The main theme during the management of diabetes is mostly to control blood sugar level. Management of diabetes requires awareness on part of patient. In
order to lead a long and healthy life one has to keep his blood sugar level
within his target range.
4 main methods to manage diabetes effectively are
a. Diet and lifestyle
b. Oral anti-diabetic drugs
c. Insulin
d. Other factors
About 50% of new cases can be controlled adequately by diet alone, 20-30% will need an oral anti-diabetic drug, and
20-30% will require insulin.
The ideal management for diabetes would allow the patient to lead a normal
life Uomo
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good health, to achieve a normal metabolic state and to escape long term
complications.
Diet and lifestyle
Dietary management aims at -
1. Achieving good glycemic control
2. Assisting weight management
3. Reducing risk of micro vascular and macro vascular complications
4. Avoiding "atherogenic" diets
5. Assuring adequate nutritional intake
6. Avoiding hypoglycemia
Recommended composition of diet for people with diabetes -
% of energy intake
Carbohydrate - 45-60%
Sucrose - upto 10%
Total fat ?- less than 35%
N-6 polyunsaturated - less than 10%
Mono saturated - 10-20%
Saturated - less than 10%
Protein - 10-15%
Weight management is a key factor, as a high percentage of people with type 2 diabetes are
overweight or obese and also many anti-diabetic medications and insulin
encourage weight gain.
Obesity Uomo
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obesity predicts insulin resistance and increased cardiovascular
risk.?
The importance of lifestyle changes such as taking regular exercise, observing a healthy diet and reducing alcohol consumption should not
be under-estimated in improving glycemic control.
Oral anti-diabetic drugs
Varieties of drugs are quite effective in reducing hyperglycemia in patients with type 2 diabetes. Most of these drugs depend on supply of
endogenous insulin.
Following are the groups of oral anti-diabetic drugs used -
a. Sulphonylureas
b. Biguanides
c. Alpha-glucosidase inhibitors
d. Thiazolidinediones
e. Meglitinides and amino acid derivatives
f. Incretin mimetics
Effects of hypoglycemic drugs -
a. Reduction of basal glycemia
b. Improvement in lipid profile
c. Increase body weight
d. Raised plasma insulin
e. Reduced post prandial glycemia
Insulin
Diabetic medications are designed to lower blood sugar level. Timing and size of dose have an important effect on effectiveness
of these medications.?
Many insulin preparations have been prepared to control diabetes. They are -
1. Rapidly acting e.g. lispro, aspart Uomo
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2. Short acting e.g. soluble regular insulin.
3. Intermediately acting e.g. isophane, lente.
4. Long acting e.g. bovine ultralente.
5. Long acting insulin analogues e.g. glargine, detemir.
Other factors
Other factors include namely
Alcohol Golden
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Diabetic foods and sweeteners. Alcohol consumption should be moderate unless
there is a coexisting medical problem that requires abstinence.Sodium intake
should be no more than 6 g daily. In hypertensive patients it should not be more
than 3 g daily.Low calorie and sugar free drinks are very useful in
diabetes.
Precautions to be taken -
1. Stick to your diabetes meal plan.
2. Exercise and weight management is necessary.
3. Co ordinate your meals and medication.
4. Be cautious with new medicines.
Thrombosed external hemorrhoid treatment Health Articles | July 13, 2012
What are usually Hemorrhoids?Hemorrhoids, generally known as piles nike sf air
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situated in your retaining wall with the colon along with anal sphincter.
Hemorrhoid flare-ups arise whenever the actual abnormal veins inside the rear
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These people are generally inflamed and also inflamed veins round the rectum maybe in the actual cheaper rectum. This rear end is definitely a final part of
the large gut leading to the?
actual anus. The rectum could be the launching towards the end in the digestion where by bowel subject matter abandon the
particular physique. Outside piles are found beneath the?
skin color around the rectum.
Hemorrhoids which variety earlier mentioned the actual bounds between colon and also anal sphincter (anorectal conjunction) are called inside
piles. Inside hemorrhoids build within the?
reduced colon. Interior hemorrhoid flare-ups might protrude, or perhaps
prolapsus nike
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hemorrhoids shrink back inside the butt. Significantly?
prolapsed hemorrhoids may well stick out for good in addition to demand therapy.
Hemorrhoids which form below this anorectal adjunction are called exterior piles.
Equally interior as well as additional hemorrhoid flare-ups may continue in this anal
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well grow to be?
irritated as well as build a grume (thrombus). Interior piles may perhaps shed blood.
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The particular most popular characteristic of interior hemorrhoid flare-ups is
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