Diabetes Questions I often get asked.

Diabetes questions I often get asked when talking about diabetes and weight loss:

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How Many People Have Diabetes?

30.3 million people, or 9.4% of the U.S. population, have diabetes, including 7.2 million people who have diabetes but have not yet been diagnosed (All ages, 2015).
Diabetes impacts all social, economic, and ethnic backgrounds.
Type 1 diabetes accounts for about 5% of all diagnosed cases of diabetes, affecting approximately 1.5 million people.

So many people are impacted on a daily basis from there activities to their food choices.

New Cases of Diabetes in Adults and Children how often do people find out about having it ?

Among people 18 years or older, 1.5 million were newly-diagnosed with diabetes (2015) – approximately 4,657 new cases of diabetes are diagnosed each day.
About 208,000 people younger than 20 years of age have been diagnosed with diabetes (type 1 or type 2). This represents 0.25% of all people in this age group (2012).
The incidence of type 1 diabetes is significantly higher in people under age 20. According to a 2011-2012 study of 23,525 youths with diabetes, 78% were newly-diagnosed with type 1 diabetes vs. 22% who were newly-diagnosed with type 2 diabetes.*

How many complications are there from diabetes in all of it forms ?

Diabetes Complications

Diabetes can affect many parts of the body and is associated with serious complications, such as heart disease, stroke, blindness, kidney failure, and lower-limb amputation, among other conditions.
Heart Disease, Heart Attack and Stroke

In 2003-2006, after adjusting for population age differences, cardiovascular disease death rates were about 1.7 times higher among adults aged 18 years or older with diagnosed diabetes than among adults without diagnosed diabetes.
In 2010, after adjusting for population age differences, hospitalization rates for heart attack were 1.8 times higher among adults aged 20 years or older with diagnosed diabetes than among adults without diagnosed diabetes.
In 2010, after adjusting for population age differences, hospitalization rates for stroke were 1.5 times higher among adults with diagnosed diabetes aged 20 years or older compared to those without diagnosed diabetes.
Blindness and Eye Problems

In 2005-2008, of adults with diabetes aged 40 years or older, 4.2 million (28.5%) people had diabetic retinopathy, damage to the small blood vessels in the retina that may result in loss of vision.
In 2005-2008, of adults with diabetes aged 40 years or older, 655,000 (4.4%) had advanced diabetes retinopathy that could lead to severe vision loss.
Kidney Disease

Diabetes was listed as the primary cause of kidney failure in 44% of all new cases in 2011.
In 2011, 49,677 people of all ages began treatment for kidney failure due to diabetes; and a total of 228,924 people of all ages with kidney failure were living on chronic dialysis or with a kidney transplant.
Amputations

In 2010, about 73,000 non-traumatic lower-limb amputations were performed in adults aged 20 years or older with diagnosed diabetes.
About 60% of non-traumatic lower-limb amputations among people aged 20 years or older occur in people with diagnosed diabetes.
Hypoglycemia and Hyperglycemic Crisis

In 2011, about 282,000 emergency room visits for adults aged 18 years or older had hypoglycemia (low blood sugar levels) as the first-listed diagnosis and diabetes as another diagnosis.
In 2011, about 175,000 emergency room visits for people of all ages had hyperglycemic (high blood sugar levels) crisis as the first-listed diagnosis.

Some of these numbers are almost 7 years old and those numbers are growing every year.

Diabetes types what are they and what do they mean ?

Diabetes is caused by the body’s inability to create or effectively use its own insulin, which is produced by islet cells found in the pancreas. Insulin helps regulate blood sugar (glucose) levels – providing energy to body cells and tissues.
Without insulin, the body’s cells would be starved, causing dehydration and destruction of body tissue.
People with type 1 diabetes must have insulin delivered by injection or a pump to survive.
Many people with type 2 diabetes can control their blood glucose by following a healthy meal plan and a program of regular physical activity, losing excess weight, and taking medications. Medications for each individual with diabetes will often change during the course of the disease. Insulin also is commonly used to control blood glucose in people with type 2 diabetes.

 

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Diabetes and Weight Loss

 

The Compliance Team

equipment (DME) including respiratory, mobility, woundcare, orthopedic, prosthetics, orthotics, diabetic, ostomy , and incontinence supplies.

Ep. 5 My Diabetic SuppliesEp. 5 My Diabetic Supplies
I give you a quick overview of my diabetic supplies. Don’t give up! Subscribe: http://www.youtube.com/subscription_center?add_user=type1vlog.

MayoClinic.comDiabetes supplies – What does Medicare cover – MayoClinic.com
http://www.mayoclinic.com/health/diabetes-supplies/MY01878
Nancy is coordinator of the Diabetes Unit’s intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.

Bill would put diabetic supplies in public schools
The Free Lance-Star, on Mon, 20 Jan 2014 17:52:30 -0800
RICHMOND—It took the death of a Virginia child to get schools to have Epi-pens on hand. Another child’s death—this one in Stafford County—led to defibrillators in schools. Now some parents of diabetic children hope to get schools to have diabetic

 

Information on Diabetes
Robert K. McCarthy, published unknown, 0 pages

Diabetes Neropathy

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Definition
By Mayo Clinic staff
Controlling Your Diabetes

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet.

Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your extremities to problems with your digestive system, urinary tract, blood vessels and heart. For some people, these symptoms are mild; for others, diabetic neuropathy can be painful, disabling and even fatal.

Diabetic neuropathy is a common serious complication of diabetes. Yet you can often prevent diabetic neuropathy or slow its progress with tight blood sugar control and a healthy lifestyle.

 

Symptoms
By Mayo Clinic staff
Controlling Your Diabetes

There are four main types of diabetic neuropathy. You may have just one type or symptoms of several types. Most develop gradually, and you may not notice problems until considerable damage has occurred.

The signs and symptoms of diabetic neuropathy vary, depending on the type of neuropathy and which nerves are affected.

Peripheral neuropathy
Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms. Possible signs and symptoms of peripheral neuropathy include:

Numbness or reduced ability to feel pain or changes in temperature, especially in your feet and toes
A tingling or burning feeling
Sharp, jabbing pain that may be worse at night
Pain when walking
Extreme sensitivity to the lightest touch — for some people, even the weight of a sheet can be agonizing
Muscle weakness and difficulty walking
Serious foot problems, such as ulcers, infections, deformities, and bone and joint pain
Autonomic neuropathy
The autonomic nervous system controls your heart, bladder, lungs, stomach, intestines, sex organs and eyes. Diabetes can affect the nerves in any of these areas, possibly causing:

A lack of awareness that blood sugar levels are low (hypoglycemia unawareness)
Bladder problems, including frequent urinary tract infections or urinary incontinence
Constipation, uncontrolled diarrhea or a combination of the two
Slow stomach emptying (gastroparesis), leading to nausea, vomiting and loss of appetite
Difficulty swallowing
Erectile dysfunction in men
Vaginal dryness and other sexual difficulties in women
Increased or decreased sweating
Inability of your body to adjust blood pressure and heart rate, leading to sharp drops in blood pressure when you rise from sitting or lying down (orthostatic hypotension) that may cause you to feel lightheaded or even faint
Problems regulating your body temperature
Changes in the way your eyes adjust from light to dark
Increased heart rate when you’re at rest
Radiculoplexus neuropathy (diabetic amyotrophy)
Instead of affecting the ends of nerves, like peripheral neuropathy, radiculoplexus neuropathy affects nerves in the thighs, hips, buttocks or legs. Also called diabetic amyotrophy, femoral neuropathy, or proximal neuropathy, this condition is more common in people with type 2 diabetes and older adults. Symptoms are usually on one side of the body, though in some cases symptoms may spread to the other side too. Most people improve at least partially over time, though symptoms may worsen before they get better. This condition is often marked by:

Sudden, severe pain in your hip and thigh or buttock
Eventual weak and atrophied thigh muscles
Difficulty rising from a sitting position
Abdominal swelling, if the abdomen is affected
Weight loss
Mononeuropathy
Mononeuropathy involves damage to a specific nerve. The nerve may be in the face, torso or leg. Mononeuropathy, which may also be called focal neuropathy, often comes on suddenly. It’s most common in older adults. Although mononeuropathy can cause severe pain, it usually doesn’t cause any long-term problems. Symptoms usually diminish and disappear on their own over a few weeks or months. Signs and symptoms depend on which nerve is involved and may include:

Difficulty focusing your eyes, double vision or aching behind one eye
Paralysis on one side of your face (Bell’s palsy)
Pain in your shin or foot
Pain in the front of your thigh
Chest or abdominal pain
Sometimes mononeuropathy occurs when a nerve is compressed. Carpal tunnel syndrome is a common type of compression neuropathy in people with diabetes.

Signs and symptoms of carpal tunnel syndrome include:

Numbness or tingling in your fingers or hand, especially in your thumb, index finger, middle finger and ring finger
A sense of weakness in your hand and a tendency to drop things
When to see a doctor
Seek medical care if you notice:

A cut or sore on your foot that doesn’t seem to be healing, is infected or is getting worse
Burning, tingling, weakness or pain in your hands or feet that interferes with your daily routine or your sleep
Dizziness
Changes in your digestion, urination or sexual function
These symptoms don’t always indicate nerve damage, but they may signal other problems that require medical care. In either case, early diagnosis and treatment offer the best chance for controlling symptoms and preventing more-severe problems.

Even minor sores on the feet that don’t heal can turn into ulcers. In the most severe cases, untreated foot ulcers may become gangrenous — a condition in which the tissue dies — and require surgery or even amputation of your foot. Early treatment can help prevent this from happening.

Causes
By Mayo Clinic staff
Controlling Your Diabetes

Damage to nerves and blood vessels
Prolonged exposure to high blood sugar (glucose) can damage delicate nerve fibers, causing diabetic neuropathy. Why this happens isn’t completely clear, but a combination of factors likely plays a role, including the complex interaction between nerves and blood vessels. High blood glucose interferes with the ability of the nerves to transmit signals. It also weakens the walls of the small blood vessels (capillaries) that supply the nerves with oxygen and nutrients.

Other factors
Other factors that may contribute to diabetic neuropathy include:

Inflammation in the nerves caused by an autoimmune response. This occurs when your immune system mistakenly attacks part of your body as if it were a foreign organism.
Genetic factors unrelated to diabetes that make some people more susceptible to nerve damage.
Smoking and alcohol abuse, which damage both nerves and blood vessels and significantly increase the risk of infections.

Risk factors
By Mayo Clinic staff
Anyone who has diabetes can develop neuropathy, but these factors make you more susceptible to nerve damage:

Poor blood sugar control. This is the greatest risk factor for every complication of diabetes, including nerve damage. Keeping blood sugar consistently within your target range is the best way to protect the health of your nerves and blood vessels.
Length of time you have diabetes. Your risk of diabetic neuropathy increases the longer you have diabetes, especially if your blood sugar isn’t well controlled. Peripheral neuropathy is most common in people who have had diabetes for at least 25 years.
Kidney disease. Diabetes can cause damage to the kidneys, which may increase the toxins in the blood and contribute to nerve damage.
Smoking. Smoking narrows and hardens your arteries, reducing blood flow to your legs and feet. This makes it more difficult for wounds to heal and damages the integrity of the peripheral nerves.

 

Complications
By Mayo Clinic staff
Diabetic neuropathy can cause a number of serious complications, including:

Loss of a limb. Because nerve damage can cause a lack of feeling in your feet, cuts and sores may go unnoticed and eventually become severely infected or ulcerated — a condition in which the skin and soft tissues break down. The risk of infection is high because diabetes reduces blood flow to your feet.

Infections that spread to the bone and cause tissue death (gangrene) may be impossible to treat and require amputation of a toe, foot or even the lower leg. More than half the nontraumatic lower limb amputations performed every year in the United States are due to diabetes.

Charcot joint. This occurs when a joint, usually in the foot, deteriorates because of nerve damage. Charcot joint is marked by loss of sensation, as well as swelling, instability and sometimes deformity in the joint itself.
Urinary tract infections and urinary incontinence. Damage to the nerves that control your bladder can prevent it from emptying completely. This allows bacteria to multiply in your bladder and kidneys, leading to urinary tract infections. Nerve damage can also affect your ability to feel when you need to urinate or to control the muscles that release urine.
Hypoglycemia unawareness. Normally, when your blood sugar drops too low — below 70 milligrams per deciliter (mg/dL), or below 3.9 millimoles per liter (mmol/L) — you develop symptoms such as shakiness, sweating and a fast heartbeat. These symptoms alert you to the problem so that you can take steps to raise your blood sugar quickly. Autonomic neuropathy can interfere with your ability to notice these symptoms. This is extremely serious — untreated hypoglycemia can be fatal.
Low blood pressure. Damage to the nerves that control circulation can affect your body’s ability to adjust blood pressure. This can cause a sharp drop in pressure when you stand after sitting (orthostatic hypotension), which may lead to dizziness and fainting.
Digestive problems. Damage to the nerves in the digestive system can cause a range of problems, including severe constipation or diarrhea — or alternating bouts of constipation and diarrhea — as well as nausea, vomiting, bloating and loss of appetite. One particularly serious digestive problem is gastroparesis, a condition in which the stomach empties too slowly or not at all. This can interfere with digestion, cause nausea and vomiting, and severely affect blood sugar levels and nutrition.
Sexual dysfunction. Autonomic neuropathy often damages the nerves that affect the sex organs, leading to erectile dysfunction in men and problems with lubrication and arousal in women.
Increased or decreased sweating. When the sweat glands don’t function normally, your body isn’t able to regulate its temperature properly. A reduced or complete lack of perspiration (anhidrosis) can be life-threatening. Autonomic neuropathy also causes excessive sweating, particularly at night.
Social isolation. The pain, disability and embarrassment caused by nerve damage can rob people — particularly older adults — of their independence, leaving them increasingly isolated and depressed.