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I originally posted this on Valentine's Day 2018! But as he has been trying to include his chemistry in his art recently, I thought I would update it and post it again. Originally I tried to iron out some of his creases, but here I have tried to put some of them back again - 5 years on and there are quite a few more anyway!!
www.researchgate.net/profile/Peter-Dean-3 All this work and no mention of the HbA1C text he developed that the worlds diabetics all use!!
Peter has a deep interest in Diabetes - in his research days, he invented the HbA1C test that all diabetics use, and of course, the biggest irony - we have an 8 year old T1 diabetic granddaughter. His university, at the time, refused to support the patenting of the test, so fortunes were not made, and the invention attributed to the pharmaceutical companies - nevertheless, Peter's interest in diabetes continues. In Hawaii, we came across obesity in the most gigantic proportions, and while we all know that diabetes has many different causes, we also know that the American way of eating can be a major contributory factor. Or even the British, German, Australian, etc way of filling plates to the brim and leaving them clean. I think Hawaii has a large number of diabetics due to the combination of the American diet and the Polynesian culture of power, strength and status being related to size.
For information purposes - T1 diabetes is genetic, insulin dependent, usually starts in childhood and is not food related. Type 2 diabetes is due to insulin resistance, can often be controlled by diet and is reversible in many cases. Both types seem to be on the increase, but T2 is almost at epidemic proportions in Hawaii...conversations with some people from the local hospital confirmed this. In particular, an orthopaedic surgeon who has had to to refuse people operations because their HbA1C levels were too high to be safe.
Many conventional diabetes diets rely on meat or grains as the major source of calories. This strategy has serious drawbacks. This type of diet is rich in macro nutrients, but lacking in micro nutrients, especially those derived from green vegetables. Micro nutrients are necessary for the body’s cells to function properly. Even modest micro nutrient insufficiency can lead to DNA damage, mitochondrial decay and telomere deterioration, promoting premature cellular aging.
A high-nutrient, low glycemic diet is the most effective method of preventing and reversing type 2 diabetes. In a recent study of type 2 diabetics following this type of diet, 90 percent of the participants were able to come off all diabetic medications and their mean HbA1c after one year was 5.8 percent, which is within the non-diabetic (normal) range. A diet rich in vegetables, nuts, seeds, beans, and fresh fruits can prevent and reverse disease, while fostering long-term health. These five types of foods are optimal for diabetics, and can even help prevent the disease from occurring in the first place.
Green Vegetables
These nutrient-dense vegetables are the most important foods to focus on for diabetes prevention and reversal. Higher green vegetable consumption is associated with a lower risk of developing type 2 diabetes, and among those who have the disease, a higher intake is associated with lower HbA1c levels, which measures average blood glucose over a three-month period. A recent meta-analysis found that greater leafy green vegetable consumption was associated with a 14 percent decrease in the risk of type 2 diabetes. One study reported that each serving of leafy greens produces a 9 percent decrease in risk. This category of vegetable includes lettuces, cabbage, Brussels sprouts, kale, spinach, broccoli and cauliflower. I always advise eating at least one large salad each day to be sure of getting a good supply of these important vegetables.
Non-starchy Vegetables
Non-green, non-starchy veggies like mushrooms, onions, garlic, eggplant, and peppers are essential. These foods have almost nonexistent effects on blood sugar and are packed with fiber and phytochemicals.
Beans
Eating beans daily will help to stabilize your blood sugar, reduce your appetite, and protect against colon cancer. An ideal carbohydrate source, beans are low in glycemic load due to their abundant soluble fiber and resistant starch, making them an ideal weight-loss food because they are digested slowly. The fiber in beans promotes satiety and helps prevent food cravings and the resistant starch is fermented by bacteria in the colon, forming products that protect against colon cancer.
Nuts and Seeds
The Nurses’ Health Study found a 27 percent reduced risk of diabetes in nurses who ate five or more servings of nuts per week. Among nurses who had diabetes, this same quantity reduced the risk of heart disease by 47 percent. Nuts are low in glycemic load, promote weight loss, and have anti-inflammatory effects that may prevent insulin resistance.
Fresh Fruit
To satisfy sweet cravings, fresh fruit is an excellent choice. Rich in fiber, antioxidants, and nutrient-dense, eating three servings of fresh fruit a day is associated with an 18 percent decrease in the risk of developing diabetes. If you are already diabetic, I recommend selecting only the low-sugar fruits like berries, kiwi, oranges, and melon to minimize glycemic effects.
If you are committed to improving your health and reducing your risk of disease or reversing your disease so that your medications can be reduced or eliminated, a nutritional approach works. Source BY JOEL FUHRMAN. To know more visit www.yogagurusuneelsingh.com
In 2020, there is only one reason for the sudden death, and that is “Heart Attack“. That too can be postponed by 15-30 years with 3 basic tests.
Similarly, there are other factors also which decrease our lifespan. For example:
If we smoke then we will get lung cancer in 20 years.
If we drink excessively, liver will fail in 20 years.
If Hba1c = 10/11 or blood sugar is approx. 300 (with no symptoms), then kidney will fail in 15 years.
If we exercise everyday, we can delay memory loss.
If we do knees exercise, they will be good till 70-75 years.
If we have high cholesterol with no symptoms, it will dramatically increases the risk of heart attack.
Increased BP (with no symptoms) will lead to sudden stroke where half of the body gets paralyzed (right side of the body gets paralyzed and patient loses speech also).
In our day to day life we have simple steps to deal with these conditions as we have simple yearly tests available. We must have awareness about all these tests.
If we get these regular tests done at recommended interval and maintain our numbers within the normal range, then we can add 15-30 years healthy to our life, and extend lifespan up to 85 years.
Our ADD15 is a series of medical books to spread medical health awareness to enhance a healthy life.
It has written in multiple languages and three different formats (E Book, Audio, video formats) in very simple words.
Author
(Prof.) Dr. S. Om Goel, MD/DM From family
of doctors from AIIMS, MAMC Delhi University
MD Medicine, USA DM/Fellowship, USA
For more information visit our website: www.add15years.in/
Many conventional diabetes diets rely on meat or grains as the major source of calories. This strategy has serious drawbacks. This type of diet is rich in macro nutrients, but lacking in micro nutrients, especially those derived from green vegetables. Micro nutrients are necessary for the body’s cells to function properly. Even modest micro nutrient insufficiency can lead to DNA damage, mitochondrial decay and telomere deterioration, promoting premature cellular aging.
A high-nutrient, low glycemic diet is the most effective method of preventing and reversing type 2 diabetes. In a recent study of type 2 diabetics following this type of diet, 90 percent of the participants were able to come off all diabetic medications and their mean HbA1c after one year was 5.8 percent, which is within the non-diabetic (normal) range. A diet rich in vegetables, nuts, seeds, beans, and fresh fruits can prevent and reverse disease, while fostering long-term health. These five types of foods are optimal for diabetics, and can even help prevent the disease from occurring in the first place.
Green Vegetables
These nutrient-dense vegetables are the most important foods to focus on for diabetes prevention and reversal. Higher green vegetable consumption is associated with a lower risk of developing type 2 diabetes, and among those who have the disease, a higher intake is associated with lower HbA1c levels, which measures average blood glucose over a three-month period. A recent meta-analysis found that greater leafy green vegetable consumption was associated with a 14 percent decrease in the risk of type 2 diabetes. One study reported that each serving of leafy greens produces a 9 percent decrease in risk. This category of vegetable includes lettuces, cabbage, Brussels sprouts, kale, spinach, broccoli and cauliflower. I always advise eating at least one large salad each day to be sure of getting a good supply of these important vegetables.
Non-starchy Vegetables
Non-green, non-starchy veggies like mushrooms, onions, garlic, eggplant, and peppers are essential. These foods have almost nonexistent effects on blood sugar and are packed with fiber and phytochemicals.
Beans
Eating beans daily will help to stabilize your blood sugar, reduce your appetite, and protect against colon cancer. An ideal carbohydrate source, beans are low in glycemic load due to their abundant soluble fiber and resistant starch, making them an ideal weight-loss food because they are digested slowly. The fiber in beans promotes satiety and helps prevent food cravings and the resistant starch is fermented by bacteria in the colon, forming products that protect against colon cancer.
Nuts and Seeds
The Nurses’ Health Study found a 27 percent reduced risk of diabetes in nurses who ate five or more servings of nuts per week. Among nurses who had diabetes, this same quantity reduced the risk of heart disease by 47 percent. Nuts are low in glycemic load, promote weight loss, and have anti-inflammatory effects that may prevent insulin resistance.
Fresh Fruit
To satisfy sweet cravings, fresh fruit is an excellent choice. Rich in fiber, antioxidants, and nutrient-dense, eating three servings of fresh fruit a day is associated with an 18 percent decrease in the risk of developing diabetes. If you are already diabetic, I recommend selecting only the low-sugar fruits like berries, kiwi, oranges, and melon to minimize glycemic effects.
If you are committed to improving your health and reducing your risk of disease or reversing your disease so that your medications can be reduced or eliminated, a nutritional approach works. Source BY JOEL FUHRMAN. To know more visit www.yogagurusuneelsingh.com Pic by Sidd
Stem cell therapy is an advanced and beneficial treatment for diabetes, numerous patients with diabetes have shown noticeable improvement, long-time remission and were able to enjoy a high quality of life after the therapy in SQ1 stem cell medical center.
The Beneficial Effects Of Stem Cell Therapy On Diabetes
Stem cell therapy can improve pancreatic islets function, hepatic glucose, and lipid metabolism while lowering blood sugar.
Clinical research and applications have shown that through stem cell therapy, about 65% of the patients are no longer dependent on insulin or oral drug to treat diabetes, and over 90% of patients reported reduced a dosage of insulin or oral drug or changed from insulin injection to oral drug. Collectively, stem cell therapy greatly diminished the onset and development of diabetes complications.
The era of clinical stem cell therapy for diabetes has come!
Reduction of diabetes medication intake
Maintenance of normal blood sugar levels
Restoration of the sensitivity of peripheral tissue to insulin and increase of insulin levels
Prevention and improvement of related diabetic foot symptoms
Reduction of hepatocyte lipid-related lesions
Improvement in the condition of the arterial walls and reduction of hyperinsulinemia and atherosclerosis
Prevention or reversion of certain complications of diabetes, such as erectile dysfunction and vision loss
Diabetes-Related Diseases That Stem Cell Therapy Can Treat
Type 1 diabetes
Type 2 diabetes
Stem cell therapy also can treat complications of diabetes including:
Diabetic foot: foot infections, ulcers, and deep layer tissue damage.
Diabetic retinopathy: it can cause blurred vision, decreased vision, and even blindness.
Diabetic cardiovascular and cerebrovascular diseases: it can cause a cerebral infarction, cerebral hemorrhage, vascular dementia, etc.
Diabetic neuropathy: it can cause numbness and tingle in hands and feet, orthostatic hypotension, vomiting, urinary, and fecal incontinence, etc.
Diabetic nephropathy(chronic renal failure): it can cause foamy urine, edema, and renal failure.
Capillary and macrovascular complications: diabetes can lead to narrowing of lower extremity arteries, coronary heart disease, stroke, etc.
In 2019, the famous US news magazine “TIME” listed diabetes treatment with stem cell therapy as one of the top 10 innovative medical inventions that will change the future. In the year 2021, Mass General Brigham selected the ground-breaking “stem cell therapies for Diabetes” as one of the Top 12 “Disruptive gene and cell therapy technologies”.
Learn More About Diabetes
Diabetes is a metabolic disorder disease characterized by hyperglycemia(high blood sugar), it is also the third-largest non-infectious chronic disease following cancer and cardiovascular disease. There are approximately 537 million diabetes patients in the world by the year 2021.
Clinically, there are three main types of diabetes: type 1, type 2, and gestational diabetes (diabetes while pregnant). The major incidence populations of type 1 diabetes are adolescents and children, it is recognized by the destruction of pancreatic β-cells which leads to insufficient insulin secretion and hyperglycemia. Type 2 diabetes is caused by genetic, and environmental factors and their interactions. Usually, it is characterized by malfunction of pancreatic β-cell and insulin resistance in cells. Gestational diabetes develops in pregnant women who have never had diabetes before. If you have gestational diabetes, your baby could be at higher risk for health problems. Your baby is more likely to have obesity as a child or teen, and more likely to develop type 2 diabetes later in life too.
Risk Factors For Type 2 Diabetes
Type 2 diabetes is believed to have a strong genetic link, meaning that it tends to run in families. If you have a parent, brother, or sister who has it, your chances rise.
You should ask your doctor about a diabetes test when you have any of the following risk factors:
High blood pressure.
High blood triglyceride (fat) levels. It's too high if it's over 150 milligrams per deciliter (mg/dL).
Low "good" cholesterol level. It's too low if it's less than 40 mg/dL.
Gestational diabetes or giving birth to a baby weighing more than 9 pounds.
Prediabetes. That means your blood sugar level is above normal, but you don't have the disease yet.
Heart disease.
High-fat and carbohydrate diet. This can sometimes be the result of food insecurity when you don’t have access to enough healthy food.
High alcohol intake.
Sedentary lifestyle.
Obesity or being overweight.
Polycystic ovary syndrome (PCOS).
Being of ethnicity that’s at higher risk: African Americans, Native Americans, Hispanic Americans, and Asian Americans are more likely to get type 2 diabetes than non-Hispanic whites.
You're over 45 years of age. Older age is a significant risk factor for type 2 diabetes. The risk of type 2 diabetes begins to rise significantly around age 45 and rises considerably after age 65.
You’ve had an organ transplant. After an organ transplant, you need to take drugs for the rest of your life so your body doesn’t reject the donor. organ. These drugs help organ transplants succeed, but many of them, such as tacrolimus (Astagraf, Prograf) or steroids, can cause diabetes or make it worse.
Clinical Symptoms Of Diabetes
Polyuia
Dry mouth and increased thirst
Strong appetite
Unexplained Weight loss
Fatigue
Obesity
Presence of glucose in urine
Presence of ketones in urine
Abnormal high amount of glycosylated hemoglobin (HbA1c) in serum
Glycated serum protein abnormality
Abnormal amount of insulin and c-peptide in serum
Dyslipidemia(unhealthy level of blood fat)
Stem Cell Therapy For Diabetes At SQ1
Stem cells used in the treatment of diabetes
SQ1 provides access to treatment that utilizes mesenchymal stem cells (MSCs) isolated from the cord blood, placenta, and/or peripheral blood of patients and embryonic stem cells (hESCs) and induced pluripotent stem cells (hiPSCs), into pancreatic endocrine lineages.
A combination MSCs and hESCs delivered via the intravenous route for 30 minutes at a delivery rate of 40 mL/hour to a final dose of 1 × 106 cells/kg of the patient's body weight.
The combination of cells and other treatment details are individual to the patient and is determined by genetically-programmed factors, individual to every human.
The therapeutic scope and efficacy of stem cell therapy for diabetes
A double infusion of hESCs+MSCs through either the intravenous route or the dorsal pancreatic artery route is performed for patients with type 2 Diabetes. The therapy exhibited term efficacy (7-9 months) in patients with type 2 diabetes for less than 10 years (the longest period of remission registered to date is 10 years and the shortest – 2 years) and a BMI <23 kg/m2 and improvement in hyperglycemia, reported blood glucose levels within the normal range.
Our results revealed reductions in the HbA1c and FBG levels during the first 3 months after administration in patients with type 2 Diabetes, deemed clinically significant because the reduction was maintained in a normal range at 12 months after administration.
Factors determining the efficacy of the treatment and remission term are individual and genetically driven.
Advantages Of Stem Cell Treatment For Diabetes
Traditional therapeutic methods, such as daily medication or injections of exogenous insulin, are the most common diabetes treatment, but their use is frequently associated with failure of glucose metabolism control, which leads to hyperglycemia episodes.
Stem cell therapy is a promising strategy for avoiding the problems associated with daily insulin injections. To maintain glucose homeostasis, this therapeutic method is expected to produce, store, and supply insulin. To completely cure diabetes, cell-based therapies aim to produce functional insulin-secreting cells.
Stem cell therapy
Conventional treatment
Curative Treatment or diseases management
The stem cell is a curative treatment for diabetes. Stem cell therapy is designed to rejuvenate the pancreas which helps the body to produce insulin naturally.
If given in the early stages, the dependency on medication and insulin can be reversed.
Insulin and medicine are used to control the amount of glucose in your blood. It is not a cure treatment it is used to control diabetes.
Slowly and gradually, people on medication move to insulin dependency.
Dosage
Stem cell therapy reduces the dosages of medication and insulin as the body starts producing insulin naturally.
If given in the early stages, the dependency on medication and insulin can be reversed.
Stem cell experts based on your current level of disease and other comorbidities will design a customized protocol and decide, the number of stem cells, source of stem cells, and cycles of stem cell therapy.
Patients who are on medication will observe a slow and gradual increase in dosages of medication.
At a certain point in time when medication is not able to manage the sugar levels, external insulin support will be required.
Patients who are on insulin support need to take insulin daily before consumption of food. The doses of insulin also increase with time.
Side-effects
No Side-effects as stem cells are our cells that are used to treat the disease and regenerate the pancreas to regain proper functioning.
Some of the common side-effects that medication and insulin can develop are upset stomach, skin rash or itching, weight gain, tiredness, and if not taken properly can even low blood sugar extremely.
Convenience
Stem cell therapy is performed by stem cell specialists which requires a special laboratory to process the stem cells and the medical set up to extract and inject the stem cell.
The therapy is going to be injection-based and needs to be performed in a hospital.
Medication that can be easily consumed.
Repeated and multiple small pricks for insulin injection for the patients who are currently on insulin.
The strict discipline to take medication or insulin on time as prescribed.
Longevity
Long-term effect and possibly curative treatment which removes the dependency on insulin and medication if taken in the early stage.
If taken in the later stages it reduces your dependency on medication and insulin. In a few cases, a repeat cycle may also be required.
Short-term effects.
Need to take insulin and medication daily as prescribed and the medication and effectiveness are for a few hours or a day.
The patient needs to take the medication and insulin lifetime.
End-stage
Stem cells are the basic building block of our body. The main functionality of stem cells is to regenerate the damaged cells and make copies of their own cells to repair the damaged cells.
Your own body is healing you and deferring the need for a transplant.
A pancreas transplant is the only treatment in the end stage.
There is a high probability that the kidney might also be damaged due to diabetes so in some cases both kidney and pancreas transplants would be required.
The availability of the donor and the waiting period can be a big reason for worry.
How Can Stem Cell Therapy For Diabetes Work
Stem cells were able to lower blood sugar levels and restore islet function in the following three ways:
Improvement of insulin resistance: stem cells will secret a variety of cytokines to improve the insulin resistance conditions in peripheral tissues and promote sugar intake by cells, thus reversing the hyperglycemia status in the body.
Promotion of regeneration of pancreatic islet β cells: Stem cells can reduce the progressive lesion to pancreatic islets from metabolic disorders in diabetes, at the same time can regenerate pancreatic β cells. In addition, stem cells can secret various cytokines to improve the microenvironment and induce the transformation of islet α cells to β cells. This process enables the in-situ regeneration of β cells and leads to the stabilization of blood sugar level.
Immunomodulation effect: stem cells can inhibit the T cell-mediated immune response against newly generated β cells and promote the repair and regeneration of pancreatic islets.
SQ1 Stem Cell Services
During the whole treatment process, we’ll provide complete and first-class medical services to you. And to ensure your treatment effect, you can consult your doctor any time after the treatment.
Following the lowcarb, lowcal diet. Diabetes now under control. No medication. Burn the fats off your liver and pancreas with low calorie and low carb diet. HbA1c was 11% on 8 Sept 2015, 8.1% on 16 Oct 2015
Dr Roy Taylor www.ncl.ac.uk/magres/research/diabetes/
Dr Jason Fung intensivedietarymanagement.com/
Diet Doctor www.facebook.com/TheDietDoctor?fref=ts
Lowering MyHbA1c www.facebook.com/myhba1c
Playacar Aviary (Xaman-Ha) at Playa del Carmen, Quintana Roo, Mexico.
It was very dark in the jungle, especially as it was late evening ... and the foliage was too high to get a good close up ... very frustrating!
The root of the “Elemuy” tree (Malmea depressa) is highly used in south east Mexico by the Mayan communities to treat type 2 diabetes. The long-term hypoglycemic effect (HbA1c) and the stimulation of insulin secretion resulting from the treatment with butanolic extract was studied using (n5-stz)-induced diabetic rats. We show that after 30 days of daily administration of 10 mg/kg of the butanolic extract, the glucose levels as well as the (HbA1c) levels were lower compared to the control group. This effect was also observed after 45 days of treatment, leading to the conclusion that the effects of chronic butanolic extract treatment are comparable to treatment with the standard drug Bieuglucon®. In an acute experiment, we found that a single administration of the extract at a dose of 50 mg/kg stimulates insulin release, which is similar to the result seen with Tolbutamide administration. The new compound, 3-(3-hydroxy-2,4,5-trimethoxyphenyl) propane-1,2 diol, was isolated from the active fraction of the butanolic extract. The results presented here support the utility of the traditional use of the root and suggest that the active fraction of the plant extract could be developed as a phytomedicine.
I had an appointment with my endocrinologist today to discuss my quarterly blood work results. I cannot complain about my HbA1C results. HbA1c is a measure of the average plasma glucose concentration over a period of 2 to 3 months. My previous HbA1C result was 4.8, which is quite good. This time, I clocked in at 4.5. An HbA1c of 4.5 is in the range of what a normal, non-diabetic would have. (I also had my C-Peptide levels checked, hoping for a miracle, but alas, it came back with a resounding 0. C-Peptide levels indicate the health of a normal pancreas because it measures how much natural insulin is being produced). I'm fortunate that my love and knowledge of cooking, coupled with all the useful information that I've garnered from reading research, books and especially blogs by other diabetics, have put me in a position to manage my diabetes effectively. While insulin is not a cure for diabetes, I am fortunate to be able to afford it to stay alive.
Speaking of tests, why do they call it a test? The outcome of a test is either success or failure. Why does someone with a disease have to be tested and gauged on their ability to manage their disease? What do I get for passing a test? Will I have to undergo detention if I fail a test? Is this another way of making people with chronic conditions feel guilty? Imagine this conversation, "Your test results came back. Ha! You've been a bad boy! Have you been eating doughnuts?". When do we get to run tests on the medical profession? And what happens when they flunk them?
Hmmm... I guess that's why they call us patients, because we'll have to exhibit extraordinary patience with the health care system, the insurance industry and the medical profession.
There is no cure for diabetes, yet.
Dr.K.P.Pichumani MD, Diabetologist, Family Physician and Managing Director, Sree Renga Hospital, Chengalpattu welcoming the Guests of Honour at the World Diabetes Day 2014 event. Events included FREE screening tests for Blood sugar, Blood Pressure, Eye, Dental, Foot and Obesity, FREE Diabetes Awareness Exhibition and Rally, Diabetes Complications Screening Camp (Micral, HbA1C, Fundus), Cancer Screening in women (breast and cervix) in association with Penn Nalam Hospital, Chennai, Distribution of prizes to the winners of Essay, Speech, Drawing, Cookery competitions conducted for school and college students and, for the public and patients.
Over the past 15 years, Sree Renga Hospital, Chengalpattu has been actively propagating the message of preventing Diabetes through various activities: FREE Screening and Awareness camps (over 68,000 people screened for free, till Sep 2015), mentoring of Student Diabetes Clubs in 186 Govt-schools in the district of Kancheepuram (2005 – 2010), publication and distribution of 1500 copies of a FREE monthly journal, Patient – Physician Interaction Sessions, Puppet shows etc.
Brian Hickey presents the Quo-Lab Glycated Hemoglobin (HbA1c) analyzer to Rt Hon Keith Vaz. This analyzer was one of 4 donated to Silver Star.
Playacar Aviary (Xaman-Ha) at Playa del Carmen, Quintana Roo, Mexico.
The root of the “Elemuy” tree (Malmea depressa) is highly used in south east Mexico by the Mayan communities to treat type 2 diabetes. The long-term hypoglycemic effect (HbA1c) and the stimulation of insulin secretion resulting from the treatment with butanolic extract was studied using (n5-stz)-induced diabetic rats. We show that after 30 days of daily administration of 10 mg/kg of the butanolic extract, the glucose levels as well as the (HbA1c) levels were lower compared to the control group. This effect was also observed after 45 days of treatment, leading to the conclusion that the effects of chronic butanolic extract treatment are comparable to treatment with the standard drug Bieuglucon®. In an acute experiment, we found that a single administration of the extract at a dose of 50 mg/kg stimulates insulin release, which is similar to the result seen with Tolbutamide administration. The new compound, 3-(3-hydroxy-2,4,5-trimethoxyphenyl) propane-1,2 diol, was isolated from the active fraction of the butanolic extract. The results presented here support the utility of the traditional use of the root and suggest that the active fraction of the plant extract could be developed as a phytomedicine.
Kauvery Hospital, Alwarpet launched its Advanced Diabetic Care Centre on Aug 19 at The Music Academy, Alwarpet. Tamil scholar and orator Sukisivam inaugurated the centre and also launched the advanced annual diabetes management programme. Several services to diabetic patients including an annual comprehensive diabetic package, quarterly consultations with diabetologists and quarterly assessment of the blood glucose levels (HbA1C) are offered under this programme.;
It is an exclusive center that offers the most advanced annual diabetes management program encompassing various departments and addressing multiple problems faced by diabetics.
On display is Quo-Lab, our newly announced glycated hemoglobin (HbA1c) analyser designed to meet the needs of clinics and laboratories in emerging economies where diabetes is an increasingly large public health issue. Also shown here is Quo-Test. More on Quo-Lab here www.ekfdiagnostics.com/QuoLabHbA1cAnalyser_713.aspx
Dr.K.P.Pichumani MD, Diabetologist, Family Physician and Managing Director, Sree Renga Hospital, Chengalpattu welcoming the Guests of Honour at the World Diabetes Day 2014 event. Events included FREE screening tests for Blood sugar, Blood Pressure, Eye, Dental, Foot and Obesity, FREE Diabetes Awareness Exhibition and Rally, Diabetes Complications Screening Camp (Micral, HbA1C, Fundus), Cancer Screening in women (breast and cervix) in association with Penn Nalam Hospital, Chennai, Distribution of prizes to the winners of Essay, Speech, Drawing, Cookery competitions conducted for school and college students and, for the public and patients.
Over the past 15 years, Sree Renga Hospital, Chengalpattu has been actively propagating the message of preventing Diabetes through various activities: FREE Screening and Awareness camps (over 68,000 people screened for free, till Sep 2015), mentoring of Student Diabetes Clubs in 186 Govt-schools in the district of Kancheepuram (2005 – 2010), publication and distribution of 1500 copies of a FREE monthly journal, Patient – Physician Interaction Sessions, Puppet shows etc.
Brian Hickey (second from left) gives a tour of the manuffacuring facility during Keith Vaz MP's visit.
Just found a bunch of my A1C results going back to 2005, so thought I'd put them on TuAnalyze and SugarStats. SS only lets you pick years as far back as 2006, though. This is the graph generated by TuAnalyze. I got an insulin pump in early 2006, and then a CGM in mid-2009, both of which I think are reflected in these results.
Also, look! I've been in the green for five years!
I decided against ingesting a large glucose/fat load on the last day of the CGM sensor I was wearing, and elected to eat this low glycemic index meal instead (glycemic index = 0).
The embedded glucose trend combines 15 evening mealtimes and shows a flat glucose response. Calculated HbA1c over 2 weeks is 4.7%.
I am not interested in telling other people what to eat. However, I realize that I enjoy and can sustain a real food, healthy fat, low carbohydrate eating pattern quite easily, with good results.
While I am not diabetic or pre-diabetic, I'm awed by the ability of the human body to regulate itself and the ability of humans in which regulation is compromised to achieve their life goals.
Reminder that I have no ties to, nor have I received any gifts, honoraria, meals, from any food, pharmaceutical, device, or diagnostics manufacturer. #ConflictFree #NoDollarsforThisDoc
#LCHF #CGM #ContinuousGlucoseMonitor #ThisCenturyBestCentury #DiabetesPrevention #DiabetesReversal #MetabolicHealth #Nof1Experiment #Geek
EADV-OnderzoeksGrant 2013 voor onderzoek naar effect bolusadvies van insulinepomp
De EADV-OnderzoeksGrant 2013 is toegekend aan Sandra van den Heuvel en Lisa Zimmerman, diabetesverpleegkundigen in het UMC St. Radboud in Nijmegen. Zij gaan bij insulinepompgebruikers een onderzoek doen naar het effect van het bolusadvies van de pomp op de bloedglucoseregulatie en de kwaliteit van leven. Het gaat hierbij om een rekenprogramma van de pomp dat een advies geeft over het aantal toe te dienen eenheden extra insuline bij een maaltijd. De vierde EADV-OnderzoeksGrant is op 21 maart overhandigd tijdens het symposium van EADV, de beroepsorganisatie voor diabeteszorgverleners.
Een insulinepomp voor mensen met diabetes geeft 24 uur per dag continu insuline af (basale dosis). Daarnaast moeten pompgebruikers bij een maaltijd wat extra insuline toedienen, de zogeheten bolus. Insulinepompen geven hiertoe een bolusadvies. Dit rekensysteem van de pomp wordt ook wel boluscalculator of boluswizard genoemd. Hoewel het gebruik van een bolusadvies op grote schaal door zorgverleners wordt aangeraden, is er vrijwel geen onderzoek gedaan naar het effect hiervan op de bloedglucoseregulatie en de kwaliteit van leven, zo constateerden Sandra en Lisa. Om in deze leemte te voorzien beginnen zij met een onderzoek, waarbij twee groepen insulinepompgebruikers met elkaar worden vergeleken. Een groep die bij de maaltijden gebruik maakt van het bolusadvies van hun pomp en een andere even grote groep, die in de eerste periode zelf de insulinebolus uitrekent en pas na enkele maanden zich laat adviseren door de insulinepomp. Uiteindelijk moet dan duidelijk worden wat de verschillen zijn in bijvoorbeeld bloedglucosecurves, HbA1c-waarden, hypoglykemieën en kwaliteit van leven.
De EADV-OnderzoeksGrant is bedoeld om leden van EADV te stimuleren tot verpleegkundig-wetenschappelijk onderzoek. Het doel daarvan is de verpleegkundige diabeteszorg in Nederland en daarmee de gezondheid van mensen met diabetes te verbeteren. De EADV-OnderzoeksGrant bestaat uit een bedrag van vijfduizend euro, mogelijk gemaakt door Accu-Chek® van Roche Diagnostics en bedoeld voor het uitvoeren van het onderzoek en/of de verspreiding van de onderzoeksresultaten. De stimuleringsprijs is sinds 2009 nu viermaal uitgereikt.
Sandra van den Heuvel werkt vanaf 2001 als diabetesverpleegkundige in het UMC St. Radboud in Nijmegen: "Voor mij is de EADV-OnderzoeksGrant een uitdaging om als verpleegkundige te kunnen bijdragen aan verpleegkundig-wetenschappelijk onderzoek. De Grant is voor onze beroepsgroep een mooie stimulans!" Lisa Zimmerman is vanaf 2007 diabetesverpleegkundige in Nijmegen en heeft vanuit haar affiniteit met onderzoek eerder gewerkt als researchverpleegkundige: "Ik wil altijd graag weten of je als verpleegkundige de goede dingen doet en ook of je de dingen op de juiste manier uitvoert. Veel praktische zaken in de verpleegkunde zijn nog onvoldoende onderzocht en als dat wel gebeurt, kan dat een belangrijke stap zijn om de zorg voor patiënten te verbeteren."
“Het juist inschatten van de koolhydraten is een echte valkuil, of je nu wel of niet gebruik maakt van het bolusadvies van de pomp”, zeggen Sandra en Lisa. “De techniek kan het nooit van de mens overnemen, pompgebruikers moeten altijd zelf blijven nadenken. Ons onderzoek zal naar verwachting een jaar in beslag nemen. Natuurlijk hopen wij dat we na afloop bijzondere resultaten kunnen melden, die voor collega's weer stimulerend zijn voor aanvullend onderzoek."
Drie eerdere Grants
De eerste EADV-OnderzoeksGrant ging in november 2009 naar Hanneke Hortensius (Diabetes Kenniscentrum, Zwolle) voor haar promotie-onderzoek naar zelfcontrole bij mensen met diabetes. De tweede EADV-OnderzoeksGrant werd in maart 2011 toegekend aan Jolanda Hensbergen (VU medisch centrum, Amsterdam) voor haar onderzoek naar de begeleiding van vrouwen met zwangerschapsdiabetes. De derde EADV-OnderzoeksGrant was in juni 2012 voor Judith van Niel (MCH Westeinde, Den Haag) voor haar onderzoek naar het effect van continue bloedglucosemeting vóór en tijdens de zwangerschap van vrouwen met type 1 diabetes.
08.06.10
Scary couple of days what with eye problems and hypos.....
Sunday night went to bed and suddenly noticed a weird shape/streak across the corner of my vision in my right eye. This might not have been quite so worrying if I hadn't got proliferative retinopathy. Retinopathy is a complication of diabetes, which as you may have guessed from what I've already said, affects the eyes, in particular the retina. There are initially no symptoms but if it is left untreated it can lead to partial and eventually total sight loss.
Diabetic retinopathy is a common complication of diabetes and is the leading cause of blindness in adults under 65. It is estimated that 25% of people with type 1 diabetes will have some degree of diabetic retinopathy five years after their symptoms first develop. (www.nhs.uk)
Retinopathy is caused when the blood vessels in the retina become blocked or leaky, or grow haphazardly, which can damage the retina and prevent it from working properly. (http://www.diabetes.org.uk/). There is some really good information on the Diabetes UK website about retinopathy.... www.diabetes.org.uk/Retinopathy---is-your-vision-at-risk/
What is Proliferative Retinopathy? In this condition very small blood vessels grow from the surface of the retina. The retina is the film at the back of your eye and the tiny blood vessels are capillaries. These growing blood vessels are very delicate and bleed easily. Without laser treatment, the bleeding causes scar tissue that starts to shrink and pull the retina off, and the eye becomes blind. Laser treatment prevents blindness, but often some vision is lost. If you have had diabetes for years your retinae may develop this condition. As the retina is damaged by diabetes, the diseased retina releases special growth chemicals. These chemicals make tiny blood vessels grow: these are called 'new blood vessels'. medweb.bham.ac.uk/easdec/proliferative.html
I was first diagnosed with retinopathy roughly three years ago and since then have had extensive laser surgery on both eyes. At my last check up in January of this year they said that I didn't need any more laser as there hadn't been any further changes to the backs of my eyes and they had already done the maximum amount of laser "hits" that they usually do (about 3000 per eye). My next appointment for a check up is this Thursday.
I have had one of these "shapes" appear in my vision only once before, two days into our holiday in Goa in November 2008, which as you can imagine, was great fun!!! I made a frantic call to my local eye infirmary in the UK who advised that I get it checked immediately!!! I can't even begin to describe how terrifying it was to have to try and navigate the Indian medical system. Anyway, that's a different story....
This time I was a bit less paniced as I'm only 10 minutes from the eye infirmary, not a ten hour flight away!!! It wasn't as pronounced as the last one in Goa so I decided to see how it was in the morning. I have been getting a few blurry vision 'episodes' where everything seems a bit out of focus and also a few spots in my vision, (see the picture that goes with this post for a better idea of what I mean), which come and go and I have put that down to the dramatic change in my blood sugar results. When I saw my consultant (the wonderful Dr. Coates who said I could have the pump) he said he didn't want my hbA1c to decrease too quickly once I get the pump as it could affect my retinopathy so I'm guessing that as I've got better levels that I've ever had before it is having some affect on my eyes.
Monday morning and the shape/streak had faded a bit so I 'ummed and aahed' for ages about whether to bother going to the eye infirmary A & E or not. I decided to go and get it checked but by the time I had got myself showered and ready it had more or less faded all together and I decided to leave it until my check up on Thursday, unless it comes back.
I think that this time they will say I need to have some more laser done, obviously I'm just guessing but what with the recent blurriness and the 'streak' I got on Sunday night it looks as though there may be some changes going on in the back of my eyes (particularly the right one). But we'll have to wait and see......
Another scary thing today, I tested my sugars mid afternoon and it was 4.1 but it felt much lower so I grabbed a glass of milk. Less than ten minutes later and I felt awful, sweating, weak, confused, blurry vision etc. etc. so I tested again and it had gone down to 2.8. By this stage I could hardly hold my own head up so Gareth had to get me some chocolate and more milk. It was really lucky he was here with me as I don't know what I would have done otherwise. I couldn't get enough of the funsize Milky Way Magic Stars and no sooner had Gareth opened a packet for me I was demanding the next one (there's the stroppiness that accompanies a hypo - poor Gareth). As soon as I started to feel a bit more human, I got the usual shivers and felt freeeeeeezing cold (it was then I issued my demand for a duvet!!!) and wanted to do nothing but sleep. This was a particularly bad hypo for me as I don't think I can remember a time when I have dropped so quickly and I can't remember being as low as 2.8 for a long time. I can usually feel it coming on in plenty of time to get myself some glucose tablets or chocolate, but not today!!!
Anyway, I'm feeling ok again now (although my sugars have gone up to 12.3 and then 16.6)......but don't tell Gareth I'm feeling better because at the moment I've managed to get out of walking the dogs!!! Hypos are good for something after all......He he he!!! ;o)
DIABETES – PREPARING FOR PREGNANCY
Why is it important to have your diabetes under control before pregnancy?
High blood sugar at the time of conception is harmful to your baby as it can lead to abortion and birth defects especially of heart and spine. Organ formation of the baby is largely completed by the first eight weeks of pregnancy hence you may not be aware of your being pregnant.
Uncontrolled diabetes is also harmful for you as it can affect your eyes and kidneys. These complications can worsen further during pregnancy, so you need to be aware whether you have them before you plan to conceive.
What is the pre-pregnancy diabetes target?
The latest guidelines recommend that the pre pregnancy HbA1c should be below 6.5% to reduce the risk of birth defects.
How can you prepare for pregnancy?
Plan a visit to your diabetes specialist for pre-pregnancy counseling.
The aim of pre-pregnancy counseling is to stay in good blood sugar control 2 to 3 months before you become pregnant.
It involves –
Review of your diabetes control.
Checking your eyes and kidneys
Switching to insulin if you take pills to control your blood sugar before becoming pregnant
Stopping of non pregnancy-friendly pills e.g. cholesterol lowering pills, some blood pressure lowering pills etc. Switching to safe blood pressure pills for pregnancy.
Taking folic acid tablets to reduce your chances of having neural tube defects (defects of spine and brain).
Was being recommended this a couple of days back.
Heat up 100-150ml of water and dip this in. As you have your breakfast, sip it along.
Heard that it coats the stomach and reduces the sugar absorption into the bloodstream. About 50% of the sugar in the food that you eat goes right through.
The doc who recommended me this said that her HbA1c levels are like 5%!
Note: The 50 sachets (100gm) that come in one box @₹250 contain about 8.6gm of sugar (soluble) in all, i.e., 0.172gm sugar per sachet.
“(A) Mean changes of hemoglobin A1c (HbA1c) from baseline to last published date for each study retrieved to represent the three methods of reversal; (B) mean changes of weight from baseline to last published date for each studies retrieved to represent the three methods of reversal. Note: We chose these three studies to represent the three methods of reversal based on publication date and relevance to diabetes reversal. Note that baseline characteristics differ. Surgery trial examined by sleeve gastrectomy and Roux-en-Y gastric bypass separately and were represented as sleeve and bypass in the graph. Surgery: STAMPEDE [34,35]. Low-calorie diets (LCD): DIRECT [65,66]; carbohydrate restriction (LC): IUH [99,107].”
Source: Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ, Hallberg SJ, Gershuni VM, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients [Internet]. 2019 Apr 1 [cited 2019 Apr 2];11(4):766. Available from: www.mdpi.com/2072-6643/11/4/766
Image used under a CC BY 4.0 license.
EADV-OnderzoeksGrant 2012 voor
glucosesensor-studie van Judith van Niel
Welke invloed heeft een continue bloedglucosesensor op het verloop van de zwangerschap bij vrouwen met type 1 diabetes? Hebben zij minder ernstige hypoglykemieën en zijn er wellicht minder aangeboren afwijkingen bij de baby? Om dit na te gaan is diabetesverpleegkundige Judith van Niel in 2009 een langdurige studie gestart. Als kroon op haar werk kreeg zij op 28 juni 2012 in Utrecht de EADV-OnderzoeksGrant uitgereikt. "Een bijzondere erkenning en waardering", zegt Judith met enige trots.
Judith van Niel (51) is vanaf 1994 werkzaam als diabetesverpleegkundige in het MCH Westeinde in Den Haag. De EADV-OnderzoeksGrant is bedoeld om leden van de EADV, de beroepsorganisatie voor diabeteszorgverleners, te stimuleren tot verpleegkundig-wetenschappelijk onderzoek. Doel daarvan: het verbeteren van de verpleegkundige diabeteszorg in Nederland en daarmee de gezondheid van mensen met diabetes. De EADV-OnderzoeksGrant wordt jaarlijks toegekend en bestaat uit een bedrag van vijfduizend euro, mogelijk gemaakt door Accu-Chek® van Roche Diagnostics en bedoeld voor het uitvoeren van het onderzoek en/of de verspreiding van de onderzoeksresultaten.
Omdat lage en stabiele bloedglucosewaarden, maar ook het vermijden van hypo's, van groot belang zijn voor zwangere vrouwen, wordt de continue bloedglucosesensor steeds vaker ingezet vóór en tijdens de zwangerschap. Dit ter ondersteuning van de reguliere zelfcontrole, die ook noodzakelijk blijft. De sensor is een naaldje net onder de huid, waarmee 24 uur per dag de glucosewaarde in het bloed wordt gemeten. Hierdoor kan er sneller worden gereageerd op de wisselende insulinebehoefte tijdens de zwangerschap. Ook tijdens de bevalling is het handig doorlopend zicht te hebben op de bloedglucosewaarden van de vrouw.
Volgens Judith ervaren vrouwen met type 1 diabetes en een glucosesensor hun zwangerschap als 'prettiger' en hebben zij minder stress over hun bloedglucosewaarden: "Het is nu al duidelijk dat het gebruik van de sensor tijdens de zwangerschap leidt tot een sterk verbeterde diabetesregulatie (HbA1c van 37-48 mmol/mol) en minder ernstige hypo's bij de vrouw. Maar hoe is bij gebruik van een sensor de ontwikkeling van de baby? Zijn er minder aangeboren afwijkingen, zoals aan hart en nieren? En hoe staat het met het geboortegewicht? Omdat er nog niet veel ervaring is met langdurig gebruik van een sensor, is daar weinig over bekend. Daarom ben ik in 2009 begonnen met een onderzoek onder vrouwen met type 1 diabetes en een sensor vóór en tijdens de hele zwangerschap."
Inmiddels heeft Judith een twintigtal vrouwen gevolgd: "Tot 2013 moeten zeker dertig tot veertig zwangere vrouwen met type 1 diabetes en een glucosesensor aan het onderzoek meedoen. En misschien blijkt dan zelfs dat er nog méér vrouwen gevolgd moeten worden om goede conclusies te kunnen trekken. Wij zullen nagaan in hoeverre de complicaties bij moeder en kind minder zijn dan bij andere vrouwen met type 1 diabetes (zonder sensor), zoals beschreven in de Nederlandse literatuur."
Judith van Niel is blij met de EADV-OnderzoeksGrant 2012, die zij ziet als een bijzondere erkenning en waardering: "Ik had dit echt niet verwacht, maar het is heel leuk dat er dankzij deze eervolle Grant nu zoveel aandacht is voor ons onderzoek. Voor mij is dit de kroon op het werk! Het is ook goed dat wij als diabetesverpleegkundigen laten zien dat we in staat zijn om relevant onderzoek te doen. Wij kijken immers op een andere wijze naar de dingen dan artsen, misschien ook net ietsje 'praktischer'. De dagelijkse ervaringen die wij hebben in onze spreekkamer, kunnen wij beter naar anderen communiceren als dat gebeurt in de vorm van onderbouwd onderzoek."
Wie volgend jaar in aanmerking wil komen voor de EADV-OnderzoeksGrant 2013, vindt alle informatie over de voorwaarden en het aanmeldingsformulier op www.eadv.nl (onderaan de openingspagina klikken op ‘OnderzoeksGrant’). De aanmeldingstermijn loopt van 1 september tot 15 december 2012. Deze vierde EADV-OnderzoeksGrant wordt uitgereikt tijdens het grote EADV-symposium op 21 maart 2013 in Nieuwegein.
Eerdere EADV-OnderzoeksGrant’s
De eerste EADV-OnderzoeksGrant ging in november 2009 naar Hanneke Hortensius (Diabetes Kenniscentrum, Zwolle) voor haar promotie-onderzoek over zelfcontrole (zie interview in EADV-Magazine december 2011, pagina 14-15). De tweede EADV-OnderzoeksGrant werd in maart 2011 toegekend aan Jolanda Hensbergen (VU medisch centrum, Amsterdam) voor haar onderzoek naar de begeleiding van vrouwen met zwangerschapsdiabetes (zie interview in EADV-Magazine september 2011, pagina 52-53).
إكتشف فوائد الزنجبيل العظيمة للصحة والشعر والبشرة أكثر من 19 فائدة رائعة لم تكن تعرفها اقراء الموضوع بتفاصيل اكثر من خلال الرابط التالى: www.sehaafdal.com/%D8%A3%D9%87%D9%85-%D9%81%D9%88%D8%A7%D... 1. فوائد الزنجبيل لعلاج الغثيان تضاهي فاعلية الزنجبيل لعلاج الغثيان الأدوية الكيميائية. استخدام نسبة 1.1 إلى 1.5 غرام من الزنجبيل كل صباح يساعد فى تخفيف الإحساس بالغثيان عند الحامل. 2. علاج عسر الهضم تناول 1.2 جرام من الزنجبيل يساعد المعدة فى إفراغ محتوياتها إلى الأمعاء الصغيرة، مما يسهل من عملية الهضم فى بنسبة 40% تنعكس هذه النسبة على علاج حرقان المعدة، الانتفاخ، الامساك، وعدم الراحة المصاحبة لعسر الهضم. 3. تخفيف آلام العضلات تناول 2 جرام من الزنجبيل مدة 11 يوم له مفعول عظيم للتخلص من آلام العضلات خاصة عند الرياضيين. 4. علاج التهاب المفاصل وهشاشة العظام تأثير الزنجبيل المخفف للألم يفيد من يعنى من التهابات المفاصل، كما يمكن استخدام زيت الزنجبيل مع زيت القرفة، السمسم، المستكة، كعلاج موضعي لعلاج التيبس الناتج عن هشاشة العظام. 5. فوائد الزنجبيل لمرضى السكري تناول ما مقداره 2 غرام من الزنجبيل يخفض نسبة السكر بدم الصائم ما نسبته 12%، و فى تحليل السكر التراكمي HbA1c نسبة انخفاض تصل إلى 10% بعد تناوله لمدة 12 أسبوع. 6. فوائد الزنجبيل للمرأة للحد من آلام الحيض يساعد الزنجبيل على الحد من آلام الحيض لدى المرأة حيث يعمل على تخفيف التشنجات والآلام المصاحبة فى تلك الفترة. 7. الحد من ارتفاع الكولسترول وعلاجه أثبتت الدراسات العلمية قدرة الزنجبيل على خفض نسبة الكولسترول عند تناوله بانتظام لمدة شهر ونصف. 8. علاج السرطان بالزنجبيل مادة Gingerol الموجودة فى الزنجبيل لها أثر عظيم كمضاد للالتهابات، مما يحد من أحد أهم أسباب حدوث السرطان وهو الالتهابات المزمنة. هناك بعض الأبحاث التي تحدثت عن فاعليته لعلاج سرطان الثدي، والمبايض، والبنكرياس. 9. فوائد الزنجبيل فى الحماية من الزهايمر المواد المضادة للاكسدة هامة فى مقاومة أعراض الشيخوخة بصفة عامة. للجنزبيل القدرة على منع استجابة الدماغ للالتهابات المزمنة الأمر الذي يحسن من وظائف الذاكرة فى المخ. 10. مكافحة العدوى الزنجبيل هو النبات الاقوى فى مكافحة العدوى خاصة الفطرية منها. فقط اضيفه مع ملعقة من زيت جوز الهند وزيت شجرة الشاى، استخدم هذه التركيبة 3 مرات فى اليوم. 11. علاج إرتجاع المرئ وقرحة المعدة تأثير الزنجبيل أقوى من بعض أدوية ارتجاع المرئ، كما أن له القدرة على علاج قرحة المعدة حسب دراسات أجراها علماء هنود 12. الوقاية من السكتة الدماغية وأمراض القلب وصفة الثوم مع الزنجبيل والبصل لها القدرة على حماية الجسم من النوبات القلبية والسكتات الدماغية. 13. فوائد الزنجبيل فى علاج سوء الامتصاص تأخر عملية الهضم قد يضعف من عملية التمثيل الغذائى فى الجسم، يحتوي الزنجبيل على مركبات لها القدرة فى المساعدة على عملية الهضم الأمر الذي ينعكس على تحسين عملية امتصاص المغذيات فى الجسم. 14. القضاء على الالتهابات البكتيرية الدراسات العلمية اكدت تفوق الزنجبيل على المضادات الحيوية فى محاربة البكتيريا، إضافة بعض القطرات من زيت الزنجبيل الى الماء قد تكون عامل حاسم فى حمايتك من العدوى البكتيرية خاصة لمن يتردد على المستشفيات. 15. فوائد الزنجبيل للجنس يعمل الزنجبيل على زيادة الدوافع الجنسية وزيادة إنتاج الحيوانات المنوية، كما يعزز من القدرة الجنسية نتيجة لتحفيز الجسم على زيادة انتاجه من الهرمون الذكوري التستوستيرون. يعمل ايضا على زيادة الحافز فى العلاقات الجنسية لكلا الطرفين، و الوقاية من الإصابة بالعقم خاصة لدى الرجال. 16. مهدئ للكحة مشروب الزنجبيل مع العسل هو المثالى للتخلص من الكحة والوقاية منها. 17. فوائد الزنجبيل للتنحيف والتخسيس إدخال الزنجبيل إلى نظامك الغذائي يعمل على حرق الدهون. الالتزام باستخدام الزنجبيل مدة 30 يوم له أثر عظيم على تحسين معدل الأيض والتمثيل الغذائي للجسم. 18. فوائد الزنجبيل للشعر يحسن الزنجبيل الدورة الدموية فى فروة الرأس، فيساعد على تطويل الشعر وزيادة نموة ومنع تقصفه. المواد المضادة للاكسدة تعمل هى الأخرى على منع تساقط الشعر وعلاج القشرة، فيترك الشعر أكثر لمعانا وحيوية وصحة. 19. فوائد الزنجبيل للبشرة يعمل الزنجبيل على مقاومة علامات الشيخوخة فى البشرة نتيجة لاحتوائة على المواد المضادة للاكسدة، فيعمل على تحفيز الجسم لانتاج الكولاجين المهم فى ترابط أنسجة الجلد. بالإضافة إلى تطهير السموم وتفتيح لون البشرة تابع آخر مقالاتنا على موقع صحة أفضل : www.sehaafdal.com تابع حساباتنا على مواقع التواصل الأجتماعى Facebook: www.facebook.com/sehaafdal Twitter: twitter.com/sehaafdal Instagram: www.instagram.com/sehaafdal Pinterest : www.pinterest.com/sehaafdal إذا كنت مهتم بفوائد الزنجبيل واعجبك الفيديو فقد يهمك مشاهدة الفيديوهات التالية www.youtube.com/watch?v=C_axtofZjKs www.youtube.com/watch?v=A9_AjcQnkNk www.youtube.com/watch?v=F_05QPURM8M www.youtube.com/watch?v=pQfrpu1sWnM www.youtube.com/watch?v=v-0kVi-5oIQ www.youtube.com/watch?v=jXS1VmrVcEM www.youtube.com/watch?v=Rmhvl5CUfgg
EADV-OnderzoeksGrant 2013 voor onderzoek naar effect bolusadvies van insulinepomp
De EADV-OnderzoeksGrant 2013 is toegekend aan Sandra van den Heuvel en Lisa Zimmerman, diabetesverpleegkundigen in het UMC St. Radboud in Nijmegen. Zij gaan bij insulinepompgebruikers een onderzoek doen naar het effect van het bolusadvies van de pomp op de bloedglucoseregulatie en de kwaliteit van leven. Het gaat hierbij om een rekenprogramma van de pomp dat een advies geeft over het aantal toe te dienen eenheden extra insuline bij een maaltijd. De vierde EADV-OnderzoeksGrant is op 21 maart overhandigd tijdens het symposium van EADV, de beroepsorganisatie voor diabeteszorgverleners.
Een insulinepomp voor mensen met diabetes geeft 24 uur per dag continu insuline af (basale dosis). Daarnaast moeten pompgebruikers bij een maaltijd wat extra insuline toedienen, de zogeheten bolus. Insulinepompen geven hiertoe een bolusadvies. Dit rekensysteem van de pomp wordt ook wel boluscalculator of boluswizard genoemd. Hoewel het gebruik van een bolusadvies op grote schaal door zorgverleners wordt aangeraden, is er vrijwel geen onderzoek gedaan naar het effect hiervan op de bloedglucoseregulatie en de kwaliteit van leven, zo constateerden Sandra en Lisa. Om in deze leemte te voorzien beginnen zij met een onderzoek, waarbij twee groepen insulinepompgebruikers met elkaar worden vergeleken. Een groep die bij de maaltijden gebruik maakt van het bolusadvies van hun pomp en een andere even grote groep, die in de eerste periode zelf de insulinebolus uitrekent en pas na enkele maanden zich laat adviseren door de insulinepomp. Uiteindelijk moet dan duidelijk worden wat de verschillen zijn in bijvoorbeeld bloedglucosecurves, HbA1c-waarden, hypoglykemieën en kwaliteit van leven.
De EADV-OnderzoeksGrant is bedoeld om leden van EADV te stimuleren tot verpleegkundig-wetenschappelijk onderzoek. Het doel daarvan is de verpleegkundige diabeteszorg in Nederland en daarmee de gezondheid van mensen met diabetes te verbeteren. De EADV-OnderzoeksGrant bestaat uit een bedrag van vijfduizend euro, mogelijk gemaakt door Accu-Chek® van Roche Diagnostics en bedoeld voor het uitvoeren van het onderzoek en/of de verspreiding van de onderzoeksresultaten. De stimuleringsprijs is sinds 2009 nu viermaal uitgereikt.
Sandra van den Heuvel werkt vanaf 2001 als diabetesverpleegkundige in het UMC St. Radboud in Nijmegen: "Voor mij is de EADV-OnderzoeksGrant een uitdaging om als verpleegkundige te kunnen bijdragen aan verpleegkundig-wetenschappelijk onderzoek. De Grant is voor onze beroepsgroep een mooie stimulans!" Lisa Zimmerman is vanaf 2007 diabetesverpleegkundige in Nijmegen en heeft vanuit haar affiniteit met onderzoek eerder gewerkt als researchverpleegkundige: "Ik wil altijd graag weten of je als verpleegkundige de goede dingen doet en ook of je de dingen op de juiste manier uitvoert. Veel praktische zaken in de verpleegkunde zijn nog onvoldoende onderzocht en als dat wel gebeurt, kan dat een belangrijke stap zijn om de zorg voor patiënten te verbeteren."
“Het juist inschatten van de koolhydraten is een echte valkuil, of je nu wel of niet gebruik maakt van het bolusadvies van de pomp”, zeggen Sandra en Lisa. “De techniek kan het nooit van de mens overnemen, pompgebruikers moeten altijd zelf blijven nadenken. Ons onderzoek zal naar verwachting een jaar in beslag nemen. Natuurlijk hopen wij dat we na afloop bijzondere resultaten kunnen melden, die voor collega's weer stimulerend zijn voor aanvullend onderzoek."
Drie eerdere Grants
De eerste EADV-OnderzoeksGrant ging in november 2009 naar Hanneke Hortensius (Diabetes Kenniscentrum, Zwolle) voor haar promotie-onderzoek naar zelfcontrole bij mensen met diabetes. De tweede EADV-OnderzoeksGrant werd in maart 2011 toegekend aan Jolanda Hensbergen (VU medisch centrum, Amsterdam) voor haar onderzoek naar de begeleiding van vrouwen met zwangerschapsdiabetes. De derde EADV-OnderzoeksGrant was in juni 2012 voor Judith van Niel (MCH Westeinde, Den Haag) voor haar onderzoek naar het effect van continue bloedglucosemeting vóór en tijdens de zwangerschap van vrouwen met type 1 diabetes.
EADV-OnderzoeksGrant 2012 voor
glucosesensor-studie van Judith van Niel
Welke invloed heeft een continue bloedglucosesensor op het verloop van de zwangerschap bij vrouwen met type 1 diabetes? Hebben zij minder ernstige hypoglykemieën en zijn er wellicht minder aangeboren afwijkingen bij de baby? Om dit na te gaan is diabetesverpleegkundige Judith van Niel in 2009 een langdurige studie gestart. Als kroon op haar werk kreeg zij op 28 juni 2012 in Utrecht de EADV-OnderzoeksGrant uitgereikt. "Een bijzondere erkenning en waardering", zegt Judith met enige trots.
Judith van Niel (51) is vanaf 1994 werkzaam als diabetesverpleegkundige in het MCH Westeinde in Den Haag. De EADV-OnderzoeksGrant is bedoeld om leden van de EADV, de beroepsorganisatie voor diabeteszorgverleners, te stimuleren tot verpleegkundig-wetenschappelijk onderzoek. Doel daarvan: het verbeteren van de verpleegkundige diabeteszorg in Nederland en daarmee de gezondheid van mensen met diabetes. De EADV-OnderzoeksGrant wordt jaarlijks toegekend en bestaat uit een bedrag van vijfduizend euro, mogelijk gemaakt door Accu-Chek® van Roche Diagnostics en bedoeld voor het uitvoeren van het onderzoek en/of de verspreiding van de onderzoeksresultaten.
Omdat lage en stabiele bloedglucosewaarden, maar ook het vermijden van hypo's, van groot belang zijn voor zwangere vrouwen, wordt de continue bloedglucosesensor steeds vaker ingezet vóór en tijdens de zwangerschap. Dit ter ondersteuning van de reguliere zelfcontrole, die ook noodzakelijk blijft. De sensor is een naaldje net onder de huid, waarmee 24 uur per dag de glucosewaarde in het bloed wordt gemeten. Hierdoor kan er sneller worden gereageerd op de wisselende insulinebehoefte tijdens de zwangerschap. Ook tijdens de bevalling is het handig doorlopend zicht te hebben op de bloedglucosewaarden van de vrouw.
Volgens Judith ervaren vrouwen met type 1 diabetes en een glucosesensor hun zwangerschap als 'prettiger' en hebben zij minder stress over hun bloedglucosewaarden: "Het is nu al duidelijk dat het gebruik van de sensor tijdens de zwangerschap leidt tot een sterk verbeterde diabetesregulatie (HbA1c van 37-48 mmol/mol) en minder ernstige hypo's bij de vrouw. Maar hoe is bij gebruik van een sensor de ontwikkeling van de baby? Zijn er minder aangeboren afwijkingen, zoals aan hart en nieren? En hoe staat het met het geboortegewicht? Omdat er nog niet veel ervaring is met langdurig gebruik van een sensor, is daar weinig over bekend. Daarom ben ik in 2009 begonnen met een onderzoek onder vrouwen met type 1 diabetes en een sensor vóór en tijdens de hele zwangerschap."
Inmiddels heeft Judith een twintigtal vrouwen gevolgd: "Tot 2013 moeten zeker dertig tot veertig zwangere vrouwen met type 1 diabetes en een glucosesensor aan het onderzoek meedoen. En misschien blijkt dan zelfs dat er nog méér vrouwen gevolgd moeten worden om goede conclusies te kunnen trekken. Wij zullen nagaan in hoeverre de complicaties bij moeder en kind minder zijn dan bij andere vrouwen met type 1 diabetes (zonder sensor), zoals beschreven in de Nederlandse literatuur."
Judith van Niel is blij met de EADV-OnderzoeksGrant 2012, die zij ziet als een bijzondere erkenning en waardering: "Ik had dit echt niet verwacht, maar het is heel leuk dat er dankzij deze eervolle Grant nu zoveel aandacht is voor ons onderzoek. Voor mij is dit de kroon op het werk! Het is ook goed dat wij als diabetesverpleegkundigen laten zien dat we in staat zijn om relevant onderzoek te doen. Wij kijken immers op een andere wijze naar de dingen dan artsen, misschien ook net ietsje 'praktischer'. De dagelijkse ervaringen die wij hebben in onze spreekkamer, kunnen wij beter naar anderen communiceren als dat gebeurt in de vorm van onderbouwd onderzoek."
Wie volgend jaar in aanmerking wil komen voor de EADV-OnderzoeksGrant 2013, vindt alle informatie over de voorwaarden en het aanmeldingsformulier op www.eadv.nl (onderaan de openingspagina klikken op ‘OnderzoeksGrant’). De aanmeldingstermijn loopt van 1 september tot 15 december 2012. Deze vierde EADV-OnderzoeksGrant wordt uitgereikt tijdens het grote EADV-symposium op 21 maart 2013 in Nieuwegein.
Eerdere EADV-OnderzoeksGrant’s
De eerste EADV-OnderzoeksGrant ging in november 2009 naar Hanneke Hortensius (Diabetes Kenniscentrum, Zwolle) voor haar promotie-onderzoek over zelfcontrole (zie interview in EADV-Magazine december 2011, pagina 14-15). De tweede EADV-OnderzoeksGrant werd in maart 2011 toegekend aan Jolanda Hensbergen (VU medisch centrum, Amsterdam) voor haar onderzoek naar de begeleiding van vrouwen met zwangerschapsdiabetes (zie interview in EADV-Magazine september 2011, pagina 52-53).
“(A) Mean changes of hemoglobin A1c (HbA1c) from baseline to last published date for each study retrieved to represent the three methods of reversal; (B) mean changes of weight from baseline to last published date for each studies retrieved to represent the three methods of reversal. Note: We chose these three studies to represent the three methods of reversal based on publication date and relevance to diabetes reversal. Note that baseline characteristics differ. Surgery trial examined by sleeve gastrectomy and Roux-en-Y gastric bypass separately and were represented as sleeve and bypass in the graph. Surgery: STAMPEDE [34,35]. Low-calorie diets (LCD): DIRECT [65,66]; carbohydrate restriction (LC): IUH [99,107].”
Source: Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ, Hallberg SJ, Gershuni VM, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients [Internet]. 2019 Apr 1 [cited 2019 Apr 2];11(4):766. Available from: www.mdpi.com/2072-6643/11/4/766
Image used under a CC BY 4.0 license.
FA50 is a simple, innovative and accurate POCT Immunofluorescence analyzer that has obtained CE, FDA and NGSP certificates. Combined with magnetic card auto-calibration, it can test different sample types including whole blood, serum and plasma. It can quickly provide reliable quantitative results. This immunoassay analyzer machine of POCT devices is suitable for clinics and doctor's offices, as well as different hospital departments such as ICU and CCU.
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Type 1 diabetes mellitus is identified making use of a mix of scientific symptoms and signs in addition to blood examinations. The primary blood examinations made use of are:
A) Blood sugar degrees
B) Hemoglobin A1c (HbA1c) worths
C) Islet...
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Impact on glucose using a continuous gluose monitor after ingestion over a 2 week period of a low-carbohydrate, healthy fat (LCHF), (mostly) plant-free diet in an individual without known pre-diabetes or diabetes. No industrial vegetable bean/seed oils were ingested (meats finished with butter).
An average 77 mg/dL of blood glucose calculates to a HbA1c of 4.3 %.
I am not interested in telling other people what to eat. However, I realize that I enjoy and can sustain a real food, healthy fat, low carbohydrate eating pattern quite easily, with good results.
While I am not diabetic or pre-diabetic, I'm awed by the ability of the human body to regulate itself and the ability of humans in which regulation is compromised to achieve their life goals.
Reminder that I have no ties to, nor have I received any gifts, honoraria, meals, from any food, pharmaceutical, device, or diagnostics manufacturer. #ConflictFree #NoDollarsforThisDoc
Meat pictured is farmed salmon, cooked using a sous-vide technique. Photograph by author, www.flickr.com/photos/taedc/48558453231/
#LCHF #CGM #ContinuousGlucoseMonitor #ThisCenturyBestCentury #DiabetesPrevention #DiabetesReversal #MetabolicHealth #Nof1Experiment #Geek
Impact on glucose using a continuous gluose monitor after ingestion over a 2 week period of a low-carbohydrate, healthy fat (LCHF), (mostly) plant-free diet in an individual without known pre-diabetes or diabetes. No industrial vegetable bean/seed oils were ingested (meats finished with butter).
An average 77 mg/dL of blood glucose calculates to a HbA1c of 4.3 %.
I am not interested in telling other people what to eat. However, I realize that I enjoy and can sustain a real food, healthy fat, low carbohydrate eating pattern quite easily, with good results.
While I am not diabetic or pre-diabetic, I'm awed by the ability of the human body to regulate itself and the ability of humans in which regulation is compromised to achieve their life goals.
Reminder that I have no ties to, nor have I received any gifts, honoraria, meals, from any food, pharmaceutical, device, or diagnostics manufacturer. #ConflictFree #NoDollarsforThisDoc
Meat pictured is grass fed, grass finished, ethically produced. Photograph by author, Photo Source: www.flickr.com/photos/taedc/48522129496/
#LCHF #CGM #ContinuousGlucoseMonitor #ThisCenturyBestCentury #DiabetesPrevention #DiabetesReversal #MetabolicHealth #Nof1Experiment #Geek
The in2it™ is an automated, cartridge based, diagnostic tool that allows users to monitor their HbA1c levels at home or at the point-of-care. By interrogating data stored on board, diabetic users manage their longterm HbA1c levels to achieve significant improvements in their condition.
DCA was responsible for all aspects of the instrument design up to the delivery of representative injection moulded preproduction prototypes to the client, Provalis Diagnostics.
© Property of DCA Design International Ltd
based on DCCT formula
Diabetes Control and Complications Trial (DCCT)
eAG om mg/dL = (35.6 x HbS11c) - 77.3 or
eAG in mmol/l = (1.98 x HbA1c) - 4.29.
The in2it™ is an automated, cartridge based, diagnostic tool that allows users to monitor their HbA1c levels at home or at the point-of-care. By interrogating data stored on board, diabetic users manage their longterm HbA1c levels to achieve significant improvements in their condition.
DCA was responsible for all aspects of the instrument design up to the delivery of representative injection moulded preproduction prototypes to the client, Provalis Diagnostics.
© Property of DCA Design International Ltd
#covid19 #covid2019 #coronavirus #diabetesprevention
Due to the present scare due to COVID-19 infection, many people with diabetes have been
contacting us asking whether people with diabetes are more prone to COVID-19. It is true
that the people with diabetes are prone to all infections. There is some emerging data to
suggest that people with diabetes are also more prone to COVID-19. Moreover, even in
those with infections like COVID-19, which leads to pneumonia, the chances of a secondary
bacterial infection complicating the viral pneumonia is also there. Hence, people with
diabetes should take particular precautions with respect to COVID-19, as they already have
a slightly immuno- compromised state.
What can be done to prevent COVID-19 infection?
What special precautions should people with diabetes take?
We learn that how we can prevent covid-19 infection from the diabetic patient. What special precaution we need to take to prevent covid2019 from diabetes.
About this channel:
Hello everyone , I'm Dr V Mohan. In this video series I'll be sharing my stories and life experiences to show how it motivated me to live the life I have, hoping it'll do the same for you. This is just the beginning of the series. Stay tuned to find out more!
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I decided against ingesting a large glucose/fat load on the last day of the CGM sensor I was wearing, and elected to eat this low glycemic index meal instead (glycemic index = 0).
The embedded glucose trend combines 15 evening mealtimes and shows a flat glucose response. Calculated HbA1c over 2 weeks is 4.7%.
I am not interested in telling other people what to eat. However, I realize that I enjoy and can sustain a real food, healthy fat, low carbohydrate eating pattern quite easily, with good results.
While I am not diabetic or pre-diabetic, I'm awed by the ability of the human body to regulate itself and the ability of humans in which regulation is compromised to achieve their life goals.
Reminder that I have no ties to, nor have I received any gifts, honoraria, meals, from any food, pharmaceutical, device, or diagnostics manufacturer. #ConflictFree #NoDollarsforThisDoc
#LCHF #CGM #ContinuousGlucoseMonitor #ThisCenturyBestCentury #DiabetesPrevention #DiabetesReversal #MetabolicHealth #Nof1Experiment #Geek
Prevalence of prediabetes in US youth and young adults 2005-2016 by BMI.
“The American Diabetes Association has defined prediabetes as the presence of impaired fasting glucose (IFG; fasting plasma glucose [FPG] concentration between 100 mg/dL to <126 mg/dL; to convert to millimoles per liter, multiply by 0.0555), impaired glucose tolerance (IGT; a 2-hour plasma glucose [2hrPG] concentration after a 75-g oral glucose tolerance test of 140 mg/dL to 199 mg/dL), or glycated hemoglobin A1c (HbA1c) levels between 5.7% and 6.4% (to convert to proportion of total hemoglobin, multiply by 0.01).”
Source: Andes LJ, Cheng YJ, Rolka DB, Gregg EW, Imperatore G. Prevalence of Prediabetes Among Adolescents and Young Adults in the United States, 2005-2016. JAMA Pediatr [Internet]. 2019 Dec 2 [cited 2019 Dec 4];e194498. Available from: jamanetwork.com/journals/jamapediatrics/fullarticle/2755415