Diabetes Blog | Diabetes Type, Treatment, & Recipes

Symptoms of Diabetes: Warning Signs of Diabetes

Lot of times diabetes goes undiagnosed as some symptoms of diabetes are so common and appears to be harmless that we don’t pay much attention to those. Research shows that if the symptoms can be detected on time and proper treatment can be done, it is possible to avoid the complications associated with diabetes.

 

Symptoms of diabetes can be sometimes similar but sometimes a little different for Type 1 and Type 2 diabetes. 

 

Type 1 Diabetes Symptoms:

  • Extraordinary thirst
  • Dried up mouth
  • More than usual trips to bathroom
  • Wright loss without even trying
  • Fatigue or weakness
  • Blurry vision

Type 2 Diabetes Symptoms:

  • Blurry vision
  • Sores cuts or which take a long time to heal
  • Itching skin or yeast infections
  • Extraordinary thirst
  • Dried up mouth
  • More than usual trips to bathroom
  • Pain in the leg

As you can see, some signs of diabetes for Type 1 and Type 2 are common. If you experience one or more of these diabetes symptoms listed above, you should consult your doctor to be on safe side.

 

Support Chris in Tour de Cure

Chris will be cycling in the American Diabetes Association’s Tour de Cure fund-raising event. Please support him with a donation by selecting the “Click Here to Sponsor Me” link on his tour page with American Diabetes Association. All of our efforts will help set the pace in the fight against diabetes.

Each mile Chris rides, each dollar he raises will be used in the fight to prevent and cure diabetes and to improve the lives of all people affected by diabetes. No matter how small or large your gift is, your generous gift will help improve the lives of more than 20 million Americans who suffer from diabetes, in the hope that future generations can live in a world without this disease.

Support Chris by making a small donation at this page
 

Diabetes Recipe: Duck Breast with Apples

Maybe its not very popular here in North America, but in French and Italian kitchens, as well as in Germany, its a rather popular food. Here’s how to make it:

1 teaspoon (5 ml) ground allspice
1 teaspoon (5 ml) freshly ground pepper
1/4 teaspoon (1.25 ml) salt
4 skinless duck breasts, 5 ounces (150 g) each, all fat removed
 refrigerated butte-flavored cooking spray
1 medium onion, 5 ounces (150 g), minced
2 large cloves garlic, minced
3 fresh sage leaves, minced or 1/4 teaspoon (1.25 ml) rubbed dried
1 teaspoon (5 ml) minced fresh rosemary or 1/4 teaspoon (1.25 ml) crushed dried
1/2 ounce (15 g) low fat, low-sodium ham, chopped
1/2 cup (120 ml) dry white wine
1/2 cup (120 ml) fat-free, no salt added canned chicken broth
2 medium Granny Smith or Fuji apples, 10 ounces total (300 g), cored and sliced
1 tablespoon (15 ml) red wine vinegar
 extra fresh sage leaves for garnish (optional)
Combine allspice, pepper, salt, and rub on the duck breasts. Allow it to stand at room temperature for 15 minutes.

Lightly spray a nonstick skillet with cooking spray. Add the duck breasts and saute on high heat until brown on both sides. Lower the heat and cook until its medium rare, taking about another 3 minutes per side. Do not overcook duck breast as will become dry and stringy. Transfer duck breasts to a heated platter and keep it warm.

Add the onion, garlic, sage, rosemary, and ham to the skillet. Stir in wine and broth. Reduce liquid to about 1/3 cup (80 ml).
Spray another nonstick skillet with cooking spray and sauté apple slices with red winger until they begin to soften, about 4 minutes. Set aside.
Add the duck breasts to the reduced sauce and reheat. Place a duck breast on each of 4 serving plates. Top with equal portions of the sauce and apples. Serve immediately.
Per serving: 257 calories (23% calories from fat), 30 g protein, 7 g total fat (2.0 g saturated fat), 15 g carbohydrate, 3 g dietary fiber, 111 mg cholesterol, 259 mg sodium
Diabetic exchanges: 4 lean protein (meat), 1 carbohydrate (fruit)

Serves 4 people

Sexual Problems in Men With Diabetes

Around 20 to 85 percent men with diabetes are estimated to suffer from sexual dysfunction. Erectile Dysfunction is a condition of constant inability in men to achieve an erection firm enough to have sexual intercourse. This condition varies in severity from man to man. Some have total inability to have an erection, some are not able to sustain an erection even if they manage to get one, or it can be occasional inability to have or sustain an erection. A current study finds that about 5% men with this condition have undiagnosed diabetes.

 

Chances of men having this condition are 300% more than men who don’t have diabetes. Also, men who have diabetes usually can suffer from erectile dysfunction as much as 10-15 years earlier than men who don’t have diabetes. So it is obvious that diabetes and sexual dysfunction in men have a proven co-relation.

 

Diabetes is not the only medical condition that can lead a man toward sexual dysfunction. Other medical conditions that can lead men toward sexual dysfunction are blood pressure, alcoholism, kidney disease, and blood vessel disease. Side effects of medications, smoking, psychological factors, and hormonal deficiencies can also lead to sexual dysfunction.

 

Lot of men are hesitant to talk to their doctor about this condition. But if you suffer from erection dysfunction, talking to your doctor is the first thing you must do. Your doctor can analyze your family history, your current other medical conditions, perform lab tests to identify the cause of ED. You may be able to get cured if certain medical condition leading you to ED can be treated first.

 

In general, there is no cure for erectile dysfunction which is commonly known as ED. However, there are ED pills like Cialis, Viagra, and Levitra (also known as Vardenafil) which can treat ED and give you an erection.

Bitter Melon Produces Sweet Results For Diabetes

We all know bitter melon as a vegetable but it is also known as a traditional Chinese medicine. Scientists recently discovered that the therapeutic properties in bitter melon can be a powerful treatment for type 2 diabetes.

Researchers pulped about a ton of fresh bitter melon and extracted four very promising bioactive components. All of these four compounds appear to activate the enzyme AMPK, a protein that is well known for regulating the fuel metabolism and enabling glucose uptake.

Type 2 diabetics have impaired ability to convert the sugar in their blood into energy in their muscles. This is partly due to not producing enough insulin, and partly because of their fat and muscle cells not using insulin effectively, a condition known as ‘insulin resistance’.

Exercise can activate AMPK in muscle, which then mediates the movement of glucose transporters to the cell surface, a very important step in the uptake of glucose from the circulation into tissues in the body. This is the single biggest reason for which exercise is recommended as part of the normal treatment program for someone with Type 2 diabetes. Four compounds extracted from bitter melon perform a very similar action to that of exercise, in that they activate AMPK.

There are diabetes drugs on the market that can activate AMPK but can have side effects. The advantage of this traditional Chinese medicine bitter melon is that there are no known side effects. Practitioners of Chinese herbal medicine have used it for hundreds of years to good effect.

 Scientists will continuing to work on the therapeutic potential of bitter melon.

Diabetes Recipe: Barbecued Chicken

Ingredients

barbecue sauce
1 10 3/4-ounce (301 g) can tomato puree
1/2 onion, 3 ounces (90 g) chopped fine
3 tablespoons (45 ml) French style whole-grain mustard
3 tablespoons (45 ml) fresh lemon juice
sugar substitute equivalent of 2 tablespoons sugar, or to taste
1 tablespoon (15 ml) Worcestershire sauce
1 to 2 tablespoons (15 to 30 ml) hot sauce (optional)
1/4 teaspoon (1.25 ml) ground allspice
1/4 teaspoon (1.25 ml) ground ginger
1/3 cup (160 ml) water
freshly ground pepper

6 chicken breasts, 6 ounces, (180 g) each, bone in, fat and skin removed
olive oil cooking spray

Prepare the coals in the barbecue or light the grill.
Making the sauce: place the tomato puree in a deep sauce pan. Add onions and let it simmer slowly, covered, for 5 minutes. Uncover and add mustard, lemon juice, sugar substitute, worcestershire sauce, pepper sauce (if needed), allspice, ginger, and water. Let it simmer slowly for about 10 minutes until the sauce gets thickened. Add the pepper as desired. Makes about 2 cups of sauce that can be frozen/refrigerated for up to 4 days, or served warm immediately.
When you are ready to grill, lightly coat the chicken breasts with cooking spray. Pat with freshly ground pepper and them place on the grill, bone side up. Grill, turning frequently, for 20 to 25 minutes. After 20-25 minutes brush both sides with barbecue sauce. Continue to grill until the chicken is no longer pink when cut with a knife.
To serve, return the barbecue sauce to the stove and bring to a rapid boil for at least 2 minutes. Transfer sauce to a serving dish and pass to spoon over chicken breasts.

Per serving (with 2 tablespoons sauce): 170 calories (10% calories from fat), 33 g protein, 2 g total fat (0.5 g saturated fat), 3 g carbohydrates, 1 g dietary fiber, 82 mg cholesterol, 246 mg sodium
Diabetic exchanges: 4 very lean protein

Lack of Deep Sleep Increases Diabetes Risk

US researchers said that deep, restful sleep is very important for keeping type 2 diabetes away,

Research said that slim, healthy young adults who were deprived of the deepest stage of sleep known as slow-wave sleep developed insulin resistance — a trait linked to type 2 diabetes — after just three nights. The research demonstrates that the importance of deep sleep not only for the brain, but for the rest of the body

The effect was comparable to gaining 20 to 30 pounds.

“It turns out deep sleep also has implications for glucose metabolism and diabetes risk,” said Van Cauter, whose study appears in the Proceedings of the National Academy of Sciences.

After three nights of disturbed sleep, eight of the nine volunteers had become less sensitive to insulin, without increasing the production of insulin.

Since insulin tells the body it has consumed energy, this deficiency can lead to weight gain and diabetes.

Reduced sleep often results from obesity and age. While most young adults spend 80 to 100 minutes per night in slow-wave sleep, this decreases to just 20 minutes for adults over 60.

“Any condition that involves a decrease in deep sleep is linked to an increase in diabetes risk. That is the case for aging and sleep apnea. This study really demonstrates a causal link,” Van Cauter said.

10 Steps to Prevent and Minimize Type 2 Diabetes

Type 2 diabetes can be prevented and in some cases reversed; all you have to do is make changes in the way you live and eat.An American Epidemic Diabetes occurs when your body does not produce or properly use insulin, the hormone needed to allow glucose and other fuels to enter your cells. Currently more than 17 million Americans have diabetes, or approximately 6.2 percent of the population. Additionally, it was recently reported that an astounding 40 percent of Americans above the age of forty are pre-diabetic. Obesity and a sedentary lifestyle are the leading risk factors for developing type 2 diabetes, and nearly 85 percent of newly diagnosed type 2 diabetics are overweight.A positive family history and consumption of trans fats are the other risk factors for this condition.

Complications of diabetes include:
· Kidney disease
· Blindness
· Heart attack
· Stroke
· Nerve damage
· Peripheral vascular disease (loss of limbs, impotence, etc.)

According to the American Diabetic Association, two out of three diabetics die from heart disease or stroke. Diabetes frequently goes undiagnosed in the early stages because minimal symptoms are present.

Symptoms of well-developed type 2 diabetes include:

· frequent urination,
· excessive thirst,
· extreme hunger,
· unusual weight loss,
· increased fatigue,
· irritability, and
· blurry vision.

Type 2 diabetes can be prevented and in some cases reversed; all you have to do is make changes in the way you live and eat. A landmark multi-center study published in the New England Journal of Medicine(February 7, 2002, Volume 346 (6)) found that individuals who lost a modest 7 percent of their body weight and engaged in thirty minutes of moderate, aerobic activity (walking) five days a week reduced their risk of type 2 diabetes by 58 percent.

Experts believe that 90 percent of all cases of type 2 diabetes cases can be prevented through dietary modifications, weight loss, and an increased activity level.

1-Maintain an optimal weight. To avoid type 2 diabetes, strive to maintain an optimal weight. This is the most powerful strategy to decrease your risk of developing type 2 diabetes, or if you already have it, to minimize its impact.

2-Exercise regularly for the rest of your life. This is the second most powerful strategy to avoid or control type 2 diabetes. Your optimal regimen should include thirty minutes or more of aerobic activity five or more days a week. Lifting weights has also been shown to be beneficial.

3-Strictly avoid or minimize the high glycemic white carbohydrates: white flour, white rice, sugar, and white potatoes. Consumption of white carbs leads to sudden elevations in blood glucose and insulin levels, which promotes weight gain and damages your cardiovascular system. When consumed over time, white carbohydrates encourage insulin resistance and may lead directly to the development of type 2 diabetes in susceptible individuals. 178 DR. ANN’S 10-STEP DIET

4-Do your fats right! Minimize saturated and strictly avoid trans fats. Saturated and trans fat contribute to heart disease and insulin resistance, the underlying metabolic problem in type 2 diabetes. Stay healthy by consuming the majority of your fats from the monounsaturated oils (extra virgin olive oil, canola oil, nuts, seeds, and avocados) and foods containing omega-3 fats (salmon, tuna, herring, mackerel, sardines, walnuts, soy, flax seed, wheat germ, and omega-3 eggs).

5-Consume your carbohydrates from the low to moderate glycemic index sources: vegetables, beans and legumes, fruit, and whole grains. Eat as many vegetables as possible, with the goal of at least five servings a day. All vegetables are great with the exception of starchy varieties, such as corn, potatoes, parsnips, and rutabagas. Vegetable superstars, for the prevention of type 2 diabetes, include: onions, broccoli, okra, brussels sprouts, dark leafy greens, tomatoes, and red and yellow peppers. Limit fruit to two servings daily, as they contain natural sugars which can elevate blood glucose and insulin levels. Avoid the sweeter, tropical fruits: bananas, mangos, pineapples, and papayas. The best fruits are berries (all varieties), cherries, apples, whole citrus, pears, plums, red grapes, apricots (dried or fresh), and peaches. Consume your grain products (cereals and breads) strictly from whole grain sources. The best whole grains for those concerned with type 2 diabetes are barley, rye, and oats. Strive to have one serving of beans or legumes a day. Although there are more than twenty-four varieties of beans available, choose those with the lowest glycemic index: soybeans, lentils, kidney beans, pinto beans, navy beans, chickpeas, black beans, and butter beans.

6-Consume some high-quality protein at each feeding. Fish, especially oily varieties like salmon, tuna, herring, mackerel, sardines, and lake trout are fantastic. Other good sources are skinless poultry, beans, wild game, soy, omega-3 eggs, and shellfish. Limit red meat to two servings or less a week.

7-Consume small, frequent meals, and neverskip breakfast. In contrast to those who skip breakfast, people who eat breakfast regularly significantly reduce their risk of type 2 diabetes. In addition, small frequent meals result in lower and more stable blood glucose and insulin levels over the course of the day.

8-Consume soy foods regularly. Soy foods have been shown to help stabilize blood glucose and insulin levels in type 2 diabetics. Make soy milk, tofu, tempeh, miso, soy nuts, and edamame a customary part of your daily fare.

9-Take your supplements. A multivitamin, 500-1,000 mg of vitamin C in divided doses, 400 IU of vitamin E, pharmaceutical grade fish oil, and a broad spectrum antioxidant. (See the next chapter for additional information on supplements.) If you have a chronic medical condition or take prescription drugs, consult your physician first.

10-Regularly consume foods high in chromium: broccoli, whole grains, oysters, lobster, shrimp, mushrooms, and brewer’s yeast.Chromium is a mineral that works with insulin to transport blood glucose from the bloodstream into the cells. Inadequate levels are known to impair insulin’s activity and contribute to insulin resistance, the dangerous metabolic condition precipitating type 2 diabetes.

Source: Dr. Ann’s 10-Step Diet

MI Seems to Be a Risk Factor for Diabetes

Myocardial infarction more than doubles the risk of new-onset diabetes and leads to a 15-fold increased risk of impaired fasting glucose, according to a study of more than 8,000 MI patients.

During a mean follow-up of 3.2 years post-MI, 3.7% of patients developed diabetes, compared with 0.8% to 1.6% for historical cohort populations with no history of MI, Dariush Mozaffarian, M.D., of Harvard, and colleagues, reported in the Aug. 25 issue of The Lancet.

Additionally, they found, 27.5% of patients developed impaired fasting glucose compared with 1.8% of historical cohorts.

“Our results indicate that myocardial infarction could be a prediabetes risk equivalent,” the authors wrote. “Smoking cessation, prevention of weight gain, and consumption of typical Mediterranean foods might lower this risk, which emphasizes the need for guidance on diet and other lifestyle factors for patients who have had a myocardial infarction.”

Although diabetes confers a well documented risk of coronary disease and MI, less is known about the impact of MI on subsequent diabetes risk. Dr. Mozaffarian and colleagues retrospectively examined the issue in 8,291 patients who had had an MI within the previous three months and were free of diabetes before the infarction. The patients were participants in the Italian GISSI Prevention trial.

New-onset diabetes was defined as use of diabetes medication or a fasting glucose of 7 mmol/L or greater. Impaired fasting glucose was defined as a blood glucose level of 6.1 mmol/L or greater but less than 7, but it was also calculated on the basis of a lower blood glucose threshold of 5.6 mmol/L.

During follow up, 998 patients (12%) developed diabetes, and 2,514 (33%) developed diabetes or impaired fasting glucose, increasing to 62% using the lower cutoff threshold.

In contrast, contemporary population-based cohort studies of middle-aged white adults have shown diabetes rates of 0.8% to 1.6%, the authors stated. The incidence of new-onset impaired fasting glucose has been 1.8%, using a blood glucose range of 5.6 to 7.0 mmol/L.

New-onset diabetes and impaired fasting glucose increased the mortality risk in MI patients. As compared with patients who had a fasting glucose of less than 5.6 mmol/L, those with a glucose level of 5.6 to 6.05 mmol/L had a 10% greater mortality during follow-up.

A glucose level of 6.1 to 7 mmol/L increased the mortality risk by 15%, and development of frank diabetes raised the mortality risk by 44% (P<0.05 for trend).

In a multivariate analysis, independent predictors of diabetes and impaired fasting glucose were:

  • Older age (hazard ratio 1.07, P<0.001)
  • Higher body mass index (HR 1.09, P<0.001)
  • Hypertension (HR 1.22, P=0.003)
  • Current smoking (HR 1.60, P<0.001)
  • Use of beta-blockers (HR 1.27, P<0.001)
  • Use of lipid-lowering agents (HR 0.78, P=0.001)
  • Higher Mediterranean diet score (HR 0.65, P=0.002)

Independent predictors o? diabetes but not IGF were inability to exercise (HR 2.43), use of diuretics (HR 1.15), and wine consumption exceeding 1 L per day (HR 1.45).

Further adjustment for baseline clinical variables revealed additional predictors of diabetes risk after MI: BMI gain during follow-up (HR 1.17), higher triglycerides (HR 1.61), lower HDL (HR 1.46), higher leukocyte count (HR 1.23), and higher consumption of butter and other oils (HR 1.26).

“These findings indicate that, just as diabetes can be considered a coronary heart disease risk-equivalent, acute myocardial infarction should potentially be considered a prediabetes risk-equivalent,” the authors said.

Lifestyle modification could play a major role in reducing diabetes risk after MI, they continued. Obesity (as reflected by BMI), smoking, and lack of physical activity are major, modifiable contributors to diabetes risk.

In a commentary on the study, Lionel H. Opie, M.D., of the University of Cape Town, South Africa, said the findings “further tie the knot between myocardial infarction and hyperglycemia-each causes the other.”

Offering a possible explanation for the link between MI and diabetes, he noted that blood glucose values of less than 5.6 mmol/L have prognostic value for diabetes.

“A reasonable hypothesis would be that the previous acute myocardial infarction was associated with an undetected modest, but definite tendency towards prediabetes at the time of the attack,” said Dr. Opie.

Source: The Lancet
Source reference:
Mozaffarian D et al. “Incidence of new-onset diabetes and impaired fasting glucose in patients with recent myocardial infarction and the effects of clinical and lifestyle risk factors. Lancet 2007; 370: 667-675.

Culturally Specific Diabetes Management Helps Low-Income Patients

Diabetes case management that takes a patient’s specific culture into consideration can help increase life expectancy and decrease the incidence of diabetes-related complications over the patient’s lifetime, a new study finds.

“Better management results in reduced long-term complications, such as blindness, stroke, amputation and nerve damage,” said lead researcher Todd Gilmer, Ph.D.

The research focused on 3,893 people with diabetes who participated in San Diego’s Project Dulce, which set out to meet American Diabetes Association standards of care. The target population was primarily low-income, underinsured Latino people.

Study participants showed “clinically significant improvements in A1c, blood pressure, low-density lipoprotein and triglycerides,” said Gilmer, an associate professor in the department of family and preventive medicine at the University of California, San Diego.

Hemoglobin A1c — a measure of how well patients control their blood glucose — low-density lipoprotein (“bad cholesterol”) and blood pressure are commonly managed risk factors among diabetes patients.

The study appears in the latest online issue of Health Services Research.

The clinical team included a registered nurse/certified diabetes educator and a medical assistant and a registered dietitian who were bilingual and bicultural. Patients underwent an initial 50-minute visit with a nurse and were asked to return for additional visits. They also had a 25-minute visit with the dietitian and were called by team members for appointment reminders.

Patients also participated in a group self-management training program consisting of an eight-week curriculum delivered by trained peer educators who had diabetes themselves and were of the same cultural or ethnic group as the participants.

The researchers used the resulting clinical and cost data in what Gilbert describes as “a model that simulates long-term effects of implementing health policies for the management of diabetes.” The model estimates the number of years of life patients gain from treatment — adjusted for quality of life — for the amount spent to deliver the treatment.

Direct medical costs over a patient’s lifetime were higher for patients who received case-management and self-management training help. Nevertheless, a further breakdown showed that about one-third of the additional costs of implementing the intervention were offset by reduced expenses of diabetes-related complications over patients’ lifetimes.

“If these individuals live longer without these complications … it gives them a higher quality of life,” Gilmer said. “It is worth it.”

“Strategies such as [those used in the study] should help our awareness of the needs to reach overall goals and prevent long-term complications related to diabetes,” said Julienne Kirk, Pharm.D., an associate professor in the department of family and community medicine at Wake Forest University.

The results of the study should encourage health systems to consider setting up similar case-management and self-management training programs for their high-risk populations, Gilmer said.

# # #

FOR MORE INFORMATION:
Health Behavior News Service: Lisa Esposito at (202) 387-2829 or hbns-editor@cfah.org.

Health Services Research is the official journal of AcademyHealth and is published by Blackwell Publishing on behalf of the Health Research and Educational Trust. Contact Jennifer Shaw, HSR Business Manager, at (312) 422-2646 or jshaw@aha.org. HSR is available online at www.blackwell-synergy.com/loi/hesr.

Gilmer TP, et al. Cost-effectiveness of diabetes case management for low-income populations. Health Services Research online, 2007.

FOR MORE INFORMATION:
Health Behavior News Service: (202) 387-2829 or www.hbns.org.
Center for the Advancement of Health
Health Behavior News Service
Contact: Lisa Esposito, Editor
202.387.2829
hbns-editor@cfah.org