Monday, December 26, 2016

Drinks For People with Diabetes | Useful Tips

When You Have Diabetes, Choose the Right Drink

Drink More: Water
Drink More: Milk
Drink More: Tea

Drink Carefully: Coffee       
Drink Carefully: Diet Soda

Drink Less: Soda and Sugary Fruit Drinks
Drink Less: Fruit Juice
Instruments-for-Insulin
Insulin  for diabetes
On November 14, the World Diabetes Day was celebrated worldwide. The theme of the day for 2016 was ‘Eyes on diabetes’. The guiding key messages of the campaign are: (1) Screening for type 2 diabetes is important to modify its course and reduce the risk of complications, and (2) Screening for diabetes complications is an essential part of managing all types of diabetes. Led by the International Diabetes Federation, World Diabetes Day unites the global diabetes community to produce a powerful voice for diabetes awareness and advocacy.

Diabetes is the result of existence or absence of insulin hormone in the blood. Insulin helps our cells absorb glucose is either short or in nonexistent. A person unable to use insulin properly is affected by diabetes. If not properly managed, it can be dangerous. Diabetes is of two main forms: type 1 and type 2. If left untreated, both result in high blood sugar levels if left untreated.

Different drinks can affect blood sugar levels in different ways, when a person has diabetes.

Choose what to drink
People with diabetes have different bodily needs. So there are no exact dietary rules for people with diabetes because they have different body needs. Even though, some tips can help.

To control blood sugar, it is essential to
1.  Have a balanced diet and manage the amount of carbohydrate consumed
2.  Keep carbohydrate levels steady from day to day
3. The brain and body need some carbohydrate to function, so eat managed amounts of carbohydrate,

Thus, paying attention to food labels as well as and nutritional facts can provide important information. Serving size and carbohydrate content of any drink should specifically state in the labels.

The best drinks for people with diabetes

Water
Water is the best drink for anyone. Every system in the body needs water. Proper hydration influences physical and mental health. It appears sometimes the signs of thirst also be mistaken for hunger or cravings for sweets, which leads some people to reach for soft drinks and juices. In this case, it is better to drink a glass of water and then see how the body reacts.

Flavored water
Some people find the flavour of water boring or bland and thereby choose juices or sugar-sweetened beverages. Instead, water can be flavoured with the juice from citrus fruits like lime and lemon or a splash of cranberry juice. Some people add aloe vera pulp to water may be beneficial for diabetes. Self-prepared infused waters are flavorful and healthy.

Herbal tea
Herbal tea is any beverage made from the infusion or decoction of herbs, spices, or other plant material in hot water.  It does not usually contain caffeine. These drinks are different from true teas (black, green, white, yellow, oolong, as well as from decaffeinated tea). The caffeine has been removed from these teas. These beverages are therefore labeled infusion or tisane. Like beverages made from true teas, herbal teas can be served hot or cold. Herbal tea is a different way to flavour water. By boiling leaves of certain plants in water, herbal tea may be prepared where both flavour and health benefits can be added.

For example, liquorices root provides a subtly sweet flavour without raising blood sugar levels which may help reduce blood sugar in people with diabetes.

Milks
Just water only may not meet required need of the body. Milk may be a good alternative. Calories, vitamins, and minerals necessary for the body can be provided from fat-free cow or soy milk, rice milk, or unsweetened nut milk. It is important to choose the unsweetened varieties. Milk must be accounted for in any meal plan, it will add carbohydrate to the diet.

Pure fruit juice
Pure fruit juices should be consumed in small amounts. Since fruit juice delivers the sugar from the fruit, but not necessarily the fiber, these should be restricted. Juices will need to be counted in a meal plan, managing carbohydrate intake when drinking juice with a meal, portion control is key. Drinking juice alone can lead to a blood sugar spike, but consuming it with other foods can help to prevent this.

Coffee and tea
Coffee intake for people with diabetes may have undesired short-term effects, yet long-term coffee drinking shows some benefits. Caffeinated coffee and tea can provide an energy increase without the blood sugar spikes of other beverages. Flavoured creamers may also contain high levels of sugar. Thereby sugar-sweetened coffees and teas are best avoided.

The most horrible drinks for people with diabetes

Soda and energy drink
Sugar-sweetened beverages increase the risk of type 2 diabetes as well as the sodas do. These drinks supply large amounts of sugar and require little digestion for people who already have diabetes. Drinking sodas without healthy food can guide to large spikes in blood sugar levels. To spread carbohydrate intake out evenly, it would be best to limit or totally avoid the intake of soda and sugar-sweetened energy drinks.

Fruit cocktails
Fruit cocktails often contain high levels of sugar or corn syrup which cause the same spikes in blood sugar levels as soda. These ingredients provide a high concentration of carbohydrate. The nutritional value of the pure fruit juices disappear. So, fruit juices can be enjoyed in moderation.

Alcoholic drinks
Many alcoholic mixers contain sugar. Alcohol alone does not contain sugar, beer contains carbohydrates.   So, alcoholic drinks should be consumed in moderation by people with diabetes.

Alcoholic beverages should always be taken with food for those who take insulin and are on diabetic medication because alcohol can cause a drop in blood sugar. Light drinking can be a solution in this case. This is usually defined as one drink a day for women and two drinks a day for men. The measurement of one drink is as follows:  1.5 ounces of spirits, 5 ounces of wine, or 12 ounces of beer. It is important only to drink with food and to maintain track of blood sugar levels.

Saturday, August 27, 2016

Diabetes Drugs Help Prevent Heart Attack and Recurring Stroke

Recent researches reveal that Diabetes drug may help prevent heart disease. The complications and series of abnormal body behavior arising from both types of diabetes very often result in heart diseases. 

If the blood glucose (sugar) levels rise to higher than normal, this is a problem of your body for diabetes, also known as hyperglycemia. Of the two forms of diabetes, Type 2 is the most common form which is less harmful and controllable.

When your body does not use insulin properly, that is your body is insulin resistant, this type of diabetes is called Type 2 diabetes. In the beginning, the pancreas makes extra insulin to make up for it. But in the long run the pancreas fails, resulting in not producing enough insulin to keep blood glucose at normal levels. It is a drug commonly type 2, or type 1 diabetes, which is to prevent, delay heart disease in people with diabetes are used to study patients may be prescribed.
diabetes tablets
diabetes tablets
The leading cause of heart disease is diabetes. More than half of all deaths accounts for heart disease. Metapharamina in therapy is used for reducing the production of glucose by the liver to reduce blood glucose levels in type 2 diabetes. The drug also reduces the risk of type 1 diabetes patients with complications. It is also found that a drug commonly prescribed for Type 2 diabetes patients can also be used to inhibit or delay heart disease in individuals with Type 1 diabetes.

More than half of all fatalities, heart disease is the leading cause of illness in diabetic patients. To lower blood sugar levels by reducing glucose production in the liver, metformin is an inexpensive treatment that is often used for Type 2 diabetes.  The researchers also observed that the drug may also be used to lower the risk of developing this complication for Type 1 diabetic patients. 

Jolanta Weaver, Senior Lecturer at the Newcastle University in Britain said that the research was an exciting step forward as it might have positive clinical implications for patients having increased risk of cardiovascular disease by improving their treatment options.  The stem cells of patients taking metformin were able to promote the repair of the blood vessels and there was an improvement in how vascular stem cells worked.  These were the findings of the clinical trial of a group of researchers of the above stated University. Weaver also added that metformin could routinely be used by patients with Type 1 diabetes to help lower their chances to develop heart disease, by increasing a repair mechanism created by vascular stem cells released from the bone marrow.

When the pancreas does not produce any insulin, a person's blood sugar level becomes too high. This causes the Type 1 diabetes developing in a lifelong autoimmune condition. The research team examined a group of 23 people aged 19-64 who had Type 1 diabetes. These people had been suffering from diabetes for upto 23 years but had no evidence of heart disease.

Metformin was applied to patients for eight weeks at a dose they could tolerate, between one to three tablets a day. The patients were advised to adjust their insulin to keep blood glucose levels safe.  Nine patients within the same age bracket were matched together who took standard insulin treatment and 23 healthy non-diabetic people aged 20-64. The study revealed that all patients in the study had their insulin doses reduced after taking metformin and has not suffered any serious adverse effect.

Metformin may be considered for patients with Type 1 diabetes. These patients may think of considering discussion with their physicians the possibility of adding metformin, even at a very low dose in addition to the insulin that they are taking. But to prevent too low glucose levels, care must to be taken to adjust insulin dose as suggested by the researchers, in the paper published in the journal Cardiovascular Diabetolog.

Saturday, April 2, 2016

Talking to your teenager about diabetes

As your child develops their adult personality, they will want to start taking control of their life. Many parents worry that their child won’t look after their diabetes as well as they do, which could make them unwell both in the short and long term.

Ø   Sex and love life
Ø   Alcohol
Ø   Drugs
Ø   Smoking
Ø   Top teen tips





If your child has recently been diagnosed, you’ll both be learning about diabetes and you may feel guilty that you don’t know everything. But there are no hard and fast rules when it comes to bringing up a teenager with diabetes – regardless of how long they have had the condition.

Top tips for talking to teenagers

Diabetes won't stop your child behaving like any other teenager. But there are extra considerations that make good communication even more important.
  1. Pick your time. There’s no point trying to have a conversation with your teen when one of you is rushing off somewhere. Make sure you’ve got the time to talk about things fully – it’s really hard to stop and start this kind of conversation.
  2. Pick your moods – trying to talk to your teen about alcohol when you’re cross with them for coming in drunk just isn’t going to work. Wait until you’re calm and can discuss things rationally. Likewise, don’t try and approach your teen when they’re in a mood. They’re not going to be open to discussion or compromise.
  3. Pick your argument – a great tirade about everything your teen’s doing ‘wrong’ is unlikely to make them change. If you’re worried about a lot of aspects of their behaviour, it might be worth discussing the ones you’re most concerned about first, and coming back to others at a later date.
  4. Pick your approach – Sitting your teen down to a face-to-face conversation might be so daunting for them that they clam up and don’t give you honest answers. Try bringing things up gently when you’re doing something together, eg going for a walk or cooking a meal. This can be particularly useful if you’re talking about those embarrassing things like sex and contraception. It can be easier for your teen to open up when they don’t have to look you in the face.
  5. Pick your allies – It might feel hurtful, but sometimes you’re not the best person to talk to your teen. They might feel more comfortable with a favourite aunt, uncle or family friend. If you go for this approach, make sure you’re all clear on what information is shared with who, so you don’t feel left out of the discussion, but your teen doesn’t feel there’s been any ‘tale telling’.
  6. Pick your resources – Make sure you’ve got more information that you can give to your teen, eg if you’re going to talk about sex, have information on contraception handy, or look it up on an appropriate website.

Love life

When you have the ‘birds and bees’ chat with your teenager, you also need to bring diabetes into the equation.
Make sure your teenager knows that:
  • Sex or lots of energetic snogging can be strenuous enough to cause a hypo, so remind them to keep something to treat a hypo handy.
  • High blood glucose levels can make thrush more likely. Keeping their diabetes under control as much as possible can help avoid it and they should visit their GP if they have genital itching and discharge.
  • Girls with diabetes can take the contraceptive pill, and it’s important to use some form of contraception unless they’re ready to start a family.

Alcohol and diabetes

People with diabetes can still have alcohol, but too much isn’t good for anyone’s health. We recommend that the maximum intake is no more than three units a day for men and not more than two units a day for women. (Bear in mind these figures are for adults.) A unit indicates the quantity of pure alcohol in a drink.
Find out how many units of alcohol there are in different drinks.
Alcohol makes a hypo more likely, so make sure your teen knows:
  • Not to drink on an empty stomach and have a meal before going out drinking. If this isn’t possible, they need to have some carbohydrate-containing snacks, eg a sandwich or crisps while drinking.
  • To tell their friends about their diabetes and how to treat a hypo just in case.• To carry diabetes ID with them, because a hypo could be mistaken for drunkenness. After a few drinks, they might be less aware of hypo warning symptoms – so they should try to drink in moderation.
  • To alternate drinks with plenty of water (or anything that is sugar-free) to avoid dehydration.
  • Because alcohol is in the system for a while after drinking, a hypo may occur several hours later. After a night out, they should eat before bed (even if it is chips or a kebab on the way home)

Drugs and diabetes

No drug is a safe drug. Whether illegal or legal (nicotine and alcohol), drugs can lead to problems with health, family, friends, and the police. The best way to avoid all this is obviously to avoid drugs altogether. Drugs can affect people – and their diabetes – in different ways, depending on the type, amount and purity of the drug.
Make sure your teen knows that:
  • Cannabis can make you people relaxed and sociable. But people can feel anxious and uneasy after using it and it can give you the ‘munchies’, which can affect blood glucose levels. It can also make you feel ‘out of it’ and so forget insulin.
  • Smoking cannabis can make you more at risk of becoming addicted to tobacco.
  • Hallucinogenic drugs, like LSD, cause ‘trips’ that can last up to 12 hours and can be frightening. They may cause your teen to forget to take their insulin.Some people use ‘uppers’, like E or speed, when clubbing to give them energy and confidence. Strenuous activity like continuous dancing causes the body to lose fluids and risk dehydration. Your teen can help prevent this by not mixing uppers with other drugs or alcohol, and drinking non-alcoholic drinks and water.
Uppers can suppress appetite and, combined with dancing, run the risk of causing a severe hypo.

Smoking

Smoking increases the chances of heart and lung disease and cancer.
Make sure your teen knows:
  • People with diabetes who smoke are twice as likely to have heart disease and circulation problems than people with diabetes who don’t smoke.
  • Smoking can affect fertility levels and the chance of having a healthy pregnancy and baby.
  • It can be unattractive and stain teeth.

Top teen tips

  1. Are there any aspects of your teen’s behaviour that you’re concerned about? If so plan a time when you can have a chat about them.
  2. Looking after teenagers can be difficult and stressful. Think about who can help and support you through it.
  3. Do you think you need some professional help? Talk to your paediatric diabetes team about counselling or psychological support.
  4. Talk ‘to’ rather than ‘at’ your teenager, and encourage them to talk about how they feel about diabetes. This makes it easier for you to spot when problems are likely to arise and helps your child to be open with you.
  5. Help your teenager keep clinic appointments and encourage them to talk to their healthcare team. Be positive about the good things they do, and encourage them to carry some diabetes ID for their own safety.
  6. Encourage them to meet other teens with diabetes.
  7. Don’t get angry – it can prevent you dealing effectively with a situation, or make your teen fearful about diabetic complications, or make them rebel

 Source: https://www.diabetes.org.uk/Guide-to-diabetes/Your-child-and-diabetes/Top-teen-tips/



Diabetes Health: Investigate.inform.inspire.



What  Is  Diabetes?

You’ve been diagnosed with diabetes because there is too much glucose (a kind of sugar) in your blood. Glucose comes from the starches and sugars that you eat. (However, diabetes is not caused by eating too much sugar.) Your muscle and fat cells use glucose for energy. But glucose can’t just float into your cells. It has to be helped into your cells by insulin, a hormone produced in the beta cells of your pancreas. When your body stopped making enough insulin (insulin deficiency) or your cells stopped responding well to the insulin you did make (insulin resistance), the glucose in your blood couldn’t get into your cells. As a result, your blood glucose levels went up, and you were diagnosed with diabetes.

It used to be easier to decide which type of diabetes a person had. Under 30? Must be type 1. Over 40? Type 2. Thin? Type 1. Overweight? Type 2. But now, two-thirds of American adults are overweight or obese, and so are many children and teens. So you can be overweight and develop type 1, and you don’t have to be an adult anymore to be at risk for type 2.
Below are brief descriptions of four types of diabetes. Click on each name to go to more detailed information about it.

Type 1 Diabetes

Most cases of type 1 diabetes are diagnosed in children, teens, and young adults. People with type 1 diabetes make little to no insulin and must use injected insulin. Fewer than 10 percent of all people with diabetes have type 1.

Type 2 Diabetes

Type 2 is the most common form of diabetes. In type 2 diabetes, the body needs more insulin than normal, but it can’t make enough. People with type 2 diabetes use meal planning, physical activity, pills, insulin, and other injectable medications to control their blood glucose levels.

Latent Autoimmune Diabetes of Adults (LADA)
LADA progresses more slowly than typical type 1. It is sometimes called “type 1.5 diabetes.”

Gestational Diabetes
Gestational diabetes is diabetes that is diagnosed during pregnancy.

Type 1 Diabetes


How It Started
Years before you were diagnosed, your immune system began to attack the beta cells of your pancreas. Normally, the immune system attacks only foreign invaders, such as bacteria and viruses. When the immune system attacks the body’s own cells, it’s called an autoimmune process.

Some of your beta cells were destroyed by this autoimmune attack, but you had plenty of others left to do the work, so your glucose levels stayed within the normal range. The autoimmune attacked continued, however, and after many more of your beta cells were destroyed, your body started having a little trouble dealing with glucose. Your blood glucose levels went too high after meals, but they weren’t high enough long enough to cause symptoms.

As more beta cells were lost, your blood glucose levels became too high for much of the day. You started to show the classic symptoms of type 1 diabetes.

Symptoms of Type 1 Diabetes


    Thirsty, drinking a lot
    Urinating more than usual
    Losing weight without trying
    Feeling hungry and tired

If you were lucky, you were diagnosed and started on insulin before you got very sick. With insulin therapy, you try to mimic natural insulin levels. You need a low level of insulin all day, plus extra insulin to cover meals. This requires three or four shots of insulin a day or the use of an insulin pump.

The Honeymoon

After you started using insulin, did your requirement for insulin drop a lot? Were you able to control your diabetes on low doses of insulin? This is called a honeymoon. Here’s how it can happen:

You were on the road to type 1 diabetes, but not there yet. Your remaining beta cells were able to squeeze out enough insulin. Then perhaps your body was put under stress. It could have been an illness, such as the flu, or it could have been an emotional stress, such as a death in the family or a natural disaster.

When you’re under stress, your body wants to have extra glucose available, so your liver releases stored glucose. This worked fine before you were developing diabetes-your beta cells simply put out more insulin so that your body could use the extra glucose.

But by this time, most of your beta cells had been destroyed. Your few remaining beta cells could handle a normal amount of glucose, but they couldn’t put out enough insulin to cover this extra glucose, so your blood glucose levels went up.

High levels of glucose smother beta cells. This is called glucose toxicity. Your remaining beta cells were still alive, but they stopped working. Your blood glucose levels jumped even higher, and you were diagnosed with diabetes.

When you started to take insulin, your blood glucose levels came down. Freed of the excess glucose, your remaining beta cells started to produce insulin again. You needed less injected insulin, and your blood glucose levels were easy to control.

This honeymoon can last weeks or months. But the destruction of your beta cells by your immune system will continue. Eventually, all your beta cells will be destroyed. A year after diagnosis, most people with type 1 diabetes are making little to no insulin of their own. The time between diagnosis and when all the beta cells are gone tends to be shorter in children and longer in adults.

Why Me?

Certain genes put a person at higher risk of developing type 1 diabetes. But genes aren’t the whole story; environment plays a role.

It seems that a person has a genetic susceptibility and then encounters a trigger at just the wrong time. Many possible triggers for type 1 diabetes have been proposed, including certain viruses.

What can you do to protect the beta cells you have left?

Researchers are looking for treatments that will stop the immune system’s attack on the beta cells without too many side effects. This would not be a cure for diabetes. But if your immune system’s attack could be slowed or stopped, you could keep making some insulin. This would make your blood glucose levels easier to control.

Early-intervention studies accept participants who have been recently diagnosed. The timing depends on the study: One study may accept only people who have had diabetes for less than one week, while another may take people up to three months after diagnosis.