All Posts Tagged: diabetes

Simple diagnosis of incipient chronic kidney disease in diabetes patients

Diabetes mellitus ( DM) is the most common diagnosis of patients on dialysis in Puerto Rico. Avoid or reduce the possibility that DM patients are candidates for dialysis is one of the most urgent priorities in Puerto Rican medicine. So why do so many people living with diabetes in Puerto Rico? There are several factors to consider. First, is the hereditary factor . Many Puerto Rican families, both father and mother, suffered or suffering from DM . The possibility of developing DM is high in the members of these families. The harmful lifestyles of patients with DM is alarming. The high incidence of obesity and comes from a high -calorie, salt, lack of exercise more inadequate diet. Another important factor is that , although there is evidence of simple laboratories that detect changes in renal function in patients with DM, they are referred late to the nephrologist. The diagnosis of incipient chronic kidney disease in patients with DM is simple. Only two laboratory tests are needed to make an early diagnosis. The two tests used to assess kidney function are serum creatinine, which measures kidney function, and albumin in the urine. This way, you can know if your kidneys are functioning mild, moderate or severe or if you need dialysis. Also, it is important to ask the patient if urination DM observes a lot of foam in the urine. This may be an important signal because it can be associated with amounts of protein / albumin in urine increased. The presence of protein / albumin in the urine is a sign of kidney or heart disease in patients with DM. However, at present, there are scientific knowledge for early detection of kidney disease in patients with DM and establish a systematic treatment to prevent or slow the progression of kidney disease in this.
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Education and teamwork as key factors in treating diabetes

When discussing diabetes, we are talking about how one of the major epidemics of the 21st century spreads over the population. How to treat and stop it? The main tool for the prevention of complications and the development of diabetes lies in education, not only for the general population, but also for the different health professionals who, in one way or another, participate in the care of the Patients. This will allow for better interaction at each encounter between the individual and the health care provider, maximizing adherence to treatment and achieving better metabolic control to reduce diabetes progression, progression, and associated complications. Today, innovation and technology offer new and different treatment options for diabetes. There are many oral medications that work on different physiological defects identified in this condition. Similarly, there have been new injectable drugs, which are not insulin and help maintain proper control of blood sugar levels and maintain or reduce body weight. There are also new insulins and methods of administration of this that allow a better simulation of the insulin secretion that occurs in a person who has diabetes. All this, in addition to the emergence of new methods to control blood sugar levels to individualize therapy helps each person with diabetes to achieve and maintain adequate control, slow the progression of the disease and its complications. Despite all these advances have not been able to reduce new cases of diabetes, stop the progression of the disease or the development of chronic complications of this. At that time, there is no data on diabetes control in Puerto Rico. Data from the Department of Health show that US diabetes control in the nation, as measured by the percentage of people achieving A1C below 7.0%, has improved to 55.7% in the period 2003 And 2004. How much more can the situation improve? What can be done to achieve this? There is still a long way to go. There are enough tools to get proper control of diabetes and associated conditions. In order to stop this epidemic, joint efforts are needed between health professionals, professional and non-professional organizations related to diabetes, the insurance industry, the pharmaceutical industry, government and the general population. We must learn to work together. Therefore, it would achieve greater awareness of how to prevent and control diabetes and how to individualize therapy to achieve maximum benefit with the lowest risk and probably the best cost for each individual. Only then will it stop diabetes mellitus in Puerto Rico and thus contribute to a better quality of life for our people.
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Diabetes is a common life-long health condition. There are 3.2 million people diagnosed with diabetes in the UK and an estimated 630,000 people who have the condition, but don’t know it.
Diabetes is a condition where the amount of glucose in your blood is too high because the body cannot use it properly.
This is because your pancreas doesn’t produce any insulin, or not enough insulin, to help glucose enter your body’s cells – or the insulin that is produced does not work properly (known as insulin resistance).
  • Insulin is the hormone produced by the pancreas that allows glucose to enter the body’s cells, where it is used as fuel for energy so we can work, play and generally live our lives. It is vital for life.
  • Glucose comes from digesting carbohydrate and is also produced by the liver.
  • If you have diabetes, your body cannot make proper use of this glucose so it builds up in the blood and can’t be used as fuel.
  • There are two main types of diabetes: Type 1 diabetes and Type 2 diabetes.
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What is Diabetes?

Diabetes, also known as diabetes mellitus, is the name given to a disease that causes a person to have high glucose levels in blood (high blood sugar).  This may happen either because the body’s production of insulin in insufficient or because the body does not respond adequately to the insulin that is produced.  In some cases, both factors contribute to high blood glucose levels. There are three types of diabetes: Type 1 Diabetes This type of diabetes is characterized by the body’s inability to produce insulin.  Insulin is a hormone produced by the pancreas that helps the body use up the glucose in blood for energy.  Some people call this type of diabetes “insulin-dependent diabetes” or “juvenile diabetes” because it usually affects people in their teenage years or early adulthood. Type 1 diabetes is less common than type 2 diabetes. Patients who are diagnosed with diabetes type 1 will need insulin injections for the rest of their life because their bodies have stopped producing it.  Along with insulin injections, they must follow a special diet and make sure to follow up on blood exams regularly. Type 2 Diabetes The body does not produce enough insulin for proper function, or the cells in the body do not react to insulin properly (also called insulin resistance). Most diabetes cases are diabetes type 2. Recommendations to control the symptoms of diabetes are losing weight (if necessary), following a healthy diet, exercising, and monitoring blood glucose levels. Who’s at risk? People who are overweight or obese have a higher risk of developing type 2 diabetes. Central obesity, or belly fat contributes greatly to insulin resistance. Along with being overweight, being sedentary and eating unhealthy foods also contribute to developing type 2 diabetes. What symptoms can a person with diabetes experience?
  • Frequent urination (polyuria)
  • Excessive thirst (polydipsia)
  • Hungry (polyphagia)
  • Tiredness
  • Weight loss
3) Gestational Diabetes  develops during pregnancy.  The diagnosis is made usually after the 24th week of gestation.  This type of diabetes may develop if insufficient insulin is produced by the mother’s body or it may also be associated with insulin resistance, possibly due to hormonal changes during pregnancy, which may result in elevated blood glucose levels. Gestational diabetes can usually be controlled with exercise and diet.  Some patients may need to use insulin injections to control blood glucose levels during their pregnancy.  If gestational diabetes goes undiagnosed or remains uncontrolled, there is a risk of complications during childbirth. Usually, gestational diabetes goes away after childbirth.  In many cases, women who have had gestational diabetes, go on to develop type 2 diabetes years later.  Lifestyle changes such as healthy eating and maintaining a healthy weight can reduce the risk of developing type 2 diabetes later on.  
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