How Do You Know If You Have Diabetes?

Diabetes mellitus is a disorder characterized by the inability of the body to either produce or respond to insulin making it impossible to maintain proper levels of glucose (sugar) in the blood. The extra glucose is excreted in the urine and because of the high level of glucose more water is flushed through. The diabetic experiences excessive urination and thirst.

The term Diabetes mellitus literally explains these symptoms: The Greek term diabainein, means "to pass through" (referring to the excessive urination) and mellitus comes from the Latin "sweetened with honey" (referring to the excessive presence of sugar).

There are basically two major types of diabetes: Type 1 (insulin-dependent) and Type 2 (non-insulin dependent).

Type 1 (formerly known juvenile-onset diabetes, because it is diagnosed in children or young adults) is caused by both genetic and environmental causes. In this case, the person's immune system produces antibodies that destroy the cells that produce insulin. Because the body can't produce insulin on its own, daily insulin injections are required.

Type 2 (formerly known as adult-onset diabetes, because it normally appears in people aged over 40) is the most common form of diabetes, accounting for about 90% of cases. Genetic factors play a major role in the development of Type 2, but obesity is also a major factor. A typical Western lifestyle means a diet that is high in fat and low in carbohydrates and a minimal exercise plan and these habits are strong risk factors. Interestingly, people who do not live in Westernized areas do not tend to get Type 2 diabetes, regardless of their family history.

A third type of diabetes, known as Gestational Diabetes, affects women who have high blood-sugar levels during pregnancy. This should be monitored as it can adversely affect the baby. There is also a high probably that women who experience gestational diabetes will develop Type 2 diabetes at a later stage.

Diabetes symptoms to watch out for include; frequent urination, excessive thirst and hunger, unusual weight loss, increased fatigue, irritability and blurry vision. The American Diabetes Association (ADA) website is an informative starting point for all. Visit the site today and take the Online Diabetes Risk Test, which can help you determine if you are at risk of developing diabetes. If you are deemed at risk and are experiencing one or more of the above mentioned symptoms you should see your doctor immediately.

If you are diagnosed with diabetes the ADA website has informative articles the disease, plus lots of suggestions on lifestyle and diet changes for those diagnosed with diabetes. A quick Internet search for "Diabetes Supply" will also bring up various sites offering products suitable for those living with diabetes.

There's nothing at all to be scared of. There's lots of help and advice available literally at your fingertips.

 

by Dean Erickson

Diabetes Awareness: Wake Up Call

When traveling on out-of-town business, its common to have the hotel front desk give you a wake-up call in the morning. You want to avoid the embarrassment and repercussions of being late for your business appointments.

Here is an important wake-up call for your life and the lives of the people you most care about.

If you want to avoid the life damaging effects of diabetes, take 3 minutes to read the remainder of this article right now.

The new buzz in the medical community calls it- "Pre-Diabetes". Today, roughly 41 million Americans have pre-diabetes which left undetected and untreated, progresses into full-blown diabetes.

The challenge with pre-diabetes is the fact that the condition doesn't like to reveal itself with noticeable symptoms. Because there are few, if any symptoms, most people will not bother having screening tests performed. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Don't wait for "someday" to have your blood tested. Call your doctor today and make the appointment.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can greatly improve your odds and likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

Diabetes Awareness: Family of Diabetics

Thousands, if not millions of people have diabetes in their family. It's almost tragic the way things happen because it's not always a "common knowledge" among families.

I tell you, it's not until it hits you that it's really awful.

Asking questions can help you and your family dodge the serious complications of diabetes. Early detection and active control of blood sugar levels can save lives.

Have you ever heard anyone ask:

Do you have diabetes? Does anyone in your family have diabetes? Is your vision okay or is it blurry? Are your feet feeling okay today?

A lot of people get diabetes, but you know, early detection and taking action can save your life or the life of a family member.

Ask your doctor about diabetes and have your blood sugar checked several times a year.

Diabetes Awareness: Diabetes on the Job

When you go to work, your diabetes goes with you.

You get up, get showered, get breakfast, get to work. You have bills, therefore you have a job.

But you also have diabetes. You have to care for your diabetes while you're at work. Here are 10 tips for merging your diabetes care with your career.

1. Wear medical identification jewelry

- If you ever need medical assistance at work, the emergency medical personnel will know you have diabetes.

2. Decide who to tell

- All things being equal, it might be in your best interest to let a few trusted co-workers or your boss know. Just for your own safety.

3. Give your co-workers a chance

- Don't just assume that your boss won't accommodate you, or that your co-workers won't be helpful. Give them a chance to grasp what diabetes is and understand how they can help you, particularly if you've been diagnosed since starting your current job. Diabetes may be as new to them as it is to you.

4. Get it in writing

- If necessary, get a doctor's note. It may help to get a medical statement from your doctor saying what your diabetes care needs are. Present it to your company nurse or human resources department, and make sure your supervisor gets a copy.

5. Be your own advocate

- Your local hospital or diabetes center may offer programs through which diabetes educators can come to your workplace and explain to your human resources department, supervisors, or co-workers what diabetes is and how they can make the workplace more diabetes-friendly. See if your employer is willing to host such a program.

6. Don't abuse the system

- Unfortunately, there are people who claim extensive health challenges and reap disability benefits their situation may not warrant. That makes it harder for everyone. It's best to save sick days and disability pay for when you really need them.

7. Plan ahead

- The biggest challenge many people with diabetes face is access to meals and breaks. Have snacks readily available should you need to treat a low.

8. Take your equipment with you

- Keep your blood glucose meter and supplies where you can reach them. Don't leave blood glucose meters or insulin in the car. Extreme temperatures can affect them.

9. Watch out for stress

- Stress can wreak havoc on your blood sugars. Stress can cause either high or low blood sugar. It differs from person to person, and sometimes from situation to situation in the same person. Stress may mask symptoms of low blood sugar, or prompt completely different symptoms. Frequent monitoring is your best defense.

10. Keep good diabetes control

- The best thing you can do to remain productive is to stay healthy. Don't let your diabetes get so far out of control that you're not able to work. If you're eating well, exercising, and controlling your blood sugars, you will have a productive work life.

The payoff from a job well done is that if and when you need to take time off for your diabetes care, your boss and co-workers will remember your good track record and be that much more willing to cover for you or help you with scheduling. By communicating with your employer and taking responsibility for your care, you can incorporate your diabetes care into your work life successfully.

If you feel that your employer is not making reasonable accommodations to allow you to care for your diabetes at work, contact the Equal Employment Opportunity Commission (EEOC) at: (800) 669-4000 or (800) 669-6820 TTY.

Diabetes Awreness: There?s No Substitute for Good Friends

Was there a time when you relished the idea of giving dinner parties?

What a great opportunity to bond with old friends, try out a few new recipes, and find a reason to clean up the house!

Has diabetes robbed you of the enjoyable events involving your friends and family?

Diabetes has an ugly characteristic of wrecking the lives of it's victims by forcing them into seclusion.

If you have been neglecting the enjoyable events of your life, please take action to control your diabetes. With a "proactive" mind-set, you can control and beat diabetes!

You, your friends, and especially your family will love you for taking control. Get back to the fun things in life,,,, Take control of your diabetes.

Ask your doctor about diabetes and have your blood sugar checked several times a year.

Diabetes Awareness: Will They Recognize You?

Imagine how it feels to look younger, feel younger, and act younger! Now, think about how others see you. Are you ready to make a lasting impression on your friends and family? Great!

Taking charge of your diabetes through exercise can give you a younger look and feel not to mention ?? a younger attitude!

As you read this message, remember this: You don't pay the price to improve your health, you reap the benefits of being healthy!

Treatment of diabetes has gone through dramatic changes in the past two decades. Previously, exercise was often overlooked as a "cornerstone" in its treatment as it was difficult to maintain blood sugar levels with the additional variability introduced by physical activity, especially for individuals with type 1 diabetes.

However, with blood glucose meters now being readily available and affordable, exercise can be done safely and without fear of severely upsetting an often delicate glucose balance.

The usual health benefits of exercise apply to individuals with diabetes as well, perhaps even more than normal.

Much of what we attribute to the aging process really results from disuse (for example, muscle atrophy, or loss of flexibility in joints). Diabetes, especially when blood sugars are poorly controlled, accelerates the normal aging process, as well as certain disease processes such as heart disease.

Thus, regular exercise can help slow aging and reduce long term complications associated with poor blood sugar control and diabetes.

These diabetes-related benefits can not be understated! Not only can you enjoy your favorite physical activity, but also you can help your diabetes and health too. In fact, regular exercise is the most important activity you can do to slow the aging process, manage your blood sugars, and reduce your risk of diabetic complications.

Ask your doctor about diabetes and have your blood sugar checked several times a year.

The Profect Solution for Diabetics

Diabetes, which affects more than 6% of the US population or over 18,000,000 people [i], is diagnosed when the body is not creating or effectively utilizing the hormone called insulin. As a result, much-needed energy from sugar, starch, and other sources are not being exploited as effectively as they should. This can lead to severe adverse health consequences, including nerve, ocular, and kidney problems [ii].

While genetics and environmental factors play a role, the exact cause of diabetes is as yet undetermined. However, one thing is precisely clear to those with this condition: eating right is vitally important.

Generally speaking, people with diabetes do not eat a standard "one size fits all" diet. Rather, they must adhere very closely to the healthy eating guidelines prescribed by their doctor.

However, these recommendations, which generally apply to the general public as well [iii], include principles such as eating a low-fat diet, and limiting calories from saturated fat to less than 10% of daily caloric intake. The recommendations also include eating complete sources of protein, and limiting calories from protein to 20% of daily caloric intake [iv]. It is worth noting that protein also plays an added support role in a diabetic diet, because protein can slowly transforms into glucose. As such, ingesting appropriate amounts of complete protein can help a diabetic manage blood-sugar levels.

At the same time, maintaining low blood pressure is of enhanced important for those with diabetes. As such, a diet that helps maintain a healthy body weight is essential, since high blood pressure is related to obesity and overweight conditions [v].

Diabetics know full well they should eat a calorie-smart diet that is low in fat, fortified with complete protein, and scores low on the Glycemic Index [1]. Yet quite often what is lacking is time to ensure that this diet is maintained.

Unlike individuals without diabetes who can, if they must, "snack" on unhealthy foods from time to time, persons with diabetes are well advised by their qualified doctors to ensure that a very healthy eating regimen is consistently followed. Yet following this regimen is indeed difficult; especially since so many foods in restaurants and vending machines are utterly devoid of healthy ingredients.

At most, one might expect to find some low fat options when eating out; but these usually have high calories, high sodium ? to compensate for flavor lost due to reduced fat ? and a high GI score. None of this is welcome information for diabetics.

Fortunately, a product called Profect has been medically engineered to provide diabetics with a practical eating solution. Profect, with its low Glycemic Index, contains absolutely no sugar. Therefore, diabetics do not have to worry about their blood sugar levels spiking after eating a serving of Profect.

As an added benefit to those with diabetes, Profect contains 25 grams of complete protein [2] -- and zero fat. As such, Profect can be eaten along with other foods to slow down the overall absorption cycle. Ultimately, this means that Profect can effectively reduce insulin spikes and the subsequent creation of fat cells; which, as noted above, can lead to weight gain and high blood pressure.

Yet perhaps most appreciated by diabetics is the fact that eating Profect is very convenient. It requires no cooking ability, nor the creation of a messy ? and potentially poorly configured ? health "shake" that might actually add too much protein to the system, and lead to adverse toxic buildup.

The fact that Profect is convenient may seem like something of a marketing "benefit", to be touted on a website or a package container, but the reason for this has nothing to do with marketing appeal. People with diabetes, just like most of the population, lead busy lives in which time is of the essence. Finding 2 or 3 hours each day to create foods is oftentimes unrealistic.

It is because of this need for a convenient and easily accessible food that Protica Research created the 2.7 fluid ounce container to protect each serving. These containers are extremely strong, easy to carry and store, and are deliberately suited for busy, time-starved lifestyles.

Dealing with diabetes is a reality that more than 18 million Americans face each day, and over the next 2 decades the rate of diabetes is expected to increase by almost 250% throughout the developing world [vi].

Daily ? one might say hourly ? some of the finest brains in science are searching for preventions and cures that will help millions of people diagnosed with diabetes to lead full, healthy lives. Aligned with this ultimate mission is Profect's eating solution for diabetics and healthy eaters alike.

ABOUT PROTICA

Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

REFERENCES

[i] Source: "All About Diabetes". American Diabetes Association. http://www.diabetes.org/about-diabetes.jsp

[ii] Source: "Diabetes". Diet-i.com. http://www.diet-i.com/diabetes-diet.htm

[iii] Source: "Diabetic Diet Questions". Anne Collins. http://www.annecollins.com/diabetic-diet-questions.htm

[iv] Source: "Diabetes Diet". MedlinePlus. http://www.nlm.nih.gov/medlineplus/ency/article/002440.htm

[v] Source: "Diabetes". Diet-i.com. http://www.diet-i.com/diabetes-diet.htm

[vi] Source: "Diabetes Cases Could Double in Developing Countries in Next 30 Years". World Health Organization. http://www.who.int/mediacentre/news/releases/2003/pr86/en/

Copyright 2004 - Protica Research - http://www.protica.com

Preparing Your Child and Family for Life With Diabetes

After the initial shock of diagnosis wears off and we become more comfortable with administering insulin shots, scheduling blood tests and mealtimes, and carbohydrate counting we have a chance to look to the future. At that point it really begins to sink in what a long-term commitment parenting a diabetic child really is. We now understand we have been drawn into a different lifestyle that will last as long as we are parents. Even when our child is grown up and leaves home we will still be concerned and involved with the diabetes community.

If you are finding that you are having trouble managing your child's diabetes let me first share some statistics I found so you realize you are not alone.

35-75% do not follow meal plans all of the time
20-80% do not administer insulin correctly all of the time
30-70% do not record blood-monitoring level properly all of the time
23-52% do not provide adequate foot care all of the time
70-81% do not exercise adequately all of the time

Now that we understand how difficult it is to live with a chronic and potentially deadly disease, the question is how do we teach our children the reality of diabetes while still allowing them to be kids and trying to keep their lives as normal as possible. An experience that if you haven't run into you soon will is birthday parties. They are everything you need to avoid to keep your child's diabetes under control but they're also an important aspect of your child's life. With some planning you can have both. You can learn the specifics of this and many other situations you will face in my ebook "So Your Child Has Diabetes". The point is life and diabetes can go on together. Just as important, your child's friends learn about diabetes and talk about it. They don't discriminate, they include your child. We as parents need to be adults in these types of situations. We are the voices of maturity, reality and humanity. We are the ones who allow our children to talk about their disease and how it makes them feel as well as keeping them focused on self-care. We are the ones who keep the disease from overcoming our family. When you let your child talk to you about how they feel about having diabetes you will find your child has less emotional stress and better control of their blood glucose levels.

General family stress can greatly affect blood glucose levels. It's a delicate balance. When your child's blood glucose levels are out of control it can cause stress in the family and when there's stress in the family it can cause out of control blood glucose levels. You need to be prepared for these times. The Children's Hospital that treats my daughter has an excellent Mental Health Department. Other communities have a variety of services they offer. Make yourself aware of them and know where to turn before things start to get out of control.

One of the things that really surprised me was the difference in the way I perceived diabetes and the way my daughter perceived it over time. I found it easier to cope with diabetes as time went on. You get into a rhythm and your comfort level with treatment increases. On the other hand my daughter found that the emotional distress associated with diabetes increased as time went by. We need to be aware that just because we are better at dealing with diabetes it doesn't mean our children need less of our day to day care. A mistake I made was assuming that my 10-year-old didn't need me to constantly supervise her blood glucose monitoring. After she went on an insulin pump it was no longer necessary for me to administer insulin. She had been checking her own blood levels for quite a while. Even though she was checking her own blood, while I was giving the shots I was right there to make sure she checked properly and at the correct times. Once she went on the pump that wasn't the case anymore. I noticed that she wasn't nearly as conciencious when I wasn't there. This is just normal in the development of a child. Our children need us to keep them safe while they achieve these developmental skills.

In order to properly prepare our children for life with diabetes we must remember how we feel when we are ill. We hate it. Feeling lousy, unable to enjoy some of our normal activities. Imagine how this is magnified in our diabetic child. They never get a break. No rest from it, no vacation. No wonder they experience emotional problems. Never forget this. Our children need to know that we will always be there for them. They are not facing this alone. Listening to our children about their feelings is important but not enough. We also need to talk to them about what happens if they don't take good care of their diabetes. We need to be careful. We don't want our children to think that there is something wrong with them or to feel ashamed if their blood glucose levels aren't always under control. In this case children are like puppies. They respond better to reward for proper behavior that to punishment for wrong behavior.

Finally we need to realize that preparing for life with diabetes is an ongoing process. You can't control the process all of the time. Just take care of it one day at a time. With your help your child can understand this process of diabetes control and you don't have to become "that diabetic family". With preparation and awareness you, your child and the rest of your family can live healthy normal lives.

 

by Russell Turner

Low-Carb: The Role of Insulin

There are three basic units the body uses for energy:

1. Fats

2. Proteins

3. Carbohydrates

All three can be converted to blood glucose. However, while fats and proteins are converted slowly, carbohydrates are converted quickly causing quick spikes in the body's blood sugar levels. These spikes in blood sugar levels cause the pancreas to create and release insulin until the blood sugar level returns to normal.

Meanwhile, insulin, a hormone produced in the pancreas that lowers our blood's glucose levels is released into the blood as soon as the body detects that blood sugar levels have risen above its optimal level.

Insulin is a very efficient hormone that runs the body's fuel storage systems. If there is excess sugar or fat in the blood insulin will signal the body to store it in the body's fat cells. Insulin also tells these cells not to release their stored fat, making that fat unavailable for use by the body as energy.

Since this stored fat cannot be released for use as energy, insulin very effectively prevents weight loss. The higher the body's insulin levels, the more effectively it prevents fat cells from releasing their stores, and the harder it becomes to lose weight. According to many authorities, over the long term, high insulin levels can lead to insulin resistance and cause serious health problems like the ones listed below:

1. Raised insulin levels and insulin resistance

2. Lower metabolism leading to weight gain

3. An increase in fatty tissue and reduction in muscle tissue

4. Accelerated aging

5. Increased food allergies and intolerances

6. Overworked immune system

7. Increased risk of heart disease, obesity, diabetes and cancer

Carbohydrates, especially simple carbs like sugar and starch, are quickly turned into sucrose by the body entering the blood stream quicker thereby causing the release of large amounts of insulin. The fewer carbs are eaten, the less insulin is produced by the body, and the fewer calories are stored as fat. Less fat storage equals less weight gain and fewer carbs eaten equals less insulin in the blood and the body using its fat stores for fuel.

The premise behind every low-carb diet plan is that a body that produces less insulin burns more fat than a body that produces lots of insulin. Some plans encourage a period of extremely low carbohydrate intake so that the body will enter a state of ketosis and more quickly burn fat stores - These are usually called induction periods.

Protein Principles for Diabetes

Dietary considerations can present a Hobson's choice in diabetes. Even when the intake is nutritious, assimilating it can be another matter. Then there is the problem of progression of diabetic complications if one ends up with excess glucose or fat in the system. Excess carbohydrates in a meal, and the resulting uncontrolled blood sugar levels can be detrimental to any number of tissues, from the lens of the eye, to the neurons, small blood vessels and the kidneys. Fat is also a problem with increase incidences of atherosclerosis, large vessel disease and cardiac complications. What, then is the appropriate macronutrient for the diabetic population? Enough medical literature exists to suggest that in diabetes, proteins are probably the best bet.

Proteins are the natural choice of the body when faced with diabetes. In uncontrolled diabetes, muscle protein is broken down into amino acids to be converted into glucose by the liver. If left to fend for itself, this can create a commotion within the body. Since proteins have to supply enough energy to substitute for carbohydrates, proteins are broken down faster than they are made. The body ends up with a protein deficit, a situation with subtle, yet far-reaching effects on normal body functions. Importantly, for diabetics, a protein deficit has been shown to impair resistance to infections (Ganong WF). Replenishing the depleting protein stores is a vital requirement of all diabetic diets.

Importance of proteins in a diabetic has been well documented. The American Associations of Clinical Endocrinologists have made it clear that not much evidence exists to indicate that the patients with diabetes need to reduce their intake of dietary proteins. The AACE recommends that 10-20% of the calorie intake in diabetes should come from proteins (AACE Diabetes Guidelines). It is in fact believed that this is one nutrient that does not increase blood glucose levels in both diabetics and healthy subjects (Gannon et al).

Nutrition therapy for diabetes has progressed from prevention of obesity or weight gain to improving insulin's effectiveness and contributing to improved metabolic control (Franz MJ). In this new role, a high protein diet (30% of total food energy) forms a very pertinent part of nutrition therapy. One of the most important causes for type II diabetes is obesity. Excess body fat raises insulin resistance and higher levels of insulin are required to bring down blood sugars as the weight increases (Ganong WF). Another problem with excess fat is the clogging of arteries with atherosclerotic plaques that is responsible for a wide range of diabetic complications. Any mechanism that reduces body fat decreases insulin resistance and improves blood glucose control. Parker et al have also shown that a high protein diet decreased abdominal and total fat mass in women with type II diabetes. Other studies by Gannon et al. and Nuttall et al have verified that blood glucose levels and glycosylated hemoglobin (a marker of long term diabetic control) reduce after 5 weeks on a diet containing 30% of the total food energy in the form of proteins and low carbohydrate content. It is speculated that a high protein diet has a favorable effect in diabetes due to the ability of proteins and amino acids to stimulate insulin release from the pancreas. Thus, a high protein diet is not only safe in diabetes, but can also be therapeutic, resulting in improved glycemic control, and decreased risk of complications related to diabetes.

The benefits of a high protein diet do not end here. Individual protein components of such a diet, when aptly chosen, can have other advantages as well. Dietary supplements containing proteins like whey and casein come highly recommended. Casein is a milk protein and has the ability to form a gel or clot in the stomach. The ability to form this clot makes it very efficient in nutrient supply. The clot is able to provide a sustained, slow release of amino acids into the blood stream, sometimes lasting for several hours (Boirie et al. 1997). A slow sustained release of nutrients matches well with the limited amount of insulin that can be produced by the pancreas in diabetes. A protein supplement containing casein can thus increase the amount of energy assimilated from every meal and, at the same time, reduce the need for pharmacological interventions to control blood sugar.

Whey proteins and caseins also contain "casokinins" and "lactokinins', (FitzGerald) which have been found to decrease both systolic and diastolic blood pressure in hypertensive humans (Seppo). In addition, whey protein forms bioactive amine in the gut that promotes immunity. Whey protein contains an ample supply of the amino acid cysteine. Cysteine appears to enhance glutathione levels, which has been shown to have strong antioxidant properties -- antioxidants mop up free radicals that induce cell death and play a role in aging.

Thus, development of a protein supplement containing casein and whey can provide an apt high protein diet and its health benefits to individuals suffering from diabetes, obesity and hypercholesterolemia.

ABOUT PROTICA

Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com

You can also learn about Profect at http://www.profect.com

Copyright - Protica Research - http://www.protica.com

REFERENCES

The American Association of Clinical Endocrinologists. Medical guidelines for the management of diabetes. AACE Diabetes Guidelines, Endocr Pract. 2002; 8(Suppl 1).

Boirie, Y., Dangin, M., Gachon, P., Vasson, M.P., Maubois, J.L. and Beaufrere, B. (1997) Slow and fast dietary proteins differently modulate postprandial protein accretion. Proclamations of National Academy of Sciences 94, 14930-14935.

Counous, G. Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Research 2000; 20, 4785-4792

FitzGerald RJ, Murray BA, Walsh D J. Hypotensive Peptides from Milk Proteins. J. Nutr. 134: 980S?988S, 2004.

Franz MJ. Prioritizing diabetes nutrition recommendations based on evidence. Minerva Med. 2004; 95(2):115-23.

Gannon et al An increase in dietary protein improves the blood glucose response in persons with type 2 diabetes. Am J Clin Nutr 2003; 78:734? 41.

Gannon MC, Nuttall J A, Damberg G. Effect of protein ingestion on the glucose appearance rate in people with type II diabetes. J Clin Endocrinol Metab 86: 1040?1047, 2001

Ganong W F. Review of Medical Physiology, 21st Ed. Lange Publications 2003

Ha, E. and Zemel, M.B. Functional properties of whey, whey components, and essential amino acids: mechanisms underlying health benefits for active people. Journal of Nutritional Biochemistry 2003; 14, 251-258.

Kent KD, Harper WJ, Bomser JA. Effect of whey protein isolate on intracellular glutathione and oxidant-induced cell death in human prostate epithelial cells. Toxicol in Vitro. 2003; 17(1):27-33.

Nuttall et al. The Metabolic Response of Subjects with Type II Diabetes to a High-Protein, Weight-Maintenance. J Clin Endocrinol Metab 88: 3577?3583, 2003

Parker et al. Effect of a High-Protein, High?Monounsaturated Fat Weight Loss Diet on glycemic Control and Lipid Levels in Type 2 Diabetes. Diabetes Care 25:425?430, 2002.

Seppo, L., Jauhiainen, T., Poussa, T. & Korpela, R. () A fermented milk high in bioactive peptides has a blood pressure-lowering effect in hypertensive subjects. Am. J. Clin. Nutr. 2003; 77: 326?330. Unger RH. Glucagon physiology and pathophysiology. N Engl J Med. 1971; 285:443? 449.

Copyright 2004 - Protica Research - http://www.protica.com

Exercise & Diabetes

You are no doubt aware that exercise can help prevent the serious complications that often come with diabetes and heart disease. Research has repeatedly shown that regular physical activity helps reduce the likelihood of having a heart attack or a stroke, aids in weight loss, and improves mood.

But do you know that exercise can also help you reduce your blood glucose levels?

That's right. In people with type II diabetes, exercise may improve insulin sensitivity and assist in lowering elevated blood glucose levels into the normal range.

Here's how. When you exercise, your body uses more oxygen -- as much as 20 times more -- and even more in the working muscles, than when you are at rest. So the muscles use more glucose to meet their increased energy needs.

At the same time, exercise improves the action of insulin in the peripheral muscles, making it more efficient, so you get more out of the insulin your body is producing.

In older people with diabetes, the decrease in insulin sensitivity that comes with aging is also partly due to a lack of physical activity. So regular exercise benefits you now, and for years to come.

Sometimes, it may seem easier to pop a pill or even take a shot than to put on your walking shoes and hit the trail. But the truth is that exercise, in combination with a healthy diet, is one of the best things you can do to take care of yourself if you have diabetes.

Why exercise?

Exercise burns calories, which will help you lose weight or maintain a healthy weight.

Regular exercise can help your body respond to insulin and is known to be effective in managing blood glucose. Exercise can lower blood glucose and possibly reduce the amount of medication you need to treat diabetes, or even eliminate the need for medication.

Exercise can improve your circulation, especially in your arms and legs, where people with diabetes can have problems.

Exercise can help reduce your cholesterol and high blood pressure. High cholesterol and high blood pressure can lead to a heart attack or stroke.

Exercise helps reduce stress, which can raise your glucose level.

In some people, exercise combined with a meal plan, can control type II Diabetes without the need for medications.

Sources: National Diabetes Data Group. Diabetes in America, 2nd edition. NIDDK.

Jayachandran.R

Treating Painful Diabetic Peripheral Neuropathy

The toes burn and tingle and sharp pains shoot into your legs. The bed sheets feel uncomfortable on the feet as you toss and turn, trying to get some rest. Your feet felt numb throughout the day, but now feel like they are on fire. Nothing seems to help as you watch the hours on the clock pass by, hoping to fall asleep.

Burning, numbness, tingling, hot and cold sensations, shooting and electrical pain are common sensations felt at rest in painful peripheral neuropathy. Neuropathy is an abnormality of the nervous system. There are many different types of neuropathy, but the most common neuropathy effecting diabetics is peripheral neuropathy.

Diabetic neuropathy is described as a loss of sensation that starts in the tips of the toes and gradually works its way up the legs, and in severe case into the hands. It is sometimes referred to as a stocking glove neuropathy because it progresses as if one was pulling on a stocking.

Sixty percent of diabetics have some type of neuropathy in their feet. Five percent of diabetics will experience painful diabetic neuropathy and the incidence increases with age. Over 45% of individuals who have had diabetes for over 25 years will experience some symptoms of painful diabetic neuropathy.

The cause of diabetic neuropathy is not clearly understood. Many believe that the damage to the small vessels surrounding the nerves, from the diabetes, causes damage to the nerves. Others believe the increase in blood sugar causes damage to the nerves. Despite the different theories, studies have shown better blood sugar control helps prevent progression of the neuropathy.

There are currently no treatments to help reverse diabetic neuropathy. There are no treatments which help reduce the numbness. But, there are many treatments to help decrease the pain associated with the neuropathy.

Your doctor may prescribe medications to help with the pain. There are many options, but until recently none were FDA approved for the treatment of painful neuropathy. Cymbalta®, duloxetine HCl, was recently approved by the FDA in September of 2004 for use in diabetic peripheral neuropathy at doses of 60 and 120 mg per day. This is the first drug approved for this use. Similar medications, like amitriptyline, desipramine and nortriptyline, have been used to help decrease pain and help with sleep.

Gabapentin, also known as Neurontin®, has been a successful treatment for painful diabetic neuropathy. Neurontin® was originally approved by the FDA for adjunctive use in seizures, but the benefits of this drug for other conditions, like neuropathy, soon became known. The manufacturers of Neurontin® were caught up in a controversy regarding their marketing tactics for this off label use. Many physicians still use this drug despite the controversy. Tegretol and Dilantin, common seizure medications, can be used in more severe cases. New treatments include lidocaine 5% cream, acetyl-L-canitine, nerve growth factor and Annodyne ®, infrared therapy.

To help treat painful peripheral neuropathy without prescription medications, consider the following tips:

1. Keep your blood sugar in control: Studies have shown that when blood sugars remain high, or roller coaster from high to low, peripheral neuropathy will worsen.

2. Exercise. This is probably the last thing you wanted to hear. Exercise helps increase circulation and stimulates the growth of new vessels which help slow the progression of the neuropathy. Exercising also helps to increase your pain threshold and to provide a distraction from the nerve pain in your feet.

3. Eat healthy. Besides helping to control your blood sugar, eating a wide variety of fruits and vegetables will add anti-oxidants to your diet. Anti-oxidants will combat the damaging oxidative effects glucose has on your nerves. In particular, try dark-green, leafy vegetables, yellow, orange, and red fruits and vegetables, citrus fruits and tomatoes.

4. Try red pepper powder. Capsaicin is the active ingredient in chile peppers. When applied to the feet it acts as a counter-irritant and can help decrease neuropathic pain. Capsaicin can be purchased at your local drug store. If you cannot afford capsaicin, try mixing 1 tablespoon of dry chile powder with 2 tablespoons of baby powder. Place the mixture in a sock and use the socks at night.

5. Try alpha lipoic acid. ALA is an effective anti-oxidant that has been shown to relieve pain associated with neuropathy in multiple studies. To help relieve pain, the dose must be at least 600mg a day. It is advisable to start with a lower dose, as higher doses can cause nausea, stomach upset, fatigue, insomnia and can lower blood sugar. In general, ALA is a safe supplement.

6. Try gamma linolenic acid. GLA is an essential fatty acid found in evening primrose oil. Most of the studies have shown modest results, but the possibilities are still encouraging. Take 360mg/day. Many indications require higher dosages, but side effects with long term use at higher doses may include inflammation, thrombosis (blood clots), or decreased immune system functioning.

Treating painful diabetic peripheral neuropathy is very difficult and many of the above mentioned therapies should be tried and combined. Don't expect any "cures" and make sure you give each therapy a chance to work.

 

by Christine Dobrowolski

Pre-Diabetes: Check Engine Warning Light

Your car has an early detection system and so does your body. Take 3 minutes to read this article and learn how you can save yourself a life time of aches, pains, and costly medical bills.

Have you ever had the "Check Engine" warning light come on in your car? Most newer cars have a system that monitors the performance of your car. If something is not working properly, the "Check Engine" light usually comes on.

The good news is that this "pre-warning" system can help you avoid costly damage, which may be occurring with your vehicle, by detecting small problems before they become big problems. However, the only way to be certain is to have your car inspected by an expert mechanic when the "Check Engine" light comes on.

Did you know that your body has a "pre-warning" system?

With many diseases, your body will start producing symptoms such as aches, pains, fatigue, frequent thirst, and so on. These symptoms are your body's "Check Engine" light, warning you about problems.

However, with diabetes, pre-warning signs don't always show up so easily. The medical community is calling it: Pre-Diabetes.

Today, roughly 41 million Americans have pre-diabetes which left undetected and untreated, progresses into full-blown diabetes.

The challenge with pre-diabetes is the fact that the condition doesn't like to reveal itself with noticeable symptoms. Because there are few, if any symptoms, most people will not bother having screening tests performed. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Don't wait for your "Check Engine" light to come on. Have your blood tested. Call your doctor today and make the appointment.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can greatly improve your odds and likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

Pre-Diabetes Awareness: Gamblers Understand the Odds

Do you gamble? Play Texas Hold'em poker, casino games, or lotteries? Then understanding your odds of winning is part of the challenge.

Are you planning on living a long and healthy life? A life free of aches and pains? A life full of excitement and adventure? Great, then understanding the odds of developing diabetes will surely cause you to take immediate action.

It is estimated that one in three Americans born in the year 2000 will develop diabetes. Those are terrifying odds.

Already, more than 18 million Americans live with diabetes and that number is growing. What is even more alarming is the fact that 5 million people don't even know they have diabetes.

A new buzz in the medical community calls it- Pre-Diabetes. Today, roughly 41 million Americans have pre-diabetes which left undetected and untreated, progresses into full-blown diabetes.

The challenge with pre-diabetes is the fact that the condition doesn't like to reveal itself with noticeable symptoms. Because there are few, if any symptoms, most people will not bother having screening tests performed. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Don't gamble with your health. The odds of developing diabetes are stacked against you.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can greatly improve your odds and likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

Pre-Diabetes - The Calm Before the Storm

Remember when the medical world identified pre-hypertension to better monitor your blood pressure? The new buzz: Pre-Diabetes concerns a similar condition pinpointing people who are at severe risk for getting diabetes. Because diabetes silently invades your body, early detection and corrective action are critically important.

The goal with identifying pre-diabetes is to prevent the onset of diabetes from ever happening.

How do you know if you need testing for pre-diabetes? Good question. The truth is- You may not know. It's our human nature to wait until our body produces a pain or ache before we visit the doctor's office. With pre-diabetes, noticeable symptoms like frequent thirst and urination may not occur until the disease has progressed and is already causing considerable damage to your body. Most Type 2 diabetics don't have symptoms because the onset of diabetes is so slow.

Your physician can determine if you have pre-diabetes with two common tests. The fasting plasma glucose test (FPG) and the oral glucose tolerance test (OGTT). Both require an overnight fast.

The good news is that you can likely prevent diabetes with early detection and proper care.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

Diabetes Awareness: The Downside... a New Wardrobe?

Here is some commonsense thinking:

I can't understand why anyone who has diabetes wouldn't exercise and watch what they eat.

The down side is that you may have to get an entire new wardrobe since exercise and healthy eating causes weight and size reduction.

When it happens, people tell you how great you look and that motivates you even more.

Other side effects: you'll also sleep better and feel more rested than before you started walking and eating better.

I prefer walking outside, especially when the weather is nice. I even designed a walking path about 2.5 miles long around my neighborhood; part flat and part hilly.

You'll find that a walking program helps more than your body.

"For me, walking time is good thinking time. Nobody is there to interrupt my thoughts. And even when I walk on the treadmill in front of the TV, I find it helps me get ready for the day."

Exercise and healthy eating.... A powerful duo for diabetics!

Ask your doctor about diabetes and have your blood sugar checked several times a year.

Raising Happy Diabetic Kids Part II

This is the second article in a series I am writing about how to raise happy diabetic children. You can find the first article titled Help Your Child Develope Self-Confidence in our article archives.

Sometimes the phrase "happy diabetic kids" seems to be an oxymoron. Often it seems all of the dark powers of the diabetes universe are aligned against you. You wonder if there isn't some evil house elf behind the scenes just making everyone's life miserable on purpose. Not being graduates of Hogwarts School Of Magic we can't just wave a magic wand and make it all better. We must prepare for life with diabetes and we must prepare our children. Self-Reliance is a critical skill for diabetic children to master. Think of all of the responsibilities that go into daily diabetes care. We all realize that we must keep the responsibilities we put upon our children age appropriate. Non the less, in most school aged children the ability to take some responsibility for their own care goes a long way in giving them some feelings of control over their diabetes. Last month I mentioned there are three components to raising happy children. Self-Confidence, Self-Reliance and Self-Control. No I still haven't forgotten Self-Esteem we'll get there. I'm still of the opinion that with these first three components your child can't help but develope Self-Esteem.

What is Self-Reliance?

Self-Reliance is the ability to manage on your own: to know how to manage your time, to function and think independently, combined with the ability to solve problems. With self-reliance, there is no need for other people's approval before moving forward or doing something new. It's also un-neccessary for constant guidance on how to achieve a goal. you can rely on yourself. Self-reliance is about tasks and skills -- knowing how to do things, how to achieve things or how to manage things. It also includes the ability to be alone and to think things through on your own. Self-reliance is broader than self-confidence. Self-confidence relates to what we can do, to specific skills. Self-reliance is about being independent, creative and self-sufficient; having confidence in our inner-selvs to enable us to adapt and manage on our own.

Self-Reliance helps us become:

Self-reliance is also having confidence in your own ideas. It is about being able to see things through to completion. It is about not being afraid of setting goals, and not being stopped by fear of failure. There is a common belief that the world is made up of three diffrent types of people:

those who make things happen;

those who watch things happen;

those who notice nothing until after then ask, "What happened?"

Those who have good self-reliance (and self-confidence, and self-control) develope self-esteem and make things happen. If we want our children to be able to make things happen, we don't have to think on a grand scale. It doesn't mean we all should want our children to be like Bill Gates, or Nobel Prize winners. We don't need to have our children achieve on a scale that makes a difference to others, We should aim to give our children a measure of self-reliance that allows them to keep better control of their own lives and keep choices open for them.

Self-Reliant at What?

We can encourage self-reliance in our children from a fairly early age. As soon as your child shows they can manage things for themselves, however slowly or clumsily, we should allow them to do so. Self-reliance is best introduced and experienced stage by stage, starting early and building up slowly as they become more more competent and responsible. When children are very young they have this almost unstoppable drive to become independent. Before they learn adult concepts of failure, they are willing to try over and over until they master whatever they are trying to do. This is especially true if they have older brothers or sisters. They desprately want to do what the older kids can do. If we stand in the way of letting them try or show disapproval when they don't do it quite right we can damage their belief in themselves. The more we do for them the more we prevent them from developing the ability to make judgements and decisions for themselves. The stages of self-reliance are fun to watch. The first time your baby grabs a hand full of baby food and finds their own mouth with it. When they learn to "go potty" all by themselves. When they put their own shirt on, usually backwards after wrestling with it for ten minutes. When they pick up their own room. When they start to earn an allowance. When they do their homework without you holding a gun to their head. When they go off on their first baby-sitting job. When they show you their first apartment, where you should promptly go through it turning on and leaving on every light in the place, leave the refridgerator door open and put your feet up on their new furniture. These stages progress until they present you one day with a grandchild. Clearly you cannot encourage self-reliance in your child if you are not prepared to stand back and progressively let go. Doing that in the right amounts and at the right times is hard to judge. Add the dangers of their not managing daily diabetes treatment into it and you realize just how careful you need to be. Giving them responsibility and independence depends on the age and personality of your child and on your own particular circumstances. Children can become self-reliant only if we have encouraged their independence, given them practice in making decisions that concern themselves and their health, and shown them that they can be relied upon.

We have been given a special task, raising a diabetic child. This makes us special people. If we weren't up to it we wouldn't have been entrusted with it. Self-reliance is a critical part of raising any child, diabetic or not. Diabetes just makes it more difficult and more important we help our children develope this skill.

 

by Russell Turner

Improper pH Balance Increases Risk and Damage of Diabetes

THE RISK

Blood sugar balance is critical to your body's proper functioning. Blood sugar (glucose) is the primary source of fuel for the body's cells and is particularly critical to the brain and the eyes. When glucose isn't regulated properly through the bloodstream, the body's cells don't obtain the energy they need. Excessively high blood sugar (hyperglycemia, or diabetes) or excessively low blood sugar (hypoglycemia) prevents organs from working properly and leads to a decline in health.

The body's blood sugar level is regulated primarily by the pancreas and the liver. The liver stores excess glucose and releases it when needed. The pancreas secretes insulin that helps carry glucose into the body's cells, and it secretes glucagon that triggers the release of stored glucose in the liver. When either organ fails to function properly, blood sugar becomes excessively high or low and the cells begin to "starve."

A highly acidic pH level puts the pancreas, liver, and all the body's organs at risk. Because of the important role played by the liver in removing acid waste from the body, liver function is particularly at risk when acids accumulate. When acidity prevents the liver and pancreas from regulating blood sugar, the risk of diabetes increases.

THE DAMAGE

Not only does high acidity make you vulnerable to diabetes. The impact of diabetes on the body increases the level of acid waste. Therefore improper pH balance puts diabetics at greater risk for complications such as kidney failure, gangrene and blindness.

A diabetic suffers from an excess of glucose in the bloodstream ? glucose that cannot be delivered properly to the body's cells due to lack of insulin. As the liver absorbs more and more of the excess glucose, its ability to remove toxins from the body becomes impaired. As the toxins multiply, the acid level in the body increases.

Because glucose is not delivered properly to the body's cells, the cells start to malfunction. They expel increasing amounts of acid waste. Some of the excess acid filters through the kidneys, causing damage that can lead to kidney failure. Some of the acid accumulates in the liver, further damaging the liver's ability to remove toxins.

Acid that is not filtered out or stored can attach to and harden the cell walls, further preventing the cells from absorbing nutrients. Eventually the cells die, starting with the glucose-dependent eyes and the extremities where it's more difficult for nutrients to reach. Blindness and gangrene can result.

THE BENEFITS OF A BALANCED pH

Fortunately, a significant reduction of acids in your body can lead to organ regeneration and improved health. A diet that's more alkaline can help you reverse the damage caused by acidity and diabetes.

The right combination of fresh vegetable juices, for example, can help your body break down and destroy excessive acid waste. For a doubly positive impact, eliminate sugars and refined carbohydrates from your diet. Not only do sugars and refined carbohydrates make it difficult to control your blood sugar balance, but they also increase your body's acidity. Vitamin and mineral supplements specially formulated to balance pH are an important part of your strategy as well.

If you start to balance your pH level through supplements and easy-to-learn diet and lifestyle changes, you will reduce your vulnerability to diabetes and its complications. You can look forward to a healthier life.

Raising Happy Diabetic Kids

This is the first in a series of articles I am about to embark upon concerning this subject. As my family gets older and matures with this disease I think back to the early days and wonder why aren't we all on medication for depression? Why don't we have standing twice a week appointments with a psychiatrist? How did we end up so normal?(whatever that is) As I look back this didn't happen by accident, nor am I Super Dad, and I didn't plan it out step by step. It was mostly just paying attention, luck, and decent communication between my girls and me, granted sometimes at the top of our lungs.

The first thing I suggest you do is very important. Remember, our children are who they had in mind when they coined the phrase "monkey see monkey do". Trust Yourself! It's okay to do it your way. There're three components to raising happy kids, diabetic or not. They are Self-Confidence, Self-Reliance, an Self-Control. The more of these components your monkeys see in you, the more of these components you will see in your monkeys! I'm going to put out some ideas here but you're the boss of your situation. Do it your way.

Upon reading the three components you might ask "but where is self esteem?" I'll save that particular ramble for another day. Let me just assure you that if your child has self-confidence, self-reliance, and self-control then self-esteem comes naturally.

What is Self-Confidence? Self-Confidence is:

Trusting your ability to form and sustain relationships

Trusting your ability to complete various tasks well, knowing that others value your abilities

Trusting your ability to manage new siuations

Trusting your own judgements and common sense

As you can see trust is a key element of self-confidence. When our children don't have that measure of consistency and predictability in their lives it becomes difficult for them to gain the necessary trust either in themselves or in others to become self-confident. So if our children see that the people who are most important to them (us as parents) trust them and will provide them with a consistant environment, they will begin to trust themselves, their judgements, and those of the people around them. This is the beginning of common sense.(Yahoo!)

How do our children acquire Self-Confidence? Self-Confidence comes from:

Being accepted for who you are

Having someone show confidence in you

Knowing there is something you are good at

Having firm expectations of other people's behavior

Not being afraid of failure

Developing competence with the saftey of a parent close by

Seeing others you admire and copy, being confident and happy

It seems so easy when you write it down. When you think about it three main components have to be in place: Trust and Predictability, competence, and sociability.

Trust and Predictability - We all know that routines are important for developing feelings of trust and security. Think about the routines and relationships between you and your family and friends. How much do they keep to a pattern? Will your child begin each day with a reasonably clear idea of what will happen and when?

Competence - Being good at things. We all have different talents and abilities. We need to help our children identify the things they are good at and encourage them. These skills fall into a couple of different catagories.

Practical: Seeing how to make or mend things, and build things

Physical: Good at sports, kicking or catching a ball, swimming, running

Mental: Good ideas about things, good at solving practical problems, good at schoolwork

Social: Good at playing with others, kind and considerate, good at making new friends

Process: Being good at tying new things, sticking with difficult tasks and so on

Sociability - Trust and develope their social skills. Involve them moderately in your social life. If we have our children with us it shows not only are we happy to have them with us but also that we trust they will behave appropriately. Getting used to being in new situations, and learning to talk to different people will increase our children's confidence considerably. Here's one that took me a while to figure out. Give your child advance warning of your feelings, of short temper, tiredness, sadness, or whatever. "I've had a lousy day at work and I'm very crabby. It might be smart to keep your head down and your mouth shut." Or "I've had an argument with so and so and I'm feeling hurt. If I'm short with you I'm sorry." This not only teaches them techniques for managing their own feelings, but gives them a chance to learn sensitivity to the feelings and moods of others. These are essential social skills not only for now but for later on in life.

Our children will develope self-confidence only if we have first shown trust and confidence in them and have given them an environment where they can predict and trust. Diabetes and all of the unpredictability, feelings of powerlessness, and exclusion that sometimes go with it just make this process that much more difficult. I look at it like if it was easy any idiot could do it. Well, we're not just any idiot. We're special idiots. We have been entrusted with the care and upbringing of a diabetic child. So remember you are a special person entrusted with a very special task. Trust yourself. It's okay to do it your way.

 

by Russell Turner

Diabetes Awareness: Ill Wait til it Hurts

By the time many type 2 diabetics (and often their doctors) realize action is necessary, the disease, with its destructive high blood sugars, has been silently damaging their body for years.

Complications to the blood vessels and tissues of your eyes, feet, heart, kidneys, and other organs, are likely well underway.

You visit the doctor because you feel bad, and you wish to feel better. You react to the symptoms of perceived illness. This is understandable, but does not allow much room for prevention or early detection of diabetes.

Of course this idea, "Don't see the doctor 'til it hurts," comes from our "busier-then-ever" lifestyles. But to blame, to point fingers after the damage has started is as pointless as is the leaping bungee-jumper's complaint that his equipment has just failed. It's a little late to talk about why. Some problems are better prevented.

If you have type 2 diabetes, you know most of the time you don't feel very bad. You might think that because you don't feel very bad, it isn't very serious, and you don't have to do anything about it just now. "I'll wait 'til it hurts" ...You couldn't be more wrong.

Diabetes damages your body with high blood sugars. It doesn't care whether your sugars are high from type 2, type 1, or some other cause - if they're up, they're doing damage. Type 2 diabetics who let their sugars run "because they don't feel bad" are doing serious damage to their eyes, kidneys, hearts, and nervous systems.

Suppose you have diabetes, and don't want the complications. Suppose you don't know you have diabetes, but you're from a high-risk group (maybe someone in your family has or had diabetes), and you want to cut the risks. Or, suppose you just want to feel better.

It's all the same - Your early detection, education, and prevention work best.

Don't wait 'til it hurts. Ask your doctor about diabetes and have your blood sugar checked several times a year.

Humulin or Lantus, Which Insulin For Your Child?

Humulin or Lantus? When my daughter, who was 8, was first diagnosed the Children's Hospital that was treating her put her on an insulin program of short acting Humalog NPH and long acting Humalin N. You should have seen me that first day of training after a long night in the emergency room where she was diagnosed. I was a raving lunatic to begin with so my brain was mostly mush at that point. Add to that everything began with "H". Mix this "H" with that "H" but first charge this "H" with air, then draw this "H" first followed by that "H" but make sure you roll this "H" between your palms and for crying-out-loud don't shake that "H". Anyway I guess osmosis worked and all of that information finally seeped in. We were officially diabetic now.

For those of you who may not be familiar with it, Humalog and Humalin (short and long acting insulins) are mixed in the same syringe and injected 3 times a day usually before meals. Your child is allowed a certain amount of carbohydrates for each meal that the doctor figures out based on age, weight, etc., and that's your number. My daughter's was 65 carbs max per meal and 35 max per snack. However your child hits their magic number that's it. Whether it's 65 slices of ham or half a pop-tart. Plus she had to eat 6 times a day at certain times everyday.

Well the time came when she decided she wanted a little more freedom of choice and asked me about trying Lantus. My first thought was if it's not broke don't fix it. But I can have a cupcake whenever I want so I decided my opinion was secondary. So we looked into it. Lantus is a long lasting insulin. One shot at night and she had a 24 hour basal dose of insulin. "One shot" I'm thinking to myself "that's great". But wait, you also have to take a shot of short acting insulin (a bolus) everytime you eat. 10 meals 10 shots, 3 meals, 3 shots. Even I could figure that out. You base the amount of short acting insulin on the number of carbs you are about to eat. Talk about freedom! Compared to what she had been doing it was like being re-born. she didn't care that it would mean more shots. All she heard was she could eat what she wanted when she wanted. Birthday cake, pizza parties, popcorn at the movies, boy she was ready to go. The first thing she wanted to have was a Blizzard from Dairy Queen. I looked at the chart on the wall and it read 125 carbohydrates. That was half a days carbs in a paper cup! After a couple of days of gluttony things got back to normal pretty quickly.

Remember that freedom I mentioned, it came at a price. This insulin regime is a lot of shots. Add those to the required blood tests and your talking about a lot of holes per day in a little girl. One more thing, her nighttime Lantus shot was 19 units. that's a lot of insulin all at once. In her case it went in like battery acid. These shots are no fun. However, after several months on the Lantus regime her life and the rest of my family's lives are pretty close to pre-diagnosis normal. All in all it was the right thing to do. If your doctor is suggesting Lantus or your child is asking about it, consider all of the above. We're glad we did it.

 

by Russell Turner

 

Insulin

Insulin has two critical roles in the body that we cannot live without, yet it can be the root of many health problems, including diabetes. Insulin carries sugar (glucose), fat and protein into your cells where they are used for energy and the repair of your cells. When you eat, a certain amount of the food will be converted into glucose and enter the bloodstream. As the sugar levels rise, the body senses it and the pancreas secretes insulin to lower the sugar. This is insulin's second main function.

If you eat too much of any food, especially carbohydrates (starch and sugar) the levels of glucose in the blood rise to very high levels. In turn this triggers a large release of insulin from the pancreas. Your cells will take what they need and then insulin will begin the process of converting the excess glucose, fat and protein into fat and then put it all away in your fat cells. By combining foods the right way for your body, you will maintain optimum levels of insulin throughout the day.

The best way to control insulin and fight sugar cravings is to eat protein snacks when you are hungry or when you have severe "sweet" cravings. Also, try to limit yourself to three carbohydrate-containing meals per day and try to eat vegetables with most meals and snacks.
A particularly good snack is non-fat cottage cheese and salsa. The only vegetables to avoid in the evening are corn, yellow or orange squash, peas, beets and carrots. They have high simple carbohydrate (sugar) content.

Good natural sources of protein for meals or snacks are:

Chicken breast
Turkey
Fish
Lean Pork
Lean Steak
7% or less Ground Beef
Egg whites
Egg Beaters
Tofu
Non-fat cottage cheese
Non-fat cheese
Non-fat cream cheese
Non-fat sour cream
Fat-free Ham or Canadian bacon

You can also try protein powder and protein bars.

I recommend Labrada ProPlete Protein powder. It is low fat, low carb and high protein. It comes in several flavors and you can probably get it at GNC stores or any vitamin store. It does not have artificial sweeteners. It is sweetened with Stevia, which is all-natural and it made from the root and leaves of the Stevia plant.

Labrada also makes good low-carb, sugar free protein bars. Other good protein bars are Ultimate Lo-Carb, Ultimate Lo-Carb2 and Premiere Elite. These are good as a "pretend candy bar" when you're having a craving. Just don't over do it. The last three bars I mentioned do have artificial sweeteners. You can find them at GNC, Trader Joe's and many vitamin stores.

The key is to eat frequently throughout the day and also have a real sweet treat once a week if that will help you stay away from sweets the rest of the week.

My fat loss and fitness plan "Every Body Loses" will give you the tools you need to begin a healthy weight loss program. The style of eating and exercising outlined in my book is one that you can follow for life without feeling deprived. If you're serious about losing fat and getting fit go to www.aim4nutrition.com and get started TODAY!

Good Luck and Be Well,

Aimee Deak
Personal Trainer & Nutrition Analyst
AIM 4 NUTRITION
www.aim4nutrition.com

Aimee Deak is a certified Personal Trainer & Nutrition Analyst,
author of the nutrition and fitness book "Every Body Loses" and
owner of AIM 4 NUTRITION.
She offers online personal training and training by phone.
www.aim4nutrition.com