Archive for July, 2006
Successful pancreas transplantation has been demonstrated to be efficacious in significantly improving the quality of life of people with diabetes, primarily by eliminating the need for exogenous insulin, frequent daily blood glucose measurements, and many of the dietary restrictions imposed by the disorder. Transplantation can also eliminate the acute complications commonly experienced by patients with type 1 diabetes.
Guidelines are never a substitute for medical judgment, and each patient's total clinical and psychosocial circumstances must be considered in their application. Therefore, there may be situations in which admission is appropriate, although the patient's clinical profile does not comply with these guidelines. For example, inadequate family resources may dictate admission of newly diagnosed type 1 diabetic patients who otherwise do not meet the admission guidelines.
PREVENTION - Many cases of DKA and HHS can be prevented by better access to medical care, proper education, and effective communication with a health care provider during an intercurrent illness. The observation that stopping insulin for economic reasons is a common precipitant of DKA in urban African-Americans is disturbing and underscores the need for our health care delivery systems to address this problem, which is costly and clinically serious.
Monitoring of glycemic status, as performed by patients and health care providers, is considered a cornerstone of diabetes care. Results of monitoring are used to assess the efficacy of therapy and to guide adjustments in medical nutrition therapy (MNT), exercise, and medications to achieve the best possible blood glucose control.
Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. The definition applies whether insulin or only diet modification is used for treatment and whether or not the condition persists after pregnancy. It does not exclude the possibility that unrecognized glucose intolerance may have antedated or begun concomitantly with the pregnancy.
Diabetic retinopathy is the most frequent cause of new cases of blindness among adults aged 20 to 74 years. During the first two decades of disease, nearly all patients with type 1 diabetes and 60% of patients with type 2 diabetes have retinopathy. In the Wisconsin Epidemiologic Study of Diabetic Retinopathy (WESDR), 3.6% of younger-onset patients (type 1 diabetes) and 1.6% of older-onset patients (type 2 diabetes) were legally blind.
Annual screening for microalbuminuria will allow the identification of patients with nephropathy at a point very early in its course. Improving glycemic control, aggressive antihypertensive treatment, and the use of ACE inhibitors or ARBs will slow the rate of progression of nephropathy. In addition, protein restriction and other treatment modalities such as phosphate lowering may have benefits in selected patients.
Urine Fast is the method routinely used by Dr.John Armstrong and described in his book The Water of Life. He showed that urine fasts had cured himself of both T.B. and diabetes something years of allopathic treatments had failed to do. He had amazing results with this method and I also found it very effective. A main advantage of a urine fast over a water fast is a greatly increased amount of energy so that the fast can be continued for a much longer period.
Major lifestyle changes are needed to prevent and treat diabetes. It is quite possible to reduce blood sugar levels through proper diet and exercise. Here are some practical steps:
Eliminate or reduce sugar, fructose, glucose, corn syrup, white bread, honey, molasses, maple syrup, fruit juice or concentrate. Avoid or reduce foods cooked at high temperatures. People […]
Before you embark on ingesting supplements, have a discussion with your health care provider to see if they are appropriate for you. If you doctor is not familiar with these herbs and nutrients, you may recommend he or she read this information. If you do take supplements for your diabetes, keep your dosages low. Further […]
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