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Prevention of Complications of Diabetes: an emphasis on hypoglycaemia

“The patient with diabetes who knows more lives longer” Elliott P. Joslin Diabetes refers to a group of metabolic disorders characterised by hyperglycaemia. One (1) in every four (4) adults in CARICOM countries has diabetes; type 2 diabetes is more prevalent than type 1 diabetes in St Lucia. Diabetes (type 2) can be considered a lifestyle and inherited disease, complications of which can affect every … Continue reading Prevention of Complications of Diabetes: an emphasis on hypoglycaemia

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World Health Day 2017

About World Health Day On April 7th last year the theme of World Health Day was Diabetes. This year’s theme was one to which diabetes is linked because this disorder can affect decision-making abilities, memory and self-management. This disease can make persons unable to function effectively or to participate in family or community life. Indeed, depression can also contribute to diabetes and the presence of one … Continue reading World Health Day 2017

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WORLD DIABETES DAY!!

  Happy World Diabetes Day!! World Diabetes Day is recognised internationally on November 14th with the aim of raising diabetes awareness. The theme for World Diabetes Day 2016 is ‘Eyes on Diabetes’. The IDF message for this year is promotion of screening for diabetes and for complications of diabetes. In 2015 IDF noted that 1 in every 11 adults worldwide has diabetes, totalling 415 million, … Continue reading WORLD DIABETES DAY!!

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Update on the Diabetes Cure

Diabetes currently has no cure. If there was a permanent cure for diabetes, physicians would retrieve it from the ends of the earth for their clients, urging governments to mobilise, to seek charitable donations to take it to third world countries. If there was a magic herb, supplement or probiotic pill that was tested and proved, there would be nothing that physicians would not do … Continue reading Update on the Diabetes Cure

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Diabetes in the Twentieth Century

Diabetes was rare before the twentieth century.  Management of Diabetes started with severe caloric restriction for mere survival of patients with type 1 diabetes. Banting and Best, Mc Cleod and Collip, discovered and purified insulin from the canine pancreas.  In 1935 diabetes with insulin resistance was distinguished from type 1 diabetes. Longer acting insulins were marketed from the 1930s while the first generation of sulphonylureas … Continue reading Diabetes in the Twentieth Century

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PWD Pt2

Between the ages of 7 and 8 James Quander was told the only thing he was born to do was to die. However, he lived longer than persons who had diabetes were expected to. Mr. Quander was born in 1918 and was diagnosed with type 1 diabetes just before he turned 6 in 1924, shortly after insulin was introduced to the market. James Quander was a black American … Continue reading PWD Pt2

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Diabetes and Management tools

After the diagnosis of diabetes, there are a few diabetes-related tools that you will either have to purchase or have access to. I recommend buying a glucose meter, but before you do this, be sure you have access to the meter test strips; because this is the real source of expense. You need to check your blood glucose readings several times per day, if your blood glucose is … Continue reading Diabetes and Management tools

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Diabetes and Personality

A person’s personality may or may not be modifiable, but an understanding of the relationship between an aspect of personality and adherence to diabetes management plan is quite useful.  This can allow modifications to education, counselling methods and behavioural therapy. More than one study use a measure called the NEO Personality Inventory with personality dimensions such as neuroticism, extroversion, agreeableness and conscientiousness, openness to experience, and the respective … Continue reading Diabetes and Personality

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Diabetes and the Elderly

Diabetes occurs more frequently with advancing age, especially for persons who become more sedentary with age. There is an increase in fatty tissue and a decrease in muscle mass with age, which accompanies a decrease in physical activity. The elderly person with diabetes may be affected by other illnesses, known as comorbidities and the use of many medications, known as poly-pharmacy. Hypoglycaemia may occur more … Continue reading Diabetes and the Elderly

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Diabetes and Children

Diabetes and Children The diagnosis of diabetes at a young age is particularly difficult for the child or adolescent and for his or her family. In most cases the diagnosis is type 1 diabetes; but increasingly type 2 diabetes is being diagnosed with a link to childhood obesity. The symptoms are similarly: Increase thirst Hunger Urination Fatigue weight loss Blurred vision or even yeast infections in young … Continue reading Diabetes and Children

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Diabetes and Stress

(As seen in Business Focus March/April 2015 p100) The seasons of gift exchange and indulgences, affection and revelry, gave way to the tax season, which may have caused some distress; financial or otherwise. Stress is defined in Psychology as a person’s response to an external stimulus that may be positive or negative. Eustress has been defined as a positive motivator or challenge that keeps a … Continue reading Diabetes and Stress

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Diabetes and Exercise

The benefits of exercise: 30 minutes a day with an increased heart rate of 60-80% of maximal peak heart rate. reduces the risk  of heart attack and stroke. improves the body’s use of insulin can delay or prevent type 2 diabetes increases HDL cholesterol improves hypertension causes weight loss improves function if you have peripheral arterial disease. lowers the risk of certain cancers including breast … Continue reading Diabetes and Exercise

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Diabetes and Smoking

Cigarette smoking is a risk factor for diabetes, respiratory disease, strokes and heart disease. One in ten persons smoke; the prevalence of smoking among persons with diabetes is not significantly different compared to the general population. Non-smokers live an average of eight to ten years longer than smokers with diabetes, mostly due to heart disease. Smoking may decrease overall body weight but increases obesity around the abdomen … Continue reading Diabetes and Smoking

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Snacks

A Word on Non-Nutritive Sweeteners Non-nutritive sweeteners (NNS) include: Aspartame,(Nutrasweet,Equal), Saccharin (Sweet’NLow), Sucralose (Splenda), and Stevia (Truvia, PrueVia). NNS do not add calories, nor do they add nourishment. In theory these sweeteners should support blood glucose control and weight management but there has been some controversy. For example, some studies indicate that persons who drink more than twenty-one diet sodas per week are twice as likely to become … Continue reading Snacks

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Diabetes and Insulin

Has your diabetes physician recommended that you start insulin? This may be for one of several reasons: The available oral medications do not adequately control your blood glucose. You have type 1 diabetes or latent autoimmune (slow onset type 1) diabetes. Intensive control is necessary for you, for example in hospital. Diabetes is naturally progressive. Talk to your diabetes physician about insulin today. What is … Continue reading Diabetes and Insulin

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Diabetes and Your Meal Plan

  EAT WISELY   When you have been diagnosed with pre-diabetes or diabetes you will receive essential advice about your meal plan. The goal is to maintain blood glucose control while maintaining your nutritional needs, sometimes known as medical nutrition therapy. Other goals will include to lower cholesterol and triglyceride levels, adequate blood pressure control and weight loss. The meal plan is individualised, but generally consists of regular meals … Continue reading Diabetes and Your Meal Plan

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Diabetes and Depression

Depression must be managed adequately because this disorder may affect one’s decision making; memory and ability to self-manage. A person with depression may be unable to function effectively at work or at home and therefore may not be able to handle basic self management such as: following diet and exercise routines, performing home blood glucose monitoring, refilling prescriptions, visits to diabetes physician taking medications as … Continue reading Diabetes and Depression

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Diabetes and Alcohol

There are often questions about alcohol use when you have diabetes. Alcohol intake is not encouraged for the following reasons: Alcohol use may result in hypoglycaemia especially if you use insulin or drink alcohol without eating food. Alcohol can increase triglyceride levels, leading to hyperlipidemia. Alcohol may impair your ability to recognise hypoglycaemia and may cause unhealthy eating behaviours due to impaired judgement. Alcohol adds … Continue reading Diabetes and Alcohol