Over six million Filipinos have diabetes, and this number only continues to grow.
Managing the disease and preventing its complications are key. Among these complications is diabetic neuropathy or nerve damage.
In this episode, we’ll talk more about its types, risk factors and how best to manage it.
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Dogs can be trained to smell when someone with diabetes has low blood sugar. 28-year-old Samantha Stocking adopted Korey when he was just 2 months old, and she’s trained him to act as her service dog. Stocking has Type 1 diabetes and Korey alerts her whenever her blood sugar is too low by nudging her leg. He will then reportedly fetch her a bottle of juice.
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February is Heart Month. Keep your heart healthy by reducing your blood sugars. Your blood sugars, also known as glucose, determine your risk factors for certain diseases. High blood sugars increase your risk of developing pre-diabetes, diabetes, heart disease as well as stroke. The good new is you can often prevent or delay the onset of Type-2 Diabetes by making healthy lifestyle choices. Weight loss, regular exercise and a diet rich in fruits, vegetables and lean proteins – as well as not using tobacco products – are key in managing diabetes. Take control of your blood sugars by getting regularly checked by your physician and making healthy lifestyle changes. Take care of your heart, and your heart will take care of you.
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Dr O’Donovan explains 12 skin signs and symptoms of skin conditions that can be linked to diabetes (including real clinical photos).
Conditions covered include: Acanthosis Nigricans, bullosis diabeticorum (diabetic blisters), digital sclerosis, diabetic dermopathy (shin spots), Xanthalasma, Vitiligo, Necrobiosis Lipoidica, Eruptive Xanthomatosis, infections and more.
This is NOT an exhaustive list.
Further information via NHS website:
https://www.nhs.uk/conditions/diabetes/
Information from patientinfo.co.uk:
https://patient.info/diabetes
More information from AAD on skin issues in diabetes:
https://www.aad.org/public/diseases/a-z/diabetes-warning-signs
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Regulation of glucose in the body is done autonomically and constantly throughout each minute of the day. Normal BG levels should be between 60 and 140 mg/dL in order to supply cells of the body with its required energy. Brain cells don’t require insulin to drive glucose into neurons; however, there must still be normal amounts available. Too little glucose, called hypoglycemia, starves cells, and too much glucose (hyperglycemia) creates a sticky, paralyzing effect on cells. Euglycemia, or blood sugar within the normal range, is naturally ideal for the body’s functions. A delicate balance between hormones of the pancreas, intestines, brain, and even adrenals is required to maintain normal BG levels.
Hormones of the Pancreas
——————————————–
Regulation of blood glucose is largely done through the endocrine hormones of the pancreas, a beautiful balance of hormones achieved through a negative feedback loop. The main hormones of the pancreas that affect blood glucose include insulin, glucagon, somatostatin, and amylin.
Insulin (formed in pancreatic beta cells) lowers BG levels, whereas glucagon (from pancreatic alpha cells) elevates BG levels.
Somatostatin is formed in the delta cells of the pancreas and acts as the “pancreatic policeman,” balancing insulin and glucagon. It helps the pancreas alternate in turning on or turning off each opposing hormone.
Amylin is a hormone, made in a 1:100 ratio with insulin, that helps increase satiety, or satisfaction and state of fullness from a meal, to prevent overeating. It also helps slow the stomach contents from emptying too quickly, to avoid a quick spike in BG levels.
As a meal containing carbohydrates is eaten and digested, BG levels rise, and the pancreas turns on insulin production and turns off glucagon production. Glucose from the bloodstream enters liver cells, stimulating the action of several enzymes that convert the glucose to chains of glycogen—so long as both insulin and glucose remain plentiful. In this postprandial or “fed” state, the liver takes in more glucose from the blood than it releases. After a meal has been digested and BG levels begin to fall, insulin secretion drops and glycogen synthesis stops. When it is needed for energy, the liver breaks down glycogen and converts it to glucose for easy transport through the bloodstream to the cells of the body (Wikipedia, 2012a).
In a healthy liver, up to 10% of its total volume is used for glycogen stores. Skeletal muscle cells store about 1% of glycogen. The liver converts glycogen back to glucose when it is needed for energy and regulates the amount of glucose circulating between meals. Your liver is amazing in that it knows how much to store and keep, or break down and release, to maintain ideal plasma glucose levels. Imitation of this process is the goal of insulin therapy when glucose levels are managed externally. Basal–bolus dosing is used as clinicians attempt to replicate this normal cycle.
While a healthy body requires a minimum concentration of circulating glucose (60–100 mg/dl), high chronic concentrations cause health problems and are toxic:
Acutely: Hyperglycemia of greater than 300 mg/dl causes polyuria, resulting in dehydration. Profound hyperglycemia ( greater than 500 mg/dl) leads to confusion, cerebral edema, coma, and, eventually, death (Ferrante, 2007).
Chronically: Hyperglycemia that averages more than 120 to 130 mg/dl gradually damages tissues throughout the body and makes a person more susceptible to infections. The glucose becomes syrupy in the bloodstream, intoxicating cells and competing with life-giving oxygen.
The concentration of glucose in the blood is determined by the balance between the rate of glucose entering and the rate of glucose leaving the circulation. These signals are delivered throughout the body by two pancreatic hormones, insulin and glucagon (Maitra, 2009). Optimal health requires that:
When blood glucose concentrations are low, the liver is signaled to add glucose to the circulation.
When blood glucose concentrations are high, the liver and the skeletal muscles are signaled to remove glucose from the circulation.
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Andrew Greenberger, D.M.D., shares tips on the connection between diabetes and gum disease. If you have one, you likely have the other. That’s because poor oral health leads to poor overall health. Luckily, you can take precautions to protect your mouth—and your lifelong health.
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‘당뇨 억제에 탁월’…고춧잎 전용 고추 개발
Diabetes is a growing problem in South Korea.
Thankfully there are some traditional foods that can help, like red pepper leaves.
And researchers say they’ve improved on this with a variety of red pepper they say is even more effective than diabetes drugs in bringing down blood sugar.
Lee Eun-jin reports.
The summer can at times be unbearably hot, but it’s also the season when food ingredients are abundant.
For many elderly Koreans, vegetables seasoned with red pepper leaves and pickled vegetables bring back nostalgic memories of their mother’s cooking.
One of the key ingredients… red pepper leaves… is known to help lower blood sugar levels.
Now, the Rural Development Administration has developed a new type of pepper designed to produce leaves that are even better at keeping blood sugar levels down.
This is the second version of the “Won-gi” pepper, which was first cultivated in 2008.
The pepper has since been cross-bred to triple its blood sugar suppressing effects.
“According to our analysis of blood sugar suppressing efficacy, diabetes drugs on the market show around 80 percent efficacy,… and the Won-gi 2 pepper extract shows 74-point-8 percent, which is not much lower than the actual drugs.”
The fruits of these Won-gi peppers don’t contain much of the blood sugar suppressing substance and can be eaten like normal peppers.
“We can cultivate both fruits… and functional leaves… so I feel it could help improve our profits.”
Results of the research on “Won-gi 2” pepper leaves
and suggestions for how to use the leaves as a food ingredient have recently been published in international academic journals.
Lee Eunjin, Arirang News.
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2022-08-21, 12:00 (KST)
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Learn how to manage your diabetes and your blood glucose levels with these 5 best foods. Supercharge your meal plan and keep your diabetes in control.
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