Sunday, 2 October 2011

How to Control Diabetes Through Yoga

Author: Tis Amit
Diabetes is a disorder that is normally caused by the incapability of the body to control the quantity of sugar in the blood. An individual who suffer from diabetes is not capable to use blood glucose due to inadequate amounts of insulin produced by the pancreas in the body. In simple terms, it can be defined as a problem of the metabolism that can damage the nerves, kidneys, and eyes. It can even cause gangrene, stroke, and heart disease.
In last few years different diabetic treatment methods have been used to control diabetes. While many nutritionists suggested for different techniques for dieting, many doctors also recommended for regular exercise to control sugar level. However, recent studies have shown that yoga too can produce major health benefits for diabetics. Yoga has shown some beneficial results in controlling diabetes. Not long ago, many people were familiar with yoga as a succession of movements or poses. But, today it has emerged as one of the most convenient options to control diabetes.
Yoga as Diabetes Treatment Method
The yoga exercises that are prescribed for curing diabetes are different from hatha yoga exercise. It usually involves positions tailored to treat certain conditions, as well as meditation and relaxation. Yoga can stimulate the pancreas and stimulate insulin production. Regular practice of yoga actually reduces the blood sugar levels, the blood pressure, and the rate of progression to the complications. While most diabetics need to lose or at least maintain a certain weight limit, yoga is an excellent choice to accomplish these twin goals. The symptoms are also reduced to a large extent, and so is the number of diabetes related hospital admissions. Apart from this, some studies have also shown that certain yoga poses have the effect of massaging or stretching certain internal organs which actually led to the increased insulin production.
How Yoga works?
Generally glucagons secretion is enhanced by stress. Now when we perform yoga, it effectively reduces adrenaline, noradrenalin in blood, which is termed as ‘stress hormones’ and this in turn helps in reducing glucagons and possibly improving insulin action. In addition to this, recent studies have also shown that blood pressure also plays a vital role in the development of diabetic and related complications, which is proven to be benefited by yoga. When we perform yoga, it helps in muscular relaxation and improves blood supply to muscles which further increase insulin receptor expression on muscles causing increased glucose uptake by muscles and thus reducing blood sugar.
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Tuesday, 30 August 2011

Diabetes Education

Diabetes Research

AADE promotes research in diabetes self-management education and training (DSME/T) and behavior change to advance evidence-based practices. The Association's research agenda is driven by findings from multi-disciplinary summits and in-depth studies, member input and guidance from the AADE Research Committee. The growing emphasis on research addressing value and effectiveness in health care underscores the need for an infrastructure to foster studies and translate research findings into practice

Research Committee Mission 

The Research Committee supports the mission of AADE to enhance the practice of diabetes self-management education by gathering evidence and translating the best scientific findings to support behavior change to achieve optimal outcomes

 Gestational Diabetes Advanced Course is a self-paced, 4-module online course that focuses on the diagnosis and disease state, nutrition and physical activity, monitoring and medications, and also management throughout pregnancy and beyond. There is an exam at the end of each module, with a mandatory passing rate of 70%. You will have two attempts to pass.

  At the end of this course, you will be able to:
Define Gestational Diabetes Mellitus (GDM),
Describe the postpartum issues for a patient with GDM after delivery
    Outline the nutrition recommendations for GDM,
    Discuss the benefits and risks of physical activity in the management of GDM.State the physical activity recommendations for GDMDescribe the recommendations for use of medication to treat hyperglycemia in GDM
    Describe current literature (and position) for types of medication used in GDM.Describe the benefit of and process for self-monitoring of blood glucose in GDM,describe recommendations for ketone-testing and hemoglobin A1c testing in GDM,discuss additional maternal and fetal monitoring that may be utilized during GDM,Discuss the role of healthy coping, risk reduction and problem solving Outline an obstetric management plan for labor and delivery.

      Diabetes Teaching:

      Teaching Plan
       The patient will be able to describe the diabetic medications that they are on       and how to properly take the medications
      The patient will be able to demonstrate proper skin and foot care.
      The patient will be able to perform self-monitoring of blood glucose using a blood glucose meter as evidenced by demonstration of the technique to the nurse or nurse practitioner.
      The patient will be able to describe the benefits of regular exercise and how regular exercise can improve blood glucose control.

       Teaching Plan would include 6 evening or day classes consisting of 2-3 hour sessions of education and group discussion. The topics and discussions would be as follows.
             General overview of Diabetes (2 hours)
             Blood glucose monitoring and goals of blood glucose monitoring (3 hours)
             Medications and Insulin (2 – 3 hours) Complications from Diabetes (1 hour)
             Skin and Foot Care (0.5 hour)
             Exercise and Diabetes (1.5 hour)
             Diet and Diabetes (2 hours)
             Coping with Diabetes (1 hour)

      Thursday, 16 June 2011

      Diabetes medicines

      Medicines for My Diabetes:
      Diabetes is a disease that occurs when a person’s body doesn’t make enough of the hormone insulin or can’t use insulin properly. There are 2 types of diabetes. Type 1 diabetes occurs when your body’s pancreas doesn’t produce any insulin. Type 2 diabetes occurs when the pancreas either doesn’t produce enough insulin or your body’s cells ignore the insulin. Between 90% and 95% of people who are diagnosed with diabetes have type 2 diabetes.

      Seven type of  medicines:


      Insulin is a naturally occurring hormone secreted by the pancreas. Many people with diabetes are prescribed insulin, either because their bodies do not produce insulin (type 1 diabetes) or do not use insulin properly (type 2 diabetes). There are more than 20 types of insulin sold in the United States. These insulins differ in how they are made, how they work in the body, and how much they cost. Your doctor will help you find the right type of insulin for your health needs and your lifestyle

      Metformin is a type of biguanide and it is currently the only biguanide available in the United States. It is often the first oral medicine prescribed for someone newly diagnosed with diabetes. It has the advantage of not causing low blood sugar. Metformin does not cause your pancreas to make insulin, but it helps your body use insulin better. Metformin can cause side effects such as nausea or diarrhea in some people. Your doctor may prescribe metformin in combination with another oral diabetes medicine.


      Sulfonylureas are the most commonly prescribed diabetes medicines. These medicines help your pancreas make insulin. They are inexpensive and have few side effects. There are 3 types of sulfonyureas: glipizide, glimepiride and glyburide. Side effects may include weight gain and low level of sodium in the blood. Sulfonylureas can be taken alone or with metformin, pioglitazone (a thiazolidinedione) or insulin. If you're allergic to sulfa, you can't take a sulfonylurea.


      This class of medicines includes rosiglitazone and pioglitazone. These medicines help your body respond better to insulin. Rosiglitazone and pioglitazone can be used alone or in combination with other diabetes medicines. Side effects may include weight gain, fluid retention and an increase in LDL ("bad") cholesterol. People taking rosiglitazone and pioglitazone also need periodic liver tests.

      The Food and Drug Administration (FDA) has restricted the use of rosiglitazone. Studies have found that rosiglitazone can increase the risk of heart attack and stroke. If you are currently taking rosiglitazone, your doctor will talk to you about the risks and whether or not you should keep taking it. If you have never taken rosiglitazone before, you will only be able to begin taking it if you are unable to control your diabetes with other medications.


      Meglitinides help your pancreas make insulin. There are 2 types of meglitinides: repaglinide and nateglinide. Repaglinide is taken with meals to control your blood sugar. Your doctor can tell you how to adjust the dose according to the number of meals you eat. Repaglinide can be taken alone or with metformin. Nateglinide is taken with meals to keep your blood sugar level from getting too high after you eat. Side effects may include weight gain. Nateglinide can also be taken alone or with metformin.

      Alpha-glucosidase inhibitors:

      Alpha-glucosidase inhibitors work in your stomach and bowels to slow down the absorption of sugar. There are two types of alpha-glucosidase inhibitors: acarbose and miglitol. This medicine can cause stomach pain, diarrhea and bloating, so it may not be a good choice if you have a history of stomach or bowel trouble. It can be taken alone or with a sulfonylurea.

      Dipeptidyl peptidase-4 inhibitors (DPP-4):

      This class of medicine includes sitagliptin and saxagliptin. These drugs help your body make more insulin after you eat. Side effects of DPP-4 inihibitors include upper respiratory tract infection, urinary tract infection (UTI) and headache.
      Your doctor may prescribe a combination of 2, or even 3, types of medicine to help control your blood sugar levels. Some combinations are available together in one pill. Some of these include the following:
      • A thiazolidinedione and metformin        
      • A sulfonylurea and metformin
      • A DPP-4 inhibitor and metformin
      • A sulfonylurea and a thiazolidinedione
      • A meglitinide and metformin


      Studies have shown that taking a low-dose aspirin every day significantly lowers the risk of heart attacks. Aspirin can benefit people at high risk of a heart attack, such as those with diabetes and other risk factors such as high blood pressure. It can also help people with diabetes who have had a heart attack or a stroke, or who have heart disease. However, aspirin's effects have not been studied in people under age 30.

      Medicines for My Diabetes
      Ask your doctor what type of diabetes you have and write down your answer.
      I have
      • type 1 diabetes
      • type 2 diabetes
      • gestational diabetes
      • another type of diabetes:
      Medicines for Type 1 Diabetes:
      Type 1 diabetes, once called juvenile diabetes or insulin-dependent diabetes, is usually first found in children, teenagers, or young adults. If you have type 1 diabetes, you must take insulin because your body no longer makes it. You also might need to take other types of diabetes medicines that work with insulin.
      Medicines for Type 2 Diabetes
      Type 2 diabetes, once called adult-onset diabetes or noninsulin-dependent diabetes, is the most common form of diabetes. It can start when the body doesn’t use insulin as it should, a condition called insulin resistance. If the body can’t keep up with the need for insulin, you may need diabetes medicines. Many choices are available. Your doctor might prescribe two or more medicines. The ADA recommends that most people start with metformin, a kind of diabetes pill.

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