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Tuesday, January 27, 2015

Allopathic Treatment for diabetic patients

Treatment for type 2 diabetic patients

When your type 2 diabetic patient is uncontrolled with metformin  monotherapy, Switch to 

Sitagliptin+Metformin Combination

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Combination is a novel drug that provides both STRENGTH & SAFETY.This combination is that the first ever FDA approved DPP-4 ( dipeptidyl peptidase 4) in the world.

Sitagliptin assists metformin to exert its additional benefit on GLP-1 & GIP enhancement. (Source no-1)

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For Patients with HbA1c>8%, initial therapy with sitagliptin-metformin provides effective reduction in HbA1c,FPG and  PPG.  (Source no-2)

For patients withHbA1c>7.5, initial therapy with sitagliptin-metformin provides very low rate of hypoglycemia compared to placebo or monotherapies. (Source no-3)

For patients with HbA1c>8%,initial combination therapy with sitagliptin-metformin provides larger improvements in beta-cell function than with placebo or monotherapies. (Source no-4)

We can conclude that sitagliptin-metformin delivers

Action against 3 key defects of type 2 diabetes. (Source no-1)

Acts on

# Reduced insulin secretion
# Increase insulin resistance
# Hepatic glucose overproduction.

Efficacy (Source no-1)

# Effective reduction in HbA1c
# Effective reduction in FPG & PPG

Safety

# Very low rate of hypoglycemia with no severity 
# Increase beta-cell function
# No risk of weight gain.









                                  

Friday, January 23, 2015

Diabetes Complication

Complication of diabetes

People with diabetes have increased at the risk of many serious health problem. With the recommended lifestyle changes and correct treatment, Diabetes patient are able to prevent the onset of complication . Constantly high blood glucose levels can lead to serious diabetes complication like cardiovascular disease,blindness,kidney failure and lower limb amputation .
Keeping under control blood glucose levels,blood pressure and cholesterol at or close to normal can prevent the onset of diabetes complication. That"s why patients with diabetes need regular monitoring.
Cardiovascular disease : Cardiovascular disease is the most common cause of death in patients with diabetes. The major risk factor of it are high blood pressure, high cholesterol and high blood glucose level which are more responsible of cardiovascular complication.
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Diabetes ratinopathy: Some patients with diabetes may be developed eye disease(ratinopathy) causing reduced visions or blindness. Persistently high blood glucose levels, together with high blood pressure and high cholesterol are the prime cause of eye disease. Every things can be managed by regular eye checks and keeping lipid,glucose and pressure at normal range. Beside this You can follow here.
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Kidney disease: Kidney disease is much more common in patient with diabetes than in those without diabetes. Maintaining at normal levels of blood pressure and blood glucose can reduce the risk of diabetes nephrophathy.
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 Nerve disease: Patients with diabetes can cause his/her nerve damage throughout the body when blood glucose or blood pressure is higher than at normal levels. It can lead to problems with digestion and many other problems. Among all problems most common problem is extremities in particulars the feet.The nerve damage in these area are called peripheral neuropathy .
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You can know more about diabetes. Just sign up here and follow guide line.

Tuesday, January 20, 2015

EYE CARE FROM RATINOPATHY

Eye care for your diabetic patient

Keep your blood glucose level as close to normal as you can BbA1c 7.0%.

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Keep your blood pressure as close to normal as you can- Systolic blood pressure <130mmHg.

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Lower your serum lipid: LDL cholesterol <2.5 mmol/L, triglyceride <2.0mmol/L

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Examine your eye by your physician at least once a year even your vision is fine. 

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Consult an ophthalmologist if you have changes in your vision or problems with vision.

Do not Smoke

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 If you are pregnant and have diabetes, consult an eye care professional during your first 3 months of pregnancy.

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Improving glycemic control reduces the risk of developing diabetic retinopathy. If you want to know more about Diabetes. Please go here

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Friday, January 16, 2015

Diet Tips for Diabetes



Slim can help get your blood sugar levels back into the normal range and some cases even cut down on or eliminate the need for treatment. Everyone say that easier said than done.  Boost your odds of long-term success by following these expert tips, says various expert.
"Losing weight is more like a marathon than a sprint; you can't go as hard as you can for a short period and then stop," says Michael Dansinger, MD, director of Lifestyle Coaching for Diabetes Weight Loss at Tufts Medical Center and nutrition doctor for NBC's The Biggest Loser. "If you're not ready, any changes you make aren't going to be sustainable."
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You're more likely to stick with it if you start small, says Carolyn Brown, RD, a nutritionist at Foodtrainers in New York.
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Tracking everything you eat and drink for at least a week is the best way to detect patterns.
"You might find that you graze a lot more throughout the day than you realized, or that you often forget to eat breakfast," Brown says. You can use an app or pen and paper, whichever you prefer.
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4. DON'T blowoff breakfast. Or lunch. Or dinner!

It backfires. "When you skip meals, you're setting yourself up for a poor eating pattern for the day, as you'll probably be hungrier later on," says Jaclyn London, RD, senior clinical dietitian at The Mount Sinai Hospital in New York.
Eat breakfast. If you don't, "you're essentially asking your body to run on no fuel," London says.
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5. DO workwith your emotions.

Many people try to overeat when they are suffering from anxious or depressed. " Stress is a huge factor. It actually raises your blood sugar levels," Brown says. She often encourages her clients to meet with a therapist to learn other ways to handle stress.
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6. DON'T keepyour goal a secret.

Having a strong support system can make all the difference. That can include friends, family, co-workers, or people who are working toward the same goal.
You can also team up with experts. "I'm a big believer in working with a lifestyle coach, whether it's in person, over the telephone, or via the Internet," Dansinger says. "You'll get the advice, structure, and external accountability you need, which can increase the likelihood of losing 10 percent of your body weight by fivefold."
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7. DO morethan diet.

"Your muscles play a large role in using and storing sugar, so keeping them strong is really important for maintaining healthy blood sugar levels," says Wayne Westcott, PhD, an instructor of exercise science at Quincy College. Aim to do some strength-training at least twice a week.
Be active as much as possible throughout the day. 
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8. DO keepeating carbs.

You can, and should, keep carbs in your diet. "Our brains run on carbs!" Brown says.
The key is to watch portion  sizes. A serving is about the size of your fist.
You should also aim to cut back on the refined stuff  in favor of healthier, less processed options. Whole-grain pasta, brown rice, quinoa, and sweet potatoes are good choices.
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9. DON'T leta setback sabotage you.

"Everyone falls off the wagon at some point by having a bad day, week, or even month," Dansinger says. "The difference between those who turn their health around and those who don't is persistence and perseverance."
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Note: Above information come from various expert and physician opinion.

Wednesday, January 7, 2015

Diabetes Miracle Solution



Introduction.
Type 2 diabetes treatment has hill from many years ago, Different experts say, with new drugs and devices adding up to the best lives for type 2 diabetes patients. 

"In the last decade, I think that we've transformed the way we manage diabetes," says Aaron Cypess, MD, PhD, assistant professor at Harvard Medical School and staff physician at Joslin Diabetes Center. He tells to new classes of drugs, better devices, and a fuller understanding of how exercise and diet can treat the condition.

He has also become much more aggressive in treating diabetes. People with type 2 diabetes are getting diagnosed and treated earlier than they once did -- and having better outcomes.To keep maintain body watch here.
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Type 2 Diabetes Treatment: Lifestyle Changes


Everybody have known for a long time that lifestyle such as diet and exercise play a vital role in managing type 2 diabetes. One of scientist  says that the last decade of research has only made the connection more clear. Studies show that Simply controlling glucose with lifestyle changes can reduce the risk of heart risk as well as other complication in people with diabetes. Experts generally recommend that people with diabetes get at least 150 minutes of aerobic activity each week coupled with strength training. Follow Here.
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Type 2 Diabetes Treatment: Lifestyle Changes continued...


When it comes to food choices, Cypess says that there is no one-size-fits-all diabetes diet. "You have to be flexible and creative in developing a meal plan," he tells WebMD.  Cypess says that many people but not all do well on low-carb and Mediterranean diets. The key is to work with an expert, such as a dietitian with experience treating diabetes. You need a master plan. It has to be something that you can stick with for the long haul.

While research over the last decade has shown just how well lifestyle changes work for diabetes, there's a catch. We also have a clearer understanding of the drawbacks. It's hard to make big changes to your diet and lifestyle that stick, Kalyani says.

For that reason, Kalyani says that many diabetes doctors are now quicker to get people onto drugs than they were in the past. Given the importance of glucose control, doctors may be less likely to wait while a person keeps trying, without real success, to adopt healthier habits. Do you want to keep your body ? Just follow here.
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Type 2 Diabetes Treatment: Getting Control


One of the biggest changes in diabetes management has not come from a medication or a device. Instead of, it's a different approach. Diabetes physician  are much more consious in treating the disease.

"There's much more emphasis on catching diabetes early and treating it earlier," says Janet B. McGill, MD, an endocrinologist and professor of medicine at the Washington University School of Medicine in St. Louis. "We have strong evidence of how poorly controlled diabetes can have serious complications later. We're acting faster in doing something about it."

More important than any specific treatment, experts say, is good control of your condition and regular medical care.

"If you're getting the right support, managing diabetes is very straightforward," says Cypess. "With good treatment, anyone with diabetes can learn how to control this disease. It doesn't have to control you."