cause of psoriasis is unknown, but the immune system mistakenly attacks skin cells causing new skin cells to develop too quickly.
Tripe palmsTripe palms describes a skin condition in which the skin of the palm becomes thick and velvety-white with pronounced folds in the lines of the hand. EczemaEczema describes several non-contagious conditions where skin is inflamed, red, dry, and itchy. Stress, irritants (like soaps), allergens, and climate can trigger flare-ups though they’re not eczema's cause, which is unknown. If tripe palms is accompanied by acanthosis nigricans, it's most likely to be stomach cancer. If tripe palms is not accompanied by acanthosis nigricans, then lung cancer is usually responsible. Treatments include emollient creams and ointments, steroid creams and ointments, antibiotics and antihistamines.
Hardening of skin in extremities, ‘wooden’ hands and feetNephrogenic systemic fibrosis starts as a brown discolouration and indentation of the lower arms and legs.
RosaceaOften beginning as a tendency to flush easily, rosacea causes redness on the nose, chin, cheeks, forehead, and can cause eye irritation. If left untreated, bumps and pus-filled pimples can develop, with the nose and oil glands becoming bulbous.
Researchers have found that the gadolinium contrast agent used during MRI examinations triggers this condition in some patients with kidney failure.
Rosacea treatment includes topical gels, medication, as well as surgery to remove blood vessels or correct nose disfigurement. Scaly rash on buttocks, red tongueFortunately, necrolytic migratory erythema is quite rare.
Rash from poisonous plantsMost plants in the UK will not give you a rash, but the same is not always true on holiday abroad where you may be in contact with species that don't grow here. It's a red, blistering rash that crusts over sometimes with small erosions of the skin, usually seen in elderly patients. For example, in the US, contact with sap from poison ivy, oak, and sumac causes a rash in most people.
It tends to start in the fold of the buttocks or genitals but can be elsewhere on the body.
The typical rash is arranged as a red line on an exposed area, caused by the plant dragging across the skin.
Not all skin conditions are scaryMany skin conditions do not indicate that anything else is wrong with you.
For example, granuloma annulare is raised, reddish or flesh-coloured bumps forming ring patterns on the hands and feet. It usually goes away within a few months and usually doesn't mean anything is wrong with you.
The sharp edge of closely shaven hair can curl back and grow into the skin, causing irritation and pimples, and even scarring. To minimise razor bumps, have a hot shower before shaving, shave in the direction of hair growth, and don't stretch the skin while shaving.
Skin tagsA skin tag is a small flap of flesh-coloured or slightly darker tissue that hangs off the skin by a connecting stalk. They’re usually found on the neck, chest, back, armpits, under the breasts or in the groin area. Skin tags are not dangerous and usually don't cause pain unless they become irritated by clothing or nearby skin rubbing against them. Often seen on the face, chest, and back, acne is caused by a number of things, including the skin’s response to hormones. To help control it, keep oily areas clean and don't squeeze pimples (it may cause infection and scars). Athlete's footA fungal infection that can cause peeling, redness, itching, burning and sometimes blisters and sores, athlete's foot is contagious, passed by direct contact or by walking barefoot in areas such as changing rooms or near swimming pools. It's usually treated with topical antifungal cream or powder, or oral medication for more severe cases. MolesUsually brown or black, moles can be anywhere on the body, alone or in groups, and generally appear before age 20.
Have a medical check-up for moles that change, have irregular borders, unusual or uneven colour, bleed or itch. Age, sun or liver spots (lentigines)These pesky brown spots are not really caused by ageing, though they do multiply as you age. They're the result of sun exposure, which is why they tend to appear on areas that get a lot of sun, such as the face, hands, and chest. To rule out serious skin conditions such as melanoma, seek medical advice for correct identification.
Pityriasis roseaA harmless rash, pityriasis rosea usually begins with a single, scaly pink patch with a raised border.
Days to weeks later, salmon-coloured ovals appear on the arms, legs, back, chest, and abdomen, and sometimes the neck. The rash, whose cause is unknown, usually doesn't itch, and usually goes away within 12 weeks without needing treatment. MelasmaMelasma (or chloasma) is characterised by brown patches on the cheeks, nose, forehead and chin. Melasma may go away after pregnancy but, if it persists, can be treated with prescription creams and over-the-counter products. Cold soresSmall, painful, fluid-filled blisters around the mouth or nose, cold sores are caused by the herpes simplex virus. Antiviral pills or creams can be used as treatment, but seek medical advice immediately if sores contain pus, you have a fever greater than 38C, or if your eyes become irritated. WartsCaused by contact with the contagious human papillomavirus (HPV), warts can spread from person to person or via contact with something used by a person with the virus. You can prevent spreading warts by not picking them, covering them with bandages or plasters, and keeping them dry.
Seborrheic keratosisNoncancerous growths that may develop with age, seborrhoeic keratoses can appear anywhere on the body - but particularly on the chest or back - alone, or in groups. They may be dark or multicoloured, and usually have a grainy surface that easily crumbles, though they can be smooth and waxy. Because seborrheic keratoses may be mistaken for moles or skin cancer, seek medical advice for correct diagnosis.



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