Usually when a patient is diagnosed with diabetes should undergo a change of life. That should include other than medical support from a nutritionist and psychologist

Usually the patient with diabetes should be regulated through an individualized diet the exploits of calories. Usually we make the mistake of continuing and widespread subsistence patterns of diabetic patients and alcoholics have liver problems and triglycerides

On the physical activity we must emphasize that it is extremely important for proper function of the pancreas. The more weight to insulin resistance.

Quality of life is to lose weight to prevent kidney and liver failure, but this loss should be regulated and can not be either accelerated.

Part of the benefit of exercise is also linked to the psychological factor.

An exercise routine can help desestres weight and daily routine. The choice of a healthy life lies when we recognize that we have a health problem that is evolving and we decided to live a healthy life.

The constancy in the year are purchased in the sense that it approaches as a mandatory activity for a specific health condition rather that each person will take the taste.

Some general recommendations is that exercise is variable ie gym and an additional activity since this allows one to avoid falling into a routine. Not necessarily long hours in the gym, but rather a routine well done.

Many people say they do not do physical activities because they have large amounts of time and this is not necessary. The problem is not about weight because it can be a genetic factor that can be controlled the problem lies in bad habits and sedentary routine we have gained, if we can not afford a gym can develop a fitness routine outdoors.

One major problem with this is that people want change once and the changes are little by little, is like learning to walk. When there are major alterations in the metabolic system must reflect what is happening in our environment and how to modify these factors influence healthy living.

Being aware of the advantage of a healthy diet, that small changes in physical routine leading us to a better health status and that is not as difficult as it seems.

Simple things help us to make a healthy lifestyle must be discipline and concistencia record is not acting on impulse is to be aware of what we are doing and fighting for something better is to create a healthy culture elements vary and change unhealthy patterns .

So go ahead within the margin of said celebration of this day will become aware and start never too late to be better.

Scientists at Cardiff University in Wales, analyzed the records of nearly 50,000 patients with type 2 diabetes and found a link between lower levels of blood glucose and increased risk of death.

They also found a significant difference in death rates of patients treated with insulin and patients taking tablets., Says the study published in The Lancet.
Changing treatments

Using data from general medical records, researchers identified 27,965 patients with type 2 diabetes whose treatment had been intensified in order to include two oral agents to lower blood glucose: metformin and sulfonylurea.

We need to study further whether the intensification of glucose control with insulin therapy alone increases the risk of death in patients with diabetes.

Dr. Craig Currie, director of research.

20,005 other patients whose treatment was changed and included insulin were added to the study.

We found that patients whose glycated hemoglobin levels (HbA1c) levels, average blood glucose during the past weeks, were of about 7.5% had the lowest risk of death.

But if the levels fell to 6.4%-the lowest levels, both groups of patients showed an increase of over 50% in mortality risk.

And those with the highest levels, 10.6%, the risk of death rose by almost 80%.

The risks, however, seemed particularly pronounced among patients who were being treated with a regimen based on insulin than those who were receiving combination therapy.

It also mentions a possible link between insulin use and progression of cancer, which was found in a previous study.
Insulin Injection

The increased risk was found among those who control the disease with insulin only.

“We need to study further whether intensification of glucose control with insulin therapy alone increases the risk of death in patients with diabetes,” says Dr. Craig Currie, who led the research.

“We found that the average values of high and low levels of HbA1c were associated with an increase in the general cause of mortality and cardiac events.

“If this is confirmed, the diabetes treatment guidelines need to be revised and include a minimum of HbA1c value,” says the researcher.

Other experts argue, however, these findings need to be confirmed and the patients taking insulin should not stop their treatment.

“It is not clear what the causes of death in patients studied,” said Dr Iain Frame, research manager of the organization Diabetes UK.

“As to the suggestion that insulin may increase the risk of death, it is necessary to consider important factors such as age, duration of diabetes and how patients control their disease.”

“Although some people can manage their disease for a time with a regimen of diet, exercise and even tablets, many eventually must include insulin in their treatment.”

“Our recommendation is that people with type 2 diabetes who use insulin that does not leave your medications. And if you’re concerned about their glucose levels, to consult with your doctor that concern,” says expert

BACKGROUND

Diabetes mellitus type 1 and type 2 national and global level has become the leading cause of end stage renal disease, that is due to:

1. The increase in the prevalence (number of patients) in type 2 diabetes especially.
2. Patients with diabetes are living longer.
3. Patients with chronic renal failure due to diabetes mellitus are being accepted into dialysis programs / hemodialysis and kidney transplantation of which were previously excluded.

In patients with diabetes mellitus type 1 with 20 years of evolution, 50% of them develop diabetic nephropathy, and patients with type 2 diabetes mellitus only 10 to 20%. However, the great difference in prevalence (most common type 2) causes the majority of patients with diabetic nephropathy is secondary to type 2 diabetes mellitus.

NATURAL HISTORY

The earliest clinical sign of diabetic nephropathy is the appearance of low but abnormal albumin in the urine (more than 30 milligrams a day), which is called microalbuminuria, and microalbuminuria in patients with incipient nephropathy have, simultaneously with these patients develop hypertension (increased pressure in the blood). Without specific treatment of patients with incipient diabetic nephropathy reach the state of overt diabetic nephropathy, and once you get to frank diabetic nephropathy and there is no specific treatment renal function and decreases gradually over several years developing the ESRD.

Diagnosis

It must perform a screening test for microalbuminuria at the time of diagnosis of type 2 diabetes mellitus. Microalbuminuria is common in type 1 diabetes mellitus of short duration, which is why testing in patients with type 1 diabetes mellitus should be started at 5 years of onset. After the initial screening test, and absence of microalbuminuria, the evidence should be repeated once a year.

Albuminuria (albumin excretion in urine) also may be temporarily increased by hyperglycemia (elevated blood glucose) of short duration, exercise, urinary tract infection, hypertension pronounced, heart failure and febrile illness.

Albumin excretion varies significantly from day to day, so before determining that a patient has microalbuminuria should be found high levels in at least 2 of 3 collections made over a period of 3 to 6 months.

Treatment

Control of glucose (sugar) blood. Intensive treatment of diabetes mellitus can significantly decrease your risk of developing microalbuminuria and overt nephropathy in patients with diabetes mellitus.

Blood Pressure Control

To reduce the risk and delay progression of nephropathy, we must optimize blood pressure control. At the onset of overt diabetic nephropathy, decrease the nutritional value.

In an emergency or accident is important that the people around you know you live with diabetes and which type of diabetes you have.

Very importantly, we have no habit of using, is a medical ID, this means that you must always wear a bracelet, insert, or something that says you live with diabetes and that type.

It is also important that you remember to take with you all your medications and what they need to be well.

a) glycated hemoglobin is the average of 3 months you should do it every 4 months minimum. This is a blood analysis and you must try this very about 6 or less.

b) Lipid Profile to check that the body fat are normal (once or twice a year).

c) Profile thyroid is recommended once a year.

d) Albumin in urine once a year. To see that your kidneys are excellent as ever.

e) Ophthalmologist to review the fundus (twice a year).

f) cleaning dentist every 6 months.

“Ideally, before pregnancy do a routine Czech your eyes (the eye), blood pressure and kidneys. It’s very important to maintain glucose levels within normal range every day. Before each meal than 100mg/dl two hours after each meal between 140 and 150mg/dl .. It means you have to measure yourself many times in one day!

You must keep your glycosylated hemoglobin than 6%, we know that sometimes this is hard, but remember that if you really want.

Do a little exercise will help you a lot, I highly recommend swimming and water if they’re not very good walk also suit you.

As always a balanced diet is very important, remember to make 5 meals a day in small portions is very good, consult your nutritionist.

The generalization of overweight, obesity and diabetes among the population has already reached in many developed countries the size of a real pandemic, which in 2025 may affect worldwide to 300 million people, with a high risk of suffering severe vascular disorders.

The problem is much greater in countries like the U.S., where smoking also threatens to collapse the health system unless we take drastic measures to narrow, but the so-called “diabesity” ‘-clever contraction of the words diabetes and obesity-is reached worrying proportions in other developed countries.

The relationship between excess weight and diabetes was one of the main issues discussed during the last congress of the uropean Association for the Study of Diabetes (EASD) held in the city of Jerusalem. The participants have agreed on linking diabetes with the current sedentary lifestyle and poor diet which encourages overweight, and warned that there will be an escalation in the incidence of both diseases if urgent measures are taken so that society change their behavior.

Excess fat, excess sugar behaves like a true gland attached to the body and dangerous to your health. This is because fat cells secrete molecules that promote insulin resistance, a process that causes blood sugar to rise, along with promoting inflammation, alter immune response and damage the inner lining or endothelium of the blood vessels.

Diabesity sufferers are born with a pancreas that produce insulin in adequate quantity and works well. But due to obesity that insulin than before did its role in the body is now produced in exorbitant amounts, the muscles have to
carry the glucose to fly resistant to this hormone and an increased glucose level blood, in what is called diabetes II.

The continuous action of this explosive cocktail poses serious health consequences in the medium term as it adversely affects cardiovascular function, kidney and eye. The growing number of people who have this double disorder to endocrinologists concerned because diabetes type II only appeared among middle-aged or older, but now an increasing number of cases in all ages and is increasingly being diagnosed in patients younger, especially in children and adolescents overweight and very overweight.

Any person with excessive weight can end up developing diabetes,although there is a type of fat that predisposes them to suffermore type II diabetes: the “central obesity, where fataccumulates more easily around the abdomen and waist andconcentrates around the internal organs.

For many experts the solution to this problem, it can mean for the developed world a similar threat to that posed the infectiousdiseases for the poorest nations, is not dependent on drugs, but to avoid diets loaded with unhealthy fats and sugars and to make physical exercise a duty almost daily.

The Mediterranean diet, with olive oil or nuts, which lowers LDL or “harmful” and raises HDL, or “beneficial”, remains, accordingto experts, the best medicine to prevent obesity-binomialdiabetes.

By contrast, excess fast food or “junk”, and less consumption of fruits and vegetables, favor this disorder.

Diabetes often goes unnoticed because their symptoms appear to be harmless. New studies indicate that the early detection of diabetes symptoms and treatment can decrease the likelihood of developing complications of diabetes.

Symptoms of diabetes include:

* Frequent urination
* Constant thirst
* Excessive hunger
* Unexplained weight loss
* Increased fatigue and weakness
* Irritability
* Blurred vision

If you have one or more of these diabetes symptoms, see your doctor immediately. You can also take our risk test, test to identify risk factors for diabetes and