Wednesday, January 8, 2025

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Diabetes and Your Mouth

Diabetes has many complications, some leading to other serious health conditions. Diabetics are prone to several problems of the mouth, requiring special care.

We diabetics have to pay even more attention to our teeth and gums than other people.

We are at greater risk of cavities, gum disease and tooth infections. Not only that, but those infections can cause our blood sugar to rise, so it becomes a vicious cycle.

Here are some mouth problems common in diabetics.

Plaque

Plaque is, of course, a problem for many people, not just diabetics. But it’s caused by starches and sugars, and of course we have more than our share of those! So diabetics are highly prone to plaque.

Dry mouth

Sometimes my mouth is so dry in the morning I can hardly speak—I’m sure you know how that feels. But it’s more than just inconvenient, it’s dangerous to the health of our mouths. You see, saliva washes away many of the bacteria that cause cavities and gum disease. Dry mouth cuts the amount of saliva available for this job, so the result is more cavities and gum disease. Dry mouth sometimes also creates inflammation of the soft tissue in the mouth, making eating difficult and unpleasant.

While there are artificial saliva substitutes, which your dentist can tell you about, you can usually stimulate your own saliva by sucking on a sugar-free hard candy. I like no-sugar-added Ricola for this purpose. And of course, drinking water helps.

Fungal infections

Not only do we diabetics have less saliva than we need, but the saliva we do have is high in sugar content, so it’s double trouble for us. This can cause a fungal infection called candiasis, commonly known as thrush. It produces sore red or white spots in the mouth. Medication can help though, so ask your dentist.

As a diabetic, you must pay great attention to oral hygiene. Brush your teeth twice a day, and floss daily. Examine your gums for signs of problems—and always visit your dentist at least twice a year.

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Diabetes and Your Heart

Diabetes has many complications, some leading to other serious health conditions. Heart health is one more reason to take control of your diabetes.

Diabetes is one condition that must be treated as soon as it is diagnosed, even though in its early stages it doesn’t hurt, or cause inconvenience, or create any worrisome symptoms. But ignoring it is a mistake, because the blood sugar imbalance we diabetics live with can cause a variety of complications, even leading to other serious health conditions.

One major cause for concern is adverse effects on our hearts. Our unstable blood sugar levels can cause poor circulation—a big step on the road to heart problems. Here are some things to watch for.

Hypertension

Diabetes often goes hand-in-hand with high blood pressure, or hypertension. In fact, your doctor will tell you that diabetics must work to get their blood pressure down even lower than other people. While a systolic pressure (the top number) of 140 might be acceptable for the general population, we diabetics should aim for 130 or lower. It’s all part of the battle against possible heart disease.

Blood fats

Cholesterol and tryglycerides, or blood fats, also need to be kept lower in diabetics. Lots of fruits and vegetables, fewer packaged or fried foods are your best bets for dietary blood fat control. Throw out that frying pan!

Blood sugar

Blood sugar levels need monitoring too, as consistently high levels damage blood vessels and can lead to cardiovascular difficulties.

Weight level

And of course you know it’s important to maintain a healthy weight. Why is that particularly important for us diabetics? First, if you are overweight your heart muscle needs to work harder to pump blood through your system. This weakens your blood vessels, which are then more susceptible to damage from fluctuating blood sugar levels. It’s a vicious cycle you don’t want to create.

Your heart is the main engine of your whole body, so you need to do everything possible to keep it in good shape. For the sake of a healthy heart, take control of your diabetes.

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Diabetes and Your Feet

Diabetes has many complications, some leading to other serious health conditions. Diabetics need to pay particular attention to their feet.

We diabetics have to take special care of our feet, or we can find them troubled in
two ways: reduced blood circulation and nerve damage.

Here’s what to look for and some prevention ideas.

Symptom:

If your feet are constantly cold, your legs are sore when you walk, or your feet hurt
in bed at night, you may be suffering from poor blood circulation. This, in turn, can
slow down the process of healing when you have cuts or other damage to your feet.

Prevention:

Staying physically active is one way to help improve your circulation. You also need
to control your blood fat and sugar levels, as well as your blood pressure. And of
course, don’t smoke.

Symptom:

If your feet are numb, you have a burning sensation on the soles of your feet or pins
and needles in your feet, you have signs of possible nerve damage.

Foot nerves are the longest in our bodies and are therefore susceptible to damage
by diabetes. If these nerves are damaged, the feelings are lessened, so we could
have the cuts or blisters that can lead to ulcers, and we wouldn’t even know about
it.

Prevention:

Check your feet regularly to be sure there are no signs of injury. If you develop
corns or calluses, have them treated immediately by a podiatrist. Wash and dry
carefully between your toes, and keep your nails trimmed and smooth.

Everyone likes to have their feet pampered, but for us diabetics it not only feels
good, it also prevents serious health problems in the future. So book that foot
massage now!

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Diabetes and Your Eyes

Diabetes has many complications, some leading to other serious health conditions. Eye problems are of particular concern to diabetics.

Diabetes can play havoc with your eyes, and sometimes there are no early sumptoms. So you may have no idea anything is wrong until your eyesight is in danger.

Here are the main eye problems that can be caused, or made worse, by diabetes.

Cataracts

These are often described as a clouding of the lens of the eye. They are treatable by surgery in most cases.

Glaucoma

Our eyes are largely made up of fluid, and when the pressure of that fluid builds up too much inside the eye, you have glaucoma. Left untreated, it can damage the optic nerves, and even lead to blindness.

Diabetic retinopathy

Lining the back of our eyes is light-sensitive tissue known as the retina. The retina contains very small blood vessels that can be damaged by diabetic retinopathy. Sometimes there are symptoms such as blurred vision, but often you won’t even know anything is wrong until the condition is well advanced. In the worse case, it leads to blindness.

Early detection is the key to battling all of these conditions, and the best diagnostic tool available is the dilated eye examination. This is a test in which special eye drops temporarily enlarge your pupils, allowing the doctor to see the back of your eyes. This test (which is painless) can detect cataracts, glaucoma or diabetic retinopathy in their early, treatable stages.

Eyesight is precious, so if you have diabetes do yourself a favor and make an appointment for your dilated eye examination. And then do it again every year from now on.

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Diabetes and The Menopause

You might be thinking “What’s the connection between diabetes and the menopause?”

Well, for ladies reaching that certain age, it can be very traumatic – especially when some of the effects experienced can easily be mistaken for those we have to be aware of when managing our diabetes…

You might be thinking “What’s the connection between diabetes and the menopause?”

Well, for ladies reaching that certain age, it can be very traumatic – especially when some of the effects experienced can easily be mistaken for those we have to be aware of when managing our diabetes…

For a diabetic taking medication, keeping blood sugars at the right level is a balancing act. If sugar levels drop too low, because of not eating enough or at the right times, you suffer a hypoglycemia episode (sometimes called ‘hypo’ for short). For me, this usually manifests itself as shaking; irritability; sweating and a faint-headed feeling.

If you are diabetic and have ever had low-blood sugar you may recognize some of these symptoms, amongst others. A quick ‘glucose fix’ usually settles it within 5-10 minutes.

Now, compare that to some of the symptoms of starting the menopause; hot flushes [I call them ‘power-surges’ ;)] – similar to the sweats of a hypo; mood swings – akin to the irritability you might experience during a hypo. It’s very easy to confuse the symptoms you are feeling.

When I first started the menopause, I frequently confused waking at 2 a.m. in the morning in a cold sweat as a hypo and took a quick sugar boost to settle myself. That pushed my blood sugar levels up when I didn’t need it. Not a good idea!

It was only after visiting my Doctor to talk about these frequent, unexpected hypos I discovered I was starting the menopause (I was in my late 40s, so it was rather unexpected, normally it doesn’t occur until early-to-mid 50s).

If you are a lady, with diabetes controlled by medication, and you are in your early 50s and you start having frequent, unexplained hypos – check your sugar levels before ‘treating the condition’. And get your Doctor to check your symptoms. You may be confusing symptoms of diabetes and the menopause.

And guys; if your lady normally has great control of her diabetes and suddenly seems to be showing the same symptoms when she was getting her diabetes into balance (if you knew her then) please be supportive and understanding, she’s going through one hell of an experience, but I promise, she will come through and be her normal, loving and charming self once again.

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Diabetes and Its Management

Diabetes Mellitus is one of the most costly burdensome chronic diseases of our time and is condition that is increasing in epidemic population in the whole world.

Diabetes Mellitus is one of the most costly burdensome chronic diseases of our time and is condition that is increasing in epidemic population in the whole world. The complications resulting from the diseases are a significant cause of morbidity and mortality and are associated with failure of various organs such as the eyes, kidneys and nerves. Diabetics are also at a significantly higher risk for coronary artery disease, peripheral vascular disease and stroke and they have a greater likelihood of having hypertension dyslipidemia and obesity.

What is Diabetes?

Diabetes is a serious disorder of the glands, of pancreas to be exact, called Madhumeha in Ayurveda. It is one of the most insidious disorders of the metabolism and, if left undiagnosed, may lead to rapid emaciation and ultimately death.

What are the types of Diabetes?

According to Ayurveda Diabetes is of two types: Diabetes Mellitus- Insulin dependent Juvenile Diabetes (IDDM-Type I) in which the body is unable to produce insulin and Non Insulin Dependent Adult Onset Diabetes (NIDDM-Type II) in which the pancreas produces insulin, but it is insufficient for reducing the blood glucose to normal levels.

What are the common symptoms of Type- 1 Diabetes? Some of the common symptoms of Type- 1 Diabetes are:

Excessive Thirst Frequent urination Unexplained weight loss Irritability Weakness Fatigue

What are the common symptoms of Type- 2 Diabetes? Some of the common symptoms of Type- 2 Diabetes are:

Loss off weight Numbness in hands or feet. Uncontrolled infections Pain in the limbs Inflammatory chest infections Dimness of vision, contrast Excessive thirst Body weakness

What are the different tests for Diabetes?

Urine Test: Some chemicals are added to a few drops of urine. Colour change indicates presence of glucose in urine.

Blood Test: In this, blood is taken to test the glucose level. This is more accurate test to confirm diabetes

Which parts of my body are affected by Diabetes?

Blood Vessels: Higher level of glucose damage the blood vessels. As a result of this most of the diabetic complications occur in blood vessels.

Heart: Diabetes affects the heart by: Increasing the amount of fat in blood and increasing the amount of homocysteine in blood.

Kidney: In diabetes because of increased levels of glucose, kidneys have to do extra work to retain essential substances and separate waste products to produce urine. This affects the small blood vessels and their capacity to filter. After many years of work, it leads to kidney failure.

Eyes: Diabetes affects blood vessels of the eyes. Damage to these blood vessels leads to eye problems like: Damage to retina, Cataract or total loss of vision

Foot: Damage to blood vessels reduces blood flow to the feet and increases risk of developing foot ulcers and infections.

Nerves: High glucose level for a long time damages nerves. Nerve damage reduces sensation in some parts of body which may lead to: Numbness and tingling, Fainting and dizziness

Home Remedies for Diabetes:

The best remedy for this disease is the bitter gourd, better known as ‘karela’. Eat this vegetable as often as you can or have at least one tablespoon of karela juice daily to reduce blood sugar levels in your blood and urine.

Amla, due to its vitamin C content is effective in controlling diabetes. A tablespoon of its juice, mixed with a cup of fresh bitter-gourd juice, taken daily for two months will secrete the pancreas and enable it to secrete insulin.

Take ten tulsi leaves, ten neem leaves and ten belpatras with a glass of water early morning on an empty stomach. It will work wonders in keeping your sugar levels under control.

The leaves of Butea tree are very useful in diabetes. They reduce blood sugar and are useful in glycousia.

Take two teaspoons of powdered Fenugreek seeds with milk. Two teaspoons of the seeds can also be swallowed whole, daily.

Eat 10 fresh fully grown curry leaves every morning for three months. It prevent diabetes due to heredity factors. It also cures diabetes due to obesity.

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How Insulin Affects Us?

The glycemic index helps us to understand which foods are best and worst for controlling our blood glucose levels.

As we have seen, when blood glucose levels get too high, insulin is released into the bloodstream by the pancreas to help disperse the glucose. The insulin transports the glucose to cells needing extra energy. The cells have “insulin receptors” positioned so that insulin can bind to them, facilitating glucose entry and utilization in the cells. Once inside the…

The glycemic index helps us to understand which foods are best and worst for controlling our blood glucose levels.

As we have seen, when blood glucose levels get too high, insulin is released into the bloodstream by the pancreas to help disperse the glucose. The insulin transports the glucose to cells needing extra energy. The cells have “insulin receptors” positioned so that insulin can bind to them, facilitating glucose entry and utilization in the cells. Once inside the cells, the glucose is burned to produce heat and adenosine triphosyphate, (ATP) a molecule that stores and releases energy as required by the cell.

When cells become less sensitive to the effects of insulin, they accept less glucose, so more glucose than usual remains in the bloodstream. Result? The pancreas over-compensates by working harder and releasing even more insulin.

The combination of insulin-insensitivity and insulin over-production typically leads to one of two results:

Either, the pancreas gets worn out and insulin production slows down to abnormally low levels. Result? We develop type 2 diabetes. (About 30 percent of cases)

Or, the insulin-resistant patient doesn’t develop diabetes (because the pancreas continues to produce sufficient insulin) but, instead, contracts hyperinsulinism (abnormally high levels of insulin in the blood), which can cause chronic obesity as well as high blood pressure, high levels of triglycerides, low HDL (good) cholesterol, heart disease, and possibly some cancers.

Low GI Foods Cause Lower Insulin Levels

This is why experts are beginning to recognize the health advantages of following a low GI diet. Because lower GI foods are converted into glucose much more slowly, causing less insulin to be produced.

This is not the last word on this subject, by any means. Research into insulin insensitivity and the relationship between insulin levels and obesity is ongoing. However, the overconsumption of high-GI foods (and high-fat fast-food) is a major cause of concern.

The new carbohydrate-classification system known as the Glycemic Index rates the carbohydrate quality in foods according to its immediate effect on blood glucose level. Thus carbs that break down quickly into glucose during digestion, causing a rapid rise in glucose levels, have a High GI value. Those carbs that break down more slowly, are given an Intermediate or Low GI value.

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Could You Have Diabetes-And Not Know it?

Take this test to see if you are a risk for having diabetes.

Take this test to see if you are at risk for having diabetes. Diabetes is more common in African Americans, Latinos, Native Americans, Asian Americans and Pacific Islanders. If you are a member of one of these ethnic groups, you need to pay special attention to this test. Write in the points next to each statement that is true for you. If a statement is not true, put a zero. Then add your total score.

1. I am a woman who has had a baby weighing more than nine pounds at birth.

Yes 1 ______

2. I have a sister or brother with diabetes.

Yes 1 ______

3. I have a parent with diabetes.

Yes 1 ______

4. My weight is equal to or above that listed in the chart.

Yes 5 ______

5. I am under 65 years of age and I get little or no exercise.

Yes 5 ______

6. I am between 45 and 64 years of age.

Yes 5 ______

7. I am 65 years old or older.

Yes 9 ______

TOTAL

Scoring 10 or more points: You are at high risk for having diabetes. Only your health care provider can check to see if you have diabetes. See yours soon and find out for sure.

Scoring 3 to 9 points: You are probably at low risk for having diabetes now. But don’t just forget about it. Keep your risk low by losing weight if you are overweight, being active most days and eating low-fat meals that are high in fruits and vegetables and whole grain foods. Diabetes is a serious disease that can lead to blindness, heart disease, strokes, kidney failure and loss of a limb.

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Controlling Blood Sugar In Type 2 Diabetes Without The Use Of Drugs

I was told in rapid succession that I was suffering from intermittent claudication (that’s blocked arteries in the legs), high blood pressure, Diabetes Type 2. and that I was overweight.

Not a lot of pleasure there! The intermittent claudication made it increasingly difficult to do much, so that in effect I had become a prisoner to my house and garden. Exercise was out of the question, my legs simply couldn’t cope, but it was hoped that angioplasty to each leg would cure t…

I was told in rapid succession that I was suffering from intermittent claudication (that’s blocked arteries in the legs), high blood pressure, Diabetes Type 2. and that I was overweight.

Not a lot of pleasure there! The intermittent claudication made it increasingly difficult to do much, so that in effect I had become a prisoner to my house and garden. Exercise was out of the question, my legs simply couldn’t cope, but it was hoped that angioplasty to each leg would cure the problem. It didn’t.

My high blood pressure, I was assured, could be treated by a cocktail of drugs and by weight loss. The cocktail of four different drugs worked, but I could not seem to lose weight.

So I was given a choice: the blood sugar levels could be controlled either by drugs or by diet. Since I was already taking four different drugs for blood pressure, I thought it best to try diet control. I was also hopeful that this might help me to lose weight. But where to start? My diabetic nurse provided me with a blood sugar monitor and said I should aim to stay under 9 as my reading. My Doctor said to stay under 7. Now she has reduced this to under 5. My current long-term reading is 5.3. A big drop from the high readings I used to produce.

So what did I do? At first I was taking blood samples three times a day and was truly astonished at how my blood sugar jumped about. Plain porridge and water, which I absolutely loved, would produce a reading of 16 and yet, being a slow release multigrain, I had always assumed it would be good for my health. A single apple, showed a reading of 12! Tea with milk but no sugar, 10. Obviously there was more to this than met the eye.

The first learning point was that the body needs water and lots of it. Out went sugared fizzy drinks and in came plain boiled water. The Swedes call it Silver Tea, I’m told, and it is very refreshing. Now a cup starts every day and two or three more follow. Low calorie tonic water is also useful (the quinine helps prevent cramps), mineral water (I especially like carbonated forms), low calorie Ginger Beer and cold filtered tap water.

The next, crucial, learning point: control your carbohydrate intake, in my case to under 40gms a day. Eliminate bread, cakes, sweets, pasta, rice, cereals, biscuits, sugars, fruit juice, potatoes, honey, jam, marmalade, baked beans. Reading the food labels is a real eye opener!

Instead, increase your intake of vegetables and low carbohydrate foods & fruits. All of the following are particularly good: Broccoli, cabbage, spinach, runner beans, brussels sprouts cauliflower, broccoli, peppers, tomatoes, courgettes, aubergines, swede, squashes, celeriac, green salads. Fruit can be very high in sugars, so use in moderation. Choose rhubarb, grapefruit, raspberries, loganberries, strawberries, blueberries, all of which are O.K. Do not add sugar, of course, so sweeten with cinnamon instead. Avocadoes are low in carbohydrates, but high in fat, so eat no more than half a fruit a day. Add nuts and seeds to your diet, again in small amounts.

As far as alcohol is concerned, all beers are out. One or two glasses of red wine a day are acceptable.

Avoid processed foods as much as possible and certainly do NOT eat hydrogenated fats of any kind. They are to my mind a food industry con. and of no use to any one other than manufacturers of processed food.

Buy only genuine, non-reconstituted lean meat, poultry, game and fish. Reduce your saturated fat intake by cooking on a griddle and cutting off any excess fat. Cook with olive and nut oils, as these unsaturated fats are good for you. Never use lard. Add game to your repertoire of ingredients, along with plenty of oily and white fish such as salmon, haddock, tuna, swordfish, mackerel & kipper.

I have never once felt hungry with this change in my eating habits to simple whole foods. I still find I miss eating plain yoghurt, vanilla ice cream and various cheeses. But then I occasionally do give myself a small treat – provided I stay within my allowance.

The results are good for my health:

My good cholesterol is high
My bad cholesterol is low
My type II diabetes blood sugar is well controlled by diet alone
I have lost 10 lbs in weight.

My next task is to lose another 30 lbs. I know now that this is achievable. The more weight I lose, the more able I am to increase my activity levels – and the more incentive I have to control my calorie intake. At last I feel that I am taking back control of my body and discovering that you really are what you eat!

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Common Knowledge About Gestational Diabetes

I did not become familiar with gestational diabetes until recently when my sister-in-law and my best friend were both diagnosed with it within a week. Many women I know, myself included, have made it through pregnancies without having any serious problems like gestational diabetes.

Basically, gestational diabetes is a disease that can come on during pregnancy but that usually disappears once the baby has been born. In some women, pregnancy results in their blood sugar leve…

I did not become familiar with gestational diabetes until recently when my sister-in-law and my best friend were both diagnosed with it within a week. Many women I know, myself included, have made it through pregnancies without having any serious problems like gestational diabetes.

Basically, gestational diabetes is a disease that can come on during pregnancy but that usually disappears once the baby has been born. In some women, pregnancy results in their blood sugar levels getting out of balance. A pregnant woman might realize that she is having blood sugar problems on her own or it might take a doctor to determine that her levels are not normal. Regardless of how it is discovered, gestational diabetes is a serious issue that needs to be handled with caution and care throughout a woman’s pregnancy and after.

When my sister-in-law and my closest friend were struggling with feeling abnormally up and down during their pregnancies, their doctor took blood tests and determined that their blood sugar levels were being affected by their pregnancies and their food choices. They were both diagnosed simply by having this blood work done. At first they were hesitant and scared because gestational diabetes sounded huge and they didn’t know how relatively simple the treatment process could be.

Gestational diabetes, because it is primarily an imbalance of blood sugar, can often be regulated by changes in diet and levels of exercise. The amount of changes that are necessary are dependant upon how poor of habits the women have to begin with. My sister-in-law and my friend had to make different levels of changes to their diets, but neither had to make such significant changes that their lifestyle was radically altered. Mostly their changes consisted of going on a low-sugar and low-carb eating plan. Gestational diabetes brings a risk of the baby getting to large during its gestational period and needing to be delivered early or by c-section. The more the pregnant mother cuts down on sugar intake, the less likely it is that the baby will get too large to be delivered vaginally.

If you are pregnant or are thinking of becoming pregnant in the near future, take some time and learn about ways to prevent gestational diabetes. It is the best for you and your baby. Prevention is always a better option than having to find a solution to high blood sugar levels. Be wise with your food and exercise choices from the start and you should be able to avoid dealing with gestational diabetes in your pregnancies. Talk with your doctor and take every possible precaution.

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