Sunday, February 22, 2015

Diabetes and the Link to Kidney Disease

Diabetes and the Link to Kidney Disease


Photo: news.bbcimg.co.uk
 
The complications of diabetes can lead to a variety of issues, one of which is the possible threat of kidney trouble. If you've been diagnosed with diabetes, or even prediabetes, there are certain steps that you can take to help prevent the onset of kidney disease, aka nephropathy. Nephropathy caused by diabetes is known as diabetic nephropathy.

Diabetes is indeed the leading cause of kidney failure today, and is more prevalent in African Americans, aboriginal Americans, and Latin Americans. Unfortunately, the precise interplay between diabetes and kidney disease is not well known, and there is not yet a cure for diabetic nephropathy. Essentially, it is believed that over years with high blood pressure and high blood glucose levels, your kidneys become damaged, thus preventing them from working properly, or even failing altogether. Luckily, proper management of diabetes can prevent or delay any serious damage to your kidneys.

Your kidneys help to filter your blood, excreting waste through your urine. Your kidneys also help to regulate the fluids and salt content in your body, an important factor in controlling your blood pressure. Each of your two kidneys has approximately one million tiny filtration units, called nephrons. And each nephron has a small filter called a glomerulus, which is attached to a tubule. It is through this tubule that waste and water pass through. When breakdown occurs, it is at this point, where the glomeruli work together with the tubules.
As was said above, it is unclear why high blood sugars and high blood pressure should damage your glomeruli, although it is likely related to your kidneys working so much harder to compensate for increased blood pressure. Because high blood sugar levels damage your blood cells, this further stresses your kidneys as the glomeruli are essentially a network of blood cells.

The following are some of the early signs of kidney disease in people with diabetes:

1. Albumin/protein in your urine.
2. High blood pressure.
3. Swelling in your legs, feet or face.
4. Going to the bathroom more frequently.
5. High levels of nitrogen and creatinine in your blood.
6. Less need for diabetic medicines, such as insulin.
7. Nausea and/or vomiting.
8. Headaches.
9. Fatigue.
10. Itchiness.

If you are diagnosed with kidney disease, you will likely be treated as part of a comprehensive approach to treating your diabetes. Some conventional medical options for treatment include medication such as ACE inhibitors, as well as dialysis, or even kidney transplant.
Here are some key ideas on preventing kidney disease:
  • Strictly control your blood sugar levels by eating properly, and monitoring your levels within the target range specified by your doctor.
  • Ensure that your blood pressure and blood cholesterol levels are well controlled.
  • Avoid NSAIDS (non-steroidal anti-inflammatory drugs), e.g. aspirin or ibuprofen, which have been linked to some issues with kidney function.
  • Don't smoke cigarettes or consume nicotine in any form.
  • Treat urinary tract infections immediately with antibiotics.
  • Drink plenty of water and avoid sugary drinks and alcohol.
  • Avoid medical tests that may damage your kidneys, including x-rays that require the injection of contrast dyes.
  • Take your prescribed medications and get regular tests to determine the health of your kidneys.
  • Get regular exercise.
  • Follow a healthy meal plan.
Furthermore, getting regular acupuncture can help you to balance your hormonal levels, your blood sugar levels, and your blood pressure as well. Acupuncture does not interfere with medication, and so is completely safe to administer alongside your other treatments. Ensure that whoever is treating you with acupuncture is well trained in Traditional Chinese Medicine, so that you will be diagnosed properly.

What To Do After Being Clinically Diagnosed With Diabetes


Photo: trialreach.com
Are you worried because you have been diagnosed with diabetes recently? Go over the following article to find out what you should do next.
Do not let your condition scare you. It is true that diabetes are more likely to develop a certain number of health problems but you can avoid complications by properly managing your condition. In fact, your diabetes will become very easy to manage once you get in better shape and adopt a healthy lifestyle. It is important to transform your lifestyle quickly and do everything you can to keep your diabetes under control.
Learn how to check your glucose levels. Invest in a quality glucose monitor and buy plenty of test strips. You can save a lot by ordering supplies in bulk online. Purchase some insulin and needles too. If you do not like needles, you should invest in an insulin pen you can use to dose the quantity of insulin you need and perform an easy injection. Test different methods until you find a product you are comfortable with. Put together a bag with your different supplies and get into the habit of carrying it with you at all times.
Make a lot of changes to your diet. If you are overweight, you should focus on losing a few pounds to reach a healthier weight. Lowering your body fat should make your blood sugar levels easier to manage. Identify the unhealthy foods and beverages you need to eliminate from your diet. Adopt a diet rich in whole grains and fibers. You should have several small meals throughout your day if you find that your blood sugar spikes after having a large meal. Adopting a healthy diet will be much easier if you get into the habit of planning your meals in advance.
Being active is a necessity. If you are used to spending a lot of time sitting at a desk or on your couch, find some new activities. Going for a walk is an excellent way to burn some calories after a meal. If you are overweight, exercise three or four times a week. Find some exercises you enjoy to keep your fitness program fun. Do not exercise too intensely until you are in better shape. If you experience dizziness while exercising, stop right away and test your blood sugar levels.
Do not let your diabetes cause you stress. If you feel overwhelmed by your condition, find a support group. Talking to others with diabetes will make you feel better and you will get some useful tips from people who have more experience with managing diabetes. Learn as much as possible about diabetes and you will find this condition less scary. Meet with your doctor regularly to make sure you are managing your condition efficiently.
The tips you just read will help you make some changes to your lifestyle. You should apply these different strategies and get some help from your doctor if you feel that you are not managing your diabetes efficiently.

Type 2 Diabetes - Red Blood Cells and Blood Vessel Disorder

Type 2 Diabetes - Red Blood Cells and Blood Vessel Disorder

 


Photo: img.webmd.com
 
In the normal course of things, red blood cells change form slightly as they travel through your bloodstream. Flexibility allows them to move through tiny blood vessels called capillaries, and to maneuver around corners. In diabetes these cells in your blood lose some of their flexibility. This loss has been implicated in damage to your capillaries. Presumably, loss of ability to go through blood vessels could result in abnormal destruction of red blood cells and a lower red blood cell count.

Investigators at the First Affiliated Hospital of China Medical University and the Fourth People's Hospital of Shenyang in the People's Republic of China, set out to discover whether blood counts of these particular cells could indicate damage to small blood vessels.
Their study, published in the Journal of Vascular Health Risk Management in May 2013, included...
  • 369 people with Type 2 diabetes.
It was found damage to small blood vessels increased as red blood cell counts decreased. When these participants were grouped by their results, the fourth group with the lowest number of red blood cells, had almost five times the risk of blood vessel damage as those in the top groups.
From this information it was concluded blood testing on a regular basis was an effective method of predicting which patients were likely to have blood vessel disease.
Blood and its vessels affect every living organ in your body. Type 2 diabetics with blood vessel disease are at risk for complications such as:
  • brain aneurysm,
  • heart attack,
  • kidney disease, and
  • pain, numbness, and
  • tingling of the hands and feet.
Complete blood counts are often part of a routine medical examination. According to the National Institutes of Health in the United States:
  • adult men should have 4.7 to 6.1 million red blood cells per microliter,
  • adult women should have 4.2 to 5.4 million cells per microliter.
Hemoglobin, the molecule that holds oxygen in our blood, is also measured:
  • adult women should have 12.1 to 15.1 grams per deciliter of hemoglobin,
  • adult men should have 13.8 to 17.2 grams per deciliter.
Normal size for a red blood cell is 80 to 95 femtoliters.

There are clearly normal variations in numbers, size, and content, just as there are variations in normal height, weight, and all other human measurements. If the count goes steadily down, however, it could be a matter of concern to discuss with your doctor. A steady loss can lead to low hemoglobin measurement.
If there does appear to be a loss of red blood cells or, if the cells are getting smaller or lower in hemoglobin, it might be time to reassess your diet, exercise, and medication program for better diabetic control.
Type 2 diabetes is not a condition you must just live with. By making easy changes to your daily routine, its possible to protect your heart, kidneys, eyes and limbs from the damage often caused by diabetes, and eliminate some of the complications you may already experience.

MoMo Move of the Day

My Diabetes-Beating Diet



Photo: i.huffpost.com
 
I have type 2 diabetes. It could eventually damage my heart, kidneys, eyes and extremities, or I could end up with gangrene in my legs which would then have to be amputated. The outlook could be an early death... slow, messy and painful... unless I can keep it under control.

I am now keeping my diabetes under control... using diet alone.
I was first diagnosed with borderline or early onset diabetes in 2001. My condition gradually became worse until a few years ago when I researched what I could do to beat it.
My research proved very fruitful. All I had to do, I discovered, was to eliminate certain foods from what I was eating. I did so and my numbers... blood glucose and HbA1c... improved dramatically, even when I stopped taking the medications I was on.

Nowadays, two hours after a meal my blood glucose is usually less than 6mmol/L (108mg/dl), while my HbA1c levels regularly come in at 42mmol/mol (6.0%) when I have my blood tested every 4 months or so.
Before I started on this diet I was very overweight, almost obese. Even though my diet allows me to eat as much as I want, I lost my excess weight and my BMI (body mass index) is now within the 20-25 'normal' range. Indeed I now feel much lighter, healthier and more energetic.
And best of all, beating diabetes... putting off the effects it was having on my body... has improved my prospects of living to a ripe old age.
Here's what I eat and don't eat:

The foods I eat are... natural... low in sugar... low in fat... low in salt... high in fibre... and are digested slowly (ie, have low glycemic index (GI) values).
The easiest way to do this is by concentrating on natural, unprocessed foods that are mostly plants. I am not a vegan and do eat some ultra-lean meat and fish after I have removed any visible fat.
I also drink lots of water, to aid the absorption of the fibre I eat... at least two and up to four litres a day in addition to the water I get in juices, tea, coffee, and soy milk.

The foods Idon't eat at all are... eggs... and dairy products.
In other words, I exclude... animal milk... cheese... butter... ie, anything with milk, milk products or derivatives in it. I use soy milk as a substitute of cow's milk. You'll find plenty of other substitutes for animal milk and other dairy products in your local supermarket or health food store.
In my view, avoiding eggs and dairy products is crucial to getting diabetes under control. I did not notice any changes in my glucose levels until I suddenly stopped eating eggs and dairy products entirely. About three weeks later I experienced rapid weight loss and a significant improvement in my post-prandial blood glucose levels.

In addition to the diet I have outlined above, I also take a range of dietary supplements. This, I feel, is necessary in order to cover any possible dietary deficiencies because I am not longer eating any eggs or dairy products.

The great thing about this diet is that you can eat as much as you want... no calorie counting... no restrictions on portion size... no going to bed on an empty stomach at night.
This diet is about what you eat... not how much you eat. Here's a summary:
Eat... natural... low sugar... low fat... low salt... high fibre... low GI... mostly plants... all you want... with lots of water... excluding eggs and all dairy products
Believe me, it should work for you. It works for me and is helping me control my diabetes.
And it's easy to follow. All you have to do is learn to read food labels and you'll have no problem choosing the right foods to eat. You also need to learn a little about the fat and sugar content of various natural foods such as nuts, exotic fruits and so on.

Giving up foods you have been eating all your life can be a bit of a struggle. However, soon after I did the switch-over from my usual Western high-fat diet I realised a great truth... all our tastes in food and drink, with the exception of mother's milk, are acquired tastes.
I also discovered that it does not take a great deal of effort to acquire a new set of tastes.
And, as well as beating your diabetes, you'll be pleasantly surprised at how much better your food tastes once you've eliminated fat and sugar from your diet.

MoMo Move of the Day

MoMo Move of the Day I watched some oblivious mother walk by today's Memorial Day Ceremony gabbing on a cellphone with three children in tow. Not only was this a MoMo move, but a disrespectful one. I should also add that it was a missed opportunity to provide her children with a history lesson. Shame on you MoMo Mama!
Memorial Day Ceremony





11 a.m., Memorial Day Ceremony at Memorial Park. From top: American Legion Post 347 's Rifle Squad, Larchmont Mayor Josh Mandell, Town of Mamaroneck Supervisor Valerie O'Keeffe, and Assemblyman George Latimer.

The Hottest Auburn Blog on The Net

12.14.2008

Chizik's first day is about to begin

Hey everyone. I'm here in Auburn now, preparing to chronicle Gene Chizik's first day as the Tigers' head coach. He was late leaving Ames today aboard one of the school's three jets, but he's now in transit.

His estimated time of arrival is 6 p.m. CST.

He is scheduled to meet with the team around 8. Several players will be made available after that briefing. One of my favorite guys to talk with, Coach DeMarco McNeil, said he'll be around as well.

I'll keep you updated as the night progresses.

Des Andes aux Rocheuses

Bons plans & Parapente

Nos adresses favorites, des bons plans, où voler, quelques plans de ski de rando au Canada ouest.
Pour ceux qui veulent plus de détails, n'hésitez pas à nous écrire un mail, nous répondrons avec plaisir!

Parapente: Argentina, Chile, Sur Lipez, Bolivia, Colombia, Ecuador, west Canada 

Bons plans: Chile, Argentina, Bolivia, Colombia, Ecuador, Peru trek et Machu Pichu, west Canada

Ski de rando: Ouest Canada (chaîne côtière et Rocheuses)

Parapente

Argentina, El Bolson
conditions de vol: saison de vol: été argentin - hors saison, les vents sont trop forts. Vent dominant d'Ouest.
déco/atterro: 1 déco, plusieurs atterros. Martin organise les navettes (payantes mais pas chères).
dormir, manger, activité: pour les parapentistes, vivre chez Martin, c'est vivre avec sa famille, partager les repas et les bons moments, une vraie "auberge espagnole" à l'argentine.
y aller: bus pour El Bolson, puis prendre un taxi ou marcher 1/2h vers les cascades. Appelez avant d'arriver!

Argentina, Refugio San Bernardo, Potrerillos
conditions de vol: vol dans la brise. On est tout le temps sous le vent dominant d'Ouest mais bien protégé par la chaîne de montagne qui culmine à 6000m.
déco/atterro: déco sur les petits sommets environnants / atterro au début de la route en terre qui monte au refuge.
dormir, manger: refugio San Bernardo, géré par Marco hyper accueillant (proprio Michel, un français). Appeler directement Marco pour savoir s'il y a de la place. Possibilité de cuisiner. Marco propose qqs plats (pizza) et sandwich.
activités: sommets de 3000 à 6000m, accessibles, parapente, randos, bon camp de base pour s'acclimater avant l'Aconcagua.
y aller: prendre un bus de Mendoza à Potrerillos (se faire déposer à los Pozones) puis stop ou taxi (très cher). Le proprio monte parfois au refuge (mais bien se mettre d'accord sur son prix avant car ce n'est pas clair, même si ce n'est pas cher, les malentendus et l'accueil surfait et un peu bizarre rendent au final l'ambiance du voyage avec lui plus que mitigée....).

Chile, Maitenchillo
conditions de vol: Soaring. Les conditions sont à priori rarement bonnes. Il faut surveiller la météo pour avoir du vent d'Ouest suffisamment fort.
déco/atterro: déco aménagé au sommet de la falaise, atterro au déco ou sur la plage (chemin pour remonter)
dormir: aller au déco, contacter Guillermo. Il a une cabane juste à côté du déco: possibilité d'y planter la tente ou de dormir dans une chambre rustique. Hôtels à proximité (très chers).
manger: les restos sont à 20 min de marche du déco et servent du délicieux poissons frais.
y aller: prendre un bus de Valparaiso sur la avenida del mar, s'arrêter au 1er arrêt de Maitencillo (avant d'arriver à la 1ère baie) - compter 3h en bus.

Bolivia, Sud Lipez - Expérience incroyable!!
conditions de vol: apparemment région assez peu ventée. Par contre, une brise forte se met en place assez tôt le matin provenant de Bolivie. Mieux vaut donc être matinal...voir nocturne le temps de monter.
déco/atterro: pour le déco, choisissez votre sommet en fonction du temps que vous disposez et des conditions :  Licancabur ou Juriques. Attero...partout...
dormir: refugio de la Laguna Blanca - camping interdit - mais on pense que sans rien dire à l'entrée du parc, il est possible de marcher vers le Licancabur et de monter autour de 5000m où il y aurait un terrain plat, abrité pour camper.
manger: restauration possible au refuge, sinon en demandant gentiment, possibilité de cuisiner avec les cholitas boliviennes.
y aller: le refuge est à 20 min en 4*4 de la frontière bolivo-chilienne, côté Bolivie. De San Pedro de Atacama (Chile), demander à une agence de vous arrêter au refuge et de vous reprendre 1 ou 2j plus tard pour continuer le tour au Sud Lipez côté Bolivie. (prix identique avec arrêt ou pas au refuge de la laguna blanca). Attention toutes les agences ne le font pas. (préférez l'agence Estrella del sur).

Bolivia, Copacabana
conditions de vol: vol en dynamique au dessus de la ville (environ 300m de déniv). orientation Est... et oui, on vole quasi dos au lac, sauf quand c'est limite orageux dans les montagnes et que le vent tourne...
déco/atterro: orientation Ouest, décollage par vent d'Est léger, Possibilité de décoller sur la route d'accès mieux orientée pour le vent d'Est.
dormir: pleins d’hôtels à Copacabana. Nous avons bien aimé l'hôtel Leyenda au bord du lac. (voir commentaires sur "Bolivia" plus bas)
y aller: depuis Copacabana, montée à pied 40 minutes à vue, dans
 les champs en terrasse

Colombia, Canyon de Chicamocha
conditions de vol: thermique et dynamique. vent dominant de Nord. Conditions fortes à partir de 14h.
déco/atterro: plusieurs décos avant l'entrée du parc en venant de San Gil (chercher les panneaux sur la route) / l’atterrissage est préférable en haut, sinon possibilité de poser au fond du canyon si le débit de la rivière n'est pas trop important (regarder avant...) et pas trop tard dans la journée pour la brise. Pour remonter, il y a le funiculaire du parc juste à coté.
y aller: bus fréquents entre San Gil et Bucaramanga, ou passer par le club de parapente du coin qui organise des navettes pour les bi.

Colombia, Bucaramanga
conditions de vol: vol thermique le matin jusqu’à 12h , après la brise se lève et devient trop forte. Possibilité de voler également le soir avant le coucher du soleil lorsque la brise baisse.
déco/atterro: déco moquette et atterrissage 300m plus bas. attention, il faut un peu de finesse pour rallier l'atterro!!
dormir: hôtel de parapentiste à 30m à pied du décollage.
y aller: en bus depuis San Gil/Bogota, s'arrêter a la parada "papi quiero piña"(c'est bien le nom connu de l'arrêt!)  et prendre un taxi qui connait "el despege" (le déco)

Colombia, Roldanillo - Coup de coeur!!
conditions de vol: site de cross en montagne ou en plaine
déco/atterro: 2 décos possibles : l'officiel historique, et le nouveau ouvert pour la coupe du monde, plus grand. navette à organiser avec Jonhatan.
dormir: l'hôtel Cloudbase évidemment! accueil excellent, tenu par Johnatan! Si complet, il vous aidera à trouver un hôtel à côté, dans vos prix.


Ecuador, Cotopaxi - Inoubliable!
conditions de vol: vol montagne, déco au lever du soleil
déco/atterro: toutes orientations au sommet, côté sud plus raide et en face du cratère, impressionnant. atterro au choix.
dormir: le super refuge du Tambopaxi. possible de trouver plus cheap (la Rinconada).
y aller: on préconise notre super guide ñato qui monte les gens au sommet à leur rythme - moins cher que les agences et plus fiable!

Ecuador, Crucita - pour apprendre!
conditions de vol: soaring de bord de mer. ça vole pratiquement toute l'année! préférer quand même la saison sèche
déco/atterro: déco en haut de la falaise, aménagé et entretenu. Atterro: la plage à marée basse ou alors il faut bien viser et quand on débute c'est risqué ;)
dormir: hostel "los voladores", à l'entrée du village. Luis et Jeannette sont très accueillants. Luis est le moniteur de parapente. L'hôtel est très sympa et avec piscine - resto rapide possible sinon petits restos le long du malecon pour manger du poisson frais et des ceviches.
y aller: prendre un bus pour Portoviejo puis pour Crucita ou arriver à Manta en avion et prendre un bus pour Crucita.

Canada, Pemberton
conditions de vol: Les locaux se retrouvent à 11h quand çà vole, près de l'église.
déco/atterro: navette à organiser avec les locaux moyennant 10$. atterro dans un champ près de l'église.
dormir: Pemberton, petite ville avec un visitor center pour info. Pour dormir, nous étions en van (free camping à proximité).
y aller: à 30 km au nord de Whisler, au nord de Vancouve

Parking Options

Parking Options

TOM Residents may park their cars at LOT 1 during the storm. All cars must be removed by 12:01 a.m. on Wednesday. LOT 1 is located on Myrtle Boulevard across the street from Memorial Park and behind J&F Auto Repair.






VOL Residents may park their cars in LOT 3 (The upper deck of the train station where the Farmers' Market is held.)

If you are unclear whether you live in TOM or VOL, you can find a list of streets on the front pa