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diabetes mellitus diet

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Q: what are the factors related to diet modification among diabetes mellitus patients?
hello.. pls answer this question. it would be a great help in our research. tnx…

A: Blood Sugar Management

http://www.dlife.com/dLife/do/ShowContent/blood_sugar_management/

Diet Guidelines

http://www.diabetes911.net/readit/chapter10.shtml

Q: looking for a web site under a name of american doctor for diet control and controling diabetes mellitus?
his name probably starts with M and the site contains a lot of information about health diet and combating cholestrol , high blood sugar as well as healthy food

A: I would suggest mayoclinic.com there is alot of info there

Q: Does a high sugar diet really lead to diabetes?
Does eating a lot of sugar make your body resistant to its own insulin? I would think that based on the “use it or lose it” motto that you would want to eat a lot of sugar to avoid diabetes. I’m referring to diabetes mellitus.
I’m thinking that if you cut sugar out of your diet then your islets of langerhan will begin to atrophy due to lack of use which would result in diabetes.
So eating more sugar would be a better way to avoid diabetes. Am I right?

A: A high sugar diet definitely leads to diabetes mellitus type II. DM Type I results from a lack of insulin production since the Beta cells are basically killed off. This used to be referred to as juvenile diabetes.

Insulin is a hormone that shoves sugar into most body cells. A high sugar spike in blood leads to high insulin spikes in blood. Hormones and their cell membrane receptors can go through up-regulation or down-regulation. Down-regulation makes the receptor less sensitive to the effects of the hormone so you need more hormone to get the same result. More hormone means more down-regulation, more down regulation means you need more hormone which leads to more down-regulation. It becomes a continuous cycle. Before full DM Type II is reached, people get Metabolic Syndrome (Syndrome X).

Same idea happens when someone takes recreational drugs. Eventually the same dose doesn’t work anymore cause of down-regulation and you need more alcohol, heroine, cocaine or whatever to get the same result.

At the same time, the beta cells in the islets of langerhans can be overburdened or burnt out for having to make too much insulin. Eating a low sugar diet would not cause them to atrophy since you cannot completely avoid carbohydrates. Sugar just spikes insulin levels where complex carbs make levels rise and fall.

Q: What are the statisticsavailable on diet,complications,foot care of diabetes mellitus?
I want Indian and World statistics

A: That question is so broad, sounds more like the title of a textbook!
The short answer is to keep the diabetic control tight enough to have the hemoglobin A1C in the low 5’s or under 5%.
If there is already compromise of the arterial circulation of the legs to address that systematically & regionally. If there are already ulcers need aggressive regional care. If there is already bone infection, it’s more a matter of chronic management, but not impossible to cure. And get professional toenail care, wash feet & keep well lubricated daily, and never ever ever go barefoot or in stocking feet. Always wear shoes that are protective. Inspect feet daily for any breaks in the skin; even a small crack can lead to loss of limb. If there is any tinea pedis (‘athlete’s feet’) must treat, as eventually leads to microbreaks in the skin which give the bacteria a port of entry.
Lastly, Indians genetically have a high penetrance of dyslipidemia (cholesterol problems) & need treat that very aggressively (in order to prevent hardening of the arteries of the legs); the most aggressive doctors treat it to get the “non-HDL” at about 100, and the “LDL” at about 70. (the non-HDL is the total cholesterol minus the HDL, & is a proxy marker for the agressive sub-fractions of the LDL). There was a study a few years ago in Lancet on Indians & had statistically smaller coronary arteries; can debate the why of that, but to me it means the most aggressive standards of care need be applied to any diabetic Indian.
And no smoking, ever!!

Good luck!!

Q: other causes of diabetes mellitus type 2?
anyone knows what are the other causes of diabetes mellitus type 2 besides food and diet?

A: Do you mean, what else can cause a person to have type 2 diabetes besides having a poor diet?

Being fat, heavy, obese.
Lack of exercise.
Genetic predisposition (look up MODY mature onset diabetes of the young)
Ethnic makeup (indian, native american, hispanic)
Age.

You don’t have to be fat, not exercise, or eat a poor diet to get type 2 diabetes. Genetics plays a big role. I have known many fat, couch potatoes who have never had a sugar problem. They may be at risk for it, but never get it. Same thing with cancer. Not all smokers get lung cancer, and not everyone who gets lung cancer, smokes (like Dana Reeve).

Here is my brief experience with diabetes: My great-grandma was a Sioux indian off the reservation. My mother has had diabetes since 30. She has always been on insulin. She was a little chunky, but on fat. Her sugars can go up very high. She was just hospitalized this year with a sugar of 1420. My uncle died from complications of diabetes at 45. He was obese. I had gestational diabetes 3x. I was a size 2-4 when I failed my diabetes test. I had asked to be tested early (at 12 weeks instead of 26 weeks) because of my family history. The doctors told me I couldn’t possibly have it. They told me “Your thin, not old, and active. You couldn’t possibly have it.” I insisted. They gave me the test. I was right and they were wrong. I ‘ve had two 9 lb., one 10 lb., and one 11 lb. baby. Three of the babies were one week early.

Genetics play a big role.

Q: Type 1 diabetes mellitus _____.?
a. is the most common form of the disease; more than 90% of all diabetics have type 1 diabetes
b. is an autoimmune disease in which the immune system attacks beta cells in the pancreas
c. is a common disorder in overweight individuals older than 40
d. can be controlled for many years with exercise and a proper diet
e. is treated by improving insulin receptor efficiency rather than by giving insulin

A: Type 1 is an autoimmune disease. The other answers refer to type 2 DM.
m

Q: To any Nurses or Doctors: a question about possible beginning of S/S of diabetes II?
I know the pathophysiology for the cause of type 2 diabetes mellitus, but I am not sure of this problem one of my friends is having. They have always been pretty healthy, but are currently in school and very busy with school, stress, exams, etc. They have mostly always followed a very healthy diet and used to jog and exercise daily for years and years, but now it is different.
To the point, sometimes when they eat alot of sweets, for instance like a cupcake with lots o frosting, their face becomes minorly flushed, and the cheeks feel very hot and slightly tingly. I am aware that wih insulin resistance, and my hypothesis is that the sweet glucose from this cupcake would not be able to get into the cell, and is just in the interstitial spaces, or whatever, and that is what is causing the flushing.
Do you think it sounds like the possibility of the beginning of type 2 (insulin resistant) diabetes mellitus? Or because of the strict diet, their body can’t adjust to high amts of sugar?

A: I would guess some kind of food allergy before diabetes. I am not aware of hyperglycemia causing the symptoms you described. Having to drink fluid and pee frequently is a sign of diabetes, among others. If DM is a concern, a fasting blood glucose level could be taken in a clinic.

Q: information on diabetes mellitus?
need information on 1800 calories ADA diet and food exchanges

A: Most people who have diabetes and are addicted to cola just drink diet cola but what makes it diet can cause cancer.

Q: Diabetes Mellitus and Elevated Glucose?
With non-insulin dependent DM my morning blood glucose is between 95-105 being controlled by metformin and amaryl. When I was placed on a liquid only diet the days that I only drank water and not liquids with nutrients the next day I had an elevated blood glucose of around 130. Those are the only days that it was elevated. What would cause the elevation?
I am thinking that the reason of the elevation is an increased activity of glucagon due to to reduced intake of carbohydrates then a failure of regulation by insulin. There is no illness and the liquid diet was not prescribed due to glucemic control. The reason for it wont have any effect on the glucose levels. When a variety of liquids were consumed the glucose levels are normal.

A: Why were you placed on a liquid diet? If it was because you were ill that could be one reason for elevate blood glucose. If you were on a liquid diet for test taking reasons, did you have to drink or take any type of prep, that could also be a reason why your blood glucose could be elevated. Were you taking your meds while on liquid diet?

Q: A highsalt diet that restricts protein,phosphorus,and magnesium & increase fluid intake is a treatment for?
1) renal failure
2) struvite uroliths
3) diabetes mellitus
4) hyperlipidemia

A: 2) has to be the answer. Mineral and protein restriction would fit with this answer and increasing fluid intake would also fit.

Conciously increasing fluid intake would be a detriment to 1) and 3) and would not be a benefit for4)

Q: Cookie induced diabetes?
Roughly how many Oreos can I consume before I develop diabetes mellitus type 2? I just ate between 40 and 45. Should I forget about it or go buy some insulin?

Note: assume my diet is fairly balanced otherwise

A: 3bn.

Just relax and enjoy your life for goodness sake!!!

Cookies are not going to kill you.

Eating 20+ cookies with every fried chicken/pizza meal and never exercising for 25 years, THAT might kill you.

If yu worry about that, you’ll die of stress before you get diabetes.

Q: sabi,please help me.i have problem?
do u know a medizine for a diabetes mellitus,n diet ?

A: Try here:

http://www.merck.com/mmhe/sec13/ch165/ch165a.html
http://www.americanheart.org/presenter.jhtml?identifier=4546
http://www.medicinenet.com/diabetes_mellitus/article.htm

http://en.wikipedia.org/wiki/Diabetes_mellitus

Q: Can anyone make a concept map out of this?
John Rocke is a 45 yr old divorced man with no children. He has a history of diabetes mellitus and poor control of blood glucose levels. Mr. Rocke is unemployed and currently receives unemployment compensation. He lives alone is a second floor apartment. Mr. Rocke had developed gangrene in the toe and failed to seek prompt medical attention; as a result, a left below the knee amputation was necessary.
Mr. Rocke is in his second postoperative day and his vital signs are stable. The stump is splinted and has a soft dressing. The wound is approximating well without signs of infection. He has not performed ROM exercises or turning since his surgery, complaining of severe pain. When the nurse goes into the room, he yells, “Get out!” I don’t want anyone to see me like this” No one has visited him since his hospitalization. He is tolerating an 1800-kcal American Diabetes Association diet and is using a urinal independently.He is on blood glucose with reg. insulin subcutaneously.

A: I can but I cant take graphics and put it in here. You are asking about a Cognet concept map right?

Q: Which of the following is NOT a function of fat?
. Which of the following is NOT a function of fat?

protection of organs
insulation of the body
quick source of energy
production of the sex hormones

2. Which of the following nutrients provides the first source of energy for humans?

proteins
carbohydrates
vitamins
minerals

3. Which of the following nutrients helps to build muscle, transports oxygen and carbon dioxide, forms hormones, and antibodies?

lipids
proteins
minerals
carbohydrates

4. What statement best describes the typical American diet?

It contains too little protein.
It contains too little fat.
It contains too many fruits and vegetables.
It contains too much sugar.

5. If a person is experiencing constipation, what carbohydrate should they increase in their diet?

glucose
lactose
cellulose
glycogen

6. Which statement best describes minerals and their function?

Minerals are found only in the bones and teeth.
Minerals are organic compounds used in energy production.
Minerals provide energy when carbohydrates are not available.
Minerals are elements which help to build cells and repair body tissues.

7. When an oil is changed to a solid, trans fat, like in the production of some margarines, what is the process called?

hydrogenation
synthesis
assimilation
integration

8. Which carbohydrate is known as blood sugar and is needed by all body cells to produce energy?

glucose
sucrose
glycogen
starch

9. How many calories are provided by a salad dressing containing 23 fat grams?

61
92
207
255

10. What type of fat simulates the liver to produce more cholesterol which can lead to the depositing of cholesterol in the blood vessels?

unsaturated fat
saturated fat
phospholipids
lipoprotein

11. Which medical condition is not related to one’s nutrition?

diabetes mellitus
obesity
atherosclerosis
bronchitis

12. What current factor influences American health habits in a negative way?

more offerings of chicken and fish in restaurants as alternatives to beef
a hurried lifestyle leading to many meals eaten away from home
the emphasis of increasing fruits and vegetables in the diet
more available information on the nutritional content of foods

13. Suzie consumes 2,700 calories every day but requires only 2,300 calories to meet her energy needs. Over time, Suzie’s calorie consumption may lead to what disorder?

obesity
anorexia nervosa
bulimia
fitness

14. What form of fat is carried in the blood by lipoproteins?

amino acids
cellulose
triglycerides
phospholipids

15. Why must all essential amino acids be present in the body at the same time for growth and repair to take place?

It takes the body too long to make the essential amino acids.
Proteins cannot be made by the body if they are absent.
Too much energy will be used up to make them.
The body will have to start breaking down fat to make them.

16. What mineral is needed for healthy bones and teeth?

potassium
sodium
iron
calcium

17. Which vitamin found in citrus fruits and tomatoes is necessary for iron absorption, collagen formation, and increasing the function of the immune system?

Vitamin A
Vitamin B
Vitamin C
Vitamin D

18. What is measured by the basal metabolic rate (BMR)?

the energy needs of the body at rest
calories needed by the body during physical activity
rate at which a person needs calories during the day
rate at which food is converted to energy

19. Which of the following is NOT a function of water?

removal of waste products from the body
circulation of substances through the blood
temperature regulation and sweat production
production of hormones

20. Restaurants typically add too much of which of the following nutrients to food resulting in higher calories?

fat
vitamins
water
fiber

21. A man’s weight is considered obese and harmful to his health if it is greater than which of the following percentages?

5%
10%
15%
20%

22. What government agency has provided the public with dietary guidelines to help promote health and prevent disease?

Food and Drug Administration
U.S. Department of Agriculture
National Institutes of Health
Centers for Dise

A: 1- production of the sex hormones
2- carbohydrates
3- proteins
4-It contains too much sugar.
5-glycogen
6-Minerals are found only in the bones and teeth.
7-synthesis
8-glucose
9-255
10-saturated fat
11-bronchitis
12-a hurried lifestyle leading to many meals eaten away from home
13-obesity
14-triglycerides
15-Proteins cannot be made by the body if they are absent.
16-calcium
17- vitamin c
18-rate at which a person needs calories during the day
19- production of hormones
20- fat
21- 20%
22- Food and Drug Administration

Q: I need help in a case study to know how a patient died, who was a heavy smoker.?
A 59 year man, a heavy smoker for much of his adult life, was brouaght into casuatly at 4 am. With three hour history of crushing, band-like chest pain. He was seen immediately but dies while being examined. His past medical history included diet-controlled (typw 2) diabetes mellitus and hypertension. He had several attacks of chest pain over the five years before his death. A post-morten examination was performed.
1) WHAT IS THE LIKELY CUASE OF DEATH

2)WHAT CHNAGES MIGHT HAVE BEEN PRESENT IN THE HEART MUSCLE AND CORONARY ARTERIES?

A: probably MI. the history of chest pain over five years is angina probably related to atherosclerosis. the coronary arteries would be narrowed with plaques and the myocardium would’ve been oxygen starved and possibly hypertrophied? i can’t quite remember but look up MI and atherosclerosis for more information about the pathophysiology and anatomical changes related to the diseases.

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