Dear Reader,

I found following video very much informative and a must for every diabetic patient.

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• Increased urination,
• Increased thirst and
• Hunger.

Other common symptoms:

• Fatigue,
• Blurred vision,
• Urinary and vaginal infections
• Skin infections, especially fungal or more serious bacterial infections.
• Frequently upset stomach, stomach pains, nausea and vomiting

1. Retinopathy: damage to the retina of the eye that can cause blindness.
2. Nephropathy: damage to the kidneys that can lead to kidney failure.
3. Peripheral neuropathy: damage to the nerves in the limbs, which causes numbness, tingling (eg feeling like crawling of ants over the skin) and pain in the feet, legs and hands.
4. Autonomic neuropathy: damage to the nerves of the internal organs, resulting in problems with digestion, diarrhoea, impotence, fast heartbeat (“tachycardia”) and altered blood pressure.
5. Atherosclerosis: hardening or blockage of arteries, that can lead to heart attack and stroke (“Brain attack”).
6. Peripheral vascular disease: damage to the arteries causes poor circulation in the legs and feet. This poor circulation, along with nerve damage, can result in serious foot and leg infections that may require amputation.
7. Skin infections, especially fungal infections such as ringworm, jock itch, and athlete’s foot. Other bacterial infections are also common and can occasionally be life threatening.
8. Vaginal infections, as high levels of sugar encourage the growth of yeast
9. Urinary tract infections.

As diabetese is a very painful desease we are inviting all my user to discuss Diabetic related problems.

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source:American Journal of Kidney Diseases

Eating fish may reduce the occurrence of kidney disease in diabetics.

Studies in the past have shown that fish and fish oil consumption is beneficial in managing diabetes. To examine whether or not fish helps preventing kidney disease in individuals with or without diabetes, researchers from Britain studied 22,384 men and women out of which 517 were diabetic. The researchers used food frequency questionnaires to know the consumption of fish by the participants.

It was found that among the 517 diabetics, the presence of gross albumin (protein) in the urine (macroalbuminuria), an indication of advanced kidney disease, was 8.3 percent compared to 0.6% in non-diabetics. Microalbuminuria (presence of small amounts of albumin in urine – an indicator of early kidney damage) was 23% in diabetics, compared to 11% in non-diabetics. According to food questionnaire responses, 18 percent of diabetics who ate fish less than once a week had macroalbuminuria, versus 4 percent of those who included fish in their diet more than twice a week. After adjusting the data for clinical, social, demographic, lifestyle, and dietary factors, regular fish consumption remained a significant predictor of freedom from macroalbuminuria among diabetics.

The above findings could be attributed to the fact that fish has a unique nutrient composition that might prevent kidney damage by enhancing blood sugar control or improving lipid profiles.

Further studies are expected to resolve the types of fish, modes of preparation, and dietary frequency to best protect the kidneys of patients with diabetes.

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“Diabetes diet.” Simply hearing these words may be enough to make you feel overwhelmed or frustrated.

Perhaps you have said, or heard someone else express, one of these thoughts:

• Eating too much sugar causes diabetes.
• There are too many rules about choosing foods that are OK in a diabetes diet.
• You have to give up all your favorite foods when you’re on a diabetes diet.

These three statements are all myths about diabetes diets. Take a closer look at these and other myths to find out the facts about diabetes and diet.

Diabetes Diet Myth 1: Eating Too Much Sugar Causes Diabetes.

How does diabetes happen? The causes are not totally understood. What is known is that simply eating too much sugar is unlikely to cause diabetes. Instead, diabetes begins when something disrupts your body’s ability to turn the food you eat into energy.

To understand what happens when you have diabetes, keep these things in mind: Your body breaks down much of the food you eat into glucose, a type of sugar needed to power your cells. A hormone called insulin is made in the pancreas. Insulin helps the cells in the body use glucose for fuel.

Here are the most common types of diabetes and what researchers know about their causes:

• Type 1 diabetes occurs when the pancreas cannot make insulin. Without insulin, glucose piles up in your blood vessels. People with type 1 diabetes must take insulin to help the glucose into the cells. Type 1 diabetes often starts in younger people or in children. Researchers believe that it may occur when something goes wrong with the immune system.
• Type 2 diabetes occurs when the pancreas does not make enough insulin, the insulin does not work properly, or both. Being overweight makes type 2 diabetes more likely to occur. It can happen in a person of any age.
• Gestational diabetes occurs during pregnancy in some women. Hormone changes during pregnancy prevent insulin from working properly. Women with gestational diabetes usually need to take insulin. The condition may resolve after birth of the child.

Diabetes Diet Myth 2: There Are Too Many Rules in a Diabetes Diet.

If you have diabetes, you will need to plan your meals. But the general principal is simple: Following a “diabetes diet” means choosing food that will work along with your activities and any medications to keep your blood glucose levels as close to normal as possible.

Will you need to make changes to what you now eat? Probably. But perhaps not as many as you anticipate.

Diabetes Diet Myth 3: Carbohydrates Are Bad.

In fact, carbohydrates are good. They form the foundation of a healthy diabetes diet – or of any healthy diet.

Carbohydrates have the greatest effect on blood glucose levels, which is why you are asked to monitor how much carbohydrate you eat when following a diabetes diet.

However, carbohydrate foods contain many essential nutrients, including vitamins, minerals, and fiber. So one diabetes diet tip is to choose those with the most nutrients, like whole-grain breads and baked goods, and high-fiber fruits and vegetables. You may find it easier to select the best carbs if you meet with a dietitian.

Diabetes Diet Myth 4: Protein is Better than Carbohydrates.

Because carbs affect blood glucose levels so quickly, you may be tempted to eat less of them and substitute more protein. But too much protein may lead to problems for people with diabetes.

The main problem is that many foods rich in protein, such as meat, may also be filled with saturated fat. Eating too much of these fats increases your risk of heart disease. In a diabetes diet, protein should account for about 15% to 20% of the total calories you eat each day.

Diabetes Diet Myth 5: You can Adjust Your Medications to “Cover” Whatever You Eat.

If you use insulin, you may learn how to adjust the amount and type you take to match the amount of food you eat. But this doesn’t mean you can eat as much as you want, then just use more medication to stabilize your glucose level.

If you use other types of diabetes medication, don’t try to adjust your dose to match varying levels of carbohydrates in your meals unless instructed by your doctor. Most diabetes medications work best when they are taken consistently as directed by your doctor.

Diabetes Diet Myth 6: You’ll Need to Give Up Your Favorite Foods.

There is no reason to give up your favorite foods on a diabetes diet. Instead, try:

• Changing the way your favorite foods are prepared.
• Changing the other foods you usually eat along with your favorite foods.
• Reducing the serving sizes of your favorite foods.
• Using your favorite foods as a reward for following your meal plans.

A dietitian can help you find ways to include your favorites in your meal plans.

Diabetes Diet Myth 7: You Have to Give Up Desserts.

Not true! You can develop many strategies for including desserts in a diabetes diet. Here are some examples:

• Use artificial sweeteners in desserts.
• Cut back on the amount of dessert. For example, instead of two scoops of ice cream, have one. Or share a dessert with a friend.
• Use desserts as an occasional reward for following your diabetes diet plan.
• Make desserts more nutritious. For example, use whole grains, fresh fruit, and vegetable oil when preparing desserts. Many times, you can use less sugar than a recipe calls for without sacrificing taste or consistency.
• Expand your dessert horizons. Instead of ice cream, pie, or cake, try fruit, a whole-wheat oatmeal-raisin cookie, or yogurt.

Diabetes Diet Myth 8: Artificial Sweeteners are Dangerous for People with Diabetes.

Artificial sweeteners are much sweeter than the equivalent amount of sugar, so it takes less of them to get the same sweetness found in sugar. This can result in eating fewer calories than when you use sugar.

The American Diabetes Association approves the use of several artificial sweeteners in diabetes diets, including:

• Saccharin (Sweet’N Low)
• Aspartame (NutraSweet, Equal)
• Acesulfame potassium (Sunett)
• Sucralose (Splenda)

A dietitian can help you determine which sweeteners are best for which uses, whether in coffee, baking, cooking, or other uses.

Diabetes Diet Myth 9: You Need to Eat Special ‘Diabetic Meals.’

The truth is that there really is no such as thing as a “diabetic diet.” The foods that are healthy for people with diabetes are also good choices for the rest of your family. Usually, there is no need to prepare special meals.

The difference between a diabetes diet and your family’s “normal” diet is this: If you have diabetes, you need to monitor what you eat a little more closely. This includes the total amount of calories you consume and the amounts and types of carbohydrates, fats, and protein you eat. A diabetes educator or dietitian can help you learn how to do this.

Diabetes Diet Myth 10: ‘Diet’ Foods Are the Best Choices.

Just because a food is labeled as a “diet” food does not mean it is a better choice for people with diabetes. In fact, “diet” foods can be expensive and no more healthy than foods found in the “regular” sections of the grocery store, or foods you prepare yourself.

As with any food you choose, read the labels carefully to find out if the ingredients and amount of calories are good choices for you. If you have doubts, ask your diabetes educator or a dietitian for advice.

Moving Beyond Diabetes Diet Myths

Now that you know the facts about diabetes diets, you can take steps to learn even more about making wise food choices. Together with exercise and medication, you can use what you eat as an effective tool for keeping your blood glucose levels within normal ranges. That is the best diabetes diet of all.

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Inhaled Insulin has been withdrawn from the world market, due its side effects.

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When you have diabetes, stress can significantly affect your ability to control the disease. If you are under stress, you may skip meals or forget to take your medicines, which will affect your blood glucose level. Learning to deal with this stress is especially important if you have diabetes.

Although you can’t completely remove stress from your life, there are several ways you can reduce it. And by learning to better cope with stress, you can help keep your diabetes under control. Here are some tips.

Fight Stress With a Positive Attitude

When things seem to be going wrong, it’s always easier to see the bad instead of the good. Find something good in each important area of your life: work, family, friends, and health. Thinking about the good can help you get through the bad times and the stress.

Be Nice to Yourself

What are your talents, abilities, and goals? Are you expecting too much from yourself? Don’t expect more of yourself than you have or are able to give.

Accept What You Cannot Change

For those stressful situations or problems that cannot be changed, develop a simple plan of action. Ask yourself the following questions:

• “Will this be important two years from now?”
• “Do I have control over this situation?”
• “Can I change my situation?”

Talk to Someone About Your Stress

Don’t keep everything bottled up inside. If you don’t want to talk with a family member or close friend, there are counselors and clergy trained to provide support and insight. Ask your doctor for recommendations if you would like to see a psychologist or counselor.

Exercise

The benefits of exercise in reducing stress are well known, particularly for someone with diabetes. Exercise gives you a feeling of well-being and may relieve symptoms of stress.

Take Time to Relax

Practice muscle relaxation, deep breathing, meditation, or visualization.

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Hoping for a beer at the ball game, or a glass of wine with dinner?

If you have type 2 diabetes, that’s probably OK as long as your blood sugar is under control, you don’t have any complications that are affected by alcohol (such as high blood pressure), and you know how the drink will affect your blood sugar, according to the American Diabetes Association.

An alcohol-containing drink a day might even help your heart (though if you don’t already drink, most experts say that’s not a reason to start).

In moderation, alcohol may cut heart disease risk
According to a study by researchers at the Harvard School of Public Health, women with type 2 diabetes who drank relatively small amounts of alcohol had a lower heart-disease risk than those who abstained. A second study found that men with diabetes had the same reduction in heart risk with a moderate alcohol intake as non-diabetic men.

In general, the recommendations for alcohol consumption for someone with type 2 diabetes are the same as anyone else: no more than two drinks per day for men and no more than one drink per day for women. (Make sure to measure: A drink serving is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of hard liquor such as scotch, gin, tequila, or vodka.)

People with diabetes who choose to drink need to take extra care keeping food, medications, alcohol, and blood sugars in balance.

Janis Roszler, RD, a certified diabetes educator in Miami, Fla., recommends:

• Mixing alcoholic drinks with water or calorie-free diet sodas instead of sugary (and calorie- and carbohydrate-laden) sodas and other mixers.
• Once you have had your drink, switch to a non-alcoholic drink, such as sparkling water, for the rest of the evening.
• Make sure you have an eating strategy and plan in place to avoid overeating and overdrinking in social situations. Alcohol can make you more relaxed, and may lead you to make poor food or drinking decisions.
• Don’t drink on an empty stomach because alcohol can have a very rapid blood glucose lowering effect, which is slowed if there is food in your stomach.
• If you’re going to have a drink, wear your diabetes identification bracelet or necklace.

“If you become hypoglycemic and there is alcohol on your breath, police or paramedics may mistake your condition for being drunk and may not get the care you need,” says Roszler.

Alcohol may also worsen nerve damage
Some people with diabetes, though, should not consume alcoholic beverages.

Drinking can worsen nerve damage from diabetes and increase the pain, burning, tingling, and numbness that people with nerve damage often experience.

If you have complications related to your diabetes, you should be more careful about your alcohol intake. More than three drinks a day can worsen diabetic retinopathy. And even if you have fewer than two drinks per week, you can increase your risk of nerve damage (alcohol abuse can cause nerve damage, even in people without diabetes). Alcohol can also raise levels of fat called triglycerides in the blood.

Here’s something else to consider: Researchers at Kaiser Permanente in California wanted to see whether there is a relationship between drinking and diabetes self-care behaviors. The team examined survey data for 65,996 adults with diabetes to determine their levels of alcohol consumption and adherence to good health habits, such as testing their blood sugar, getting their A1C levels checked, and taking their medicines.

People who drink alcohol, the study found, are less likely to follow recommended practices than those who don’t drink, and the more they imbibe, the less likely they are to stick with recommended health practices.

Although the study doesn’t prove that drinking causes poor health behaviors, it does suggest that drinking is a marker for poor self-care.

You’ll need to test your blood sugar to gauge alcohol’s effect
If you do choose to drink, there are no specific recommendations for one type of alcoholic beverage as better than another. However, the American Diabetes Association notes that light beer and dry wines tend to have less alcohol, carbohydrates, and calories.

It’s important to test before and after having a drink to see the impact on your blood sugar, especially when you’ve first been diagnosed with diabetes or if you’re taking insulin or other medicines that can cause hypoglycemia. Treat abnormal blood sugar levels as directed by your health care team.

Alcohol usually causes blood sugar to drop (while the liver is processing alcohol, it takes a break from its other role of releasing stored glucose as needed). However, alcohol can sometimes raise blood sugar.

“I do drink alcohol in very moderate amounts,” says Donna Kay, 40, of Prairie Village, Kan., who was diagnosed with type 2 diabetes in 2003. She always checks her blood sugar before and after consuming alcohol. “If I’m at a dinner party, I’ll duck into a bathroom,” she says.

“For me,” says Kay, “beer will raise my blood glucose, while a martini will cause it to fall a little. I avoid drinks with fruit juice or a lot of sugar, such as a cosmopolitan or a piña colada. “They are not worth the blood sugar spike or the calories. Also, some alcohol, such as Baileys Irish Cream, has lots and lots of added sugar—I skip the sugary stuff so I can save those carbs for something else,” Kay says.

Red and white wine both have about 100 calories per five-ounce glass; sweeter red wines will have a higher calorie count because of the extra sugar from the grapes. A screwdriver (vodka and orange juice) made up of 1.5 ounces of vodka and eight ounces of orange juice would have 208 calories and 25 carbohydrate grams (all the carbohydrate is from the orange juice.)

You may have to adjust other food choices during the day to accommodate the extra calories and carbohydrates from alcoholic drinks. As a general rule, it is better not to “drink” your calories; healthy food choices should come first.

Source:Health.com

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An alcoholic drink during a meal may help reduce the subsequent rise in blood sugar levels.

Moderate drinking reduces heart disease and diabetes risk. This could be due to the fact that alcohol consumption reduces sugar formation in the body, scientifically known as gluconeogenesis, while increasing sensitivity to insulin.

Researchers from the University of Sydney investigated whether a drink with a meal helped in reducing the increase in blood glucose levels that occurs after eating. The study involved young adult volunteers without diabetes, and was conducted in three stages. Firstly, the effect of drinking an alcoholic beverage, beer, white wine or gin, was compared with eating the equivalent amount of calories in carbohydrate. Each of the alcoholic beverages produced a smaller rise in blood sugar than bread, while insulin response to the drinks was also lower than to bread. Secondly, it was found that blood sugar levels rose less when any of the alcoholic drinks were consumed with bread than eating bread with water. Wine had the strongest effect, while the effect of beer was the weakest. Thirdly, the participants were made to drink before a meal— specifically, the equivalent of about two drinks of beer, wine or gin an hour before eating a meal of instant mashed potatoes. The post-meal blood glucose increase was lower with drinks than when they drank water. However, there was no difference in the effect on insulin levels when an alcoholic beverage was consumed instead of water with or before a meal.

The findings suggest that moderate quantities of beer, wine, and gin reduce post-meal blood sugar by up to 37% in lean, healthy participants. This could be because alcohol reduced gluconeogenesis as well as release of glucose by the liver. The results also showed that alcoholic beverages consumed alone, with or before a carbohydrate-containing meal, are capable of reducing peak blood glucose concentrations or the overall postprandial glucose response in young, lean, healthy participants. Therefore, there is an unrecognised benefit of moderate alcohol consumption.
American Journal of Clinical Nutrition,
June 2007

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If anything, the International Diabetes Federation’s (IDF) Diabetes Atlas released early December in South Africa, only confirms what we already know: India has the largest number of people living with diabetes.

It is in the pre-diabetic phase, Impaired Glucose Tolerance, that China overtakes India, both in the prevalence and projections.

The Atlas, third in a series that began in 2000, begins with the preamble: “With the forces of globalisation and industrialisation proceeding at an increasing rate, the prevalence of diabetes is predicted to increase dramatically over the next few decades. The resulting burden of complications and premature mortality will continue to present itself as a major and growing public health problem for most countries.”

The IDF has worked on the Atlas, hoping to create an impact on the public health policy of various governments across the world, advising them to factor diabetes into their plans, according to A. Ramachandran, Director, Diabetes Research Centre and M.V. Hospital for Diabetes, Chennai.

Dr. Ramachandran, who also served on the Atlas Committee where his research has been extensively quoted, says, “we need to push the cause of fighting diabetes with governments. We believe that politicians are convinced by numbers and the Atlas serves to provide the figures to convince them.”

According to the publication, India has 40.9 million people with diabetes in India, and China follows right behind at 39.8 million diabetics.

As for the projections in 2025, India will still top the list, with 69.9 million diabetics but it is estimated that China will meanwhile put some distance between itself and India. China will have 59.3 million diabetics in 2025, the Atlas says.

However, the Atlas throws up figures that put China ahead of India in the pre-diabetic stage defined as Impaired Glucose Tolerance (IGT), again associated with insulin resistance.

In fact, China is currently way ahead of the rest of the world, with 64.3 million people with IGT, and will continue to be in 2025, according to the Atlas, with 79.1 million IGTs. India follows with a current prevalence of 35.9 million persons and a projected total of 56.2 million people in 2025.

Other key inputs in the Atlas are the extensive chapters on diabetes-related complications and cost assessments. “In virtually every developed society, diabetes is ranked among the leading causes of blindness, renal failure and lower limb amputation. Through its effects on cardiovascular disease, it is also one of the leading causes of death.”

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