The term morbid obesity refers to patients who are 50 – 100% — or 100 pounds above — their ideal body weight. Alternatively, a BMI (body mass index) value greater than 39 may be used to diagnose morbid obesity.
Medical problems commonly resulting from untreated morbid obesity include the following: -Diabetes
-Certain cancers, including breast and colon -Depression
Affected people may gradually develop hypoxemia (decreased blood oxygen saturation) and have problems with sleep apnea (periodic cessation of breathing while asleep).
Decreased blood oxygen and problems associated with sleep apnea may result in feeling drowsy through the day (somnolence), high blood pressure, and pulmonary hypertension. In extreme cases, especially when medical treatment is not sought, this can lead to right-sided heart failure (cor pulmonale), and ultimately death.
There are many types of peripheral neuropathy, often brought on by diabetes; genetic predispositions (hereditary causes); exposure to toxic chemicals, alcoholism, malnutrition, inflammation (infectious or autoimmune), injury, and nerve compression; and by taking certain medications such as those used to treat cancer and HIV/AIDS. Researchers are working toward earlier and better diagnosis and treatment, and ultimately prevention of these debilitating nerve diseases. The following are the major types of peripheral neuropathy: -Neuropathy is the disease of the nervous system in which there is a disturbance in the function of a nerve or particular group of nerves. The three major forms of nerve damage are: peripheral neuropathy, autonomic neuropathy, and mononeuropathy. The most common form is peripheral neuropathy, which mainly affects the feet and legs. -Sciatica is pain, tingling, or numbness produced by an irritation of the sciatic nerve. Sciatica is a pain in the leg due to irritation of the sciatic nerve. Sciatica most commonly occurs when a branch of the sciatic nerve is compressed at the base of the spine. -Carpal tunnel syndrome occurs when tendons in the wrist become inflamed after being aggravated. Tendons can become aggravated when the carpals (a tunnel of bones) and the ligaments in the wrist narrow, pinching nerves that reach the fingers and the muscle at the base of the thumb. -Polyneuropathy is any illness that attacks numerous nerves in the body, sometimes causing weakness and/or pain. It tends to be a systemic problem that affects more than one nerve group at a time. Polyneuropathies are relatively symmetric, often affecting sensory, motor, and vasomotor fibers simultaneously. -Diabetic neuropathies are neuropathic disorders that are associated with diabetes mellitus. These conditions usually result from diabetic microvascular injury involving small blood vessels that supply nerves (vasa nervorum). -Autonomic neuropathy is a group of symptoms caused by damage to nerves supplying the internal body structures that regulate functions such as blood pressure, heart rate, bowel and bladder emptying, and digestion. -Postherpetic neuralgia is pain that persists after an episode of shingles (herpes zoster) has resolved, resulting from damaged nerve fibers from the shingles.
Hypoglycemia is sometimes called insulin reaction. It is when your blood glucose is too low. Even though you may do all you can to manage your diabetes, hypoglycemia can happen, and it can and must be treated before it gets worse.
If you remember to check your blood glucose when your doctor tells you to, your chances of experiencing hypoglycemia are much lower. Also, a low blood glucose result will tell you that you need to treat it. If you feel the symptoms of hypoglycemia you should check your blood glucose. If the reading tells you that your blood glucose is low, you should treat it immediately.
The American Diabetes Association (ADA) says that if you feel a hypoglycemic reaction but cannot check your blood glucose it is better to treat the reaction than to wait till you can check. How do I treat hypoglycemia?
You need to raise your blood glucose. The fastest way to do this is to eat some form of sugar. The ADA advises: -Take 3 glucose tablets (easily bought)
–1/2 a cup of fruit juice -5 to 6 pieces of hard candy (UK ‘sweets’)
You should ask your dietitian or health care professional for more advice on what you could eat to treat hypoglycemia.
Make sure you always carry at least one type of sugar with you so that you are prepared.
Erectile dysfunction (ED), formerly called impotence, can affect men of all ages, although it is much more common among older men. It is normal for men to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor. PDE5 inhibitors are generally the first choice of treatment for erectile dysfunction. There are three brands that are approved for the treatment of erectile dysfunction: -Sildenafil (Viagra)
These drugs are generally safe and effective for most men. These medications may not be appropriate for men with certain health conditions, such as severe heart disease, heart failure, history of stroke, or uncontrolled high blood pressure or diabetes. Men who take nitrate drugs cannot use PDE5 inhibitors, and these drugs can also interact with other medications. Talk to your doctor about whether PDE5 inhibitor drugs are a safe choice for you.
Eating well is one of life’s greatest pleasures. Fortunately, having diabetes does not prevent you from enjoying a wide variety of foods. People with diabetes have the same nutritional needs as anyone else. Learn to eat well-balanced meals in the correct amounts, stay fit, and take your prescribed medications, and you can thrive with diabetes
To help manage your diabetes, your meals need to be: -Regular and spread evenly throughout the day -Lower in fat, particularly saturated fat -Based on high fiber carbohydrate foods such as wholegrain breads and cereals, beans, lentils, vegetables and fruits.
Matching the amount of food you eat with the amount you burn up each day is important. Not putting too much fuel in your body (keeping food intake to moderate serves) is vital to getting the right balance. Along with healthy eating, regular physical activity can help you to manage your blood glucose levels, reduce your blood fats (cholesterol and triglycerides) and maintain a healthy weight.
Researchers under the leadership of Dr. Camillo Ricordi at the Diabetes Research Institute at the University of Miami announced a medical breakthrough, a biologically-engineered organ that would mimic the pancreas in creating the precise amount of insulin the body would need at any given moment, thereby controlling the patient’s blood sugar levels. Called the “BioHub,” it was described as “the closest medical science has gotten to a cure” for Type 1 diabetes, the variety also known as juvenile diabetes because most patients develop it either during their childhood or teen years. Before diabetes patients can start signing up for the surgery, however, they have to wait for the FDA to give the device its approval, a process that Ricordi explains could take five to seven years. Currently researchers at the DRI are about to start phase one of the clinical trials, and only those patients with a severe case of Type 1 diabetes will be elegible. Ricordi is reluctant to say he’s come up with a cure for Type 1 diabetes, but he is optimistic. His dream is to one day do the same for patients with Type 2 diabetes, the version attributed to poor diet, obesity and hereditary predisposition that usually has its onset later in life.
Today we know more about nutrition than ever before. There is a great deal of information out there and it can be hard to sort through sometimes. So how do we navigate it all? For starters, it will help to know the general principles of healthful eating listed below. -Eat more vegetables, especially non-starchy vegetables. Choose fresh, frozen, and canned without added salt or fat. Include a variety of types and colors. -Choose whole grain foods over foods made with refined grains and flours. Switch from sugary cereals to unsweetened whole grain cereal or oatmeal. -Choose lean protein foods. Try to include fish twice per week. Choose vegetarian sources of protein often such as beans and soy-based products. Eggs and egg substitute are also great sources of protein. Remove the skin from chicken and turkey. Choose lean cuts of beef and pork. -Fruit is also a great option and can curb your sweet tooth. Choose fresh, frozen, or canned fruit without added sugars. -Choose low-fat milk and dairy. 1% or skim milk, or unflavored soy milk are best. Non-fat or low-fat yogurt (plain or sweetened with artificial sweetener). Opt for reduced-fat cheeses or cottage cheese. -Choose healthy fats in moderation and limit unhealthy fats. Healthy fats include vegetable oils, mayonnaise, trans-free margarine, margarine with plant sterols and stanols, avocado, olives, nuts, and seeds.
Harvard University researchers have discovered a naturally-occurring hormone in mice that sharply increases the number of precious, insulin-producing cells found in the pancreas—the beta cells that are lost during diabetes. The work is still in early stages and not ready to be tested in people, but the scientists have already partnered with two companies in an attempt to develop a drug that, they hope, could potentially replace or augment daily insulin injections. “We’ve discovered a new hormone that does this important, interesting thing: robust, rapid expansion of beta cells,” said Douglas Melton, co-director of the Harvard Stem Cell Institute. “It boosts beta cell replication like nothing anyone’s ever seen.”
Drug development is still in early stages, but if all goes well, it is possible a molecule could be tested in people in three to four years.
1. Diabetes is a silent epidemic and according to WHO there are 246 million people in the world living with diabetes.
2. Diabetes in Asians is five times the rate of the white population.
3. India is the diabetes capital of the world.
4. Central obesity or apple shape of the body and insulin resistance is the main reason for diabetes.
5. Diabetes causes 6 deaths every minute and one in 20 deaths in the world is due to the condition.
6. Diabetes is an important ‘silent killer disease’ as there is usually no early symptom of the disease. The commonest early symptom is feeling thirsty
7. Almost 90 to 95% of diabetes is of type 2 or maturity onset type; that affects people in their middle age. Type 1 or juvenile diabetes affects 70,000 children under the age of 15 years every year.
8. The major cause of increase in the incidence of diabetes is a sedentary lifestyle. Exercise and diet can either reduce or delay diabetes by over 50%.
9. Diabetes is the number one cause of kidney failure in the world.
10. The current cost of treating diabetes and its complications in the world is estimated as US $ 215-375 billion.
Diabetes More Common In Non-Walkable Neighborhoods. Whether or not your neighborhood is good for walking around could influence your risk for diabetes.
A new study conducted in Canada defined a “less walkable” neighborhood as having fewer places within a 10-minute walk, poorly connected streets, and lower residential density. People who live in these types of neighborhoods were 50 percent more likely to develop diabetes in contrast to long-term residents living in walkable areas.
So our advice for today is Walk trough a Diabetes-Free Life.
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin, or both. Symptoms: Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).
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