Diabetes Mellitus

Tom alter asked:


DIABETES TESTING

Regular blood glucose testing by people with diabetes is important to help control it, and also prevent long-term complications. Good control of blood glucose levels can prevent or reduce serious complications.

Frequent testing can show how changes in diet, exercise, medications or weight are having an effect on a patient’s diabetes.

Close monitoring of blood glucose levels allows control and timely intervention to prevent diabetic complications.

Why is testing important for diabetic patients?

Regular monitoring of blood sugar levels (blood glucose) gives valuable information as to whether the level is within the normal range.

If kept in control, this can delay the onset or development of long term diabetic complications, which can even be life-threatening.

People with type 1 and type 2 diabetes can monitor their blood sugar themselves, by using thumb prick blood tests which are available as home kits. Self-monitoring is very important for long-term health.

What are the routine tests that are followed?

Regular self testing, recording of blood glucose levels by thumb prick blood tests, laboratory test of HbA1c (glycosylated haemoglobin) level a few times a year should be taken.

Other tests that should be performed routinely include: urine test to monitor kidney function; blood fat levels (cholesterol & triglyceride levels), and tests for kidney function.

Regular blood pressure measurement and treatment if needed.

Examination of the feet is also necessary, as the patient may not be aware of loss of sensation from early nerve damage.

Also, get eyes tested every 1 to 2 years, depending on test results.

How is diabetes and pre-diabetes diagnosed?

The following test are the normal tests whoich are used for diagnosis:

1. Fasting plasma glucose test –

This measures the blood glucose with a minimum gap of at least 8 hours without eating. It is best done on an empty stomach in the morning. This test is used to detect diabetes or pre-diabetes.

If a person’s fasting glucose level is 100 to 125 mg/dL, you have a form of pre-diabetes called impaired fasting glucose (IFG), meaning that one is quite likely to develop type 2 diabetes but does not have it yet.

A level of 126 mg/dL or above, confirmed by repeating the test on another day, means that one is diabetic.

99 mg/dL and below – normal, not diabetic

100 mg/dL to 125 mg/dL – pre diabetic

126 mg/dL and above – diabetic.

2. Oral glucose tolerance test (OGTT) –

This measures the blood glucose after one has not eaten for least 8 hours, and then 2 hours after drinking 75 grams glucose-containing beverage. This test is used to diagnose diabetes or pre-diabetes.

This test is more sensitive than the fasting plasma glucose test for diagnosing pre-diabetes.

If 2 hours after drinking the liquid, the blood glucose level of a person is between 140 and 199 mg/dL, then it a form of pre-diabetes called impaired glucose tolerance or IGT, meaning that one is more likely to develop type 2 diabetes but does not have it yet.

Glucose level of 200 mg/dL or above, confirmed by repeating the test on another day, means that one has diabetes.

139 mg/dL and below – not diabetic, normal

140 mg/dL to 199 mg/dL – pre diabetes

200 mg/dL and above - diabetic

Gestational diabetes is diagnosed based on plasma glucose values measured during the OGTT. Blood glucose levels are checked four times during the test. If the blood glucose levels are above normal at least twice during the test, then the person has gestational diabetes.

3. Random plasma glucose test –

This measures blood glucose without regard to when you ate your last meal. This test, along with an assessment of symptoms, is used to diagnose diabetes, but not pre-diabetes.

A random blood glucose level of 200 mg/dL or more, alongwith presence of the following symptoms, can suggest that one has diabetes:

· increased urination

· increased thirst

· unexplained weight loss

Other associated symptoms include fatigue, blurred vision, increased appetite, and sores that do not heal.

Test results are confirmed only after repeating the fasting plasma glucose test or the oral glucose tolerance test on a different day.

What is HbA1c or the glycosylated haemoglobin test?

HbA1c (glycosylated haemoglobin) gets collected in red blood cells when they are produced. This gives a clue about the blood sugar levels over a couple of months - the average lifespan of a red blood cell. Thus, this test shows the average blood glucose level over time, as compared to the thumb prick test, which indicates blood glucose at the time of testing.

If the HbA1c level is above 7%, consult a doctor for a better diabetes management plan.

If the HbA1c level is above 8%, the doctor may change medication or a more intensive insulin regime be used.

The combination of HbA1c test and thumb prick test results give a better indication of variations in blood glucose levels than either test alone.

How often should blood sugar testing be done?

Diabetic patients who are taking insulin injections should self test 3-4 times everyday, especially before retiring to bed. Type 2 diabetic patients on medicines should self test around a few times every week.

It is best to check glucose levels first thing in the morning; and before and after meals. Keep changing daily test times to get a better idea of the changes to blood glucose levels.

For diabetes information, diabetes diet, diabetes treatment, diabetes causes visit www.diabetesmellitus-information.com



Jacob

Cara asked:


Diabetes runs very strong in my family. My grandmother had her leg amputated because of it and now my mother has it. Is there a good strict diet or eating plan out there so that I can lower my chances of getting it? Ive already started monitoring my blood sugar on a daily basis. Im only 21 and so its better to start young. I want a long, happy and healthy life.

Sharon

Michelle asked:


I think I have the worst doctor. He told me today I have gestational diabetes and asked the nurse to give me some dietary education, but then everyone disappeared and I didn’t get any education at all. I’ve never had this before and have no clue what to do! All they told me was that diabetes can be controlled with diet and exercise…. but no info on the kind of diet. we’re going into a holiday weekend so I know I won’t get any appointments with dieticians or specialists until next week or the week after at the earliest. Meanwhile, do you guys have any suggestions of simple foods to eat/diets to follow? Am I supposed to avoid sugar totally?
P.S. I am so angry at my doctor, and feel really guilty about having diabetes. Any suggestions on how to cope would be great!

Danny

Groshan Fabiola asked:


Diabetes is considered a serios affection due to its permanent existence, procedures and moreover the complications that involves. Even though many people all over the world suffer from diabetes, the specialists haven t discovered yet the real source of its occurance. It is very important to mention that people who suffer from diabets should ask for medical help as soon as they notice changes in their body and unusual symptoms.

First of all, diabetes occurs when the beta cells in the pancreas which produce insulin are totally destroyed. As we know the food that we eat turns into glucose or sugar helping our body to use for energy. Once there aren’ t beta cells to produce insulin in order to transfer the glucose in the cells, the sugar remains in the blood and because the body cannot use sugar, it is spilled over into the urine and lost. Much more, diabetes can lead to severe health complications, such as heart disease, kidney failure, blindless, lower-extremity amputations and in many cases even death.

Secondly, people who notice certain symptoms which indicate the presence of diabetes should see a physician in order to receive a proper diagnosis. Some of the most common symtoms which indicate the presence of diabetes are: excessive hunger and thirst, frequent urination, dramatic weight loss, lack of energy, dry skin, wounds that heal very hard and even nausea and stomach pains, symptoms which usually occur in type 1 diabetes.

In addition to this, there are two types of diabetes which are quoted from the National Diabetes Fact Sheet: National estimates and general information on diabetes in the United States (Centers for Disease Control an Prevention. Atlanta, GA: US Department of Health and Human Services, 1997). Much more, type 1 diabetes tends to be more serios than type 2 diabetes and usually occurs during the childhood.

Type 1 diabetes also called insulin-dependent diabetes mellitus (IDDM) or Juvenile-Onset diabetes, is a common disease in children and may account for 5% to 10% of all diagnosed cases of diabetes. The factors which cause type 1 diabetes aren t entirely known but it has been considered that genetic predisposition and enviromental factors, such as viral infections might have an important influence. On the other hand, type 2 diabetes also known as non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. This type of diabetes may appear due to certain factors, such as older age, obesity, impaired glucose tolerance, family history of diabetes, physical inactivity, prior history of gestional diabetes and other factors. It has been considered that certain races and ethnicities, such as african americans, american indians, latino americans are more exposed to get type 2 diabetes than other people.

Gestional diabetes seem to occur in 2% to 5% of all pregnancies but the good thing is that usually disappears when the woman gives birth. Even though a woman who had suffered of gestional diabetes and healed when the pregnancy was over, might develop type 2 diabetes in the future.

Furthermore, there are other types of diabetes which may account for 1% to 2% of all known cases of diabetes and they occur from genetic syndroms, surgeries, drugs, malnutrition, infections and many other affections.

Medical treatments for diabetes are vital for the body and include important changes in the lifestyle. Diabetes treatments tend to adavance in a short time and their role is to maintain blood glucose near normal levels at all times. For instance, type 1 diabetes, the most severe type requires a wide range of procedures. People who suffer from this type of diabetes need a special treatment which include: administration of insulin injections, home blood glucose testing several times a day, a certain, calculated diet and also planned physical exercises. Even though, type 2 diabets is not so serios like type 1, it also requires a strict treatment which consists in special diets, physical activities, home blood glucose testing, oral medication and 40% of the cases require insulin injections.

The causes of type 1 diabetes are not entirely identified, it is believed that it occurs to genetics predisposition or certain viruses which destroy the beta cells in the pancreas. Some important factors which may develop type 2 diabetes are lack of activity and overweight.

In order to take care of the people who suffer from diabetes, the diabetes community offers, pursued by the US Departament of Health and Human Services offer three options: prevent diabetes, cure diabetes and moreover taking better care of people with diabetes to prevent dramatic complications. The National Institutes of Health (NIH) is involved in the research of curing type 1 and type 2 diabetes. On the other hand, Centers for Disease Control and Prevention focuses through their programmes on being sure that the proven science is put into daily practice for people with diabetes.

All in all, even though diabetes tends to be an incurable illness, the science try to discover and consequently to utilize in practice several methods to cure diabetes, such as pancreas transplantation, artificial pancreas development, islet cell transplantation and genetic manipulation. However, until these approaches become reality they need to pass through a serie of investigations like preventing immune rejection, finding an adequate number of insulin cells, keeping cells alive and many others.

So, if you want to find out more about type 2 diabetes or even about what causes diabetes please follow this link http://diabetes-info-center.com/



Jasmine

Lisa asked:


I am looking for sugar free desserts, appetizers, main dishes anything that I can substitute Splenda instead of sugar, or just sugar free.

Owen