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Monday, September 27, 2010

Blood Pressure When Lowered Decreased Risk for Kidney Disease

Blood pressure, lowering it that is, was raised in the recent research that the type 2 diabetics should be considered to have antihypertensive treatment. Why? Because they found out that of the 11,140 diabetic patients in their study, the risk for kidney disease was reduced by 21%. The risk was also decreased among those who did not have high blood pressure.

There is also news that lowering the blood pressure provided some help to type 2 diabetes patients. For these patients, lowering the blood pressure with perindopril-indapamide lowered the risk for kidney disease as well. This is how they found this out.

The guidelines suggest that the type 2 diabetics should have systolic pressure under 130 according to Rhonda M. Cooper-DeHoff, who also has PharmD and is associate professor of medicine and pharmacy at Gainesville's University of Florida.

She conducted a study on this very issue and found out that those whose systolic pressures were moderately controlled did just as well as those whose blood pressure was under tight control. Systolic pressure of course is the upper of the two numbers that represents the maximum pressure applied when the heart contracts.

The researchers studied the possible benefits of getting the blood pressure below the present recommendations for the diabetics which is 130 mm Hg/80 mm Hg as well as for nephropathy which is 125 mm Hg/75 mm Hg. The examiners followed these people up for the mean figure of 4.3 years.

Here's another side of this story. The guidelines suggest that the type 2 diabetics should have systolic pressure under 130 according to Rhonda M. Cooper-DeHoff, who also has PharmD and is associate professor of medicine and pharmacy at Gainesville's University of Florida.

She conducted a study on this very issue and found out that those whose systolic pressures were moderately controlled did just as well as those whose blood pressure was under tight control. Systolic pressure of course is the upper of the two numbers that represents the maximum pressure applied when the heart contracts. You will get more information on hypertension right here.

The number of participants included 11,140 diabetics who also were in the ADVANCE study. The patients were randomly assigned to take a placebo or a combination of perindopril-indapamide. The researchers found out that those patients who were assigned to the blood pressure-lowering drugs decreased their risk for kidney disease by 21%

Those who did not have high blood pressure at the start also reduced their risk for kidney disease when they were given blood pressure-lowering drugs. This finding showed the need for patients to receive antihypertensive treatment even if they had normal blood pressure.

Monday, September 20, 2010

Diabetes and Eating, What Can I Eat?

Diabetes and eating are linked so you can take care of yourself by knowing how much, when and what to eat. A wise choice of food will make you feel good, lower the risk for heart and other problems and lose weight. It will also help keep the blood glucose level within the target range. You will also find some information at Diet for Diabetes.


Find out from your doctor what's your target level and how often you should check your sugar level. You can keep the blood glucose target by eating right, moving more and taking medicine if needed. It is also best to follow a regular schedule for meals and exercise. When and what to eat affect how the medicine you take works.

A small woman who exercises or a small or medium woman who wants to lose weight and a medium-sized woman who does enough exercise may eat 1,200 to 1,600 calories a day. That means 6 starches, 2 fruits, 3 vegetables, 4 to 6 ounces of meat, 2 milk, and up to 3 fats.

A large woman who wants to lose weight, a small man with healthy weight, a medium-sized man or large man who wants to lose weight and a medium-sized man who does enough exercise may eat 1,600 to 2,000 calories a day. That means 8 starches, 3 fruits, 4 vegetables, 4 to 6 ounces of meat, 2 milk, and up to 4 fats.

A large or medium-sized woman who does a lot of exercise with a physically active job, a medium-sized man or large man who exercises a lot and with a physically active job, and a large man with a healthy weight may eat 2,000 to 2,400 calories a day. That means 10 starches, 4 fruits, 4 vegetables, 5 to 7 ounces of meat, 2 milk, and up to 5 fats.

Starches supply fiber, minerals and vitamins and carbohydrates. But eat the healthier ones like whole grains and fat-free variety. Some examples are pasta, bread , potatoes, corn, pretzels, beans, cereal, crackers, rice, tortillas, lentils, yams. Eat something belonging to this groups at each meal.

Vegetables should be a part of every meal as they provide fiber, minerals and vitamins. Examples are broccoli, lettuce, peppers, carrots, spinach, vegetable juice, cabbage, green beans, celery, and tomatoes. For optimum benefit eat them raw or steamed using water or low-fat or fat-free salad dressing.

Fruits also supply us with fiber, minerals and vitamins. Examples are dried fruit, apples, grapefruit, strawberries, oranges, watermelon and so on. Buy the smaller pieces and eat them raw or cooked without adding sugar. Eat more fruits than drinking juice as they have more fiber. The dessert with fruits should be reserved for special events.

Milk supplies us with minerals, vitamins, carbohydrate, calcium and protein but drink the fat-free or low-fat kind. Eat only a limited amount of sweets and fats; they are not as nutritious as the other groups. Fats contain a lot of calories so reducing your fat-intake could lead to weight loss.

The group of meat and meat substitutes includes eggs, cheese, tofu, fish, poultry. You should eat a small amount of this group each day. But eat them the healthy way with the meats trimmed with just a little bit of fat left. Poultry should be eaten without the skin and cook by grilling, broiling, roasting and some other healthy ways.

Due diligence was employed in the writing of this to include the most current information but sometimes new data come along so make sure you get the latest information by getting in touch with FDA. I hope this covers the link between diabetes and eating.

Monday, September 13, 2010

Diabetes Complications Can Be Prevented by Educating Patient

Diabetes complications are what we need to avoid especially approximately one out of eight people in South Carolina, for instance, has diabetes so they are advised to get educated on how to look after their condition in order to avoid complications. There is evidence that complications have been avoided by getting to know what to do and applying this knowledge.

Education is the basis for diabetes care in clinical practice and research. That is why we have the National Diabetes Education Program (NDEP) which helps spread the word that diabetes is not only common and costly but also that it is serious and controllable. Type 2 diabetes is even preventable.

Here are some of the programs that NDEP has for us. There is the Four Steps to Control Your Diabetes. For Life. The four steps aid in making people understand diabetes to the point they learn to monitor and manage their diabetes that enable them to stay healthy.

Then there is the program called Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients . This programs comes in three booklets that help people evaluate their risk for developing diabetes. This program also helps to implement a program that will delay or prevent the coming of diabetes. It has a calorie and fat counter and an activity tracker.

Guiding Principles for Diabetes Care is another NDEP program that is focused on diabetes care. It helps the professionals in health care to determine who have pre-diabetes and who are yet undiagnosed. Its mission is to prevent the long term diabetescomplications.

I did this program called Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes Health Care Provider Toolkit in the beginning of this blogspot and it really helped because there are strategies there that give recommendations with the steps to follow in order to delay or prevent the coming of diabetes.

Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists, and Dental Professionals, 2007 is an NDEP program that I have not looked at yet but I aim to so I can report on it. Besides, it is not really for diabetics so I can take my time to access it. But I think it is still important to go over it so we can understand our health care team better in their desire prevent diabetes complications.

Monday, September 6, 2010

Glycemic Index, What's In It for You?

Glycemic index, here we go again for it is playing a role in a study. It looks like eating foods with a low-glycemic index will help maintain the blood glucose level to as normal as possible. This latest study even found this as important as consuming the correct amount of carbohydrates at each meal.

What is glycemic index anyway? It is the measure of how the food affects the blood glucose level. The carbs that quickly break down and let go the glucose to the bloodstream have high GI while those that break down slowly and release the glucose gradually have a low GI.

Studies have shown that blood sugar goes on a roller coaster ride whether we like it or not. This is the problem that can damage the body. It can lead to some chronic diseases. The development of atherosclerosis is particularly a problem so how do we go around this diabetic-diet dilemma?

The key is to control the blood sugar in order to slow down the complications but we have to go farther than this. While it is true that the quantity of carbohydrate is part of managing this issue, the quality of the carbohydrate is as significant as its number. This is where the glycemic index comes in.

The Human Nutrition Unit at Sydney University has a Glycemic Index team that includes Professor Jennie Brand-Miller. This team tested 1126 foods to determine the link between a food's GI and the other factors associated with the glucose level after meals.

This is what they found. The results that the so-called normal response depends on the type of carbohydrate. In order to control the blood sugar, it is wise to consider both the quantity and quality of the carb. It is not enough to say eat more whole grains for this might encourage the diabetics to eat carbohydrates with a high glycemic index.

It is better to say "less" rather than "more" or "low glycemic index" with foods that are rich in carb. So look for the GI symbol on food labels. I don't know if we have this the world over but Australia and New Zealand have this symbol. Opt for lower GI rice. Potatoes have high GI so if you love them, cut back on the amount. So next time you eat, watch out for the glycemic index.