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Jun

1

Health Benefits Of The Paleo Diet For Diabetics

Health Benefits Of The Paleo DietSo what does eating paleo mean, what is the definition of paleo? I have several friends that keep throwing out the words paleo diet and swearing by it, especially when it comes to helping stabilize their blood sugars. Honestly I’m not a huge fan of “diets” in general but after doing a little research on paleo, I can certainly understand why they are so giddy over living paleo!

The Paleo diet is certainly not a new idea. Coming to popular attention with the publication of a book on the subject by Walter Voegtlin in 1975, its central concept is to mimic the diet of humans that lived 25 to 50 thousand years ago, during the Paleolithic Age. Voegtlin claimed distinct benefits are associated with what he claims was the high protein and low carbohydrate die of the ancients. His plan is occasionally called the caveman diet, the Stone Age diet and the hunter-gatherer diet. Proponents of the Paleo diet continue to practice it, and it has been somewhat validated by the emergence of other similar low-carb diets.

Health Benefits Of The Paleo Diet:

For most people the fact the Paleo diet delivers the best results is enough. Improved blood lipids, weight loss and reduced pain from autoimmunity is proof enough. Many people however are not satisfied with blindly following any particular form of eating, aka “a diet”. Fortunately, the Paleo diet has stood not only the test of time, but also the rigors of scientific scrutiny.

With a very simple shift the paleo diet not only removes the foods that are at odds with our health (grains, legumes, and dairy) but we also increase our intake of vitamins, minerals, and antioxidants and brings us back to the way our ancestors ate…eating unprocessed foods like meat, vegetables, fruits, nuts as well as seeds.

Paleo Diet For Diabetics:

There are a number of studies investigating the effects of Paleo diets on type 1 and type 2 diabetics and results are impressive. A study published in July 2009 in “Cardiovascular Diabetology” compared the Paleo diet to the Mediterranean diet in subjects with type 2 diabetes over a period of three months. The researchers found that the Paleo diet reduced fasting blood sugar levels, hemoglobin A1C, plasma insulin levels and insulin resistance significantly compared to the Mediterranean diet, indicating potential benefits of the Paleo diet for people with type 2 diabetes.  Here are 5 more studies and how they help stabilize blood sugars, feel free to check them out.

Pro’s Of The Diet:

Right off the start you can see how well this diet is going to control blood sugar levels. In a world where many of us experience roller coaster-like blood sugar fluctuations, this aspect alone proves to be an extremely beneficial aspect of the set-up.

As most of us know, the more stabilized our blood sugar levels are, the less likely you’re going to be to experience food cravings, to battle ongoing fatigue, and to be at the potential risk of developing diabetes down the road.

Since the paleo diet is also chalk full of healthy fats from all the seeds and nuts that are being consumed while also being low in saturated fat due to the restriction of dairy and high fat meat sources, this is also going to work to improve your cholesterol profile and help to reduce the risk of heart disease.

When using the paleo diet you shouldn’t find you have any issue getting enough protein in either, which is something that’s critical for both the fat loss and muscle building process as you’ll be including lean meat sources with each meal. By choosing to incorporate a wide spectrum of fruits and vegetables in your menu, you’re also going to help to keep calorie intake on the lower side, so this will be beneficial from a fat loss point of view.

If you are someone who happens to actively looking to build muscle and thus require that higher calorie surplus, you can simply add larger doses of nuts and seeds into the plan to help boost your calorie and healthy fat intake up higher.
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May

31

Electrolytes And How They Help With High Blood Sugars

What Are Electrolytes? Electrolytes And DiabetesEver wonder why when we are severely dehydrated as diabetics or when we are dealing with an extreme high blood sugar our medical team tells us to make sure we replenish our electrolytes? I mean, what is an electrolyte anyway, what are the symptoms of low electrolytes and how can they help us as diabetics or if your just out mowing the lawn? Diabetic or not, they are extremely important when it comes to our overall health so lets take a closer look!

When dissolved in fluid, salts tend to break apart into their component ions, creating an electrically-conductive solution. For example, table salt (NaCl) dissolved in water dissociates into its component positive ion of sodium (Na+) and negative ion of chloride (Cl-). Any fluid that conducts electricity, such as this new saltwater solution, is known as an electrolyte solution: the salt ions of which it’s composed are then commonly referred to as electrolytes. So that leads us to the next question…

What Are Electrolytes?

There are several common electrolytes found in the body, each serving a specific and important role, but most are in some part responsible for maintaining the balance of fluids between the intracellular (inside the cell) and extracellular (outside the cell) environments. This balance is critically important for things like hydration, nerve impulses, muscle function, and pH levels.

With the correct body water balance, the electrolytes separate into positive and negative ions. When the body loses water or becomes dehydrated an electrolyte imbalance starts to occur. During heavy exercise, sodium and potassium electrolytes in particular are lost through sweating.  To ensure constant electrolyte concentrations in the body, fluids must be regularly consumed.

To avoid an electrolyte imbalance which can cause lethargy and muscle twitching, athletes consume electrolyte solution drinks to make sure the electrolyte balance is maintained during and after exercise – this contributes to achieving optimum performance

You should drink frequently during strenuous physical activity. Thirst usually does not kick in until well after you have reached a state of dehydration, so consume plenty of fluid whether you feel like it or not. About 6 to 8 ounces every 15 minutes is sufficient. Help replace electrolytes by consuming a beverage that contains 0.7 milligrams of salt per quart of fluid. Consuming fruit slices, such as bananas, strawberries and oranges can help restore lost potassium, but obviously we still need to be careful here and a small bolus may be needed after exercise due to the sugar content in fruit. 

7 Major Electrolytes & Their Function:

Let’s take a look:

  1. Sodium (Na+)
  2. Chloride (Cl-)
  3. Potassium (K+)
  4. Magnesium (Mg++)
  5. Calcium (Ca++)
  6. Phosphate (HPO4–)
  7. Bicarbonate (HCO3-)

So what do each of these to?

Sodium (NA+) is the major positive ion in fluid outside of cells (extracellular) and when combined with chloride the resulting substance is table salt. Some functions of sodium include the regulation of the total amount of water in the body and the transmission of sodium into and out of individual’s cells, which plays a role in critical body functions. Many processes in the body, especially in the brain, nervous system, and muscles require electrical signals for communication. The movement of sodium is critical in generation of these electrical signals. Too much or too little sodium can cause cells to malfunction and extremes in the blood sodium levels.

Potassium (K+) is the major positive ion found inside of cells. Some of the functions of K+ are the regulation of heartbeat and muscle function. The proper level of potassium is essential for normal cell function. Any seriously abnormal increase or decrease in K+ can profoundly affect the nervous system and increase change of irregular heartbeats.

Calcium (Ca++) is needed to build and maintain bones. It also plays a role in nerve impulse transmission and muscle contraction.

Magnesium (Mg++) is an essential mineral that is involved in more than 300 enzyme reactions in the body. Mg supports heart and nerve function. Mg is essential in the formation of bones and teeth and in converting blood sugar into energy.

Chloride (Cl-) is the major anion (negatively charged ion). CI- is found in the fluid outside of the cells and in the blood. The balance of chloride ion (CI-) is closely regulated by the body. Seawater has almost the same concentration of chloride ion as human body fluids. CI- plays a role in helping the body maintain a normal balance of fluids.

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May

30

What Is Gastroparesis? Why Are Diabetics More At Risk?

What Is Gastroparesis?So I’ve been receiving a number of these questions over the past couple of months among my fellow type 1 diabetics which made me start to wonder…is there a connection between gastroparesis and type 1 diabetes or could it be just another condition all together?

Gastroparesis (also called delayed gastric emptying) is a progressive disorder that causes food to remain in the stomach for longer than normal periods. Because the nerves that move food through the digestive tract are damaged, the muscles do not work as they normally would.  As a result, food often sits in the stomach undigested.  So what are the signs and symptoms of gastroparesis and are you more prone as a type 1 diabetic, lets take a closer look! 

Symptoms Of Gastroparesis:

The following are the most common symptoms associated with gastroparesis:

  • vomiting of undigested food
  • early fullness after a small meal
  • weight loss
  • nausea 
  • bloating
  • stomach spasms
  • blood glucose levels that are hard to stabilize
  • heartburn 
  • loss of appetite
  • acid reflux

What Causes Gastroparesis:

While a high percentage of gastroparesis has been reported in people with type 1 diabetes (40%) and type 2 diabetes (10% to 20%), per the Mayo Clinic, it’s not always clear what leads to gastroparesis. In many cases, gastroparesis is believed to be caused by damage to a nerve that controls the stomach muscles (vagus nerve).

The vagus nerve helps manage the complex processes in your digestive tract, including signaling the muscles in your stomach to contract and push food into the small intestine. A damaged vagus nerve can’t send signals normally to your stomach muscles. This may cause food to remain in your stomach longer, rather than move normally into your small intestine to be digested.

The vagus nerve can be damaged by certain diseases (Parkinson’s and MS for example), and diabetes in particular, or by surgery to the stomach or small intestine.  As for diabetics, the fact that we deal with higher than normal blood sugars, over time these high blood glucose levels can damage the vagus nerve.  

Its should also be noted that for reasons that gastroparesis is more commonly found in women than in men. Researchers believe that this is possibly due to the effect of hormones on the GI tract, particularly estrogen and progesterone, and those seem to delay stomach emptying, but more research is still needed.  You can check out the study here.
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May

25

Glucagon ~ How Does It Raise Your Blood Sugar?

Glucagon ~ How Does It Raise Your Blood Sugar?As diabetics, glucagon plays a vital role in part of our overall management and as I experienced a couple weeks ago, it can save your life. As a type 1 diabetic, I’m very well versed on how this works (unfortunately), and why it is so important and how it can keep us out of emergent situations or in my case, help you come out of a diabetic seizure. So for all the newly diagnosed diabetics out there, young and old, what is glucagon? What is it so important that we should have it on us at all time, wherever we go? Lets take a closer look!

 

What Is Glucagon:

Glucagon is a hormone (like insulin) that is naturally made in the pancreas. The pancreas produces this hormone when the body needs to put more sugar (glucose) in the blood to be used for energy. Glucagon raises the blood sugar by sending a signal to the liver and muscles (where your body naturally stores glucose) to release glucose.

The difference between the two, is that insulin lowers your blood glucose (sugar) by helping your body use the glucose in the blood for energy. Glucagon raises your blood glucose (sugar) by causing the liver and muscles to release stored glucose quickly. Though glucagon helps raise the level of glucose in the blood, it is not considered a sugar.

In its simplest form per Lilly, one of the manufactures of glucagon kits:

Glucagon is a medicine that’s different from insulin. It’s used to treat severe low blood sugar (hypoglycemia). Glucagon works by telling your body to release sugar into the bloodstream to bring the blood sugar level back up.

The Role Of Glucagon In The Body:

Glucagon plays an active role in allowing the body to regulate the utilization of glucose and fats.

Glucagon is released in response to low blood glucose levels and to events whereby the body needs additional glucose, such as in response to vigorous exercise.

When glucagon is released it can perform the following tasks:

    • Stimulating the liver to break down glycogen to be released into the blood as glucose
    • Activating gluconeogenesis, the conversion of amino acids into glucose
    • Breaking down stored fat (triglycerides) into fatty acids for use as fuel by cells

Insulin And Glucagon:

Glucagon is usually given by injection beneath the skin, in the muscle, or in the vein. It comes as a powder and liquid that will need to be mixed just before administering the dose. Instructions for mixing and giving the injection are in the package. Glucagon should be administered as soon as possible after discovering that the patient is unconscious from low blood sugar. After the injection, the patient should be turned onto the side to prevent choking if they vomit. Once the injection has been given, contact your doctor. It is very important that all patients have a household member who knows the symptoms of low blood sugar and how to administer glucagon.

If you have low blood sugar often, keep a glucagon kit with you at all times. You should be able to recognize some of the signs and symptoms of low blood sugar (i.e., shakiness, dizziness or lightheadedness, sweating, confusion, nervousness or irritability, sudden changes in behavior or mood, headache, numbness or tingling around the mouth, weakness, pale skin, sudden hunger, clumsy or jerky movements). Try to eat or drink a food or beverage with sugar in it, such as hard candy or fruit juice, before it is necessary to administer.

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May

24

The Dangers Of Sucralose, Why Is It Considered Diabetic Friendly?

Is Sucralose Safe For Diabetics?With all the negative media I’ve been reading lately in regards to sucralose, it started to make me think…can sucralose really be that bad for you?

As a type 1 diabetic, lets just say I had a lot of WOW moments when deciding to research what was going into my body. If you think sucralose is safe, you may want to think again. Why they consider and promote this as safe for the diabetic community disturbs me on a lot of levels, lets take a look why!

When it comes to sucralose and diabetes, it seems like a perfect match. Sucralose is an artificial sweetener that is nearly 600 times sweeter than the ordinary (table) sugar. It contains zero calories and hence, is popular as a zero-calorie sweetener. It is widely used by diet and weight conscious people all over the world. Sucralose is sold under the brand name Splenda, which is commonly available in the market. Some claim sucralose is also better than other artificial sweeteners as it can be used in baking… me personally, I think there are healthier alternatives when it comes to cooking.

Thing is, most artificial sweeteners cannot be used in baking due to their instability. But, this is not the case with sucralose as it remains stable even when exposed to heat for a longer time (gotta love that chemical structure). This additional property makes it a favored choice among other artificial sweeteners including aspartame. Also, due to its extra sweet property, it is used for making a variety of sweets and desserts like jams, jellies, candies, sweet fillings, fruits juices, etc. However, you should be aware of the negative side effects that sucralose can pose.

Sucralose And Chlorine:

One possible side effect from Splenda unrelated to allergies is the possibility of chlorine poisoning. Sucralose is one of the few artificial sweeteners that claims to be made from sugar; chlorine atoms are added. The constant consumption of sucralose, compounded daily, year after year can reek some major havoc on your body as your body does not fully get rid of what you consume.  

There is one study shows negative metabolic effects and weight gain in today’s younger population with the consumption of artificial sweeteners, you can check that out here.  

Another study shows that Sucralose vastly depletes our intestine flora as it destroys the beneficial bacteria which is a main driver for a healthy immune system.  Our stomach houses over 70 of the the cells that make up our immune system to help protect us from various disease and sickness.  

Per the study:

A randomized controlled trial was performed by Abou-Donia et al46 in 2008, in which male rats were randomly assigned to 1 of 5 groups: control, or sucralose plus maltodextran in the following doses (mg/kg/day): 1.1, 3.3, 5.5, or 11. Fecal pH and bacterial analysis were conducted weekly, and after 12 weeks half of the rats from each group were sacrificed. Small intestinal tissue was used to evaluate the effects of sucralose and maltodextran on levels of P-glycoprotein (P-gp) and cytochrome P-450 (CYP450). The remainder of the animals underwent a 12 week recovery period after which further assessment of pH/bacteria/P-gp, CYP450 was performed.

During the duration of the study, no diarrhea in any of the rats was observed. In terms of the effect on the microbiome, they found that the total number of anaerobes decreased significantly in all sucralose plus maltodextran groups. At the lowest dose, total anaerobes were reduced by approximately 50% compared with controls. Bifidobacterium, Lactobacillus, andBacteroides were significantly reduced at the lowest dose as well. Aerobic bacteria decreased significantly in all sucralose plus maltodextran groups except at the lowest dose (decreased by 51–68% of controls).

The enterobacteria count was not different from the control population in any group. In the recovery period, the total anaerobes remained significantly lower in all groups, as did bifidobacteria (other specific bacteria were not significantly different from the controls). The mean fecal pH significantly increased in all sucralose plus maltodextran groups at end of 12 weeks and stayed significantly elevated in all groups except the lowest sucralose plus maltodextran group after 12 weeks of recovery. Sucralose plus maltodextran enhanced the intestinal expression of P-gp up to 2.4-fold, and increased CYP3A4 and CYP2D1 intestinal expression (though these effects were not seen in the group that received the lowest dose of sucralose plus maltodextran).

In summary, sucralose plus maltodextran significantly decreased beneficial intestinal bacteria (ie, Bifidobacterium, Lactobacillus, and Bacteriodes), but had no effect on enterobacteria. Sucralose plus maltodextran also resulted in elevated fecal pH and enhanced intestinal expression of P-gp and CYP450 enzymes. Several parameters continued to differ after 12 weeks of recovery, including a decrease in the total number of anaerobes and enhanced P-gp and CYP expression.

Sucralose and Gastrointestinal Problems:

According to Vanderbilt University, about 27 percent of the sucralose in Splenda is absorbed by the body, meaning the substance will stay in the bloodstream and organs for long periods of time. This can not only potentially damage the internal organs, but also has negative gastrointestinal effects, like bloating, painful gas or diarrhea.

Others reports are also starting to connect the rising rates of inflammatory bowel disesse with the consumption of artificial sweeteners, sucralose in paticular due to the impairment of digestive proteases (enzymens in our stomach that help us digest food, protein in paticular).

Per the study:

Canada was the first country to approve the use of sucralose, and it was allowed to be used as a tabletop sweetener in breakfast cereals, beverages, desserts, toppings, fillings, chewing gum, breath mints, fruit spreads, salad dressings, confectionary, bakery products, processed fruits and vegetables, alcoholic beverages, puddings and table syrups (8). Interestingly, the study by Wrobel et al (9) reported that the incidence of pediatric IBD in Southern Alberta was 2.3 (per 100,000 population) between 1983 and 1987, 2.5 between 1988 and 1992, 5.0 between 1993 and 1998, and 6.5 between 1999 and 2005 (9), indicating a dramatic increase in the early 1990s.

In additional, the gas some people experience when eating foods or drinking beverages with sucralose is due to the fact that the natural bacteria that occurs in the stomach metabolizes parts of Splenda once it’s ingested to produce nitrogen gas.
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May

22

Diabetes, Hypoglycemia Unawareness & Low Blood Sugar. Know The Signs

HypoglycemiaSo we’ve all dealt with the symptoms, shaky, lethargic, confused, sweaty and the list goes on and on but what happens when we don’t realize or notice these symptoms? People who don’t have diabetes start to feel hypoglycemic when their blood glucose reaches 50- 55 mg/dl.  In people who have diabetes, hypoglycemia can’t really be defined as a specific blood glucose level, because the point at which they feel “low” changes, depending on their usual BG level.

So, individuals who are not properly controlled can “feel low” at normal or high BG levels, and individuals whose blood glucose runs consistently in the low-normal range and have frequent hypoglycemia may not “feel low” until their BG falls to a dangerously low level.  This has happened to me once and it was not fun.  So lets take a look at what hypoglycemia unawareness is and what we can do prevent it!

Hypoglycemia Unawareness Causes:

Hypoglycemia unawareness is actually quite common. It happens to me and that’s why I am so grateful for my dexcom. Studies show that 17 percent of us with Type 1 diabetes suffer from some sort of hypoglycemia unawareness.  Symptoms of a low blood sugar become less obvious after having diabetes for several years because repeated lows tend to impair the body’s release of stress hormones.  As we are probably aware at this point, or maybe not if your newly diagnosed, the major counter-regulatory hormone that causes glucose to be released by the liver to raise the blood sugar is glucagon, but is reduced in most people who have Type 1 diabetes within the first two to ten years after diagnosis.

Drinking alcohol increases the risk of an unacknowledged low because the mind becomes less capable of recognizing what’s happening, the liver is blocked from creating glucose needed to raise the blood sugar, and free fatty acid (the backup to glucose for fuel) release is also blocked. These factors make symptoms milder and harder to recognize and personally after a couple trips to the ER due to severe low blood sugars…lets just say I’m not a fan of alcohol any longer.

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May

17

Blood Glucose Control and Exercise, Get Moving!

Blood Glucose Control and Exercise, Get Moving!Most of you already know that I love to exercise.  My day starts out at 4am, early yes, but its the only time that I get to myself during the day.  As a stay at home dad of 4, I consider this a small sacrifice for my sanity as well as to benefit my bottom line as a type 1 diabetic, my health!  

What makes exercise so important?  Well I think we all know the answer to that question as there are so many benefits including better control of our overall blood sugars.  There is a list of exercises you can do, but lets take a closer look at how you can exercise safely for better control!

Diabetes And Exercise:

Whether you have type 1 or type 2 diabetes, diabetes and exercise should go hand in hand, at least when it comes to the management aspect of the disease. Not only can exercise can help you improve your blood sugar control, boost your overall fitness, it can reduce your risk of heart disease, stroke, provide more stable blood sugar readings, and help lower blood pressure ~ all risk factors that we face.

While exercise is great for us and the benefits are well documented, as diabetics it also poses some unique challenges. To exercise safely, it’s crucial to track your blood sugar before, during and after physical activity. You’ll learn how your body responds to exercise, which can help you prevent potentially dangerous blood sugar fluctuations.

Exercise And High Blood Sugars?

This was one of the biggest hurdles for me when I was first diagnosed.  My numbers would skyrocket after a workout or even during a gym session.  The issue is that exercise triggers the body to release stress hormones, like adrenaline. Adrenaline tells the liver to release glucose, or cortisol which makes you more resistant to insulin, and since strenuous activity triggers an increase in these stress hormones,  chances are (even temporarily) your blood sugars are often increased.

That being said different exercises affect us differently and we also know that we’re all very unique, and lets face it, type 1 diabetes effects everyone differently and no situations are ever the same. Our blood sugar response to exercise will also depend on our level of physical fitness and personal exertion. Generally speaking, 30-40 minutes of high intensity interval training will bring different results than an hour of running, doing the stair climber or even walking the dog so it will be important to closely monitor your blood sugars during exercise and see how these activity levels effect you.

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May

16

Micronutrients vs Macronutrients, How Can They Effect Your Blood Sugar?

Micronutrients vs Macronutrients, How Can They Effect Your Blood Sugar?So check this out, your body has the amazing ability to take the foods you eat and literally turn them into you.  Pretty cool don’t you think! Whether you eat an apple, a steak or a kale salad, your body is able to break that food down into its chemical parts and reassemble those parts into your cells and the energy you use all day. This is flat out awesome considering outside the plant and animal kingdom, nothing else that can do that!

Here is the deal though, your body is only as amazing as the material it has to work with, like a fine tuned machine, the quality of the food you put into your amazing body has a huge impact on your overall health.  An apple is not just an apple, nor is a steak just a steak.  As stated above, your body is able to break those foods down into their chemical parts, like macronutrients and micronutrients.  So what makes these nutrients so important, lets take a closer look!

What Are Macronutrients:

Macronutrients are nutrients that provide calories or energy. Derived from the prefix makro (Greek), which means big or large, used because macronutrients are required in large amounts. There are three broad classes of macro-nutrients which make up your primary food sources know as proteins,carbohydrates and fats.

The main function of macronutrients is to provide energy, counted as calories. While each of the macronutrients provides calories, the amount provided by each varies. Carbohydrates provides four calories per gram (I think we are all pretty well versed here),proteins;also four, while fats provides nine calories per gram.

Macronutrients also have specific roles in maintaining the body and contribute to the taste, texture and appearance of foods, which helps to make the diet more varied and enjoyable.

Macronutrients broken down:

  • Carbohydrates – are required for energy. As diabetics we all have varying opinions on carbohydrates and the amounts that we like to ingest , but glucose, which is a monosaccharide, is the most essential source of energy in the body. The brain works entirely on glucose alone. When an immediate source of energy is required, glucose is converted into glycogen which is stored in the liver. When energy is needed it is converted into glucose again and used to release energy. Carbohydrates provide 4 calories of energy per gram.
  • Fats – have the highest caloric content. This means they provide the largest amount of energy when burnt. When measured by a calorimeter, fats provide about 9 calories per gram, making them twice as energy-rich than protein and carbohydrates. Extra fat is stored in adipose tissue and is burnt when the body has run out of carbohydrates. Fat is also needed to take up fat-soluble vitamins.
  • Proteins–  are the third and last source of energy. They are the last to be used of all macronutrients. In cases of extreme starvation, the muscles in the body, that are made up of proteins, are used to provide energy. This is called muscle wasting. Proteins also provide 4 calories per gram.

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May

15

Skin Conditions And Type 1 Diabetes, What Is NLD?

NLD (Necrobiosis Lipoidica Diabeticorum) And Diabetes:As diabetics we all know how important it is to stay on top of our heath, especially when it comes to keeping an eye on our skin.  Things such as cracks, blisters, and rashes can very easily escalate into troublesome situation.  

I fielded a question the other day about a condition called Necrobiosis Lipoidica Diabeticorum (NLD) which is a skin condition that can effect both type 1 and type 2 diabetics.  Never hearing about this particular skin condition before, I thought it would be a great topic to discuss, so lets take a closer look! 

 

What Is Necrobiosis Lipoidica Diabeticorum:

Necrobiosis lipoidica diabeticorum is a rash that typically occurs on the lower legs.  It happens to be more common in women, and upon examination, there are usually several spots. They are slightly raised shiny red-brown patches and the centers are often yellowish and may develop open sores that are slow to heal.  

NLD typically develops when when collagen breaks down, deposits of fat build up and the blood vessel walls thicken. As a chronic condition, NLD might progress slowly and might sometimes scar the skin. The condition might not bother you for a while, while at other times, might flare up.

Causes Of Necrobiosis Lipoidica Diabeticorum:

The underlying cause of NLD is unknown, but the latest understanding tends to focus on microangiopathy – which occurs when blood vessels become damaged.  As diabetics, we know this is a risk factor that occurs with high blood sugar readings, and usually associated with poor glycemic control. Improved management of blood glucose levels can improve or prevent the disorder all together so this is another factor in a very long list of reasons why its so important for us to maintain proper control.

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May

10

Ketoacidosis In Diabetics, Know The Warning Signs.

Ketoacidosis In Diabetics, Know The Warning Signs.As a type 1 diabetic I am quite familiar (unfortunately) with the signs and symptoms of diabetic ketoacidosis.  Diabetic ketoacidosis (DKA) results from lack of insulin associated with high blood levels and your body starts to produce high levels of blood acids called ketones.  Diabetic ketoacidosis is associated with significant disturbances of the body’s chemistry, which resolve with proper therapy.

This usually occurs in people with type 1 diabetes, but DKA can develop in any person with diabetes.  Since type 1 diabetes typically starts before the age of 25, diabetic ketoacidosis is most common for this age group, but it may occur at any age with both males and females are equally affected. So is DKA something that we should be worried about? Lets take a closer look!

What Causes Ketoacidosis ?

So what’s the deal when our results come back showing ketones in urine? Circumstances arise for people with type 1 diabetes when the individual does not have enough insulin, a hormone the body uses to break down sugar (glucose) in the blood for energy. When glucose is not available to feed our cells due to high blood sugars, fat is broken down and used as fuel vs glucose and this is particularly not a good thing.  As fats are broken down, acids called ketones build up in the blood and urine.  In high levels, ketones are extremely poisonous.  This condition is known as ketoacidosis.

Blood glucose levels rise (usually higher than 300 mg/dL) because the liver makes glucose to try to combat the problem.  However, the cells cannot pull in that glucose without insulin.

DKA is often the first sign of type 1 diabetes in people who do not yet have other symptoms.  It can also occur in someone who has already been diagnosed with type 1 diabetes.  Infection, injury, a serious illness, missing doses of insulin, or surgery can lead to diabetic ketoacidosis in people with type 1 diabetes.

Although not common, people with type 2 diabetes can also develop DKA, but it is rare and typically triggered by a severe illness.

What Are The Warning Signs Of DKA?

DKA usually develops slowly. But when vomiting occurs, this life-threatening condition can develop in a few hours. Early symptoms per the American Diabetes Association include the following:

  • Thirst or a very dry mouth
  • Frequent urination
  • High blood glucose (blood sugar) levels
  • High levels of ketones in the urine

Then, other symptoms appear:

  • Constantly feeling tired
  • Dry or flushed skin
  • Nausea, vomiting, or abdominal pain
    (Vomiting can be caused by many illnesses, not just ketoacidosis. If vomiting continues for more than 2 hours, contact your health care provider.)
  • Difficulty breathing
  • Fruity odor on breath
  • A hard time paying attention, or confusion

Any of these symptoms should immediately be discussed with your doctor and they will let you know the next course of action, including treatment options or better yet, a trip to the ER may be in order especially if you can flush them from your system.  Speaking of treatment options, what can you expect?  Lets take a closer look.

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