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diabetes…

 

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endocrine glands, diabetic retinopathy, islets of langerhans, blood test, pancreas, insulin pump, glucose test, insulin pump, type i diabetes, diabetic blood circulation in foot, food, insulin release, insulin production, diabetes, monitor blood glucose , diabetes mellitus, diabetes, life-long disease marked by high levels of sugar, in the blood, too little insulin, a hormone produced by the pancreas to regulate blood sugar, resistance to insulin, to understand diabetes, important to first understand the normal process of food metabolism, several things happen, food is digested, a sugar, glucose enters the bloodstream, glucose, source of fuel, an organ, the pancreas makes insulin, role of insulin, move glucose, bloodstream into muscle, fat, liver cells, where it, fuel, diabetes have high blood glucose, pancreas, does not make enough insulin, muscle, fat, liver cells, not respond to insulin, three major types of diabetes, type 1 diabetes, diagnosed in childhood, body makes little, no insulin, daily injections of insulin, required to sustain life, proper daily management, medical emergencies, arise, type 2 diabetes is far more common than type 1, makes up 90%, all cases of diabetes, occurs in adulthood, pancreas, does not make enough insulin to keep blood glucose levels normal, does not respond well, insulin, type 2 diabetes, not know they have it, a serious condition, type 2 diabetes is becoming more common due, growing number of older americans, increasing obesity, failure to exercise, gestational diabetes is high blood glucose that develops at any time, pregnancy, person who, does not have diabetes, diabetes affects, 17 million americans, many risk factors, diabetes, a parent, brother, sister, diabetes, obesity, age greater than 45 years, ethnic groups, particularly african-americans, hispanic americans, gestational diabetes, delivering a baby weighing more than 9 pounds, high blood pressure, high blood levels of triglycerides, a type of fat molecule, high blood cholesterol level, american diabetes association recommends that all adults be screened, diabetes at least every three years, a person at high risk, screened more often, high blood levels of glucose, cause several problems, frequent urination, excessive thirst, hunger, fatigue, weight loss, blurry vision, type 2 diabetes develops slowly, high blood sugar experience no symptoms at, symptoms of type 1 diabetes, increased thirst, increased urination, weight loss in spite of increased appetite, fatigue, nausea, vomiting, symptoms of type 2 diabetes, increased thirst, increased urination, increased appetite, fatigue, blurred vision, slow-healing infections, impotence in men, a urine analysis, look, glucose, ketones, breakdown of fat, a urine test alone, does not diagnose diabetes, following blood glucose tests, diagnose diabetes, fasting blood glucose level, diabetes is diagnosed, higher than 126 mg/dl on two occasions, levels between 100, 126 mg/dl, impaired fasting glucose, pre-diabetes, levels, considered to be risk factors, type 2 diabetes, its complications, random, non-fasting, blood glucose level, diabetes is suspected, higher than 200 mg/dl, accompanied by the classic symptoms of increased thirst, urination, fatigue, test must be confirmed, a fasting blood glucose test, oral glucose tolerance test, diabetes is diagnosed, glucose level is higher than 200 mg/dl after 2 hours, test is used more, type 2 diabetes, patients, type 1 diabetes, develop symptoms over a short period of time, diagnosed in an emergency setting, having high glucose levels, acutely ill type 1 diabetics have high levels of ketones, ketones, produced by the breakdown of fat, muscle, toxic at high levels, ketones, in the blood cause a condition, "acidosis", low blood ph, urine testing detects both glucose, ketones, in the urine, blood glucose levels, no cure, diabetes, immediate goals, to stabilize blood sugar, eliminate the symptoms of high blood sugar, long-term goals of treatment, to prolong life, relieve symptoms, prevent long-term complications heart disease, kidney failure, learn these skills, basic diabetes management skills, prevent the need, emergency care, skills, how to recognize, treat low blood sugar, hypoglycemia, high blood sugar, hyperglycemia, how to take insulin, oral medication, how to test, record blood glucose, how to test urine, ketones, type 1 diabetes only, how to adjust insulin, food intake, changing exercise, eating habits, how to handle sick days, where to buy diabetes supplies, how to store them, after learn the basics of diabetes care, learn how the disease, cause long-term health problems, best ways, prevent these problems, diabetes need to review, update knowledge, new research, improved ways to treat diabetes, constantly developed, should work closely, health care provider to learn how much fat, protein, carbohydrates need in diet, specific meal plans need to be tailored to food habits, preferences, type 1 diabetes should eat at, the same times each day, try to be consistent, the types of food they choose, helps, prevent blood sugars from becoming extremely high, type 2 diabetics should follow a well-balanced, low-fat diet, a registered dietician, very helpful in planning dietary needs, weight management is important to achieving control of diabetes, type 2 diabetes, stop medications after losing excess weight, the diabetes is still present, how to take insulin, oral medication, medications to treat diabetes include insulin, glucose-lowering pills, oral hypoglycemic agents, bodies of people, type 1 diabetes cannot make own insulin, daily insulin injections, bodies of people, type 2 diabetes make insulin but cannot use it effectively, insulin is not available in oral form, delivered by injections, generally required one to four times per day, use an insulin pump, is worn at all times, delivers a steady flow of insulin throughout the day, insulin preparations differ in how quickly they start to work, how long they remain active, different types of insulin, mixed together, single injection, types of insulin, use, doses required, number of daily injections, chosen by a health care professional trained, diabetes care, people who need insulin, to give themselves injections by health care providers, diabetes educators, unlike type 1 diabetes, type 2 diabetes, respond to treatment, exercise, diet, oral medications, several oral hypoglycemic agents that lower blood glucose in type 2 diabetes, fall into one of three groups, medications that increase insulin production by the pancreas, amaryl, glucotrol, glucotrol xl, micronase, diabeta, glynase, prandin, starlix, medications that increase sensitivity to insulin, glucophage, avandia, actos, medications that delay absorption of glucose, gut, precose, glyset, most type 2 diabetics, require more than one medication, good blood sugar control, three years of starting first medication, different groups of oral medications combined, insulin, oral medications used together, type 2 diabetes find they no longer need medication, they lose weight, increase activity, ideal weight is reached, own insulin, a careful diet, control blood glucose levels, oral hypoglycemic agents, not known to be safe, use in pregnancy, women, type 2 diabetes, take these medications switched to insulin, pregnancy, breast-feeding, gestational diabetes is treated, diet, insulin, self-testing, self-monitoring of blood glucose, by checking the glucose content of a drop of blood, regular testing tells how well diet, exercise, working together to control diabetes, adjust meals, medications to keep blood sugar levels in an appropriate range, testing provides valuable information, the health care provider, identifies high, low blood sugar levels, serious problems develop, american diabetes association recommends that premeal blood sugar levels fall, in the range of 80 to 120 mg/dl, bedtime blood levels fall, in the range of 100 to 140 mg/dl, adjust this depending on circumstances, should also ask doctor how often to check hemoglobin a1c, hba1c, level, hba1c, measure of average blood glucose, previous two to three months, a very helpful way to monitor a patient's overall response to diabetes treatment over time, diabetes has an hba1c around 5%, diabetes should try to keep it below 7%, ketone testing is another test that is used in type 1 diabetes, ketones build up, in the blood, is not enough insulin, type 1diabetes, eventually "spilling over", urine, ketone test, on a urine sample, high levels of blood ketones, a serious condition, ketoacidosis, ketone testing, following times, blood sugar is higher than 240 mg/dl, acute illness, pneumonia, heart attack, stroke, nausea, vomiting occur, pregnancy, exercise, regular exercise is especially important, diabetes, helps, blood sugar control, weight loss, high blood pressure, diabetes who exercise, less likely to experience a heart attack, stroke than diabetics who, not exercise regularly, evaluated by physician, starting an exercise program, exercise considerations, choose an enjoyable physical activity that is appropriate, current fitness level, exercise every day, same time of day, monitor blood glucose levels, after exercise, carry food that contains a fast-acting carbohydrate in case, become hypoglycemic, after exercise, carry a diabetes identification card, a mobile phone, change, payphone in case of emergency, drink extra fluids that, not contain sugar, after exercise, changes in exercise intensity, duration, require changes in diet, medication dose to keep blood sugar levels from going too high, foot care, diabetes, prone to foot problems, the likelihood of damage to blood vessels, nerves, a decreased ability to fight infection, blood flow, damage to nerves, an injury, foot to go unnoticed, infection develops, death of skin, tissue, left untreated, foot, amputated, diabetes, most common condition amputations, prevent injury, feet, diabetes should adopt a daily routine of checking, caring, the feet, check feet every day, report sores, signs of infection, wash feet every day, lukewarm water, mild soap, dry them thoroughly, soften dry skin, lotion, petroleum jelly, protect feet, comfortable, well-fitting shoes, exercise daily to promote good circulation, a podiatrist, foot problems, to have corns, calluses removed, remove shoes, socks, a visit to health care provider, remind to examine feet, stop smoking, hinders blood flow, feet, diabetes resources, risks of long-term complications from diabetes, diabetes control, complications trial, dcct, studied the effects of tight blood sugar control on complications in type 1 diabetes, patients treated, tight blood glucose control had an average hba1c of approximately 7%, patients treated less aggressively had an average hba1c of, 9%, end, the study, tight blood glucose group had dramatically fewer cases of kidney disease, eye disease, nervous system disease than the less-aggressively treated patients, united kingdom prospective diabetes study, ukpds, researchers followed nearly 4,000 people, type 2 diabetes, 10 years, study monitored how tight control of blood glucose, hba1c of 7%, blood pressure, less than 144 over less than 82, could protect a person, long-term complications of diabetes, study found dramatically lower rates of kidney, eye, nervous system complications in patients, tight control of blood glucose, was a significant drop in all diabetes-related deaths, lower risks of heart attack, stroke, tight control of blood pressure was also found to lower the risks of heart disease, stroke, the dcct, ukpds dramatically demonstrate that good blood glucose, blood pressure control, the complications of diabetes, prevented, emergency complications include diabetic hyperglycemic hyperosmolar coma, long-term complications, diabetic retinopathy, diabetic nephropathy, diabetic neuropathy, peripheral vascular disease, hyperlipidemia, hypertension, atherosclerosis, coronary artery disease, symptoms of ketoacidosis occur, increased thirst, urination, nausea, deep, rapid breathing, abdominal pain, sweet-smelling breath, loss of consciousness, symptoms of extremely low blood sugar, hypoglycemic coma, severe insulin reaction, weakness, drowsiness, headache, confusion, dizziness, double vision, lack of coordination, convulsions, unconsciousness, maintaining an ideal body weight, an active lifestyle, prevent the onset of type 2 diabetes, currently, no way, prevent type 1 diabetes.


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