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Dietary considerations can present a Hobson's choice in diabetes. Even when the intake is nutritious, assimilating it can be another matter. Then there is the problem of progression of diabetic complications if one ends up with excess glucose or fat in the system. Excess carbohydrates in a meal, and the resulting uncontrolled blood sugar levels can be detrimental to any number of tissues, from the lens of the eye, to the neurons, small blood vessels and the kidneys. Fat is also a problem with increase incidences of atherosclerosis, large vessel disease and cardiac complications. What, then is the appropriate macronutrient for the diabetic population? Enough medical literature exists to suggest that in diabetes, proteins are probably the best bet.
Proteins are the natural choice of the body when faced with diabetes. In
uncontrolled diabetes, muscle protein is broken down into amino acids to
be converted into glucose by the liver. If left to fend for itself, this
can create a commotion within the body. Since proteins have to supply enough
energy to substitute for carbohydrates, proteins are broken down faster
than they are made. The body ends up with a protein deficit, a situation
with subtle, yet far-reaching effects on normal body functions. Importantly,
for diabetics, a protein deficit has been shown to impair resistance to
infections (Ganong WF). Replenishing the depleting protein stores is a
vital requirement of all diabetic diets.
Importance of proteins in a diabetic has been well documented. The American
Associations of Clinical Endocrinologists have made it clear that not much
evidence exists to indicate that the patients with diabetes need to reduce
their intake of dietary proteins. The AACE recommends that 10-20% of the
calorie intake in diabetes should come from proteins (AACE Diabetes Guidelines).
It is in fact believed that this is one nutrient that does not increase
blood glucose levels in both diabetics and healthy subjects (Gannon et
al).
Nutrition therapy for diabetes has progressed from prevention of obesity
or weight gain to improving insulin's effectiveness and contributing to
improved metabolic control (Franz MJ). In this new role, a high protein
diet (30% of total food energy) forms a very pertinent part of nutrition
therapy. One of the most important causes for type II diabetes is obesity.
Excess body fat raises insulin resistance and higher levels of insulin
are required to bring down blood sugars as the weight increases (Ganong
WF).
Any mechanism that reduces body fat decreases
insulin resistance and improves blood glucose control. Parker et al have
also shown that a high protein diet decreased abdominal and total fat
mass in women with type II diabetes. Other studies by Gannon et al. and
Nuttall et al have verified that blood glucose levels and glycosylated
hemoglobin (a marker of long term diabetic control) reduce after 5 weeks
on a diet containing 30% of the total food energy in the form of proteins
and low carbohydrate content. It is speculated that a high protein diet
has a favorable effect in diabetes due to the ability of proteins and
amino acids to stimulate insulin release from the pancreas. Thus, a high
protein diet is not only safe in diabetes, but can also be therapeutic,
resulting in improved glycemic control, and decreased risk of complications
related to diabetes.
The benefits of a high protein diet do not end here. Individual protein
components of such a diet, when aptly chosen, can have other advantages
as well. Dietary supplements containing proteins like whey and casein come
highly recommended. Casein is a milk protein and has the ability to form
a gel or clot in the stomach. The ability to form this clot makes it very
efficient in nutrient supply. The clot is able to provide a sustained,
slow release of amino acids into the blood stream, sometimes lasting for
several hours (Boirie et al. 1997). A slow sustained release of nutrients
matches well with the limited amount of insulin that can be produced by
the pancreas in diabetes. A protein supplement containing casein can thus
increase the amount of energy assimilated from every meal and, at the same
time, reduce the need for pharmacological interventions to control blood
sugar.
Whey proteins and caseins also contain "casokinins" and "lactokinins',
(FitzGerald) which have been found to decrease both systolic and diastolic
blood pressure in hypertensive humans (Seppo). In addition, whey protein
forms bioactive amine in the gut that promotes immunity. Whey protein contains
an ample supply of the amino acid cysteine. Cysteine appears to enhance
glutathione levels, which has been shown to have strong antioxidant properties
-- antioxidants mop up free radicals that induce cell death and play a
role in aging.
Thus, development of a protein supplement containing casein and whey can
provide an apt high protein diet and its health benefits to individuals
suffering from diabetes, obesity and hypercholesterolemia.
ABOUT PROTICA
Founded in 2001, Protica, Inc. is a nutritional research firm with offices
in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures
capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink
protein beverage containing zero carbohydrates and zero fat. Information
on Protica is available at http://www.protica.com
You can also learn about Profect at http://www.profect.com
REFERENCES
The American Association of Clinical Endocrinologists. Medical guidelines
for the management of diabetes. AACE Diabetes Guidelines, Endocr Pract.
2002; 8(Suppl 1).
Boirie, Y., Dangin, M., Gachon, P., Vasson, M.P., Maubois, J.L. and Beaufrere,
B. (1997) Slow and fast dietary proteins differently modulate postprandial
protein accretion. Proclamations of National Academy of Sciences 94, 14930-14935.
Counous, G. Whey protein concentrates (WPC) and glutathione modulation
in cancer treatment. Anticancer Research 2000; 20, 4785-4792
FitzGerald RJ, Murray BA, Walsh D J. Hypotensive Peptides from Milk Proteins.
J. Nutr. 134: 980S-988S, 2004.
Franz MJ. Prioritizing diabetes nutrition recommendations based on evidence.
Minerva Med. 2004; 95(2):115-23.
Gannon et al An increase in dietary protein improves the blood glucose
response in persons with type 2 diabetes. Am J Clin Nutr 2003; 78:734-
41.
Gannon MC, Nuttall J A, Damberg G. Effect of protein ingestion on the glucose
appearance rate in people with type II diabetes. J Clin Endocrinol Metab
86: 1040-1047, 2001
Ganong W F. Review of Medical Physiology, 21st Ed. Lange Publications 2003
Ha, E. and Zemel, M.B. Functional properties of whey, whey components,
and essential amino acids: mechanisms underlying health benefits for active
people. Journal of Nutritional Biochemistry 2003; 14, 251-258.
Kent KD, Harper WJ, Bomser JA. Effect of whey protein isolate on intracellular
glutathione and oxidant-induced cell death in human prostate epithelial
cells. Toxicol in Vitro. 2003; 17(1):27-33.
Nuttall et al. The Metabolic Response of Subjects with Type II Diabetes
to a High-Protein, Weight-Maintenance. J Clin Endocrinol Metab 88: 3577-3583,
2003 Parker et al. Effect of a High-Protein, High-Monounsaturated Fat Weight
Loss Diet on glycemic Control and Lipid Levels in Type 2 Diabetes. Diabetes
Care 25:425-430, 2002.
Seppo, L., Jauhiainen, T., Poussa, T. & Korpela, R. () A fermented milk high in bioactive peptides has a blood pressure-lowering effect in hypertensive subjects. Am. J. Clin. Nutr. 2003; 77: 326-330. Unger RH. Glucagon physiology and pathophysiology. N Engl J Med. 1971; 285:443- 449.
Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com
We really do care about your health and happiness and are thrilled you are interested in our articles, but please always check with your doctor before trying something new!
Exercise & Diabetes
Exercise & Diabetes The Added Benefit of Exercise in People with
Diabetes
All of us are aware that exercise can help prevent the serious complications
that often come with diabetes and heart disease. Research has shown that regular
exercise helps reduce the likelihood of having a heart attack or a stroke, and
moreover it aids in weight loss, & improving one's mood.
But do you know that exercise can also help you reduce your blood glucose levels?
That's right. In people with type II diabetes, exercise may improve insulin sensitivity
and assist in lowering elevated blood glucose levels into the normal range.
In older people with diabetes, the decrease in insulin sensitivity that comes
with aging is also partly due to a lack of physical activity. So regular exercise
benefits you now, and for years to come.
Sometimes, it may seem easier to pop a pill or even take a shot than to put on
your walking shoes and hit the trail. But the truth is that exercise, in combination
with a healthy diet, is one of the best things you can do to take care of yourself
if you have diabetes.
Why exercise?
Exercise burns calories, which will help you lose weight or maintain a healthy
weight.
Regular exercise can help your body respond to insulin and is known to be effective
in managing blood glucose. Exercise can lower blood glucose and possibly reduce
the amount of medication you need to treat diabetes, or even eliminate the need
for medication.
Exercise can improve your circulation, especially in your arms and legs, where
people with diabetes can have problems.
Exercise can help reduce your cholesterol and high blood pressure. High cholesterol
and high blood pressure can lead to a heart attack or stroke.
Exercise helps reduce stress, which can raise your glucose level.
In some people, exercise combined with a meal plan, can control type II Diabetes
without the need for medications. http://www.aayurmart.com Sources:
National Diabetes Data Group. Diabetes in America, 2nd edition. NIDDK.
Jayachandran.R. Author is a freelance content writer who also owns http://www.aayurmart.com. For more details mailto:ayurmart@gmail.com
When traveling on out-of-town business, its common to have the hotel front desk give you a wake-up call in the morning. You want to avoid the embarrassment and repercussions of being late for your business appointments. Here is an important wake-up call for your life and the lives of the people you most care about. If you want to avoid the life damaging effects of diabetes, take 3 minutes to read the remainder of this article right now. The new buzz in the medical community calls it- "Pre-Diabetes". Today, roughly 41 million Americans have pre-diabetes which left undetected and untreated, progresses into full-blown diabetes.
Here's how. When you exercise, your body uses more oxygen -- as much as 20 times more -- and even more in the working muscles, than when you are at rest. So the muscles use more glucose to meet their increased energy needs. At the same time, exercise improves the action of insulin in the peripheral muscles, making it more efficient, so you get more out of the insulin your body is producing.
The challenge with pre-diabetes is the fact that the condition doesn't
like to reveal itself with noticeable symptoms. Because there are few,
if any symptoms, most people will not bother having screening tests performed.
With pre-diabetes, noticeable symptoms like frequent thirst and urination
may not occur until the disease has progressed and is already causing considerable
damage to your body. Most Type 2 diabetics don't have symptoms because
the onset of diabetes is so slow.
Don't wait for "someday" to have your blood tested. Call your doctor today
and make the appointment.
The goal with identifying pre-diabetes is to prevent the onset of diabetes
from ever happening.
Your physician can determine if you have pre-diabetes with two common tests.
The fasting plasma glucose test (FPG) and the oral glucose tolerance test
(OGTT). Both require an overnight fast.
The good news is that you can greatly improve your odds and likely prevent
diabetes with early detection and proper care.
Don't wait 'til it hurts. Ask your doctor about diabetes and have your
blood sugar checked several times a year.
For more information about diabetes, including a Diabetes Quiz and a Free
booklet, visit our website at:
http://hope4diabetes.com/info
This 20 page FREE booklet will provide you with in-depth information on
comprehensive diabetes care. The 7 principles, or steps, will help you
to understand, manage and diagnose your potential diabetes risk.
It could help you live a longer and more active life. The booklet is Yours
absolutely FREE - No Risk! Share it NOW with the people you love and want
to Keep alive!
David Anderson is a freelance health/wellness writer for http://hope4diabetes.com. Email contact information is available on the website. For telephone contact: (316) 541-2208
Here is some commonsense thinking:
I can't understand why anyone who has diabetes wouldn't exercise and watch
what they eat.
The down side is that you may have to get an entire new wardrobe since
exercise and healthy eating causes weight and size reduction.
When it happens, people tell you how great you look and that motivates
you even more.
Other side effects: you'll also sleep better and feel more rested than
before you started walking and eating better.
I prefer walking outside, especially when the weather is nice. I even designed
a walking path about 2.5 miles long around my neighborhood; part flat and
part hilly.
The payoff from a job well done is that if and when you need to take time off for your diabetes care, your boss and co-workers will remember your good track record and be that much more willing to cover for you or help you with scheduling. By communicating with your employer and taking responsibility for your care, you can incorporate your diabetes care into your work life successfully.
You'll find that a walking program helps more than your body.
"For me, walking time is good thinking time. Nobody is there to interrupt
my thoughts. And even when I walk on the treadmill in front of the TV,
I find it helps me get ready for the day."
Exercise and healthy eating.... A powerful duo for diabetics!
Ask your doctor about diabetes and have your blood sugar checked several
times a year.
For more information about diabetes, including a Diabetes Quiz and a Free
booklet, visit our website at:
http://hope4diabetes.com/info
This 20 page FREE booklet will provide you with in-depth information on
comprehensive diabetes care. The 7 principles, or steps, will help you
to understand, manage and diagnose your potential diabetes risk.
It could help you live a longer and more active life. The booklet is Yours
absolutely FREE - No Risk! Share it NOW with the people you love and want
to Keep alive!
David Anderson is a freelance health/wellness writer for http://hope4diabetes.com. Email contact information is available on the website. For telephone contact: (316) 541-2208
When you go to work, your diabetes goes with you.
You get up, get showered, get breakfast, get to work. You have bills, therefore
you have a job.
But you also have diabetes. You have to care for your diabetes while you're
at work. Here are 10 tips for merging your diabetes care with your career.
1. Wear medical identification jewelry
- If you ever need medical assistance at work, the emergency medical personnel
will know you have diabetes.
2. Decide who to tell
- All things being equal, it might be in your best interest to let a few
trusted co-workers or your boss know. Just for your own safety.
3. Give your co-workers a chance
- Don't just assume that your boss won't accommodate you, or that your
co-workers won't be helpful. Give them a chance to grasp what diabetes
is and understand how they can help you, particularly if you've been diagnosed
since starting your current job. Diabetes may be as new to them as it is
to you.
4. Get it in writing
- If necessary, get a doctor's note. It may help to get a medical statement
from your doctor saying what your diabetes care needs are. Present it to
your company nurse or human resources department, and make sure your supervisor
gets a copy.
5. Be your own advocate
- Your local hospital or diabetes center may offer programs through which
diabetes educators can come to your workplace and explain to your human
resources department, supervisors, or co-workers what diabetes is and how
they can make the workplace more diabetes-friendly. See if your employer
is willing to host such a program.
6. Don't abuse the system
- Unfortunately, there are people who claim extensive health challenges
and reap disability benefits their situation may not warrant. That makes
it harder for everyone. It's best to save sick days and disability pay
for when you really need them.
7. Plan ahead
- The biggest challenge many people with diabetes face is access to meals
and breaks. Have snacks readily available should you need to treat a low.
8. Take your equipment with you
- Keep your blood glucose meter and supplies where you can reach them.
Don't leave blood glucose meters or insulin in the car. Extreme temperatures
can affect them.
9. Watch out for stress
- Stress can wreak havoc on your blood sugars. Stress can cause either
high or low blood sugar. It differs from person to person, and sometimes
from situation to situation in the same person. Stress may mask symptoms
of low blood sugar, or prompt completely different symptoms. Frequent monitoring
is your best defense.
10. Keep good diabetes control
- The best thing you can do to remain productive is to stay healthy. Don't
let your diabetes get so far out of control that you're not able to work.
If you're eating well, exercising, and controlling your blood sugars, you
will have a productive work life.
If you feel that your employer is not making reasonable accommodations
to allow you to care for your diabetes at work, contact the Equal Employment
Opportunity Commission (EEOC) at: (800) 669-4000 or (800) 669-6820 TTY.
Ask your doctor about diabetes and have your blood sugar checked several
times a year.
For more information about diabetes, including a Diabetes Quiz and a Free
booklet, visit our website at:
http://hope4diabetes.com/info
This 20 page FREE booklet will provide you with in-depth information on
comprehensive diabetes care. The 7 principles, or steps, will help you
to understand, manage and diagnose your potential diabetes risk.
It could help you live a longer and more active life. The booklet is Yours
absolutely FREE - No Risk! Share it NOW with the people you love and want
to Keep alive!
David Anderson is a freelance health/wellness writer for http://hope4diabetes.com. Email contact information is available on the website. For telephone contact: (316) 541-2208
More on Diabetic Related Topics
Adult Onset Diabetes - Vanadyl sulfate is a form of the vanadium, a trace mineral. In Europe, vanadium is often used as a natural treatment for diabetes. Vanadium has been found in human studies to imitate the effects of insulin in our bodies.
Artificial Sweeteners - While it's very easy to test for diabetes symptom , a simple blood glucose test is the determining factor, diabetes may not be easily recognized at first since so many of its symptoms are also common complaints for people who do not have diabetes.
Blood Glucose Level - Diabetes is a condition featuring unusually high levels of glucose in the bloodstream. Insulin, produced by the pancreas, is used by the body to lower blood glucose levels. If someone's pancreas doesn't generate enough insulin, their body will develop diabetes.
Blood Glucose Levels - Bottom Line: Studies suggest that the routine combined use of a thiazide with a beta-blocker should be questioned in the early management of hypertension, particularly in patients who are at increased risk of developing new-onset diabetes.
Blood Glucose Test - While it's very easy to test for diabetes symptom , a simple blood glucose test is the determining factor, diabetes may not be easily recognized at first since so many of its symptoms are also common complaints for people who do not have diabetes.
Blood Pressure Monitor - Remember that when you eat out, you are not taking a break from your diet. Most Americans eat out two times a week, and sometimes more. Since you are likely to eat out with some frequency, don't use eating out as a time to take a break from your diet.
Blood Sugar Level - If you are like me you probably thought diabetes is one of those things you have or don't have; nothing could be further from the truth because diabetes is now the biggest threat to health in the developed world and we are eating ourselves into it because of poor diet.
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Fasting Blood Glucose - "Hurricane Katrina Causes Diabetes" may soon be a real headline. This article will explain what you need to know before you or someone you know are unpleasantly surprised.
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Protein Diet - Dietary considerations can present a Hobson's choice in diabetes. Even when the intake is nutritious, assimilating it can be another matter. Then there is the problem of progression of diabetic complications if one ends up with excess glucose or fat in the system.
Remedies Herbal Supplements - Diabetes Mellitus is one of the most costly burdensome chronic diseases of our time and is condition that is increasing in epidemic population in the whole world. The complications resulting from the diseases are a significant cause of morbidity and mortality and are associated with failure of various organs such as the eyes, kidneys and nerves.
Saturated Fatty Acids - Prediabetes is a condition in which the blood sugar levels of the body are elevated over a period of time and within a specific range. This condition may be associated with the development of Type 2 diabetes, however ongoing research tends to indicate that there are a lot of strategies that someone with prediabetes can use to prevent or delay the onset of Type 2 diabetes.
Sensitivity Proper Exercise - Diabetes Milletus, a condition in which the body cannot convert food into energy because of a lack of insulin (a hormone produced by the pancreas), or because of an inability to use insulin. Diabetes is a serious condition that may cause complications.
Stimulate Insulin Production - Did you know that a third of all people that have diabetes are not aware that they have diabetes? Symptoms may seem tolerable, and most people just move on and don't pay attention to the bodies warning signals. Know you have diabetes or if you are pre diabetic, is important because you can start improving your life style and making the necessary changes to lessen the effects of diabetes in the future.
Sugar Diabetes - When you have diabetes should you really drink alcohol? That is a questions that many diabetics are asking. You are able to dink alcohol in moderation when you are a diabetic. But it is not good to really mix alcohol with any kind of medication.
Sugar Free Products - In past articles I've talked about how dietary sugars (white flour, corn syrup, table sugar, etc.) alter blood sugar levels, and how the body tries to regulate blood sugar through glycogen storage, insulin secretion and body fat creation.
Type Ii Diabetes - Today, diabetes is taking the nation by storm. As more and more people are faced with this illness, another problem develops - depression! For many families, diabetes means constant medical care and expensive medication. That coupled with the illness and it is easy to see why depression sets in. For this reason, we are also seeing a new group of people with diabetes turning to hypnosis to help.
Unconscious Eating Habits - Special areas in the pancreas gland, the islets of Langerhans, produce a hormone called insulin. This hormone is a protein of small size. Insulin stimulates muscle cells and other body cells to take up glucose from the blood and convert the glucose to glycogen, a kind of starch, and then store the glycogen.
Urination Blurred Vision - Diabetes is sometimes a disease that has undiagnosed symptoms and many people are surprised at the physician's diagnosis. While it may not have symptoms that cause pain, the disease working in the background can have very serious consequences if left undetected.
Rheumatoid Arthritis Symptoms - Rheumatoid arthritis afflicts millions of people and can significantly reduce one's quality of life. The early symptoms for rheumatoid arthritis include pain, redness and swelling in the small joints (typically the hands and/or feet) on both sides of the body.
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