Introduccion En nuestro trabajo, hablaremos sobre la Diabetes Mellitus, que es una enfermedad producida por una alteracion del metabolismo de los carbohidratos en la que aparece una cantidad excesiva de azucar en la sangre y en la orina.. The number of Americans with diabetes continues to increase, according to CDC's most recent National Diabetes Fact Sheet.
Beta cells, which are found in the pancreas within tiny cell clusters called islets, are the body’s sole source of the essential hormone insulin. The most common forms of diabetes are Type I diabetes, in which the immune system launches a misguided attack, destroying the beta cells of the pancreas, and Type 2 diabetes, in which the body becomes resistant to insulin signaling, with subsequent impaired insulin production.
This is particularly important in light of studies that show that adverse changes in both the micro- and macro vascular environments can occur up to 10 years prior to diagnosis. Because your sugar level can change from hour to hour, we required you to test your blood four time per day (daily A1c). Estimated Average Glucose (eAG) is a new way to understand how well you're managing your diabetes. If you have diabetes, you may know about the A1C test that tells you your average blood glucose over the past 2 to 3 months. ADA is recommending the use of a new term in diabetes management, estimated average glucose, or eAG.
Massachusetts General Hospital (MGH) research has found that insulin production may persist for decades after the onset of type 1 diabetes. A blood glucose test measures the amount of a type of sugar, called glucose, in your blood.
Plasma levels of the inflammatory biomarker C-reactive protein (CRP) predict cardiovascular risk, and retrospective studies suggest that 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) may lower CRP in a manner largely independent of low-density lipoprotein cholesterol (LDL-C). The regional distributions of iron, copper, zinc, magnesium, and calcium in parkinsonian brains were compared with those of matched controls. Although marked regional distributions of iron, magnesium, and calcium were present, there were no changes in magnesium, calcium, and copper in various brain areas of PD. Type 2 diabetes mellitus occurs when beta-cell function fails to compensate for insulin resistance.1,2 Beta-cell function progressively deteriorates with an increasing duration of diabetes,3 partly because of beta-cell demise through apoptosis.
A small number of immune response genes have been consistently associated with the common autoimmune conditions.
Adiponectin (Ad) is a hormone secreted by adipocytes that regulates energy homeostasis and glucose and lipid metabolism.
Type I Diabetes is caused by an autoimmune disorder-a problem with the body's immune system. In contrast to earlier assumptions, researchers have found that, at diagnosis, majorities of people with Type I diabetes have circulating C-peptide, a marker of insulin production by the pancreas.
At present, scientists do not know exactly what causes the body’s immune system to attack the beta cells, but they believe that autoimmune, genetic, and environmental factors, possibly viruses, are involved.
Symptoms of type 1 diabetes usually develop over a short period, although beta cell destruction can begin years earlier.
Type 2 diabetes is increasingly being diagnosed in children and adolescents, especially among African American, Mexican American, and Pacific Islander youth. When type 2 diabetes is diagnosed, the pancreas is usually producing enough insulin, but for unknown reasons the body cannot use the insulin effectively, a condition called insulin resistance. Most people with LADA still produce their own insulin when first diagnosed, like those with type 2 diabetes.
Excess amounts of certain hormones that work against the action of insulin can cause diabetes. A number of medications and chemicals can interfere with insulin secretion, leading to diabetes in people with insulin resistance.
Several infections are associated with the occurrence of diabetes, including congenital rubella, coxsackievirus B, cytomegalovirus, adenovirus, and mumps. The fasting blood glucose test is the preferred test for diagnosing diabetes in children and nonpregnant adults. People with pre-diabetes have blood glucose levels that are higher than normal but not high enough for a diagnosis of diabetes. Pre-diabetes is also called impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), depending on the test used to diagnose it.
Diabetes is widely recognized as one of the leading causes of death and disability in the United States. Diabetes is associated with long-term complications that affect almost every part of the body. Type 1 diabetes occurs equally among males and females but is more common in whites than in nonwhites. Before the discovery of insulin in 1921, everyone with type 1 diabetes died within a few years after diagnosis. Today, healthy eating, physical activity, and taking insulin are the basic therapies for type 1 diabetes.
Healthy eating, physical activity, and blood glucose testing are the basic management tools for type 2 diabetes. People with diabetes should see a health care provider who will help them learn to manage their diabetes and who will monitor their diabetes control.
The team can also include other health care providers, such as cardiologists and other specialists. The goal of diabetes management is to keep levels of blood glucose, blood pressure, and cholesterol as close to the normal range as safely possible.
The United Kingdom Prospective Diabetes Study, a European study completed in 1998, showed that intensive control of blood glucose and blood pressure reduced the risk of blindness, kidney disease, stroke, and heart attack in people with type 2 diabetes. SGLT2i (Sodium-Glucose Co-transporter 2 inhibitors) is a class of medications used for the management of type 2 diabetes (T2DM). The HbA1c is a measure of the average blood sugar (both high & low levels) over a 3 month period and it is an important indicator of the degree of blood sugar control.
It is recommended for people with diabetes to check HbA1c at least 2 times a year & more frequently for those with uncontrolled sugar levels. Although HbA1c measures average blood glucose over the past 3-4 months, more recent glucose levels (recent 4-6 weeks) impact the result more. Conditions like Anemia, profound blood loss, recent blood transfusion, high triglyceride levels, jaundice, chronic alcoholism etc.
Currently there are 370 million indigenous people worldwide, representing 5% of the world’s population.
The International Diabetes Federation (IDF) has a long standing history of collaborative work with indigenous peoples. To build on this major achievement and ensure political commitments are translated into action, IDF is kick starting a dedicated roadmap of action focussed on indigenous peoples. Our activities began earlier in March when IDF co-hosted an expert meeting with the World Diabetes Foundation on Indigenous People, Diabetes and Development.
The main purpose of the meeting was to build consensus around the burden of diabetes and related Non-communicable Diseases amongst indigenous peoples; and identify specific areas of intervention to address prevention and access to care for indigenous populations. Following this meeting, IDF will continue to work with indigenous peoples to raise awareness of the issue and take actions to improve health. We hope  through  collaboration and sheer determination, we can raise awareness of the issues affecting the health of indigenous peoples, build the evidence base and implement actions to address the existing health disparities  -  with an ultimate goal of improving the lives of indigenous peoples. So does the number of Americans with prediabetes, a condition that increases their risk of type 2 diabetes, heart disease, stroke, kidney disease, foot complications or Neuropathy, eye complications, skin complications, depression and gingivitis disease or tooth and bone loss. While the causes of beta cell loss or failure differ, all major forms of diabetes share a common bond in the pancreatic beta cell. And that can help you and your health care provider know what changes you may need to make to be as healthy as possible.
Hemoglobin (HEE-mo-glo-bin) is the part of a red blood cell that carries oxygen to the cells and sometimes joins with the glucose in the bloodstream. However, prospective trial data directly evaluating this anti-inflammatory effect of statins are not available.
In mild Parkinson's disease (PD), there were no significant differences in the content of total iron between the two groups, whereas there was a significant increase in total iron and iron (III) in substantia nigra of severely affected patients. While C-peptide levels are reduced in comparison to people without the disease, the measurable and inducible C-peptide is very suggestive of functional beta cell mass.
Type 1 diabetes accounts for about 5 to 10 percent of diagnosed diabetes in the United States.
Symptoms may include increased thirst and urination, constant hunger, weight loss, blurred vision, and extreme fatigue. Although this form of diabetes usually disappears after the birth of the baby, women who have had gestational diabetes have a 40 to 60 percent chance of developing type 2 diabetes within 5 to 10 years. As with type 2 diabetes, gestational diabetes occurs more often in some ethnic groups and among women with a family history of diabetes. For example, monogenic forms of diabetes result from mutations, or changes, in a single gene.
These hormones and their related conditions include growth hormone in acromegaly, cortisol in Cushing’s syndrome, glucagon in glucagonoma, and epinephrine in pheochromocytoma. These medications and chemicals include pentamidine, nicotinic acid, glucocorticoids, thyroid hormone, phenytoin (Dilantin), and Vacor, a rat poison. Glucose levels are normally lower during pregnancy, so the cutoff levels for diagnosis of diabetes in pregnancy are lower. Studies have clearly shown that people can lower their risk of developing diabetes by losing 5 to 7 percent of their body weight through diet and increased physical activity. The disease often leads to blindness, heart and blood vessel disease, stroke, kidney failure, amputations, and nerve damage. Indirect costs, including disability payments, time lost from work, and reduced productivity, totaled $58 billion. Data from the World Health Organization’s Multinational Project for Childhood Diabetes indicate that type 1 diabetes is rare in most African, American Indian, and Asian populations.
Although insulin is not considered a cure, its discovery was the first major breakthrough in diabetes treatment. The team for a pregnant woman with type 1, type 2, or gestational diabetes should include an obstetrician who specializes in caring for women with diabetes. A major study, the Diabetes Control and Complications Trial (DCCT), sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), showed that keeping blood glucose levels close to normal reduces the risk of developing major complications of type 1 diabetes.
Studies that looked at the production of ethanol in urine samples of diabetic patients with symptoms of yeast infection did not detect ethanol on the day of voiding but detected ethanol levels starting day 3 after the urine was stored at room temperature, indicating an in-vitro production of ethanol.1 Cases of in-vivo production of ethanol is rare. In simple terms, it is the amount of sugar (glucose) attached to hemoglobin molecules in the red blood cells. Thus checking blood sugar level periodically at different times of the day remains equally essential & cannot be replaced by HbA1c checking alone. She has done her post graduation from Pune University and she is currently pursuing her PhD in area of Diabetes Prevention. While the percentage of indigenous peoples is low, the burden of diabetes on indigenous peoples is undeniable.


It will build on IDF’s previous work in this area, such as our series of International Forums and will draw upon IDF’s unique expertise and capacity as a global federation. The meeting was opened by key leaders including Professor Jean Claude Mbanya, President of IDF. Discussion themes included addressing the NCD and diabetes burden, understanding the societal and economic impact, and linkages to diabetes and maternal health and the implications for indigenous peoples. Over the coming years IDF will be convening an expert group to update an IDF position statement on this important issue. These defects result in a persistent elevation of blood glucose levels and other metabolic abnormalities, which, in turn, lead to the development of disease complications. Also called hemoglobin A1C or glycosylated (gly-KOH-sih-lay-ted) hemoglobin, the test shows the amount of glucose that sticks to the red blood cell, which is proportional to the amount of glucose in the blood. A significantly lower glutathione content was present in pooled samples of putamen, globus pallidus, substantia nigra, nucleus basalis of Meynert, amygdaloid nucleus, and frontal cortex of PD brains with severe damage to substantia nigra, whereas no significant changes were observed in clinicopathologically mild forms of PD.
Because certain autoimmune diseases, such as autoimmune thyroid disease (AITD) and T1D cluster together in certain families, we sought to determine if the TID-associated CD25 region was also associated with Graves' disease (GD).
This observation is important for future therapies as the positive benefit of immune modulation in the NOD mouse is best realized when a pancreatic beta cell mass capable of promoting euglycemia is present.
In diabetes, the immune system attacks and destroys the insulin-producing beta cells in the pancreas. If not diagnosed and treated with insulin, a person with type 1 diabetes can lapse into a life-threatening diabetic coma, also known as diabetic ketoacidosis. This form of diabetes is most often associated with older age, obesity, family history of diabetes, previous history of gestational diabetes, physical inactivity, and certain ethnicities.
The result is the same as for type 1 diabetes—glucose builds up in the blood and the body cannot make efficient use of its main source of fuel.
Symptoms may include fatigue, frequent urination, increased thirst and hunger, weight loss, blurred vision, and slow healing of wounds or sores. Maintaining a reasonable body weight and being physically active may help prevent development of type 2 diabetes. For example, in latent autoimmune diabetes in adults (LADA), also called type 1.5 diabetes or double diabetes, people show signs of both type 1 and type 2 diabetes.
Instead, they control their blood glucose levels with meal planning, physical activity, and oral diabetes medications.
A number of different gene mutations have been shown to cause MODY, all of which limit the pancreas’ ability to produce insulin.
Cystic fibrosis and hemochromatosis can also damage the pancreas enough to cause diabetes. In other autoimmune diseases, such as systemic lupus erythematosus, patients may have anti-insulin receptor antibodies that cause diabetes by interfering with the binding of insulin to body tissues. However, diabetes is likely to be underreported as the underlying cause of death on death certificates.
Uncontrolled diabetes can complicate pregnancy, and birth defects are more common in babies born to women with diabetes. Direct medical costs for diabetes care, including hospitalizations, medical care, and treatment supplies, totaled $116 billion. However, some northern European countries, including Finland and Sweden, have high rates of type 1 diabetes. Managing diabetes is more than keeping blood glucose levels under control—it is also important to manage blood pressure and cholesterol levels through healthy eating, physical activity, and the use of medications, if needed.
The team can also include a pediatrician or a neonatologist with experience taking care of babies born to women with diabetes. There are various natural remedies for diabetes that will help you control your blood sugar level. One case report of a 19 year old female with uncontrolled type 1 diabetes hospitalized for DKA revealed a urine drug screen positive for ethanol, with negative ethanol tests in blood and vitreous samples.
As the life of a red blood cell is approximately 90 – 120 (3-4 months) days, the HbA1c value predicts average blood sugar of past 3 – 4 months. Both these measurements should support each other helping ensure appropriate blood sugar control for a good quality life. She works with Diabetes Unit, KEM Hospital (Pune), Just for Hearts (Pune), Moraya Multispeciality Hospital & Healing Hands Clinic (Chinchwad) etc.
It was attended by a broad range of stakeholders including indigenous experts from 15 countries, international health experts, representatives from the United Nations Permanent Forum for Indigenous Issues and the Pan American Health Organization.
A chapter of the next edition of the Diabetes Atlas will be dedicated to indigenous populations and a special issue of Diabetes Voice will be released on this issue. Moreover, in humans the presence of C-peptide has been associated with improved control of diabetes and less risk of life- threatening hypoglycemia. However, several years after diagnosis, people with LADA must take insulin to control blood glucose levels.
NDM can be mistaken for the much more common type 1 diabetes, but type 1 diabetes usually occurs after the first 6 months of life.
In 2004, among people ages 65 years or older, heart disease was noted on 68 percent of diabetes-related death certificates; stroke was noted on 16 percent of diabetes-related death certificates for the same age group. Bitter GourdBitter gourd, also known as bitter melon, can be helpful for controlling diabetes due to its blood glucose lowering effects.
Black Plum or Indian Black Berry (Jambul)Black plum or jambul, also known as jamun can help a lot in controlling blood sugar level because it contains anthocyanins, ellagic acid, hydrolysable tannins etc.Each part of the Jambul plant such as the leaves, berry and seeds can be used by those suffering from diabetes.
EMPA-REG is a multicenter (590 sites in 42 countries), randomized, double-blind, placebo-controlled trial. Thus, if there is a large amount of sugar circulating in the blood, the HbA1c will be high & vice versa.
This contributes to a poorer level of health, increased disability and a reduced quality of life.
Our efforts will culminate with the World Diabetes Congress in Melbourne in 2013 where for the first time there will have a dedicated programme stream on indigenous peoples, led by Dr Alex Brown. Thus, preservation of C-peptide, as well as expansion of beta cell mass in new-onset type I diabetes, is a major focus of therapeutic investigation. As LADA progresses, the beta cells of the pancreas may no longer make insulin because the body’s immune system has attacked and destroyed them, as in type 1 diabetes. More information about specific types of MODY is provided in the fact sheet Monogenic Forms of Diabetes. Those with pre-diabetes are likely to develop type 2 diabetes within 10 years, unless they take steps to prevent or delay diabetes. People with diabetes also monitor blood glucose levels several times a year with a laboratory test called the A1C. Aspirin therapy, if recommended by a person’s health care team, and smoking cessation can also help lower risk. It tends to influence the glucose metabolism all over your body rather than a particular organ or tissue.It helps increase pancreatic insulin secretion and prevents insulin resistance. It was conducted to determine the cardiovascular (CV) safety of empagliflozin over a period of 3 years. Despite anecdotal accounts of false-positive results in diabetic patients, there is insufficient evidence to support this.
These factors are underpinned by lack of access to education, unemployment, forced displacement and the degradation of their water and land. According to recent estimates from the CDC, diabetes will affect one in three people born in 2000 in the United States. Else you can make a powder of dried seeds of Jambul fruit and eat this powder with water twice a day.
Can allow tighter control and increased flexibility for patients on intensive insulin therapy using a syringe and vial6. The objective was to evaluate the effect of empagliflozin as an add-on to standard care on CV mortality and morbidity in patient with T2DM at high risk for CV events.
The CDC also projects that the prevalence of diagnosed diabetes in the United States will increase 165 percent by 2050. However, it cannot be used to entirely replace insulin treatment.Drink some bitter gourd juice on an empty stomach each morning.
This fruit is native to India and its neighboring countries but you can find it at Asian markets and herbal shops.6. It threatens the very existence of indigenous communities and underlines the importance of action at all levels- from individual to international- and from all sectors of society. Este aumento de la glicemia (hiperglicemia) es la causa de las complicaciones agudas y cronicas de la enfermedad.
First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Mango LeavesThe delicate and tender mango leaves can be used to treat diabetes by regulating insulin levels in the blood. Se produce por dos mecanismos principales: Por resistencia a la accion metabolica de la insulina y progresivo deterioro n la secrecion de esta hormona (diabetes mellitus tipo 2) en 90% de los casos. They can also help improve blood lipid profiles.Soak 10 to 15 tender mango leaves in a glass of water overnight.
Traditionally initiated by endocrinology and managed by them, or co-managed with primary care8. In the morning, filter the water and drink it on an empty stomach.You can also dry the leaves in the shade and grind them.
CinnamonPowdered cinnamon has the ability to lower blood sugar levels by stimulating insulin activity. Delivers insulin in a basal-bolus fashion based on settings and established insulin:carb ratio10.
High urine ethanol and negative blood and vitreous ethanol in a diabetic woman: a case report, retrospective case survey, and review of the literature. From the triumvirate to the ominous octet: a new paradigm for the treatment of type 2 diabetes mellitus. Drink it daily.Another option is to boil two to four cinnamon sticks in one cup of water and allow it to steep for 20 minutes.
FenugreekFenugreek is an herb that can also be used to control diabetes, improve glucose tolerance and lower blood sugar levels due to its hypoglycaemic activity.
Patients can disconnect from the pump if there is a malfunction with the pump, for bathing, swimming, high contact sports, sexual activity, etc. Being high in fiber, it slows down the absorption of carbohydrates and sugars.Soak two tablespoons of fenugreek seeds in water overnight. Pl suggest if my approach is right or begin with the best out of Bitter Gourd juice, Fenu Greek water, Mango leaf water, Aloe Vera Mix, Indian Gooseberry juice.
Also please suggest the Indian or hindi names of Banaba Leaf and Ground Bay Leaf if possible. Indian Gooseberry (Amla)Indian gooseberry, also known as Amla, is rich in vitamin C and Indian gooseberry juice promotes proper functioning of your pancreas.


Cada tres o cuatro meses el paciente debe realizarse la determinacion de un examen de sangre, llamado hemoglobina glicosilada cuya normalidad le podra asegurar que ha dominado la enfermedad y asi puede alcanzar una vida normal y productiva. Asi mismo, debera controlar eficientemente su tension arterial y sus grasas en sangre, ademas es indispensable que no fume. Evitando o corrigiendo el sobrepeso y la obesidad mediante un plan nutricional adecuado, comiendo menos grasas y azucares refinados, incrementando la actividad fisica aerobica (por ejemplo, caminar diariamente 45 minutos o una hora).
Paromita April 9, 2014 at 4:01 pm ReplyCan you please let me know, which is more effective in controlling blood sugar? Brunner (1653-1727) realizo pancreatectomia en un perro y fue el primero en observar en forma experimental la poliuria, polidipsia y polifagia, aunque este descubrimiento fue poco difundido. Fue en 1889 cuando Von Mering y Minkowski publicaron sus resultados sobre el estudio de diabetes en perros pancreatectomizados, estableciendo sin lugar a dudas que en el pancreas se produce una sustancia que prevenia la diabetes. The leaves, berries and seeds of the Indian blackberry (Jambul) plant help in balancing the glucose level in blood and prevent insulin spikes. Ya en 1869, Paul Langerhans habia descrito los islotes de celulas diferentes al resto del tejido pancreatico que Von Mering y Minkowski, veinte anos despues, postularon como el posible tejido asociado con la proteccion contra la diabetes.
Powder the dried seeds or leaves of the plant and drink it with water twice a day.Fenugreek seeds are a rich source of fiber useful for controlling diabetes. The fenugreek seeds can be soaked in water overnight and should be taken early in the morning before your breakfast. Es en 1921, cuando los canadienses Frederick Banting y Charles Best logran aislar la insulina, con la ayuda del fisiologo J.
Rai July 14, 2014 at 12:41 pm ReplySuggestions are good for remedy of Diabet but in case of high blood sugar alopathic treatment is essential first . Kimmelstiel y Wilson publican las lesiones caracteristicas de la nefropatia diabetica (1936). Janbon y Loubatieres, descubren el poder hipoglicemiante de sulfamidas administradas por via oral, en 1942.
En la decada de los 70, se define el receptor de la insulina, comienza el uso clinico de la determinacion de hemoglobina glicosilada para la evaluacion del control metabolico y el uso de los glucometros portatiles para determinacion de glucemia capilar.
En esta misma epoca Leona Miller demuestra que es posible mediante la atencion multidisciplinaria y basada especialmente en educacion disminuir las hospitalizaciones, asi como las complicaciones agudas y cronicas. Odunaye Mariam September 27, 2014 at 1:18 am ReplyAv read all suggestions for diabetes control and treatment but I want to advise that patients shd still remain under d care of their doctors for guidance n treatment to prevent complications. They shd also be mindful of their diets by eliminating or reducing carbohydrates from their diets n taking a lot of less sugary fruits n leafy vegetables frequently. En esta decada con el desarrollo de nuevas drogas inmunosupresoras se obtienen resultados satisfactorios con trasplantes de pancreas en centros especializados. En la decada de los 90 queda fehacientemente demostrado, con los estudios clinicos prospectivos y controlados, comparando el excelente control metabolico y el tratamiento convencional, que las complicaciones cronicas de la diabetes mellitus pueden ser prevenidas y su progresion puede detenerse.
Go for a brisk walk for at least 6-8 km per day preferably in the morning hours.If these guidelines are followed, I am 100% sure your sugar level will be under control.
I was also a diabetic since 2012, and after strict diet control and proper medication, exercise, now it is fully under control.
Esta investigacion realizada en 23 centros hospitalarios de Inglaterra, con la participacion de 5102 personas con diagnostico de diabetes mellitus tipo 2, se inicio hace 21 anos (1977). I’ve gestational diabetes for my 2 pregnacies, my mum and my elder brother are also diabetic. La conclusion de este estudio es que efectivamente los resultados estadisticos son contundentes en demostrar que todas las personas afectadas por diabetes mellitus deben realizar su mejor esfuerzo junto con su medico tratante para normalizar los niveles de glicemia y de presion arterial (en el caso de hipertension asociada), dentro de limites lo mas cercanos posible a lo normal y todos los dias, para poder evitar con eficacia las complicaciones cronicas. La determinacion de hemoglobina glicosilada (Hb A1c) es una prueba de laboratorio que todo diabetico debe practicarse periodicamente, pues nos revela como ha sido la calidad del control de la glicemia, en promedio durante los ultimos tres meses. En el estudio UKPDS se demostro que durante un promedio de 11 anos y medio, la reduccion minima de 1 % en la Hb A1c, tiene la fuerza de reducir el dano en ojos, rinon y nervios en 35 %.
Si ademas hay eficiente control de las cifras de presion arterial se reduce el riesgo de insuficiencia cardiaca en 56 %, de accidentes cerebrovasculares en 44 % y mortalidad por DM en 32 %. Esta investigacion ha sido reportada en articulos publicados en las prestigiosas revistas Lancet y BMJ. La importancia y forma correcta de inyectarse la insulina o de tomar las pastillas hipoglicemiantes, antihipertensivos, etc. La forma mas practica y eficiente para el autocontrol es con la utilizacion de los aparatos llamados glucometros, para la determinacion de glicemia capilar.
I recommend herbal medication to anyone, they work, and faster than doctors treatment… Smita January 24, 2015 at 1:57 am ReplySuperb!
Todo diabetico tipo 1 debiera tenerlo, igualmente muchos diabeticos tipo 2 especialmente si estan recibiendo tratamiento con insulina.
Con una sola gota de sangre, extraida por una minima puncion realizada en un dedo, podemos saber inmediatamente las cifras de glicemia, con gran precision.
La determinacion por lo menos una vez a la semana de un perfil de glicemias, realizado antes de cada comida y una hora despues de las comidas, es una extraordinaria guia para hacer las modificaciones pertinentes en las dosis de insulina, alimentacion o ejercicio diario.
Tambien puede hacerse siempre que quiera o se sienta mal, o si hay inestabilidad en el control, o tiene gripe, infecciones, diarrea, etc. I’ve been prescribed insulin injections and a host of medicines which I start from today.
O embarazo, o cambios en la dosificacion de insulina o pastillas, se requiere las determinaciones de glicemia todos los dias. Estos resultados anotados en un cuaderno o agenda para tal efecto, con el dia y las horas de las mediciones, son la mejor guia para que el medico y el propio paciente hagan los ajustes necesarios al tratamiento que garanticen el mejor control metabolico posible.
Tambien la autovigilancia puede hacerse por la determinacion de glucosa en orina (glucosuria), mediante el uso de cintas, pastillas o liquidos reactivos.
Mythily Karthik March 7, 2015 at 3:26 am ReplyFenugreek can do wonders to control diabetic. Es menos eficiente, no mide hipoglicemias ni detecta hiperglicemias en cifras inferiores a 180 mgdl. La glucosa se detecta en la orina solamente cuando las cifras de glicemia superan los 180 mgdl. Se puede realizar un perfil diario de glucosurias haciendo la prueba en orina antes y una hora despues de cada comida.
Debe utilizarse orina nueva, es decir la persona orina y espera para realizar la prueba con una nueva orina que se recoja unos 15 o 30 minutos despues.
Pero si el paciente logra negativizar la glucosuria antes y una hora despues de las comidas sera un gran logro para su propio control.
Harinder sungh sidhu March 20, 2015 at 4:07 pm ReplyMethi seed 100 gm Gurmar 100 gm Charayta 100 gm Imly seed big 100 gm Karela small 100 gm Jamun seed 100 gm Paneer dodi 100 gm Dalcheeni 50 gm Kali zeeri 50 gm Sat gilow 50 gm Tamba bhasam 10 gm Make powder and take one tablespoon empty stomach two time M .
Azhar Hashmi March 24, 2015 at 4:33 pm ReplyVery nice article send me more home remedies thanks. Este defecto se produce porque las celulas de todo el cuerpo se han hecho resistentes a la accion de la insulina (diabetes mellitus tipo 2). Esta es la hormona que permite el paso de glucosa al interior de las celulas para que luego se transforme en energia. En otras ocasiones la enfermedad se produce porque las celulas beta que se encuentran en el pancreas se danan y dejan de fabricar insulina (diabetes mellitus tipo 1). June 20, 2015 at 10:46 pm ReplyType 1 Diabetes is not caused by being overweight and unhealthy diet. Durante las ultimas decadas, un extraordinario volumen de investigacion cientifica ha demostrado, sin lugar a dudas, que la eficacia en el tratamiento de la diabetes mellitus consiste en lograr disminuir la glicemia, lo mas cercano posible a los valores normales, antes y despues de las comidas, durante todos los dias, durante toda la vida. Tambien la eficacia se mide en lograr alcanzar un control estricto de los sintomas, de los factores de riesgo cardiovascular, lograr un crecimiento y desarrollo normal, lograr embarazos sin complicaciones materno-fetales, y en definitiva obtener una calidad y cantidad de vida satisfactoria.
Saqib August 2, 2015 at 1:09 pm Reply100grams Kalamji (Black Seed) 100grms Gaund (Gum) 100grms Wheat (Gandam) 100grms Barley (Jo) Put all ingredients.
En general, los epidemiologos dicen que cumpliendo un regimen de alimentacion saludable (baja en grasas y en azucares refinados, asi como rico en vegetales y fibras) y con un programa de ejercicio fisico moderado (al menos tres veces por semana), se obtendrian modestas reducciones de peso, en promedio unos 5 kgs, para reducir el riesgo de desarrollar diabetes mellitus tipo 2 en 58%. Si el control metabolico es inadecuado, con hemoglobinas glicosiladas con valores superiores a 8 %, es necesario que el paciente y su medico tomen una iniciativa o accion que logre optimizar su control. Los transplantes de pancreas se iniciaron en el ano de 1966 y actualmente mas de 10.000 personas diabeticas a nivel mundial, se han beneficiado de este procedimiento, que se realiza especialmente cuando se transplanta un rinon, en forma simultanea.
Menos invasivo y costoso son los transplantes de islotes pancreaticos (pequenas islas de tejido pancreatico que contienen las celulas beta que son las productoras de insulina). Cuando en 1922, esta hormona pancreatica recien descubierta, comenzo a salvar vidas por todo el mundo, mucha gente penso que con ella se resolvia completamente el problema diabetico.
Pocos anos mas tarde, al prolongarse la vida de estos pacientes se pudo constatar la cruda realidad de las complicaciones cronicas. Obviamente, los diabeticos podian vivir mas y se hicieron proclives a presentar este tipo de complicaciones. Tales como la retinopatia, que se produce por dano de la pequena circulacion de la zona sensible del ojo que es la retina, ademas facilita la aparicion del glaucoma y cataratas, causas mas que suficientes y aliadas a la hipertension arterial para darle a la diabetes mellitus el primer lugar entre las causas de perdida total de la vision. Ademas la hiperglicemia cronica (cifras de glicemia iguales o superiores a 126 mgdl) produce su complicacion mas frecuente; la neuropatia. Asi por ejemplo, un callo, excoriacion, traumatismo o una encarnada puede dar origen a una infeccion, o ulcera cronica; si se asocia enfermedad arterial que es muy frecuente en diabetes mellitus, tenemos una combinacion explosiva que puede avanzar hasta la necesidad de amputaciones. Como si fuera poco, la enfermedad arterioesclerotica del corazon, cerebro y arterias perifericas es dos o tres veces mas frecuente y severa en los diabeticos mal controlados. Sin embargo, el pronostico del diabetico hoy por hoy, no es tan sombrio como parece sugerirlo esta larga lista de complicaciones.
La ultima decada del siglo XX ha sido muy rica en evidencias cientificas categoricas que permiten afirmar que el control metabolico excelente evita, frena, impide la aparicion y progresion de las complicaciones cronicas; como los muy trascendentes estudios realizados en diabetes mellitus tipo 1 (DCCT) y en diabetes mellitus tipo 2 (UKPDS) en Estados Unidos e Inglaterra respectivamente.
Es la hiperglicemia sostenida en el tiempo la principal responsable de todas estas calamidades y actualmente la ciencia medica dispone de excelentes recursos para el excelente control de la diabetes mellitus. Siempre este binomio medico paciente debe tratar de alcanzar los objetivos y metas terapeuticas. Cumpliendo una alimentacion adecuada (baja en grasas y en azucares refinados, rica en fibras y vegetales), realizar ejercicios aerobicos con frecuencia, aprender con ayuda de su medico y otros profesionales que lo atienden a conocer la enfermedad, autovigilar las cifras de glicemia en sangre y en general aprender todo aquello que le permita enfrentar con ventaja las diferentes alternativas de vivir con esta enfermedad cronica. Son objetivos terapeuticos especificos: insistir en lograr glicemias en ayunas inferiores a 140 mgdl y una hora despues de las comidas niveles inferiores de 160 mgdl.
Cifras inferiores a 7% garantizan que el proceso de dano cronico a los organos que son blanco de la diabetes, esta detenido. Las conclusiones las detallamos a continuacion: Es una enfermedad producida por una alteracion del metabolismo de los carbohidratos en la que aparece una cantidad excesiva de azucar en la sangre y en la orina.
Estas celulas secretan insulina, una hormona que ayuda al organismo a metabolizar los hidratos de carbono, las grasas y el almidon. Los contornos blancos y azules en los islotes corresponden a vasos sanguineos que conducen la insulina al resto del organismo.



Blood sugar for normal after eating
Low fasting blood sugar but high postprandial kontrahiert


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