Living With Type 2 Diabetes - The Importance Of Knowing Your ABCs

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A week ago, I was doing an admit history and physical on a new patient. He had been a type 2 diabetic for over 15 years. Unfortunately he had developed kidney failure and was initially doing well on peritoneal dialysis. Recently he had developed an infection in his belly and so had to be changed to hemodialysis.

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How is Living With Type 2 Diabetes - The Importance Of Knowing Your ABCs

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He seemed well versed on how his blood sugars were doing, recognizing that the recent infection was causing the sugars to rise.

He had great insight for a person living with diabetes.

I was impressed and then asked him this, 'So what's your A1C?' He gave me a blank stare, 'What's that?' he replied. I was taken aback at his response, 'You know your glyco hemoglobin?' I ventured again. Another blank stare. 'Never heard of that' he responded off handedly.

Here was a guy who by all intents and purposes seemed actively engaged in managing his diabetes. And yet he had NEVER heard of the A1C!

So I've decided to dedicate this week, to getting to know your numbers.

One of the keys to Living powerfully with diabetes is to know your numbers.

I love acronyms. Using the letters of the alphabet in an easy to understand way. This is how my upcoming book, 'Dr Eno's guide to Living Powerfully with Diabetes' is organized. Using the letters of the alphabet, I take on different topics in the learning about diabetes.

Today, I'm going to use the simple acronym ABCs. The first item will be for what I'll call actual numbers and the smaller 'a' will go with some of the lifestyle adjustments that need to be made as a person living with type 2 diabetes.

So here goes:

A for A1C and activity

B for Blood sugar and bmi

C for Cholesterol and calories

A1C

A1C is a short name for glycosylated hemoglobin. Now I know that may sound like a mouthful so we made it easier and abbreviated it to the A1C. The A1c is calculated as a percentage point. It's the average of the blood sugar levels over the past 6- 8 weeks. The A1C measures the amount of sugars that attached to the red blood cells.

The higher the blood sugars, the higher the A1C. Typically the red blood cells live for about 120 days before they die off.

A1C is measured as a percentage and the goal is to keep it less than 6.5% or 7%. The latter depends on which recommendations your doctor is going by. I typically like to keep it really simple.

I encourage my diabetes patients to aim for less than 7%. An A1C less than 7% correlates with sugars on average less than 140 mg/dl.

So remember this is the average of what your sugars have been over the last 6- 8 weeks. Even if at times the sugars go higher than 140 mg/dl, but the average readings are less than or around 140 mg/dl, then there's a good chance that your A1c will be within the range of 6.5-7%.

How to get tested for the A1C:

This is one test in which it is not necessary for you to fast overnight. Most healthcare providers can do this test in their office. There are also home test kits available. If you decide to start doing home testing, please be sure to share your results with your healthcare provider so that they can keep track with you.

Activity

In order to live powerfully with diabetes, I encourage my patients to adapt some form of physical activity. Increased physical activity helps to not only control blood sugars but also has many other benefits. I have listed over 61 benefits of exercise.

I know a lot of people have time as an excuse for not getting active. But there are creative ways to incorporate physical activity into your daily activity that adds up.

For instance instead of looking for one 30-45 minute block of time, how about creating 3-4 10-15 minute blocks of time throughout the day? Instead of taking the elevators, look for every opportunity to take the stairs. Get to work 15 minutes earlier park 2 blocks further and walk. Get a pair of ankle weights 2-5 lbs and walk around with them during your day. Spend time walking outdoors. If you have a dog instead of delegating that task to your kids, get a long leash and walk it!

I just came up with just a few ways to increase physical activity. Take a look at the benefits of exercise and see whether that will motivate you to come up with some more.

Blood Sugar

For a type 2 diabetic, whether speaking with your healthcare provider or with a family member or friend, the discussion always goes to how the blood sugars are. This is also known as home blood glucose monitoring. Sometimes I'm surprised to find a patient who has no interest in checking their blood sugars.

Knowing your blood sugar levels gives you instant feedback as to how well you are managing your diabetes. It alerts you to a problem even before your healthcare provider becomes aware. I always try to remind my patients that on average barring any complications that require more frequent visits to see me, on average I only get to see them 4-5 times a year. That's every 3-4 months!

Knowing your blood sugars is a key component to living powerfully with diabetes.

A common drawback I hear from some type 2 diabetics is they do not like to stick their fingers every day as it becomes painful.

I always have a counter offer:

If your A1C is less than 7% then I allow checking blood sugars 3-4 times a week.

I also outline a strategy in my upcoming book on how to get the maximum amount of information from those blood sugars not only for yourself but also your healthcare provider.

BMI

With the current obesity epidemic and more than 2/3rds of Adult Americans are overweight or obese.

The BMI is the most practical way to evaluate the degree of excess weight. It is calculated from the weight and square of the height as follows:

BMI = body weight (in kg) ÷ stature (height, in meters) squared

BMI correlates with body fat and is relatively unaffected by height.

When I had an office-based practice I intentionally kept a BMI chart in each of my examining rooms. This gave my patients time to take a long and hard look at their BMI before I came in to see them.

I was often bemused when I heard some patients state they were a 'little overweight' and then be shocked to discover they are in fact they are obese.

Know your BMI

Remember my mission is to arm you with knowledge. With knowledge comes the power to make more powerful decisions and choices.

The definition of overweight and obesity varies by race.

Overweight for Caucasians is a BMI between 25 and 29.9 kg/m2.

Obesity is when the BMI of 30 kg/m2 or more.

For Asians, overweight is a BMI between 23 and 29.9 kg/m2. And obesity a BMI >30 kg/m2.

The WHO and NHLBI Guidelines are currently applied to whites, Hispanics and blacks.

Just as I shared there are charts and also you can get apps and also computer software to assist in the calculation of BMI. A simple way would be to check with your healthcare provider.

Cholesterol

Cholesterol is produced in the liver. It gets transported from the liver to the cells of the body attached to proteins. Once attached to proteins it becomes lipoproteins. It has many functions in the body and they help to keep us healthy. In my book, I share with you the ways that cholesterol works in our bodies.

However just as sugars serve a good function but once they run high they can cause diabetes, the same thing happens to cholesterol.

It is important to know your numbers for the lipoprotein levels. Lipoproteins are also known as lipids.

You should get a fasting lipid panel as part of your routine diabetes care at least once a year.

There are several components of the fasting lipid panel:

HDL (High Density Lipoprotein) I call it the 'happy cholesterol' This level should be more than 40 mg/dl. More than 60 mg/dl is excellent. LDL (Low Density Lipoprotein) I call it the 'lousy cholesterol'. You want to keep this as LOW as possible. The current guidelines are to get the LDL as low as 70 mg/dl. Triglycerides - simply put are all the fatty substance in your blood. Currently a lot of experts feel that triglycerides can cause heart disease alone. The goal is to keep the triglycerides less than 150 mg/dl.

Calories

The amount of calories that you eat plays a critical role in how well controlled your blood sugars are going. Calories are also tied directly to how much weight you gain or lose. It's a very simple equation.

Calories in more than calories out = gain in weight (high BMI + High blood sugars + high A1C)

Calories in less than calories out = weight loss (lower BMI + normal blood sugars + normal A1C)

Ways to monitor your calories:

I have dedicated an entire chapter to nutrition in my soon to be released book.

A simple way to start of is to simply watch your portion sizes. Don't fill your plate Eat only till you are about 80% full. This is a principle that the Okinawan's in Japan use. They live into their 100s. Increase your intake of fruits and vegetables. Drink at least half your body weight in ounces of water per day. This helps to keep you full. Increase the intake of fiber. This also helps control your blood sugars.

So there you have it. A guideline to knowing your numbers. I'd recommend that you bookmark this article and come back and read it often.

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Blood Glucose Levels - The Importance of Blood Sugar Monitoring

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Glucose is a type of sugar that fuels bodily functions. This sugar molecule is broken down from the ingestion of food, more in particular carbohydrates. The glucose molecules will then be absorbed by the body through the bloodstream which will then be transported all throughout the body. To be able to reap the energy-providing capacities of glucose for the cells, what is required is the hormone insulin. Special types of cells, called beta cells that are found in the pancreas synthesize insulin. This is exactly what occurs in a healthy individual although this is not the case with individuals who are suffering from diabetes. In the case of diabetes, the pancreas either does not or is not capable of synthesizing the insulin hormone in order to regulate blood glucose levels. This condition can actually lead to a lot of many health concerns, which usually take place in people who are suffering from diabetes.

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How is Blood Glucose Levels - The Importance of Blood Sugar Monitoring

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The blood glucose levels usually elevates whenever you eat a meal. This raise prompts the pancreas to generate the insulin hormone in order to aid in maintaining the blood sugar levels and help in the utilization of glucose molecules as energy for the cells. In diabetes sufferers, there is either no or a lack of insufficient volumes of insulin synthesized thereby causing the increase of the levels of glucose in the bloodstream. Glucose, if found excessively in the body, causes the blood to be thicker thereby making the heart to pump the blood to supply the entire body. In addition to this, excessive amounts of blood glucose in the bloodstream cause the inability of the blood to carry on other essential substances such as nutrients as well as oxygen molecules. The liver and the kidney are also overworked because the insulin hormone assists in making the excretion of glucose from the blood a lot easier. When insulin is present, the kidneys and the liver degenerate because there is no fuel that will provide the energy to make these functions possible and the glucose will tend to become thick in the excretory organs.

All of these events is not a one-time deal just as like a stroke or a heart attack. The disease wears away the capabilities of the organs slowly, thereby brewing up to organ failure in the future. This is for the very reason why diabetes sufferers should have their blood sugar levels to be regularly monitored in order to prevent serious complications to take place in the long run. Blood glucose can be monitored can be done easily. There are two major ways on how to do blood glucose monitoring: the simple ways and with the use of some laboratory tests. The following are some of the basic and simple blood glucose monitoring procedures that are done these days:

1. The Fasting Plasma Glucose Test

2. Hemoglobin A1c test

3. The Urine Test

4. The blood sugar strip test

5. Observation of the body

Monitoring of blood glucose is much of the essence for sufferers of diabetes living at home as not everybody has the access or the means to take the tests that would certainly tell the level of blood sugar present.

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What is normal Blood Glucose Level?

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What is normal blood glucose level? An old age man asked from his mate in the garden. "Between 70 and 150 mg" His mate replied. Well this may be a matter of conversation between two old age citizen who had already witnessed 70 springs of their life but not you. But an old adage says "prevention is better then cure". So in this report we will try to examine what is glucose? What is its purpose in blood? What are potential hazards of excess estimate in the blood etc. Just read on.

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Before we start talking about "Normal blood glucose level" it's honestly requisite for us to understand what honestly this glucose is and what's its purpose? Glucose is popularly known as "grape sugar", "corn sugar" or blood sugar as well. Glucose is major contributor to the energy department of our body and it is requisite ingredient for our brain to work properly, and hence its availability influences psychological processes. Glucose mainly enters in our blood through the diet we eat. Glucose is goods of primarily two types of carbohydrates. Simple carbohydrates contain fruits, fruit juices, table sugar, sweets and alcoholic beverages and complex carbohydrates are regularly in the form of starch and contain whole grains, nuts, legumes, beans, cereals and breads.

Blood Sugar Range: Blood sugar range in the blood varies from time to time. When we wake up regularly in normal health it is between 80 to 120 mg/dl and rise after meals.

The increased level of blood sugar above 140 mg/dl is thought about to be the symptoms of diabetics which is also termed as Hyperglycemia. Inordinate urination, Inordinate thirst, Dehydration Nausea, and Vomiting are the base symptoms of Hyperglycemia. This can cause damage to nerves, blood vessels and other body organs.

Low level of sugar, below 70 is also dangerous. This low level of blood is also called Hypoglycemia. Shaking, sweating, hunger, Anxiety, dizziness is some symptoms of Hypoglycemia. Hypoglycemia directly affects our brain. It reduces our brain's efficiency to work fast.

Now these diseases are corollary of our bad habits which have developed over the years like having narcotics, Inordinate junk food, hectic life style etc. It's time for us to take corrective portion so that we can safe ourselves from these diseases. But if it's too late for you now to take those steps then discrete type of test are available through which you can find,you fall in which category? These tests are:

1. Fasting blood sugar test

2. 2 hour postprandial" blood glucose test

3. Random blood glucose test

4. Glucose tolerance test

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Three primary Tests Every Diabetic Should Take To Live Longer and Healthier

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So you've been diagnosed with diabetes. You should count yourself lucky. I'm serious. There are thousands in the Us and worldwide who still don't know they have the disease, and therefore cannot do anything to halt its progression. In this case, the knowledge that you have diabetes can empower and direct your actions. Diabetes can be managed, and your ability of life doesn't have to suffer. Having diabetes does increases your risk of definite complications, but those risks can be minimized, possibly even eliminated, if you and your physician considered monitor your condition. Here are three prominent tests and exams for diabetics, the results of which you need to know to help keep your health under control:

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A1C Test

This diabetes test measures blood glucose levels over the past 120 days. It's also called the HbA1C test, or glycated hemoglobin test. When there's too much glucose, or blood sugar, in your bloodstream the excess bonds with the blood's hemoglobin (a protein that carries oxygen to your body's cells) and “glycates” it. The more glucose is present, the more hemoglobin becomes glycated. The percentage of glycated hemoglobin in the blood can be measured. Hemoglobin cells have a lifespan of almost 120 days, so the percentage changes as cells die and are replaced. While the daily blood tests spot check blood sugars at definite points in time, the A1C diabetes test part your average blood glucose levels over weeks. This helps your physician to know if and how well your rehabilitation plan is working, and either your sugars are tightly controlled before and after meals, or when you are sleeping or awake. The American Diabetes connection (Ada) recommends all diabetics have an A1C test twice a year with a target of less than 7% glycated hemoglobin. Your physician may order more frequent diabetes testing, or compose a lower target, to keep your diabetes tightly in check.

Microalbuminuria Test

Diabetes increases your risk of kidney damage and disease. In fact, diabetes is a prominent cause of kidney failure in the Us. This key diabetes test measures for petite traces of albumen, or protein, in the urine (hence the name). Protein seepage into your urine is an indication of inherent kidney damage. Early detection is prominent to prevent or treat any kidney problems. It's generally recommended that all diabetics have a microalbuminuria test at least yearly.

Dilated Eye Exam

High blood glucose causes the eye's lens to swell, which can cause eyesight to blur. It can take up to three months for vision to go back to general after glucose levels have been controlled. Repeated bouts of high blood sugars and swelling can damage the eyes' delicate blood vessels and over time may cause the retina to gently separate from the eye. This is called diabetic retinopathy. An yearly dilated eye exam is a crucial diabetes test to schedule, because your vision is at stake. Diabetes is the prominent cause of blindness in the Us among adults ages 20 -- 64. And the longer one suffers from diabetes, the greater the vision risks. Eye problems can be corrected if caught in time.

Ask your physician or health expert today about these tests and other ways to help operate your diabetes. Actively monitoring your health with these three diabetes tests on a regular basis, along with daily testing and following your diet and medication plan, can help you live longer and healthier even with the disease.

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Beware! Weight Loss And Fatigue Could Also Be Caused By Anemia - Know The significance Of Hemoglobin

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Are you feeling weak? Do you taste question in breathing? Do you look pale than before? Calm down. You are on the right article. These are all symptoms of an indeed curable disease called anemia.

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What is anemia? : Anemia is a disorder characterized by low Rbc count or low hemoglobin. Hemoglobin is the oxygen transporter of our body. It transports oxygen from lungs to all our body parts. If this soldier of our body is disappointed the following symptoms appear.

Symptoms:
1. Fatigue
2. Intolerance to cold
3. Paleness
4. Low tolerance power
5. Less energy
6. Mystery to do mental work to some extent
7. Less energy, less growth and hence weight loss!

In fact, anemia is a sign of disorder and a diagnosis.

Types of anemia
Nutritional anemia: it develops due to malnutrition caused by insufficient amounts of iron, vitamin B12 or the essential amino acids in the diet.

Pernicious anemia: it develops due to insufficient output of erythrocytes resulting from an inability of body to furnish the intrinsic factor that is needed for vitamin B12 absorption in the body.

Hemorrhagic anemia: it is an inordinate loss of Rbc's due to heavy bleeding generally caused by large wounds, stomach ulcers or menstrual bleeding. inordinate hemorrhagic anemia is fatal.

Hemolytic anemia: it develops due to haemolysis of erythrocytes. Haemolysis may occur due to potential genetic defects or due to hemolytic agents like parasites, toxins and antibodies formed because of incompatible bloods of the mum and the developing fetus. An example of hereditary hemolytic anemia is thalassemia. It results from a flaw in synthesis of Hb prominent to output of highly thin and fragile erythrocytes.

Aplastic anemia: it develops due to the destruction or inhibition of the red bone marrow. It is replaced by fatty tissue, fibrous tissue or tumor cells. Toxins, gamma radiations and inevitable medications are main causes.

Sickle-cell anemia: this develops due to abnormal kind of Hb being manufactured. When the erythrocytes give up its oxygen to the interstitial cells/fluid, the abnormal Hb forms long, stiff rod-like structures that bend the erythrocytes into sickle shaped erythrocytes rupture easily. Also such sickle shaped cells tend to get stuck in the blood vessels and cut off blood furnish to the organ.

After reading all this an inevitable request is what next? Can it be cured? Yes it can be. You need to take regular care of your body and of course, your hemoglobin count.

Normal range for women: 9-12.5
Men: 13-17

Sickle cell anemia is caused due to genetic disorder. So, it cannot be cured. Whereas, other types can be cured and body can be kept in healthy state by regular intake of some supplements.

Vitamin B12, folic acid, and iron are the main components needed in the food of an anemic person. Discrete supplements for these are indeed ready in the market. Some natural sources providing iron and folic acid are both plant as well as animal sources. This includes red meat, apple, spinach, peas and beans.

A bad news for tea and coffee lovers. Tea and coffee hinder the absorption of iron by the gastrointestinal tract. Orange, grapes banana will be useful. Dates, pomegranates and beetroots are thought about best fruit for increasing hemoglobin level so eat these fruits as much as you can.

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Losing Weight Can Lower Blood Sugar Levels and Reverse Type 2 Diabetes

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With more and more citizen being diagnosed with type 2 diabetes, medical experts are bickering about which new cutting edge treatment that is in the pipeline, will work best for citizen who are struggling to get operate over their blood sugar levels. Now, there's of course no need for you to wait for this sort of breakthrough. There is already an very sufficient way to get operate of your type 2 diabetes and have lower blood sugar levels... What you need to do is overcome denial and lose weight.

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In the past 10 years or so, scientists have been able to make major strides in learning what happens in the body of a someone with type 2 diabetes. The most bright discovery is the role of inflammation on glucose levels. Inflammation not only damages your body, it can negatively affect insulin metabolism.

When your pancreas produces insufficient amounts of insulin and/or your body becomes defiant to both general or high levels of insulin, high blood sugar levels occurs. Many complications occur if these high sugar levels remain untreated.

Inflammation Means Body Fat:

Where in the body does this inflammation come from? It is true that trans and saturated fats can increase inflammation, but it's the body fat itself that is the main culprit; this is especially seen in the "belly" region.

According to a study printed in The American Journal of Clinical Nutrition, the amount of inflammation within a person's body was relative to their body fat. Basically it means that until you do away with the extra fat, you're going to have a tough time managing your blood sugar levels.

Reduce Your Weight To Lower Your Inflammation and Lower Blood Sugar Levels:

Still need an additional one cause to lose weight? besides lowering the inflammation and blood glucose levels, it also helps to safe your body from continuing diseases such as heart disease.

Whilst losing weight is not something you of course want to do, you do need to just lose colse to 5 to 10 percent of your body weight to reap the rewards of lower blood sugar levels. Agreeing to a 2005 explore paper that was published in Diabetes Care, a someone needs to only lose 10 pounds (4.5 kgs) to drastically sell out their HbA1c level, which is a vital gage for continuing blood sugar level management.

For citizen who choose to lose weight to administrate their type 2 diabetes, they will be rewarded with lower blood sugar levels and many of these citizen will not need medications.

Obesity, even just being overweight, makes you a prime candidate for type 2 diabetes and heart disease. Without intervention you will probably end up taking multiple medications and/or having to make drastic lifestyle alterations for a disease that can affect every aspect of your life. Losing weight is what will help you to reverse type 2 diabetes.

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What Should My Iron Level Be?

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If your body does not have enough levels of iron, you can suffer from anemia. Anemia can be detected when hemoglobin is below normal levels in the body. Hemoglobin is very important for the body as it transports oxygen from the lungs to assorted parts of the body. When body does not have enough levels of iron, the consequent is problems such as fatigue and shortness of breath. These are some of the problems that can arise as a consequent of anemia. Anemia in its worst form can also work on the heart. In children, lack of iron can consequent in behavioral problems. Eating foods that do not provide iron or sure illnesses like thyroid insufficiency can cause iron levels to drop, resulting in anemia.

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In order to preclude anemia, it is considerable for the body to have enough levels of iron. enough levels of iron are most important for teenagers and pregnant women. The level of iron required per day depends on age. A normal adult woman should have 65-165 micrograms/dL and for a normal adult man, the ideal level should be 75 to 175 micrograms/dL. In case of children, it should be 50 to 120 micrograms/dL. When it comes to babies, iron level should range from 100 to 250 micrograms/dl. Lack of iron causes considerable health problems, it is vital for any someone to have enough levels of it so that they can accomplish their activities without thinking and corporal fatigue.

Maintaining enough level of iron in the body requires a balanced diet. If you are someone on a vegetarian diet, you have to ensure that the food you opt contains enough iron levels, as you would be missing out on iron from meats. The best source of iron is foods such as meat, eggs and other dairy products. There are many other sources of iron-rich foods and this includes green leafy vegetables, whole grain breads, cereals, raisins and molasses. A diet with lots of fiber content can bring down iron levels as such food reduces the body's quality to dispell iron.

It is very important to have enough levels of iron in the body since the body needs it to furnish hemoglobin, which carries oxygen from lungs to body tissues. Knowing about enough body iron levels is of utmost significance for maintaining good health as it contributes to normal brain activity, cellular respiration, normal breathing and in fact, for practically all body activities.

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Coq10 and Blood Pressure - What's the Connection?

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If you are already suffering from hypertension, or your house history puts you at risk, you may be curious in hearing information on coq10 and blood pressure control. High blood pressure is something that affects nearly one in three adults, and because it often offers no symptoms, these citizen can go on for years without even knowing that they have a problem.

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How is Coq10 and Blood Pressure - What's the Connection?

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What is it that causes hypertension?

According to the American Heart relationship there easily isn't one identifiable cause, as it seems that there is usually a composition of factors at work. Many of these factors have to do with the type of lifestyle you lead, such as how active you are, how great your body mass is due to lack of practice and poor diet, how much stress you have, and either you usually consume tobacco or alcohol.

Of course, some cases of hypertension have to do with underlying conditions like kidney disease, thyroid disease, hormonal disorders, and adrenal gland disease. These problems cause what is known as secondary hypertension, while lifestyle leads to former hypertension. No matter what group you fall into, you need to know about coq10 and blood pressure control.

Coenzyme q10 has been proven through numerous studies to help citizen lower their blood pressure, but you may need to also be on some kind of prescribed medication. Always consult your doctor to decree what steps you need to take. Hypertension that is not properly treated can growth your risk of heart attack, stroke, brain hemorrhage, foresight loss, kidney disease, and it may damage other organs as well.

Evidence backing the use of coq10 and b/p (blood pressure) operate come from studies that citizen could reduce their systolic b/p reading significantly after just 12 weeks of supplementation. A study conducted at the University of Western Australia showed that coenzyme q10 was productive in reducing systolic and diastolic b/p. It also lowered HbA1c, which is a ticket for long term glycemic control.

In order for you to enjoy the greatest blood pressure lowering effect, you might want to think taking a multivitamin combining several natural blood pressure lowering nutrients. In addition to coenzyme q10, an productive formula will also highlight folic acid, and vitamin E. These nutrients will work far more effectively in composition with one other than they would if taken alone.

The relationship in the middle of coq10 and blood pressure operate is irrefutable, and you need to add this and other supplements to your diet to ensure heart health. In addition to the nutrients I already mentioned, the best formula for you will highlight resveratrol, which comes from red grapes and is known to prevent the improvement of cardiovascular disease. You might also want to look into adding a fish oil supplement due to it preventive properties as well.

The positives in the middle of coq10 and blood pressure operate have been proven, but it is Always best to consist of as many heart wholesome nutrients to your diet as possible. More is Always best when it comes to keeping yourself healthy.

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