Friday 31 July 2020

One Word Protects Your Brain from Diabetes and Dementia

From psychologytoday.com
By Donald Altman

This simple method reduces diabetes and dementia risk without a doctor

You might not think that diabetes and dementia have anything in common. But they have a common risk factor when it comes to one protective behaviour. And that's our "one word" for the day: Sleep.

Don't underestimate the cost of getting a good night's sleep. In fact, poor sleep may come back to haunt you years from now. Before I share a powerful ritual for training yourself to get a good night's sleep on a consistent basis, let's look at some research. 

The journal Diabetes Care just published an article that reported, "Persistent short sleep duration or changes in sleep duration from early to middle adulthood were associated with higher risk of type 2 diabetes in later life." That means that the quality of sleep you're getting today will either help or hinder you in your later years.

The American Sleep Association reports that between 50-70 million US adults have some kind of sleep disorder.

Finally, consider new research that identified a system by which waste products are cleansed from the brain. It is called the glymphatic system, and according to Maiken Nedergaard, M.D., D.M.Sc., co-director of the Centre for Translational Neuromedicine at the University of Rochester Medical Centre (URMC) and lead author of the study, “Sleep is critical to the function of the brain's waste removal system and this study shows that the deeper the sleep the better. These findings also add to the increasingly clear evidence that quality of sleep or sleep deprivation can predict the onset of Alzheimer's and dementia.”

The glymphatic system only works when we sleep. Basically, it operates by compressing brain cells and pumping cerebral spinal fluid into the brain. This fluid cleanses out waste products, including the protein beta-amyloid, which is implicated in Alzheimer’s.

Other studies show that lack of sleep can cause problems with everything from memory and processing emotions to learning and type 2 diabetes, as mentioned above. I hope this is a convincing set of reasons for guarding the brain and training yourself for a restful sleep.

If you haven't slept well for a while and don't believe it's possible for you to get a good night's sleep, think again. I have worked with former addicts (who had gotten in the habit of staying up all night) to retrain themselves to sleep normally—and this was a huge and promising signal to them that their lives were back on track.

Night-time Sleep Ritual

I like to think of the bedroom as a sacred sanctuary for sleep, rest, and rejuvenation. Now, let’s consider how you could create a Night-time Sleep Ritual that lets you prepare for sleep about an hour before bedtime. Try the sleep ritual below. You can always supplement it with the guided sleep relaxation practice in my book Simply Mindful—an easy-to-follow 5-minute practice.

Here are some important ideas and activities to consider before entering your “sleep sanctuary”:
  • Avoid electroluminescence, such as light from the TV, computer, cell phone, etc.—all of which can delay your body’s production of melatonin for up to two hours. If you have a TV or other media in your bedroom, start thinking about how you can create a tech-free zone for sleep.
  • Try drinking warm milk or chamomile tea at bedtime, which have known relaxation properties.
  • Listen to calming or soothing music.
  • Use a calming scent, such as lavender oil or rose oil.
  • Read something that is not mentally stimulating or frightening. Reading in bed may actually keep you awake longer. So, save the reading for before you go to bed.
  • Slip into comfortable sleepwear, a signal that you are preparing for sleep.
  • Avoid exercise or eating at least an hour before bedtime, because these activities stimulate the body.
Even if you have an existing sleep habit, your body will change and adapt to the new program if you give it enough time and are consistent. Craft a sleep ritual that best fits your personal needs. Do your best to sleep at the same time each night, and eventually you will train your body and brain to follow along.

https://www.psychologytoday.com/us/blog/practical-mindfulness/202007/one-word-protects-your-brain-diabetes-and-dementia

Thursday 30 July 2020

New program to reverse the effects of Type 2 diabetes and beat COVID-19

From news-medical.net

The Diabetes Reversal Company has developed a pioneering programme based on weight loss, lifestyle change and one-to-one clinical support to reduce and reverse the effects of Type 2 diabetes, helping deliver the goals in the Government’s newly published National Obesity Strategy.

The strategy aspires to help people lose weight to beat coronavirus and protect the NHS, which is particularly important for people with serious underlying health conditions like Type 2 diabetes who are more at risk. Obesity is a public health time bomb in the UK, over one in four (28.1%) of UK adults are obese, which increases the risk of developing Type 2 diabetes by 80%. The figures show that patients with diabetes make up a third of COVID related deaths in England, with Type 2 diabetes patients two times more likely at risk of dying in hospital.

The Diabetes Reversal Company has developed the world’s first GP led weight loss programme to improve and reverse the effects of Type 2 Diabetes and is accelerating its roll out through a pilot programme with London GP practices. This comes at a time when the Health Secretary Matt Hancock has said the NHS could save £100m over 5 years if everyone lost five pounds.


Company founder Dr Rabbani was inspired by the success of the Diabetes Remission Clinical Trial (DiRECT) to devise a lifestyle programme to help people improve their diabetes care. The three-phase programme of weight loss and lifestyle change has been created in collaboration with specialist NHS doctors, dietitians, and nutritionists, with app-based technology for ongoing monitoring.

Phase one involves fast evidence based weight loss with an 800 calorie a day diet for eight to twelve weeks, using specially formulated total diet replacements in the form of shakes and soups developed by experts at the Diabetes Reversal Company. The second phase reintegrates healthier versions of the patient’s preferred foods back into their diet with the support of a qualified registered nutritionist.

The final phase is based on the Diabetes Reversal Company's “Golden 5 Plan” focusing on nutrition, movement, sleep, stress management and environmental change to help patients stay healthier for longer.

This innovative work has already delivered proven results. Based on a study of 56 patients over eight to twelve weeks by a qualified nutritionist, patients experienced an average weight loss of 22.6 pounds (10.3 kg) which is over 10% of initial body weight lost and an average BMI decrease of -3.60.

Medical Director and company founder Dr Farhan Rabbani explains the importance on tackling Type 2 diabetes.

"The publication of the Government’s National Obesity Strategy marks an important step forward in tackling the surge of Type 2 diabetes collectively as a nation. The causal link between the risk and severity of COVID-19 and obesity related conditions like Type 2 diabetes means tackling the two go hand in hand. Our programme offers clinically led solutions that can deliver long term lasting change to people’s weight and feeling of well-being. We want to move away from traditional reliance on medication and start implementing more evidence-based lifestyle changes to help reduce and reverse the effects of Type 2 diabetes”.
Dr Farhan Rabbani, Medical Director and company founder



8 signs your child may have type 1 diabetes

From wral.com


About 200,000 children in the United States have type 1 diabetes, an autoimmune disease that occurs when a person’s pancreas stops producing insulin, the hormone that controls blood-sugar levels.
With early diagnosis and treatment of type 1 diabetes, children can stay out of the hospital, but a late diagnosis can lead to a life-threatening illness and can result in a child needing to be admitted to the intensive care unit, says Dr. Ali S. Calikoglu, a UNC Health diabetes specialist.
“If we can get them in and diagnosed soon after symptoms begin, they are in good shape, but if they come in after they have had symptoms for six or more weeks, they are really very sick,” Dr. Calikoglu says.
Knowing the warning signs of type 1 diabetes is critical. Here’s what to look for:

1. Frequent urination and bed-wetting

If your child starts making several trips to the bathroom or wetting the bed frequently even though he or she is toilet trained, it may be a sign that his or her kidneys are working overtime to flush out excess sugar in the blood.

2. Excessive thirst

If your child is drinking more than usual (maybe as much as a gallon), and if water isn’t quenching his or her thirst, this could be because of high blood sugar.

3. Extreme hunger

When blood sugar isn’t properly regulated, it sends conflicting messages to the brain about the need for food. It could be a red flag if your child experiences extreme hunger even after a meal.

4. Weakness/fatigue

When sugar cannot get into the cells to provide energy, this can leave the person with diabetes feeling weak and fatigued. If your child can’t keep his or her eyes open after a meal, it might be a sign that your child’s body is struggling with high blood sugar.

5. Blurry vision

Sugar lingering in the blood can cause swelling in the lens in the eye, making it difficult to focus the eyes. If your child finds that books, computer screens or handheld devices come in and out of focus at different times during the day, this can be an early sign of diabetes.

6. Unexplained weight loss

If your child is eating more but losing weight, or if your child eats the same amount and experiences sudden weight loss, this can be a warning sign of diabetes.

7. Fruity-smelling breath

If your kid’s breath smells fruity, it could indicate excess sugar in the blood.

8. Mood swings

If your child seems moodier or more restless than normal and has some of these other symptoms, diabetes could be a possible reason.
If you’re concerned that your child is showing signs of type I diabetes (also called juvenile diabetes), schedule a doctor’s appointment as soon as possible.

https://www.wral.com/8-signs-your-child-may-have-type-1-diabetes/19208491/

Tuesday 28 July 2020

How many carbs per day for a person with diabetes?

From medicalnewstoday.com

Monitoring carbohydrate intake is one of the key ways people with diabetes can manage their blood sugar levels. People living with type 1 or type 2 diabetes should aim to get 45% of their daily calories from carbohydrates

This advice comes from the Centres for Disease Control and Prevention (CDC)

Carbohydrates occur in many different foods, including whole grains, fruit, vegetables, and baked goods. By eating a safe amount of carbohydrates, a person with diabetes can:
  • stay healthier for longer
  • improve their quality of life
  • reduce the risk of diabetes complications
In this article, we look at the number of carbohydrates a person with diabetes needs per day, the factors affecting this, and how to eat a suitable amount.

Saturday 25 July 2020

The 3 best types of snacks to eat if you have diabetes

From insider.com

  • The best snacks for diabetics are high in protein, fibre, or healthy fats — and lower in carbohydrates. 
  • If you have diabetes, you should try to avoid starchy or sugary snacks, which can cause your blood sugar levels to rise. 
  • Read on to learn about the best and worst snacks for diabetics. 
  • This article was medically reviewed by Samantha Cassetty, MS, RD, nutrition and wellness expert with a private practice based in New York City.

  • To regulate blood sugar levels and stay healthy, people with diabetes must carefully manage their diet by eating the right foods, ideally in the right amounts at the right times.

    This can make snacking tricky at best and dangerous at worst, since abnormal blood sugar can lead to confusion, loss of consciousness, and in severe cases, seizures.

    Here's what you need to know about which snacks are considered healthy for someone with diabetes and which ones to avoid.

    The importance of healthy snacks for diabetics

    Counting carbohydrates is crucial for diabetics. The amount of carbs you eat, alongside the amount of insulin in your body, is essentially what determines your blood sugar levels, according to the American Diabetes Association (ADA).

    When you eat carbs, your body quickly turns them into glucose. This causes your blood sugar to rise. When your cells absorb glucose, your blood sugar then drops.
    But if you have diabetes, your cells don't absorb the glucose efficiently, so it stays in your bloodstream, leading to high blood sugar.

    In order to stabilize your blood sugar, it's important to balance out carbohydrates with other nutrients — such as protein, fibre, and healthy fats — that are not immediately turned into glucose and do not have as much of an impact on blood sugar levels.

    Most foods contain a mix of carbohydrates, protein, fibre, and fats. For diabetics, the snacks that contain less carbohydrates and more protein, fibre, and healthy fats are best.

    1. Eat high-protein snacks 

    High-protein snacks don't cause a sharp rise in blood sugar after you eat them, which means they don't require as much insulin to digest, says Amy Stephens, MS, RDN, CDE, a licensed dietitian who specializes in diabetes.

    That's because your body uses protein to build and repair tissues, instead of converting it to glucose, which would cause a spike in your blood sugars.

    In fact, a study published in the Diabetes Medicine Journal in 2016 found that for type 1 diabetics receiving intensive insulin therapy, eating between 12.5 grams and 50 grams of protein in one sitting as a snack — without any fat or carbohydrates — did not result in a spike in blood sugar.

    For context, two large, scrambled eggs contain around 12.5 grams of protein, and you'd find about 50 grams of protein in a 6-ounce steak. Of course, if your snack is high in protein but it's also high in carbs and sugar — like some protein bars — you may experience a sharp rise in blood sugar.

    Stephens recommends the following healthy, high-protein snacks for diabetics: 
    • Half a cup of low-fat cottage cheese, with 1 teaspoon of almond butter (12g protein)
    • A handful of almonds (6g protein) 
    • A few slices of turkey breast (about 3g protein per 10g of turkey breast) 
    • Two hard boiled eggs (12.5g protein) 
    • A protein shake made with almond milk (the amount of protein depends on the type of powder you use, for example, this brand of powder contains 22.9 grams of protein per 35 gram serving) 
    However, it's important to remember that if you eat more protein than your body needs, the excess protein could get stored as fat or lead to high blood sugar levels if the body releases stored sugars in response to certain hormones. For example, the study mentioned above also found that when participants ate 75g to 100g of protein in one sitting, there was a significant spike in their blood glucose levels.

    How much protein you need every day depends on your age, weight, height, sex and level of physical activity. For people with diabetes, the Joslin Diabetes Centre recommends 20% to 30% of daily calorie intake should come from protein.

    Alternatively, you can target the recommended 1g of protein per kg of body weight for diabetics — but remember the exact amount will vary depending on the factors mentioned above and should be tailored to an individual eating plan.

    2. Try some high-fibre snacks 

    Foods high in fibre are digested more slowly. That means they help delay the absorption of glucose into the bloodstream and can prevent blood sugar levels from quickly spiking.

    A study published in the Experimental and Therapeutic Medicine Journal in 2016 found that when type 2 diabetics regularly consumed more dietary fibre, their blood glucose levels and insulin resistance improved significantly.

    "Fibre can also help keep someone feeling fuller for longer," says Stephens. "This is especially helpful for type 2 patients that are overweight."

    High-fibre foods also rank low on what's known as the glycaemic index (GI), a scale that ranks carbohydrate-rich foods by how much they raise blood glucose levels. For a tasty, high-fibre snack, Stephens recommends the following:
    • One cup of roasted chickpeas (12.5g fibre) 
    • One cup of edamame beans (8g fibre) 
    • One serving of multigrain crackers with peanut butter (5g fibre) 
    • One slice of whole-grain bread with two tbsp peanut butter (4g fibre) 
    According to the Joslin Diabetes Centre, people with diabetes should eat at least 20 to 35 grams of fibre every day, and ideally 50 grams.

    3. Healthy fat snacks are also a good option

    Foods with healthy fats — that's the unsaturated fats you find in nuts, seeds, and avocados — can also slow down digestion, so the rise in blood sugar levels after eating is more gradual and delayed, according to Stephens.

    "A high-fat meal will elevate blood sugar after two to three hours, whereas a high-carbohydrate meal can spike blood sugar levels closer to one hour after eating," says Stephens. 

    Like protein, your body doesn't convert fat into glucose for energy. Instead, the fat molecules are either broken down without conversion and directly used for energy, or they go through a process called gluconeogenesis, which converts fat into glucose over a longer period of time.

    In addition, healthy fats can also help control your weight, since the slower digestion process may help you feel fuller for longer. Stephens recommends the following healthy fat snacks:
    • One avocado with egg (34g fat) 
    • One cup of sunflower seeds (24g fat) 
    • Celery with two tablespoons of peanut butter (16g fat) 
    • One cup of olives (14g fat) 
    • A handful of almonds (14g fat) 
    • One serving of whole milk plain yogurt with cinnamon (8g fat) 
    For people with diabetes, the Joslin Diabetes Centre recommends that 30% to 35% of daily calorie intake should come from healthy fats. Overall, the quality of the fats you eat — healthy, unsaturated fats instead of trans or saturated fats — is more important than the quantity.

    Avoid starchy and sugary snacks

    Your body converts foods that are high in starch or sugar into glucose immediately after eating, which can cause a quick spike in blood sugar levels. This can also lead to a large drop in blood sugar later, Stephens says.

    Ideally, you want your blood sugar levels to be as stable as possible — it's the sharp swings that can cause health problems. But starchy and sugary carbs do just this.

    Starchy carbs include white bread, white rice, pasta, and potatoes. Sugary carbs include fruit juices, sweets, chocolate, and desserts. Overall, Stephens recommends avoiding the following:

          Fruit juices (26 g carbs in one cup of orange juice)
  • Dried fruit (17g carbs in one 21g package) 
  • Pastries (26g carbs in a medium-sized croissant)
  • Cakes (36g carbs in one medium-sized piece of sponge cake) 
  • Muffins (61g carbs in a medium-sized blueberry muffin) 
  • White bread (12g carbs in one slice) 

  • For people with diabetes, the Joslin Diabetes Centre recommends 40% of daily calorie intake should come from carbohydrates.

    Stephens recommends people with diabetes should aim for about 15 to 30 grams of carbs every day depending on how much physical activity they do, whether they want to maintain or lose weight, and other health factors.

    Can diabetics eat fruit? 

    While fruit juices and dried fruit aren't recommended for their high-sugar content, fresh fruit can be part of a healthy diet for someone with diabetes. However, Stephens says it's best to have it in smaller portions, and with meals — not just as a snack — in order to minimize blood sugar spikes. 
    "I usually recommend two to three servings of fruit per day," says Stephens, "Where one serving would be three quarters of a cup of mixed fruit or berries, 10 cherries, or one medium-sized apple or orange."

    Takeaways 

    If you have diabetes, you should try to avoid snacks that are high in carbs and low protein and fibre, such as sodas or cakes.

    Instead, focus on eating snacks that are low in carbs and sugar, and high in fibre, protein, or healthy fats — such as whole-grain crackers with peanut butter. These types of snacks will help better regulate your blood sugar and keep you healthy. 

    https://www.insider.com/snacks-for-diabetics

    Friday 24 July 2020

    Plant-based diets high in carbs improve type 1 diabetes, according to new case studies

    From medicalxpress.com

                                                             Credit: CC0 Public Domain            
    Plant-based diets rich in whole carbohydrates can improve insulin sensitivity and other health markers in individuals with type 1 diabetes, according to two case studies published by researchers from the Physicians Committee for Responsible Medicine in the Journal of Diabetes & Metabolism.

    Both case studies followed individuals with type 1 diabetes who adopted plant-based diets rich in whole carbohydrates—including fruits, vegetables, whole grains, and legumes. The patients' health care teams tracked their blood sugar control, heart disease risk factors, and other health measurements before and after the diet change.

    One case study followed a female patient who was diagnosed with type 1 diabetes in 2018. At the time, her A1c was 8.7%. She initially adopted a low-carbohydrate (less than 30 grams of carbohydrate per day), high-fat diet that was high in meat and dairy. Her blood sugar stabilized, but she required more insulin per gram of carbohydrate consumed. Her total cholesterol also increased from 175 to 221 mg/dL. In January 2019, she switched to a plant-based diet, eliminating dairy products, eggs, and meat. The patient was able to decrease her insulin dosage, maintain her A1c level at 5.4%, and drop her cholesterol level to 158 mg/dL.

    "This study challenges the misconception that carbs are the enemy when it comes to diabetes," says study author Hana Kahleova, MD, Ph.D., director of clinical research at the Physicians Committee. "The patient in this case study experienced the opposite: Adding more healthful carbohydrates to her diet stabilized her glycaemic control, reduced her insulin needs, and boosted her overall health."

    The other individual—a 42-year-old man who had been diagnosed with type 1 diabetes at age 25—eliminated animal products from his diet and switched to a whole food, plant-based diet. He increased his consumption of carbohydrates from 150 grams to 400-450 grams per day. After adopting a carbohydrate-rich plant-based diet, he lost weight, required less insulin, and reduced his A1c—a measure of blood sugar levels over a 3-month period—from 6.2% to a range between 5.5-5.8%.

    The authors note that a previous small study supported the case studies' results, finding that a high-carbohydrate, high-fibre diet improved glycaemic control in 10 people with type 1 diabetes. As a next step, the authors suggest that randomized clinical trials are needed to verify the case studies' findings, assess their generalizability, and quantify the effectiveness of plant-based diets in the management of type 1 diabetes.

    Previous studies have found that low-fat, plant-based diets can be beneficial for those with type 2 diabetes. Research has also shown that those eating a plant-based diet have approximately half the risk of developing type 2 diabetes, compared with non-vegetarians.

    "Decades of research has proven that a plant-based diet can be beneficial for those with type 2 diabetes. Now, these ground-breaking case studies are offering hope that the same may be true for those with type 1 diabetes," adds Dr. Kahleova.

    https://medicalxpress.com/news/2020-07-plant-based-diets-high-carbs-diabetes.html

    Recipe: Parma ham, beetroot & mozzarella salad

    From diabetes.org.uk

    A delicious and healthy salad for warm summer days. Thanks to WW (Weight Watchers UK) for this recipe


    Serves 4
    Prep 5 minutes
    Cook 15 minutes

    Ingredients

    4 slices Parma ham
    250g asparagus tips
    100g sourdough, torn into chunks
    1tbsp olive oil
    1/2tbsp lemon juice
    11/2tsp Dijon mustard
    180g baby leaf salad
    Small handful fresh mint leaves
    300g cooked beetroot (not in vinegar), cut into wedges
    100g light mozzarella, torn

    Method
    1. Preheat the oven to 200°C, fan 180°C, gas mark 6 and line a large baking tray with baking paper.
    2. Put the Parma ham, asparagus and sourdough on the tray, then bake for 15 minutes.
    3. In a bowl, whisk together the oil, lemon juice and mustard with a splash of water to form a dressing.
    4. Toss the salad leaves, most of the mint, the beetroot, asparagus, croutons and dressing in a bowl.
    5. Divide the salad between plates. Break the Parma ham into shards, then scatter over, along with the mozzarella and remaining mint.


    Thursday 23 July 2020

    Cinnamon May Help People With Diabetes

    From wltz.com

    STUDY SUGGESTS INNAMON MAY IMPROVE BLOOD SUGAR CONTROL IN THOSE WITH PREDIABETES

    (CNN) – A new study suggests a particular spice could help pre-diabetic people.

    Researchers say they found that cinnamon may improve blood sugar and may slow the progression from pre-diabetes to type two diabetes.

    The 12-week research looked at 51 people with elevated blood sugars.

    They say adding cinnamon to the diet appeared to keep blood sugar levels stable in participants with pre-diabetes.

    They point out that longer and larger studies are still needed.

    The Journal of the Endocrine Society published the pilot study Tuesday.


    Wednesday 22 July 2020

    This Smart Watch Could Change The Lives Of People With Diabetes

    From forbes.com

    Some areas of wearable technology have struggled to find a purpose.

    The clearest is the smartwatch, still routinely used for little more than fitness tracking and phone notifications.

    Movano is working on one of the more life-changing uses for wearables, completely non-invasive glucose monitoring for people with diabetes.

    The company recently picked up an additional $10 million in funding, and plans to have a working prototype by the end of 2021.

    Movano’s specific hook is not just that it requires no fingerpick or cannula to acquire a reading, but it comes in the form of a watch.

    Currently only rendered images of the device are available. However, these clearly show Movano wants this to be a watch you might wear all the time.

             Movano's watch will offer non-invasive blood glucose monitoring for diabetics Movano

    The strap looks much like the stainless steel Milanese Loop of an Apple Watch. Its appearance is far removed from an in-development rival like GlucoWise, which looks much more like a finger prick device.

    You will simply wear the watch, and can then track your blood glucose through the day on your wrist, or in an app on your phone.

    There would be no more uncomfortable finger-prick tests, no more regular replacement of monitoring patches on your arm.

    The most important question: how does it work?

    Wearable tech’s most headline-grabbing solution for glucose monitoring is the smart contact lens, which uses the glucose levels in your tear fluid to estimate blood glucose.

    Google worked on one of these with Novartis until late 2018, when the project was canned as the results were not close enough to those of blood glucose.

    Movano’s approach has less of a sci-fi air, but is no less reliant on technology. It uses low-energy RF radio waves to detect changes in blood glucose, removing the need for the tiny tube (cannula) used in currently available continuous glucose monitoring systems.

    “Glucose has specific electrical and physical properties that can be detected by RF energy, " says Movano founder and CEO Michael Leabman.

    "When you look at water with oil in it, you can visibly see the oil on the water because light bends and reflects differently in oil and water. Similar effects happen with glucose in your blood vessel and can be measured by RF.”

    Several small scale studies have explored the viability of this kind of RF monitoring. A paper published in the Journal of Infrared, Millimeter, and Terahertz Waves in 2018 saw successful identification of a spike in a pig given a glucose injection, for example, using 58–62 GHz waves.
    Each of these experiments uses a different frequency band to analyse glucose changes. But indications are, at the very least, promising.

    Making the concept real

    The challenge now is to bring this tech down to a scale that will turn Movano’s concept images into a reality.

    “At this stage, our current focus is shrinking our technology to ensure it’s low power enough and sized right to fit into a wearable. In tandem, we’re optimizing our algorithms so that we can get accurate readings on people of all ages, body types and ethnicities in order to get FDA clearance,” says Leabman.

    Movano has quite the task ahead, as a relatively small start-up with $27 million funding to date.
    However, Leabman’s experience is rooted in the technical, rather than medical, side.

    “Over the past 20+ years, I have built four businesses, along with some key members of Movano’s engineering team, that have employed various RF solutions to tackle large scale problems elegantly and efficiently,” says Leabman.

    “Our initial vision when we started the company about 2.5 years ago was to create a platform that could be used for a variety of different health applications, including tracking sensors around the home and monitoring vitals from the human body.

    "When we realized how encouraging our first results from measuring glucose were, as well as how pervasive diabetes is, we decided to focus on developing our CGM so we could make the most impact and improve the lives of millions of people with diabetes and prediabetes.”

    An estimated 9.4% of US adults have diabetes, and 33.9% have prediabetes, according to the

    National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

    Movano hopes to have a functioning prototype that can be used for FDA trials by the end of 2021.

    https://www.forbes.com/sites/andrewwilliams/2020/07/21/this-smart-watch-could-change-the-lives-of-people-with-diabetes/#62560ce4cc50

    Tuesday 21 July 2020

    6 ways to lower your blood sugar naturally

    From insider.com

  • To lower your blood sugar, it's important to exercise regularly and lose weight. 
  • You should make sure to drink lots of water, eat less unhealthy carbohydrates, and increase your fibre intake. 
  • It's also important to manage stress if you want to lower blood sugar and keep it under control. 
  • This article was medically reviewed by Jason R. McKnight, MD, MS, a family medicine physician and clinical assistant professor at Texas A&M College of Medicine. 

  • High blood sugar occurs when your body cannot convert sugar in the blood to energy for cells. This is a common issue for those with diabetes, or those at risk. If you don't lower your blood sugar, you will be at an increased risk for serious health complications such as heart disease, kidney disease, and vision loss.

    That's why, if you already have diabetes, it's important to frequently check your blood sugar to make sure your levels stay in a normal, healthy range.

    Plus, about one-third of Americans have prediabetes — or elevated blood sugar levels — and 84% of them don't know they have it. If you have prediabetes, it's also important to lower your blood sugar levels in order to reduce your risk of developing type 2 diabetes.

    Here are six ways that you can lower your blood sugar over time:

    1. Lose weight and exercise

    The National Diabetes Prevention Program, designed by the Centres for Disease Control and Prevention, aims to help people lower their blood sugar over time to avoid type 2 diabetes.
    Participants in the Prevention Program are encouraged to lose 7% of their body weight, and exercise for 150 minutes a week. People who followed the program reduced their risk for type 2 diabetes by 58%, according to academic studies done on the program.

    2. Drink more water 

    Staying hydrated and drinking lots of water can help regulate blood sugar levels.

    "Drinking enough water rehydrates the blood and helps our kidneys flush out the excess sugar in our bodies," says Lina Velikova, MD, a medical writer who studies autoimmune diseases. It's a much healthier alternative to other beverages, which often add excess sugar.

    One 2011 study published in the journal Diabetes Care found that people who drank more than 1 litre of water each day were 28% less likely to have high blood sugar than those who drank less than half a litre.

    For reference, the recommended water intake is 1.6 litres for women and 2 litres for men, but this can depend on body weight. Read more to find out how much water you are supposed to drink a day.

    3. Limit carbohydrates

    Carbohydrates have a big impact on blood sugar levels. "The body breaks them down into sugars, which insulin then moves into cells," Velikova says. "An unbalanced diet and increased intake of carbs might be ... disrupting insulin function, causing blood sugar to rise."

    Counting carbs can help keep blood sugars in check — aim to get no more than 45% of your daily calories from carbohydrates. Not all carbs are created equal, however. Simple, refined carbs that contain sugar will spike blood sugar more than carbs with naturally-occurring sugars and fibre.

    4. Increase fibre

    Moreover, eating carbs that are rich in fibre — like fruits and vegetables — can help lower your blood sugar.

    A 2017 study published in the journal Advances in Obesity Weight Management & Control found that eating more fibre-rich fruits and vegetables — such as bananas, berries and broccoli — can help lower blood sugar and reduce body weight.

    To learn more, read about the best fruits for diabetics to eat.

    5. Eat foods with a low GI 

    The glycaemic index  (GI) helps rank foods by how they affect blood sugar. Foods with a low GI  release sugar slowly into your system, rather than flooding your blood with sugar all at once.

    Aim for foods with a GI of 55 or less (you can find the GI number by searching online or asking your doctor for a list).

    "Having a healthy diet is a proven way of keeping blood sugar within reasonable limits," Velikova says. "I recommend eating foods that the body absorbs slowly, with a low and medium glycaemic index, such as sweet potatoes, oatmeal, and most fruits, including berries and apples."

    6. Manage stress

    Stress levels can also have a direct impact on blood sugar. When you're stressed, hormones like cortisol increase blood sugar levels and make your body less effective at using insulin.
    "Eating healthy, exercising, and drinking enough water are excellent ways to reduce high blood sugar levels. However, they won't be enough if we stress a lot," Velikova says.

    She recommends reducing stress by exercising, meditating, or journaling. Learn more with our guides on how to meditate and how to practice breathing exercises that promote relaxation.

    Takeaways

    If you have diabetes or may be at risk, it's important to talk with your doctor about developing a treatment plan to lower your blood sugar and keep it under control.

    While these lifestyle changes can be very effective, some people may also need to take medication, such as insulin or metformin, to effectively lower blood sugar.

    https://www.insider.com/how-to-lower-blood-sugar

    Monday 20 July 2020

    Type 2 diabetes: Eating more of this delicious treat could help lower your blood sugar levels

    From express.co.uk

    TYPE 2 diabetes has a lengthy list of foods which are best to be avoided. This can often make a person feeling like they are missing out but there is a tasty treat which helps lower your blood sugar

    Type 2 diabetes is a worrying condition because it means the pancreas does not produce enough insulin or the cells are resistant to the insulin it produces. This could have grave effects on one’s body.  Fortunately, eating this delicious snack moderately could help lower your blood sugar.

    Dark chocolate has been proven to be beneficial to blood glucose levels.


    A six-month study published in 2018 looked at the relationship between regular dark chocolate consuming and blood glucose levels among Hispanic individuals. 


    The research suggested eating 48g of 70 per cent dark chocolate each day may help lower fasting glucose levels and reduce insulin resistance.

       Type 2 diabetes: A tasty treat which could help lower your blood sugar (Image: Getty Images)

    Dark chocolate is believed to be beneficial to blood glucose levels because it contains cacao.


    Cacao are bean-like seeds that are usually ground down to produce a bitter-tasting powder to make chocolate.


    It contains lots of nutrients, including the flavonoid epicatechin, which may help regular blood sugar levels.



    A review published in 2017 looked at the finding of several small studies which suggested cacao can help slow the progression of type 2 diabetes and reduce insulin resistance.

    A piece of high-cocoa dark chocolate is packed with many healthy components.


    “The antioxidants in chocolate help the body use its insulin more efficiently to help control blood sugar,” says Anna Simos, a diabetes education and prevention program manager at Stanford Health Care in Palo Alto, California.


    “This in turn helps lower blood sugar levels naturally and actually helps your body use your insulin.


    “As a result, it helps decrease insulin resistance, which we see in type 2 diabetes.”

              Type 2 diabetes: Snacking on dark chocolate could help lower your blood sugar                                                                            (Image: Getty Images)

    What to avoid

    It is important to avoid items that hike your blood sugar levels and top of the list are foods with a high carbohydrate content.
    Carbohydrate is broken down into glucose relatively quickly and therefore has a more pronounced effect on blood sugar levels than either fat or protein.

    The worst culprits are refined carbs such as white bread.

    In regards to cholesterol, shun saturated fats, such as processed foods where possible, because these unhealthy fats raise LDL cholesterol levels.

    Type 2 diabetes occurs when the body is unable to properly process glucose (sugar) from the diet. To keep your blood sugar levels in check, what's the best breakfast to eat in the morning?


    According to the Centres for Disease Control and Prevention (CDC), it's vital to keep blood sugar levels in the target range to prevent long-term, serious health consequences.


    Complications of out-of-whack blood sugar levels in type 2 diabetes include heart disease, vision loss and kidney disease.



    The CDC adds that staying in the target range can also "help improve energy and mood".

    https://www.express.co.uk/life-style/health/1311562/type-2-diabetes-signs-symptoms-food-dark-chocolate-lower-blood-sugar


    Friday 17 July 2020

    What causes type 1 diabetes and how to know whether you're at risk

    From insider.com

  • Type 1 diabetes occurs when your immune system mistakenly attacks the pancreas and it no longer produces insulin.
  • The major risk factors for type 1 diabetes are a family history of the condition, the presence of other autoimmune diseases, and living in colder climates. 
  • Scientists don't yet know how to prevent type 1 diabetes from developing, but you can manage the condition by checking blood sugar often and living a healthy lifestyle. 
  • This article was medically reviewed by Jason R. McKnight, MD, MS, a family medicine physician and clinical assistant professor at Texas A&M College of Medicine. 

  • Diabetes is a chronic health condition that impairs the body's ability to use or produce insulin, a hormone that regulates the conversion of sugar from food into energy, resulting in dangerously elevated blood sugar levels.

    This can happen whether you have type 1 or type 2 diabetes, though type 1 diabetes is less common.

    There are many differences between type and type 2 diabetes, and only about 5% to 10% of people with diabetes have type 1 (roughly 0.5% of Americans).

    Here's what you should know about the causes and risk factors for type 1 diabetes.

    Causes 

    "With type 1 diabetes, the body is essentially attacking itself at the pancreas so that it cannot produce any insulin," says Stephanie Redmond, PharmD, a certified diabetes educator and co-founder of Diabetes Doctor Supplements.

    Scientists classify type 1 diabetes as an autoimmune disease, which is when your immune system mistakenly attacks your own body. But they don't know exactly what causes the body to attack the pancreas and halt the production of insulin.

    Without insulin — a hormone that allows the cells in the body to absorb sugar (glucose) from the food you eat — the body is unable to fuel itself and is essentially starving. This may cause feelings of fatigue and hunger.

    Most people with type 1 diabetes experience sudden and severe symptoms, in a matter of days or weeks. These can include rapid weight loss, vomiting, or loss of consciousness in the most extreme cases. If this occurs, you should seek medical attention immediately.

    Risk factors

    Although scientists don't know exactly what causes type 1 diabetes, they have identified certain risk factors, including:

    Genetics and family history 

    Variations in the HLA gene group on chromosome 6 are associated with type 1 diabetes. Specifically, the HLA-DR3 and HLA-DR4 genes have been linked to type 1 diabetes in caucasians, who appear to develop the condition more than other races.

    Research shows that the younger a person is diagnosed, the higher the chance that their development of type 1 diabetes is a result of genetic factors. In fact, people who were diagnosed before age 11 are twice as likely to have a child with type 1 diabetes.

    Men with type 1 diabetes have a 1 in 17 chance of having a child with the condition. Women with type 1 diabetes have a 1 in 25 chance of passing it on if they have a child before age 25, but that decreases to 1 in 100 if the child is born after the woman turns 25. 
    Read more about type 1 diabetes and genetics, and what to do if it runs in your family.

    Weather and climate  

    Researchers have identified cold weather as a possible trigger for type 1 diabetes, though it is unclear why. According to the American Diabetes Association, the condition is more common in colder climates, and develops more often in the winter than the summer.
    Moreover, a 2016 study published in the journal of the European Society of Paediatric Endocrinology concluded that cases of type 1 diabetes "seems increased in relatively cold weather."

    Other autoimmune diseases

    Existing autoimmune diseases may increase your risk of developing type 1 diabetes. For example, the following conditions occur at higher rates in those with type 1 diabetes:
    • Autoimmune thyroid diseases (Hashimoto's thyroiditis and Graves' disease): 15% to 30% 
    • Autoimmune gastritis or pernicious anaemia: 5% to 10% 
    • Celiac disease: 4% to 9% 
    • Vitiligo: 2% to 10% 

    Prevention

    There is little that can be done to prevent type 1 diabetes from developing because researchers don't yet understand exactly why the condition occurs.

    However, research has indicated that breastfeeding and waiting until at least 4 months to feed babies solid food may reduce your child's risk of developing type 1 diabetes. Although researchers don't know exactly why this may be protective, they theorize that early feeding habits affect the health of the gut microbiome, which could have protective qualities against type 1 diabetes.

    In addition, people with type 1 diabetes can prevent further health complications by actively managing their condition. For example, type 1 diabetics need to check their blood sugar regularly and take insulin daily. An insulin pump or continuous glucose monitor is usually an optimal form of treatment. Read more about how to check your blood sugar at home — and the best testing devices to use.

    Overall, taking medication, exercising regularly, and eating a healthy diet can all help get your blood sugar levels under control. In fact, every 1% drop in A1C levels (a measure of blood sugar) can reduce your risk for serious health complications, such as nerve or blood vessel damage, Redmond says.

    "Actively managing diabetes is so important because you don't want to cause damage that can't be reversed," Redmond says. "The more you can keep blood sugars in range, the less risk for complications down the road."

    https://www.insider.com/what-causes-type-1-diabetes

    What causes type 2 diabetes? Know the major risk factors and how to prevent it

    From insider.com

  • Type 2 diabetes is caused by insulin resistance that develops over time. 
  • The main risk factors for type 2 diabetes include being obese, lacking physical activity, getting older, having a family history of diabetes, and belonging to certain races or ethnicities. 
  • To prevent type 2 diabetes, you can lose weight, exercise more, and adjust your diet — here's how. 
  • This article was medically reviewed by Jason R. McKnight, MD, MS, a family medicine physician and clinical assistant professor at Texas A&M College of Medicine. 

  • Diabetes affects more than 34 million Americans, or about 10% of the US population. There are two types of diabetes — and 90% to 95% of those with diabetes have type 2.

    Type 2 diabetes is closely associated with obesity and is most common in people over the age of 45, although anyone can develop it. Here's what causes type 2 diabetes, the major risk factors, and how you can prevent it.

    What causes type 2 diabetes?  

    Type 2 diabetes is caused by insulin resistance, which is when the body can't use insulin properly. Insulin is a hormone produced in the pancreas, a gland located near the stomach. This hormone regulates the process of converting the sugar from food into fuel for your body.

    When you have insulin resistance, excess blood sugar, in the form of glucose, builds in your body and deprives you of energy from the food you eat.

    "The pancreas can still create insulin, it just doesn't work as well as it should, meaning sugar gets stuck in the blood instead of the insulin moving it into the cells of the body for energy," says Stephanie Redmond, a doctor of pharmacy and co-founder of Diabetes Doctor Supplements.

    Insulin resistance first develops in people with prediabetes. One-third of Americans have prediabetes and up to 70% of those people will progress to type 2.

    Unfortunately, many people with prediabetes don't know it because they have no symptoms, so regular check-ups — including blood work to check your blood sugar levels — is important.
    The Centres for Disease Control and Prevention (CDC) also maintains a risk assessment tool for people concerned about their risk for prediabetes.

    Risk factors

    There are many proven factors that can increase your risk for type 2 diabetes:

    Obesity 

    Being overweight or obese vastly increases the risk for type 2 diabetes. In fact, research shows 80% to 85% of the risk of developing type 2 diabetes is controlled by obesity.

    Overall, obese people with a body mass index (BMI) of 30 or more, are 80 times more likely to develop type 2 diabetes than people with a BMI of less than 22 (which is within the healthy range).

    Sedentary lifestyle 

    Not getting enough exercise or movement also increases the risk for type 2 diabetes.

    For example, a 2016 study of nearly 2,500 people found that every extra hour of sedentary time each day increased the risk of developing type 2 diabetes by 22%.

    Conversely, exercising for 30 minutes daily can reduce the risk of developing diabetes by up to 58% when combined with dietary changes. That's because during exercise your muscles use more blood sugar for fuels, reducing your blood sugar levels.

    Age

    Diabetes is most common in people over 45. In fact, about 25% of Americans over 65 have diabetes, and nearly all of that figure has type 2.

    That's because insulin resistance increases with age, at the same time that the pancreas begins losing function, both of which can contribute to the development of type 2 diabetes.

    Genetics

    Although type 2 diabetes is largely caused by obesity and a sedentary lifestyle, genetics is also an important risk factor. For example, having a parent with type 2 diabetes increases your risk for the condition by 2 to 4 times.
    "My favourite saying about type 2 diabetes is that genetics loaded the gun, and lifestyle pulls the trigger," says Redmond.
    Read more about whether type 2 diabetes is genetic, and what to do if it runs in your family.

    Race and ethnicity

    Non-white Americans are more likely to develop type 2 diabetes. According to the American Diabetes Association, type 2 diabetes occurs in:

    7.5% of non-hispanic white Americans
  • 9.2% of Asian Americans
  • 11.7% of non-Hispanic blacks
  • 12.5% of Hispanics
  • 14.7% of American Indians

  • A 2018 study looking at diabetes rates in Black Americans found that biological differences, including a body type that was more likely to have fat around the abdomen, accounted for most of the increased risk. But there are also socioeconomic risk factors: minorities may have less access to affordable health care or quality food options.

    "Why these groups are more at risk is a complex question with no simple answer. For the most part, it's related to both environmental and genetic factors," says the Food and Drug Administration (FDA).

    How to prevent type 2 diabetes 

    Even if you have risk factors for type 2 diabetes, you can prevent the disease and reverse it during the initial stages of insulin resistance and prediabetes. In fact, researchers estimate that 90% of type 2 diabetes cases in the US can be prevented.

    "The key is to act early so you can prevent the pancreas from wearing out and getting damaged," Redmond says.

    For example, people who participate in lifestyle change programs backed by the CDC — including exercise and weight loss — can reduce their risk of type 2 diabetes by 58%. For people over 60, risk drops by 70%.

    Here's what you can do to prevent type 2 diabetes if you're at risk:
    • Lose weight. Dropping 7% to 10% of your body weight can reduce your risk for developing type 2 diabetes by 50%. Follow our guide for how to lose weight and talk to your doctor about what's right for you. 
    • Exercise. Even moderate exercise, such as walking briskly for 30 minutes every day, can reduce your risk of developing type 2 diabetes by 30%. 
    • Stop smoking. Cigarette smokers are twice as likely to develop type 2 diabetes. 
    • Avoid excessive drinking. Heavy alcohol consumption can increase risk for type 2 diabetes, although moderate alcohol consumption may reduce risk by improving insulin effectiveness. 
    • Adjust your diet. Eating whole-grain foods and avoiding sugary, processed snacks can help regulate your blood sugar levels. 
    Preventative care and regular physicals are also important, since most people discover they have elevated blood sugars during routine blood work.

    "This is why regular annual screenings are so important, to make sure if you have no symptoms we can still flag a higher than normal blood sugar and take action early," Redmond says.

    https://www.insider.com/what-causes-type-2-diabetes

    Thursday 16 July 2020

    Why it's so important for people with diabetes to limit their carb intake

    From insider.com

  • Experts recommend that people with diabetes get 45% of their daily calories from carbohydrates.
  • People with diabetes should consume more complex carbs from high-fibre foods than simple carbs like from fruit and milk.
  • Limiting carbs more than the recommended 45% of daily calories may provide even better results in controlling blood sugar levels.
  • This article was medically reviewed by Samantha Cassetty, MS, RD, nutrition and wellness expert with a private practice based in New York City.

  • People with diabetes have a complicated relationship with carbohydrates. While carbs are part of a healthy diet, they can also contribute to high blood sugar levels, which makes managing diabetes much more challenging. Many experts recommend that people with diabetes limit or even drastically reduce their carbohydrate intake.

    Carbs drive blood sugar levels

    Compared with proteins and fat, carbohydrates have the biggest impact on blood sugar levels, which is why keeping tabs on carb intake is so important for managing diabetes.

    The digestive system breaks carbs down into glucose, or blood sugar, which is a main source of energy for the body. When sugar enters the blood, the pancreas usually releases the hormone insulin, which allows cells to process and absorb that sugar. As they do, blood sugar levels fall.

    However, diabetes affects how people are able to produce or use insulin. In people with type 1 diabetes, their pancreas is unable to make insulin. People with type 2 diabetes can't make enough insulin, or their cells have stopped responding to it effectively, so glucose builds up in the blood.

    In both types of diabetes, this can lead to dangerously high blood sugar levels if not treated. Consistently high blood sugar levels can damage blood vessels, eyes, feet, kidneys, and the heart.

    Healthy carb intake for people with diabetes

    The Centres for Disease Prevention and Control recommends that people with diabetes get about 45% of their daily calories from carbohydrates. Put another way, for a 2,000 calories diet that equates to about three or four servings of carbohydrates.

    For those with diabetes, eating well is not just a matter of counting grams and calories, though. Choosing nutritious foods is key, says Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services in Madison, Wisconsin.

    There are two main types of carbs:

    1. Complex carbohydrates, which are found in foods like potatoes, whole grains, and corn, provide nutrients and fibre which take longer to digest. 
    2. Simple carbohydrates, which are found in fruit and milk, and in refined foods such found in snacks, candy, soda, and desserts. 
    3. Simple carbs hit the bloodstream quickly and can lead to a higher spike in blood sugar levels compared to complex carbs. 
    "If you're doing 45% carbohydrates because that's what you've been told to do, but it's all white rice and white bread and Fruit Loops, that's not healthy," Smith says. "Simple sugars have a big impact on blood sugar, while more complex carbohydrates like grains, beans, and legumes have more fibre in them, which slows blood sugar impact once your body takes it into your system."

    Lower-carb diets help stabilize blood sugar levels 

    While the 45% rule for total daily calories from carbohydrates is a general clinical guideline, there's evidence that eating fewer carbs has better results for controlling diabetes – and the fewer, the better.

    The American Diabetes Association used to recommend that people eat at least 130 grams of carbs per day, but changed their position in 2019, saying that low-carb diets are a promising way to manage diabetes.

    One way to do that is by following a low-carb, high-fat ketogenic diet, which is generally defined as eating no more than 50 grams of carbohydrates per day. When the body lacks carbs,  you have less glucose in the blood for energy. To survive, your body enters a state called ketosis, where the body produce ketones that allow it to use fat as an alternate source of energy in place of glucose.

    People on the ketogenic diet eat mainly meat, shellfish, eggs, nuts, salad, vegetables, and cheese. The key is to consume more fat than carbs so your body uses ketones for energy, which does not spike blood glucose levels.

    The diet has had impressive results in research trials and in patients, says William Yancy, associate professor of medicine and director of the Duke Diet and Fitness Centre at Duke University.

    "Studies have shown that if you feed people food with a large fat content, it doesn't raise their blood sugar or insulin levels hardly at all. You can see from several studies that people's blood sugar improves to the point that they can cut back on their medicines. That's really rewarding to the individual. It's empowering for our patients," he says.

    Smith says at least a third of her patients with diabetes aim to take in fewer than 120 grams of carbohydrates per day. "It can take out some of the up-down swings of blood sugar management, so mentally it's much less stressful for them."

    However, it may be tough for some people to follow such a restrictive diet long-term. "We've seen good health with much lower carb intake in many people. If you can stick with it, it will work. But we also have to work with what people are willing to do," Smith says.

    There are some risks associated with following the ketogenic diet, including dehydration or a sudden and potentially dangerous drop in blood sugar levels. People with diabetes should follow a ketogenic only under the guidance of an experienced clinician, Yancy says.

    https://www.insider.com/how-many-carbs-per-day-for-a-diabetic

    Wednesday 15 July 2020

    The difference between type 1 and type 2 diabetes and how to manage your symptoms

    From insider.com

  • The difference between type 1 and type 2 diabetes largely comes down to treatment.
  • People with type 1 diabetes cannot produce insulin and therefore must take multiple daily insulin injections to control their blood sugar levels.
  • People with type 2 diabetes may be able to control blood sugar with lifestyle changes to their diet and exercise routines, but medications and insulin injections are also options.
  • This article was medically reviewed by Samantha Cassetty, MS, RD, nutrition and wellness expert with a private practice based in New York City.

  • Diabetes is one of the most common chronic health conditions in the United States.
    In 2018, the American Diabetes Association reported that 34.2 million Americans, over 10% of the population, had diabetes. And that equated to $237 billion in medical costs for 2017, alone.
    There are three types of diabetes: type 1, type 2, and gestational. In this article, we focus on the different causes, symptoms, and treatments for type 1 and type 2 diabetes.

    Diabetes disrupts the body's insulin response

    Diabetes, regardless of type, affects how your body produces insulin. Insulin is what helps your body convert the sugars from food into fuel for your cells.

    Normally, the pancreas releases insulin after you eat. But people with diabetes don't produce or use insulin properly, which means blood sugar, also called blood glucose, stays elevated at dangerously high levels. This can lead to a condition called hyperglycaemia.
    All diabetics can experience hyperglycaemia, regardless of type. If not addressed, hyperglycaemia can result in a life-threatening coma. Meanwhile, chronic cases can cause organ damage.
    "These long-term complications can be severe and can lead to blindness, foot ulcers, gangrene requiring amputation, and kidney failure," says Arnold Saperstein, MD, FACP, an endocrinologist and chief medical officer at Cecelia Health.

    The difference between type 1, type 2, and gestational diabetes

    There are three types of diabetes:

    Type 1 diabetes: About 5-10% of diabetics are classified as type 1. Type 1 diabetes is when the body is unable to produce insulin on its own. This type is more often diagnosed during childhood or teens than as an adult.
  • Type 2 diabetes: Nearly 90-95% of diabetics are type 2 and the majority are adults. This type occurs when your body can't metabolize insulin properly and is progressive, meaning it often gets worse over time if not treated.
  • Gestational diabetes: Gestational diabetes occurs during pregnancy and can lead to high blood sugar levels that can be dangerous for both your health and the baby's. The condition often resolves after the pregnancy ends, but women who have had gestational diabetes are at a higher risk of later getting type 2 diabetes.
  • The causes for type 1 and type 2 diabetes are different 

    The main difference between type 1 and type 2 diabetes is how people develop the condition.
    Researchers don't yet know the exact cause of type 1 diabetes, says Saperstein. Many believe it may be caused by an autoimmune reaction, where the body attacks its own cells and is thus unable to produce insulin. However, researchers do know there are certain risk factors like:
    • A family history of type 1 diabetes 
    • A history of viral infections such as enterovirus, which usually includes respiratory and cold-type symptoms. 
    Saperstein says these factors may trigger a lack of insulin production so the body struggles to regulate blood glucose.
    Type 2 diabetes also has a genetic component. But other risk factors play a key role including:
    • A history of being overweight. 
    • A history of being inactive. 
    • The inability to access quality medical care, safe playgrounds, and full-service grocery stores can also increase the risk of type 2 diabetes in certain demographics, such as African Americans and Latino Americans.

    Type 1 and type 2 diabetes have similar symptoms 

    The symptoms for type 1 and type 2 diabetes are similar. However, how quickly symptoms develop will vary between types.

    Saperstein says that indicators of type 1 diabetes develop suddenly, within days or weeks, while those of type 2 diabetes develop more gradually, usually over a period of months to years. Some people may live with type 2 diabetes for years before seeing a doctor for a diagnosis.
    If you notice a combination of the following symptoms, this could be a sign of diabetes and you should schedule an appointment with a doctor:
    • Frequent urination 
    • Constant thirst 
    • Dry mouth
    • Dry, itchy skin 
    • Blurred vision 
    • Frequent or chronic yeast infections 
    • Slow-healing cuts and sores 
    • Severe exhaustion 
    • Unexplained weight loss
    When your blood sugar is high, the kidneys can't filter enough glucose. Therefore, extra glucose is released in the form of urination. This excess urination causes dehydration and dry, itchy skin.

    "Blurry vision can also occur due to changing fluid levels in the body leading to some swelling in the lenses of the eye," Saperstein says.
    If your doctor suspects that you might have diabetes, they'll order a fasting blood sugar test, which is performed after you've had nothing to eat or drink for at least eight hours. Or, they may order an A1c blood test which tests for average blood glucose levels during the past 3 months.

    Treatment for diabetes: Insulin shots and blood sugar monitors 

    If you have diabetes you may need to take insulin injections to help your body regulate blood sugar levels. How frequently you need to take insulin, however, will vary on what type of diabetes you have.

    Treatment for Type 1 Diabetes

    Those with type 1 diabetes must take insulin with each meal and may need to take it at other times during the day. Insulin injections can be done with a needle and syringe, a pen, or an insulin pump, which provides a steady dose of insulin throughout the day.

    Treatment for Type 2 Diabetes

    Managing symptoms of type 2 diabetes largely depends on lifestyle choices. This includes eating a healthy diet with lots of fruits, vegetables, and whole grains, as well as being active and getting enough exercise. And for some, lifestyle changes are enough to keep blood sugar levels under control.

    In a 2014 study published in the American Diabetes Association's Diabetes Care journal, a randomized control trial demonstrated that a low-carbohydrate, low-saturated fat diet helped participants manage their glucose levels effectively and reduced the risk of developing cardiovascular disease, compared to a diet that was low in fat but contained unrefined carbohydrates.

    For some, weight loss helps reduce risks and symptoms of type 2 diabetes too, Saperstein says. A 2019 review in Advances in Therapy noted that while obesity is one of the main risk factors for type 2 diabetes, aggressive weight loss protocols, like metabolic surgery, should be evaluated extensively.

    Additionally, some medications, including metformin, have been shown to reduce the symptoms of type 2 diabetes. Metformin reduces the amount of sugar your liver releases into your blood and improves the body's response to insulin, which helps in controlling blood glucose levels. However, in order to be effective, medications should be combined with lifestyle improvements like diet and exercise, Saperstein says.

    Finally, people with type 2 diabetes may need to take insulin, similar to those with type 1 diabetes. Though, you may not need daily injections and can take insulin less frequently. The frequency may change if you become pregnant, so consult with your doctor.

    https://www.insider.com/difference-between-type-1-and-type-2-diabetes

    Tuesday 14 July 2020

    Stress hormone is a crucial component of diabetes management, shows study

    From news-medical.net

    A new study by researchers at The Ohio State University Wexner Medical Centre and The Ohio State University College of Medicine documents a clear link between the stress hormone cortisol and higher blood sugar levels in people with type 2 diabetes.

    The study published online in the journal Psychoneuroendocrinology.

    "In healthy people, cortisol fluctuates naturally throughout the day, spiking in the morning and falling at night," said Dr. Joshua J. Joseph, an endocrinologist, and researcher at The Ohio State Wexner Medical Centre's Diabetes and Metabolism Research Centre who led the study.
    "But in participants with type 2 diabetes, cortisol profiles that were flatter throughout the day had higher glucose levels."

    Previous research has shown that stress and depression are two of the major causes of a flatter cortisol profile. These sustained levels of cortisol make it much more difficult to control blood sugar and manage the disease, which is why it is so important for those with type 2 diabetes to find ways to reduce stress.

    "We have begun a new trial to examine if mindfulness practices can lower blood sugar in those with type 2 diabetes," said Joseph, an assistant professor in the College of Medicine. "But this isn't the only effective form of stress relief. It's important to find something you enjoy and make it a part of your everyday routine."

    The relationship of cortisol with glucose levels was only observed in those with diabetes. However, Dr. Joseph and his team believe the stress hormone likely plays an important role in diabetes prevention and they continue to research the connection between cortisol and the development of diabetes and cardiovascular disease.

    More than 30 million Americans have Type 2 diabetes, according to the Centres for Disease Control and Prevention. With Type 2 diabetes, your body doesn't use insulin properly. Some people can manage their blood sugar levels with healthy eating and exercise, while others may need medication or insulin to help manage it.

    "Whether it's a yoga class, taking a walk, or reading a book, finding ways to lower your stress levels is important to everyone's overall health, especially for those with type 2 diabetes."

    https://www.news-medical.net/news/20200713/Stress-hormone-is-a-crucial-component-of-diabetes-management-shows-study.aspx

    Monday 13 July 2020

    Diabetes management during summer

    From eu.coshoctontribune.com
    By Emily Marrison

    What a scorcher of a week. And though we are experiencing a bit of a reprieve right now, the high temperatures are forecast again later in the week.

    People who have diabetes (type 1 and type 2) feel the heat more intensely than those who do not. According to the CDC there are several reasons why this happens.

    Diabetes can result in complications that affect the efficiency of several systems in the body. One is damage to blood vessels and nerves that can affect sweat glands. If the body cannot cool as effectively, this could lead to heat exhaustion and heat stroke.

    On days when the humidity is also high, it is harder to stay cool because sweat cannot evaporate as well. The heat index, which factors in both temperature and humidity, is a good indication of what the true effects of outdoor conditions might be.

    According to Dr. Marwan Hamaty from Cleveland Clinic, “If the heat and your activity make you sweat profusely, you may become dehydrated, leading to a rise in glucose levels. If you become dehydrated, your blood glucose levels will rise. This can lead to frequent urination, which then leads to further dehydration and even higher blood sugar levels — a kind of vicious cycle.”

    Since high temperatures change how the body uses insulin, testing blood sugar more often can help make sure it is in the target range. Physical activity can lead to low blood sugars, so people with diabetes in extreme weather conditions are at risk for both low and high blood sugars.

    Here is some advice during these hot and humid summer days:
    • Drink plenty of water — even if you are not thirsty — so you don’t get dehydrated.
    • Avoid alcohol and drinks with caffeine, like coffee and energy or sports drinks. They can lead to water loss and spike your blood sugar levels.
    • Check your blood sugar before, during and after you are active. You may need to change how much insulin you use. Ask your doctor if you would like help in adjusting your dosage.
    • Wear loose-fitting, lightweight, light-coloured clothing.
    • Wear sunscreen and a hat when you are outside. Sunburn can raise your blood sugar levels.
    • Do not go barefoot, even on the beach or at the pool.
    • Use your air conditioner or go to an air-conditioned building to stay cool. In very high heat, a room fan will not cool you enough.
    Another tip is to keep diabetes medicines, supplies and equipment out of direct sunlight or hot vehicles. Keep any medicines in a cooler when you are traveling. Just be sure not to place insulin directly on a frozen gel pack.

    https://eu.coshoctontribune.com/story/news/local/2020/07/12/marrison-diabetes-management-during-summer/5406055002/

    Saturday 11 July 2020

    How to know if your blood sugar levels are healthy

    From insider.com

  • It's important to know what a normal blood sugar is if you have diabetes, or if you may be at risk. 
  • For diabetics, normal blood sugar levels are considered between 80 to 130 mg/dL after fasting, and less than 180 mg/dL one to two hours after eating. 
  • For those without diabetes, normal blood sugar levels are considered between 70 to 99 mg/dL after fasting, and less than 140 after eating. 
  • This article was medically reviewed by Jason R. McKnight, MD, MS, a family medicine physician and clinical assistant professor at Texas A&M College of Medicine. 

  • If you have diabetes, daily management of your blood sugar levels is important to feeling your best and preventing long-term health complications.

    Blood sugar can also be an important measurement to determine your risk for diabetes. For example, those with prediabetes will have their blood sugar tested at least annually, as abnormal blood sugar levels can indicate you may be likely to develop type 2 diabetes.

    Here's what you need to know about how blood sugar is measured, what's considered normal, and how to regulate blood sugar if it's too high or low.

    What is blood sugar? 

    Blood sugar, or blood glucose, is a measurement of the amount of glucose in your blood.

    When you eat carbohydrates, your body breaks down those carbs into glucose. This becomes your body's main source of energy, and fuels the vital functions in your brain, heart, liver, and muscles, says Nestoras Mathioudakis, MD, a diabetes expert at Johns Hopkins Medicine.

    For people without diabetes, the pancreas releases insulin to help your cells absorb glucose and fuel your body. But for people with diabetes, the body does not produce insulin or it doesn't work properly, and as a result, blood sugar levels must be carefully regulated to prevent health complications.

    How to measure blood sugar levels

    There are two main ways to check your blood sugar levels:

    1. Blood glucose test. There are many at-home devices — such as finger-prick monitoring kits or continuous glucose monitors — that you can use to measure blood sugar on your own. 
    2. An A1C test. A1C is a blood test, conducted by your doctor, that describes your average blood sugar levels for the past three months. 
    Type 1 diabetics, along with some type 2 diabetics, who require insulin medication, must check their blood sugar at least four times per day, says Mathioudakis. Typically, this should be done before a meal, one to two hours after a meal, and at bedtime.

    The timing of these measurements can help determine how much insulin to use. For example, it can be important to use more insulin after a high-sugar meal, or to avoid falling into hypoglycaemia while you're sleeping.

    To check your blood sugar at home, you should use blood glucose tests, such as a glucose meter or continuous glucose monitor (CGM). Both devices measure blood sugar with the unit mg/dL, which means a milligram of sugar per decilitre of blood.

    If you don't have diabetes, but you may be at risk, your doctor might have you take an A1C test during a yearly check-up. This test reports results as a percentage; the higher the percentage, the higher your blood sugar has been in the past three months. Those with diabetes should get an A1C test at least twice a year — and sometimes every three months.

    What's normal? 

    Overall, what is considered a normal blood sugar level can look different depending on someone's age, weight, gender, and other factors.

    For example, a 2017 study published in the journal Physiology & Behaviour suggests that women could have lower fasting blood glucose levels and be more insulin resistant due to lower muscle mass compared to men. However, the same study finds that pre-diabetic symptoms like impaired fasting glucose is more common among men. Normal blood sugar levels also increase as you age.

    So, talk with your doctor about what normal blood sugar is for you in order to best manage your health.

    How to regulate your blood sugar levels 

    Most of the time, you'll be able to regulate your blood sugar on your own if it's too high or low.
    If your levels are too high — over 140 mg/dL before a meal or 180 mg/dL after a meal — you may be experiencing hyperglycaemia. Symptoms can include:
    • Headache 
    • Irritability
    • Fatigue 
    • Frequent urination
    • Excess thirst
    To lower blood sugar, you'd want to use more insulin medication to help your cells absorb glucose.

    On the other hand, hypoglycaemia is when your blood sugar is too low, typically under 70 mg/dL. Common signs may include:
    • Hunger
    • Nausea
    • Confusion
    • Feeling shaky or sweaty
    • Blurred vision
    If you need to raise your blood sugar, you should eat a glucose tablet or drink something sugary, such as fruit juice.

    Mathioudakis says that those with a family history of diabetes — and who show high fasting glucose — should talk with their doctor about how to regulate blood sugar levels. And if your blood sugar spikes too high, such as 200 mg/dL or more, you should seek immediate medical attention.

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