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DIABETIC LIFESTYLE MAGAZINE

Edition 01
Edited by GuGpress.tk

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Here's the Truth About Curing Your Diabetes!
This whole thing made me sick! I just found the World of Medicine is scamming people and even worse: with the help of law-makers! It seems that money (as usual) has blinded doctors and medical practitioners to the degree that they are now willingly *suppressing* the truth regarding diabetes its control and even its cure! Thats right: I said it ... cure! And this should shock you even more: It seems that its against the law to say the word cure when describing anything that actually cures you. Yet its very much okay to say that something treats or helps offset the symptoms of some health condition or disease. But if you say cure (and this even includes when you in fact have a real and bona fide cure for something and can even prove it!) you can get arrested. Ever wonder why no one ever talks about curing diabetes? Everyone seems to be content with finding ways to control diabetes or live with diabetes. And for good reason. No ones out to cure anyone because theres little money in doing so. Instead, keeping you sick and marginally pain-free is all anyones really out to do for you these days as doing so means you being forced to buy all the same drugs over and over again, and again, and ... (you get the point!) Of course, if a cure came along it would mean you buy it one time, and then youre cured and thats that (over and done!) Listen, if somebody showed you how to cure diabetes they wouldnt make very much money off of you. Right? But if somebody invents a pill or a shot that helps you live with diabetes theyll get your money week-after-week, month-after-month, year-after-year until the day you die. Make sense? In fact, theres a saying in the drug industry: Cures Kill Profits! I dont know about you, but I dont want to have to depend on some big drug company to keep me alive and comfortable just so I can give them more of my hard-earned money every month. Id much rather take control of my own health and find a way to banish diabetes. Now a number of doctors, medical scientists and researchers armed with real answers and real solutions are stepping up and are NOT afraid of Uncle Big-Bully Brother! One courageous fellow by the name of Matt Traverso is doing exactly this! Not only that, but Matt Traverso has lectured and personally helped individuals beat the disease to the point that proven sufferers have actually gotten re-diagnoses as no longer having the disease at all! (Something thats pretty much always been ruled out as a possibility altogether! and now which may even be against the law!) But why dont we hear about this information from the American Diabetes Association? The truth is, the American Diabetes Association are benefiting hugely from the current trend in diabetes. They are funded by pharmaceutical companies who would lose out if people reversed there diabetic conditions.

The treatment of Diabetes brings in over $10 Million Dollars EVERY SINGLE HOUR of the day to Doctors, Pharmaceutical companies, and testing supply businesses. With that kind of money at stake Big Pharma is going to extreme lengths to silence information about natural cures and alternatives for treating diabetes. Therefore its not certain how long Matt will be allowed to do this because Uncle Sambo has actually started using Gestapo tactics whereby people and businesses truly offering cures have been raided with masked armed police who even go to the point of forcing customers in the stores to get down on the floor at gunpoint! So, if youre wise and want to find out about this while its still possible for you to do so, then just visit this link now:

Click Here!
But dont be surprised if one day soon you return to find this site completely removed with a US Flag waving in its place (in the name of freedom no less!)

Ketoacidosis: A Diabetes Complication

Diabetes and Driving

HOW TO AVOID HYPOGLYCEMIA DURING EXERCISE

DIABETES AND COUNTING CARBS

Ketoacidosis can affect both type 1 diabetes and type 2 diabetes patients. It's a possible short-term complication of diabetes, one caused by hyperglycemiaand one that can be avoided. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are two of the most serious complications of diabetes. These hyperglycemic emergencies continue to be

Ketoacidosis: A Diabetes Complication

important causes of mortality among persons with diabetes in spite of all of the advances in understanding diabetes. The annual incidence rate of DKA estimated from population-based studies ranges from 4.8 to 8 episodes per 1,000 patients with diabetes. Unfortunately, in the US, incidents of hospitalization due to DKA have increased. Currently, 4% to 9% of all hospital discharge summaries among patients with diabetes include DKA. The incidence of HHS is more difficult to determine because of lack of population studies but it is still high at around 15%. The prognosis of

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both conditions is substantially worsened at the extremes of age, and in the presence of coma and hypertension. The process of HHS usually evolves over several days to weeks, whereas the evolution of acute DKA in both type 1 and type 2 diabetes tends to be much shorter (<24h). Occasionally, a patient may develop DKA with no prior clues or symptoms.

Why and How Does Ketoacidosis Occur?

The pathogenesis of DKA is more understood than HHS but both relate to the basic underlying reduction in the net effective action of circulating insulin coupled with a concomitant elevation of counter regulatory hormones such as glucagons, catecholamines, cortisol, and growth hormone. These hormonal alterations in both DKA and HHS lead to increased hepatic and renal glucose production and impaired use of glucose in peripheral tissues, which results in hyperglycemia and parallel changes in osmolality in extracellular space. This same combination also leads to release of free fatty acids into the circulation from adipose tissue and to unrestrained hepatic fatty acid oxidation to ketone bodies. Some drugs can affect these processes. Medications that affect carbohydrate metabolism such as corticosteroids, thiazides, and sympathomimetic agents may precipitate the development of both DKA and HHS. Sometimes ketones are present in urine when blood sugar falls too low and the body has to use body fat to get energy. In young diabetic persons, psychological problems complicated by eating disorders may be a contributing factor in 20% of recurrent ketoacidosis. Factors that may lead to insulin omission in younger patients include fear of weight gain with improved metabolic control, fear of hypoglycemia, rebellion from authority, and stress stemming from having a chronic disease. The most common precipitating factor in the development of DKA or HHS is infection. Other factors are cerebrovascular accident, alcohol abuse, pancreatitus, myocardial infarction, trauma, and drugs. Arule of thumb to understand DKA is that dehydration plus blood ketones equals DKA.

Ketoacidosis Symptoms
The first symptoms appear within the first few hours:

Thirst or a very dry mouth Frequent urination High blood-glucose levels High levels of ketones in the urine

The next symptoms which appear:

Constant tiredness Dry or flushed skin Nausea, vomiting, or abdominal pain (vomiting can be caused by many illnesses, not just ketoacidosis. If you continue to vomit for more than 2 hours, contact your physician) Difficulty breathing (short, deep breaths) Fruity odor on breath Difficulty paying attention, or confusion

Differential diagnosis needs to rule out starvation and alcoholism as well as the other precipitation factors stated above. Your physician should have prescribed urine test strips that will test for ketones. It is suggested that if your blood glucose levels reads above 249 mg/dlL that you test for ketones When you are ill with the flu or a cold, test for ketones every 4 to 6 hours. Also, make sure you test for ketones if you have the symptoms outlined above. When you arrive at the hospital, laboratory work to determine plasma glucose levels, blood urea nitrogen/creatinine, serum ketone, electrolytes, osmolality, urinalysis, urine ketones as well as arterial blood gas, complete blood count and throat, etc. if infection is suspected as well as HbA1c to help decide if poor control may be involved.

Ketoacidosis Diagnosis

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If low potassium is noted this must be addressed, as it can provoke cardiac dysrhythmia.

Ketoacidosis Treatment
Successful treatment of DKA and HHS requires correction of dehydration, hyperglycemia, and electrolyte imbalances as well as identification of comorbid events and, above all, patients monitoring.

Ketoacidosis Prevention
Many cases of DKA and HHS can be prevented by better access to medical care, proper education and better communication with health care providers during any illness. Sick day management should be taught to all diabetic patients. This should include specific information on:

When to contact the health care provider How to supplement with short-acting insulin during an illness when blood glucose levels rise Methods of controlling fever and infections How to eat during an illness including an easily digestible diet containing carbohydrates and salt. All patients need to know that they should NEVER discontinue taking insulin and to seek professional advice early in an illness

Since we all get sick with colds and the flu at some time, we end this article with sick day rules and regulations. After reading this article, you are aware that controlling blood glucose levels when you have an infection can be difficult. Once when I came down with walking pneumonia, I wound up taking my blood glucose levels every few hours and worked very hard to keep my levels anywhere near normal. So when you're sick, plan ahead and do the following:

Have Ketostix in the house. You don't want to have to get to the drug store after the fact.

Have the proper foods in the pantry. You'll need Jell-O and Gatorade. Report your illness to the doctor when it causes your blood glucose levels to rise and causes urine ketones. This is not the time to do a scientific experiment. Get good advice. Get in to see the doctor if you do not improve within 6 hours. Test blood glucose levels and ketones frequently, about every 2 to 4 hours, until they are normal again. Get advice from your health care team if your blood glucose levels is above 250 mg/dL for more than 6 hours, if you are unable to take fluids or food for more than 4 ours, if you have a fever (101.5 F), if you are ill for more that 24 hours, or if you have these symptoms we spoke of such as dehydration, severe abdominal pain, or other unexplained symptoms. When you call the doctor, have your ketone and blood glucose levels handy as well as temperature and symptoms. Continue to take your insulin even if you can't eat solid foods. Your insulin needs will probably increase with illness. If you take oral agents, continue to take them too. If you cannot keep the pills down, call your physician. If your blood glucose level are below 70 mg/dL and you take pills, call your doctor. Continue to eat and drink even if your blood glucose levels are high, if you are vomiting or if you have diarrhea. Take at least 45-50 g of carbohydrate every 3 to 4 hours to prevent low blood glucose while the insulin clears the ketones. If you can't eat, try carbohydrate containing liquids or soft foods. These include 1/2 cup regular soft drinks, 1 double Popsicle, 1/2 cup regular Jell-O, 1 cup Gatorade, 1 cup soup, 1/2 cup fruit juice, 1 slice toast or 6 soda crackers. To prevent dehydration, drink at least 8 ounces of fluid every hour. If you are vomiting, limit fluid to 1-2 tablespoons every 20 minutes, or suck on a Popsicle. Fluids with mineral, like Gatorade, can help prevent dehydration. Limit your activity if your blood glucose levels are above 259 mg/dL and ketones are moderate to large.

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So that's the story about ketones and ketoacidosis, a short-term complication of diabetes. It can be dangerous, but if you are educated, you can control your blood glucose levels or prevent ketoacidosis, especially when you're sick. If you are experiencing vision loss, talk with your doctor about a safe and responsible course of action. Rather than cutting off your driving privileges completely, he or she may recommend restrictions. For example, you may be able to drive during the day, while opting to leave nighttime and low-light driving to others. Owning the Choice to Stop Driving with Diabetes A minority of people with diabetes have to stop driving. If you anticipate that diabetes may take your sight, hand-eye-coordination, or some other vital driving function, make a plan to stop driving at some point in the future. Owning the decision will help you feel more responsible and less helpless. Even before you get to this point, choose the barrierswith input from your doctor and loved onesthat will help you decide to stop driving. This is especially important if you are an older person with diabetes. Some barriers you could consider are:

Diabetes and Driving

DRIVING TIPS FOR PEOPLE WITH DIABETES

For most people with diabetes (type 1 diabetes and type 2 diabetes alike), diabetes does not affect their driving. However, it is possible to experience diabetes-related emergency while drivingand that can affect your safety. Most Americans need to drive. It is a necessity for work, food, socializing, recreation, medical care, shopping, and many other activities. As you live with diabetes, it is important to maintain this independence as much as possible. It is also important to be aware of a few diabetes-related driving risks to help you reduce the chances of diabetes unexpectedly interfering with your independence. Low Glucose: Hypoglycemia While Driving Most people with diabetes sense when their glucose levels are too low. You feel that hunger, headache, shakiness, weakness, sweating, and anxiety beginning to set in. You can feel the symptoms just as easily when you are driving. Just as you keep snacks at home and at work, keep some candy, cookies, non-perishable juice boxes, or other carbohydrate sources in your car. If you sense low blood glucose (blood sugar), do not hesitate to pull over and perform a blood glucose test. And then if you need to, eat a carbrich snack. After a second blood glucose test confirms an acceptable reading, you can get back on the roadsafely. When Diabetes Threatens Your Vision While you can quickly fix a low blood glucose situation, you will not be able to fix your eyes if diabetes starts to take your vision (that's diabetic retinopathy, a type of diabetic neuropathy).

I will stop driving if my vision is 20/50 or worse. I will stop driving if I lose feeling in my feet or hands. I will stop driving if I stop sensing hypo or hyperglycemia.

When the time comes, you will feel less deprived of your driving rights if you've set the decision threshold in advance. The knowledge that you are making a responsible decision will help offset the disappointment of no longer being able to drive. Responsible Driving with Diabetes If you live with diabetes, driving provides you access to treatments, medication, and nutrition essential to your independence and health. Millions of responsible people with diabetes support public safety and their independence by knowing a few essentials about driving with diabetes. Know how to recognize the symptoms of hypoglycemia so that you can prevent a hypoglycemic event while driving. Also, decide what criteria will make you stop driving if diabetes starts to interfere with your ability to drive safely.

HOW TO AVOID HYPOGLYCEMIA DURING EXERCISE

Exercise Tips for People with Diabetes

Exercise is excellent for people with diabetesboth type 1 diabetes and type 2 diabetesbut you have to be careful about hypoglycemia. Hypoglycemia is when your blood glucose level (your blood sugar level) drops too low. To avoid hypoglycemia during exercise, you should learn to recognize the symptoms of hypoglycemia while you are exercising. Also, you can test your blood sugar before, during, and after exercise. How You Can Become Hypoglycemic when Exercising When you exercise, your body needs more energy than it normally does (that certainly makes senseyoure expending more energy than you normally do). That extra energy comes from the sugarthe glucoseyour body stores. When you exercise, you speed up your metabolism and use up the glucose in your bloodstream faster. Thats right: Exercise makes it easier for your body to use glucose, whether you have type 1 diabetes or type 2 diabetes, making exercise incredibly beneficial for people with diabetes. However, it is possible to burn too much glucosemaking your blood glucose level drop too low, which is hypoglycemia. If your blood glucose level drops below about 5 mg/dL, your body detects that it is exhausting its energy supply. It will start to pull sugar supplies from your fat, muscles, and other body tissues. This can be dangerous, especially if your body is starved enough for sugar to make you faint. How to Avoid Hypoglycemia During Exercise To avoid hypoglycemia, you will need to learn what generally works for you when you exercise; youll need to pay attention to your body and how it reacts to different types of exercise and levels of intensity. Because your body does not always respond the same way to exercise and activity, you will need to be prepared for emergencies, too. Good rules of thumb for avoiding hypoglycemia during exercise include:

Check your blood glucose level before starting to exercise. Administer a bolus of insulin before starting to exercise if your blood glucose is over 200 mg/dL (or as your diabetes treatment team recommends). Eat a snack before starting to exercise if you are in the normal range. If you recognize symptoms of low blood glucose as you exercise, stop, test your blood glucose level, and treat yourself according to the results. Check your blood glucose level when you finish exercising. Use insulin, glucose tablets, and snacks to adjust blood sugar after exercising.

You, your clinician, and your certified diabetes educator will refine an even more personalized exercise plan for you. Exercise is one of the best ways to control blood glucose and defend against the long-term complications of diabetes (diabetic neuropathy and cardiovascular complications, for example). If you just remember how to detect and treat low blood glucose while you exercise, you will avoid

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hypoglycemiawhile enjoying all of the emotional and health benefits of exercise for people with diabetes.

DIABETES AND COUNTING CARBS

How to Count Carbs to Better Manage Blood Glucose Levels

ounting carbs is just one way of managing your food intake when you have diabetes, either type 1 diabetes or type 2 diabetes. It can help keep your blood sugars as close to normal as possible. The reason that we focus on carbohydrate is because carbohydrates tend to have the greatest effect on your blood glucose levels. If you are counting carbs, you will be following a meal plan given to you by your health care team that will tell you how many grams of carbohydrate you may eat for breakfast, lunch, dinner, and any snacks that you are allowed. Carb counting can be used whether you have type 1 diabetes or type 2 diabetes. It allows you a greater choice in what you eat. For example, you want to microwave a frozen low-calorie, low-fat entre at the office for lunch. You look on the package label for the number of carbohydrates in the dish and although you need to always be aware of the calories or fat grams that you are consuming, this time you're mainly interested in the carb grams as you have an allotted amount for each meal and each snack. Just add the carbohydrate grams of this entree to any other carbs you're also eating for this lunch. You can get the various carb counts of different foods from a food exchange list or you can purchase a carbohydrate guide at most book stores.

What Are Carbohydrates?

Most carbohydrates we eat come from three food groups: bread/starch, fruit, and milk, and to a lesser degree, non-starchy vegetables. Foods in the protein and fat groups contain very little, if any, carbohydrates. To make counting easy, figure one serving of bread/starch, fruit, or milk contains 15 grams of carbohydrate. One serving of non-starchy vegetables contains 5 grams.

A Carb Counting Example

Let's say that you are on a 1,500 Calorie Meal Plan. That would be spread out over the day as 52 grams of carbohydrate for breakfast, 60 grams of carbohydrate for lunch, 60 grams of carbohydrate for dinner, and 22 grams of carbohydrate for an afternoon or evening snack. For example, for lunch, you want to have a turkey sandwich on rye bread with some low-fat mayonnaise, Dijon mustard, a slice of non-fat Swiss cheese, a slice of tomato, and a few leaves of lettuce. The 2 slices of rye bread contain 30 grams of carbohydrates, the slice of turkey and the cheese contain 0 carbohydrates, the slice of tomato would at most contain 1 gram of carbohydrate, and the lettuce is a free food. The mayo and the mustard are also 0 carbohydrate. That leaves you with 29 grams of carbohydrate for the rest of your lunch. You decide to add a small fresh peach (15 grams carbohydrates), pitted and sliced to eat with 3/4 cup of non-fat plain yogurt (12 grams carbohydrates).

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That uses up 58 grams of your 60 gram carbohydrate allowance for that meal. It's unlikely that you will always hit the number exactly, but this is a quite filling lunch and if you go over by 2 grams the next meal, you won't have to worry. As with any form of meal planning, portion control and knowing how many grams of carbohydrates are in a serving of each food that you want to eat is key to good control. For someone new to this, a copy of a Food Exchange List is essential. In the beginning, you may need to measure or weigh your portions. However, if your are using one of our diabetic recipes or a diabetic recipe from another source, just look at the recipe analysis and add up the grams of carbohydrate for every recipe you're using for that meal, adding any carbohydrates you eat from non-recipe foods. To help you keep track of your carbohydrates, we suggest a simple food log. Take a look at the basic one below, and feel free to copy it to get you started on keeping track of your carbohydrates. Sample Food Log for People with Diabetes Date: Fasting Blood Sugar: Grams of Carbohydrates Breakfast Lunch Dinner Snack Bedtime Blood Sugar: Carb counting is easy. It just takes a little practice, and it will help you better manage your diabetes.